구강운동훈련에 대한 인식조사: 언어재활사 중심으로
Survey of the Use of Oral-Motor Exercise Among Korean Speech-Language Pathologists
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본 연구에서는 여성 노인의 인지기능 변화가 균형능력 및 시각적 반응시간에 미치는 영향을 알아보고, 인지기능과 이러한 신체기능 간의 상관관계에 대해 규명하고자 하였다. 65세 이상의 여성 노인 25명을 대상으로 Korean mini-mental state examination(K-MMSE)을 사용하여 인지기능을 평가한 후, 대조군(K-MMSE≥24, 14명)과 실험군(K-MMSE<24, 11명)으로 구분하였다. 인지기능에 따른 균형능력 이외에도 다양한 신체기능을 비교하기 위해 일상생활활동의 독립성, 유연성 검사를 실시하였고 시각적 자극에 대한 반응시간 측정실험을 통해 반응시간과 오류를 분석하였다. 도구적 일상생활활동의 독립성과 눈을 감은 상태에서의 균형능력은 대조군에 비해 실험군에서 유의하게 감소하였다(p<.05). 변별 반응과제에서 반응시간은 대조군에 비해 실험군에서 지연되는 결과를 보였으나 유의한 차이를 나타내지 못한 반면, 오류는 실험군에서 통계적으로 유의하게 증가하였다(p<.05). 또한, K-MMSE 점수가 높을수록 도구적 일상생활활동은 독립적이고(p<.01), 눈을 감은 상태에서 균형능력은 증가하였으며(p<.01), 시각적 자극에 대한 변별반응은 빠르고 정확하게 나타났다(p<.05). 이는 노화에 따른 인지기능 변화가 균형능력 등의 신체기능 저하와 유의한 상관관계를 가지며, 특히 선택적 주의력을 의미하는 반응시간 지연과도 유의하게 관련되어 있음을 나타낸다. 이러한 연구 결과는 노인의 인지기능 증진 및 재활프로그램으로서 반응과제 훈련에 대한 기초적인 근거 자료를 확립하는데 활용될 수 있을 것으로 사료된다.
Abstract
This study was conducted to investigate the clinical application and perception of effectiveness of Oral Motor Exercises (OME) among speech-language pathologists in South Korea. A survey consisting of 20 items was administered via Google Mobile to 90 speech-language pathologists, revealing that 97.8% had clinical experience with OME. Notably, 81% of the respondents reported using OME for clients with functional articulation disorders, with 58.9% observing improvements in speech sound production. The activity 'tongue strengthening' received the highest engagement at a 74.4% response rate, with a perceived effectiveness of 73.3%. Additionally, 'motor-speech exercises' were recognized as the core concept of OME by 46.7% of furthermore, 70% of practitioners reported integrating oral motor activities with speech sound work in their clinical practice. 'Lip strengthening' was the most frequently applied activity, which was noted by noted by 65.6% of the respondents. Despite the widespread implementation of OME, limitations related to target applicability and the grounding in Evidence-Based Practice (EBP) were identified. Consequently, 84.5% of the respondents acknowledged the need for systematic education to enhance the effectiveness of OME applications. This research contributes significantly to the decision- making process in clinical settings and aims to improve the quality of speech rehabilitation services. Future studies for exploring the satisfaction and effectiveness perceived by professionals in the field and clients receiving these interventions should be encouraged.
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