고유-전정감각 중심의 감각통합중재가 발달지연 아동의 침 흘리기와 자세조절에 미치는 효과 : 단일 실험 설계 연구
The Effects of Proprioceptive-Vestibular Based Sensory Integration Intervention on Drooling and Postural Control of the Child with Developmental Delay : Single Subject Research Design
1
조회
0
다운로드
13
인용
0
참고문헌
키워드
초록
본 연구는 고유-전정감각 중심의 감각통합치료가 발달지연 아동의 침 흘리기와 자세조절에 미치는 효과를 알아보자 하였다. 연구 대상자는 전반적인 발달영역에서 지연을 보이는 만 36개월 된 남자로, 과도한 침 흘리기와 자세조절의 문제를 가진 아동이었다. 연구 방법은 개별 실험 연구 중 AB 설계를 사용하였다. 실험과정은 기초선 기간(A) 5회기, 중재 기간(B) 15회기로 진행되었다. 기초선 기간에는 고유-전정감각 중심의 감각통합중재를 하지 않았으며, 중재기간에는 고유-전정감각 중심의 감각통합중재를 실시하였다. 침 흘리기 정도는 전자저울을 사용하여 0.5g 단위로 측정하였으며, 자세조절은 Nintendo Wii Fit 균형판을 사용하여 신체중심의 좌우차를 %로 측정하였다. 본 연구의 결과는 다음과 같다. 첫째, 침 흘리기는 침의 양이 기초선 기간(3.10 ±0.42g)보다 중재기간(1.50 ±0.46g)에 평균 1.6g 감소하였다. 둘째, 자세조절은 기초선 기간(25.47 ±3.72%) 보다 중재기간(16.12 ±4.87%)에 신체중심의 좌우차이가 평균 9.35% 감소하여 자세조절 능력이 향상되었다. 본 연구는 고유-전정감각중심의 감각통합중재가 발달지연 아동의 침 흘리기와 자세조절 능력향상에 도움을 주는 것으로 나타났다.
Abstract
The purpose of this study was to investigate the effect of proprioceptive-vestibular based sensory integration intervention on drooling and postural control of the child with developmental delay. The subject of study was a boy who is 36-month-old with delayed development on the overall developmental areas. A single subject research AB design was used for this study. The procedure consisted 5 sessions of baseline phase (A) and 15 sessions of intervention phase (B). The baseline phase involved no intervention, but during the intervention phase proprioceptive-vestibular based sensory integration intervention was conducted. the amount of drooling was measured by the bib with an electronic scale and the postural control by the Nintendo Wii Fit Balance Board. The results of this study are as follows; First, the amount of drooling was decreased in intervention phase (1.50g ±0.46g) than in baseline phase (3.10g ± 0.42g). Second, the postural control of subject was improved in intervention phase (16.12 ±4.87%) than baseline phase (25.47 ±3.72%). This study showed that the proprioceptive-vestibular based sensory integration intervention provided positive effects on the improvement of drooling and postural control of the children with developmental delay.
참고문헌 (35)
- 김숙자, "구강 감각·운동 훈련이 뇌성마비아동의 구강운동 기능과 씹기 및 침흘리기에 미치는 효과", 석사, 특수교육, pp.2003
- 김인선, "각성조절과 빨기", 삼키기, 대한감각통합치료학회지, pp.2003, 1(1)[DOI]
- 김종만, "신경해부생리학" (2009), 정담미디어
- 김진미, "감각통합치료에서 고유수용성 감각 활동에 관한 고찰", 대한감각통합치료학회지, 5(1), pp.1~13 (2007)
- 노금미, "감각통합치료가 전반적 발달장애 아동의 자세조절과 손 기능에 미치는 영향", 특수교육재활과학연구, 50(3), pp.377~392 (2011), 특수교육재활과학연구소
- 오명화, "자세조절과 구강운동프로그램이 뇌성마비아동의 먹기 활동에 미치는 효과", 재활심리연구, 16(1), pp.75~94 (2009), 한국재활심리학회
- 유천심, "마시기와 씹기를 이용한 섭식활동이 뇌성마비아동의 호흡과 구강운동 및 침 흘리기 개선에 미치는 영향", 석사, 언어치료학, pp.2010
- 지석연, "감각통합치료가 발달지연 아동의 자세조절, 양측협응, 운동계획 능력의 향상에미치는 효과 : 단일 사례 연구", 대한작업치료학회지, 10(1), pp.63~70 (2002)
- 홍은경, "자세 조절 능력의 향상을 위한 감각통합치료적 접근: 개별 실험 연구", 특수교육재활과학연구, 46(3), pp.175~190 (2007), 특수교육재활과학연구소
- Ayres, A. J., "Sensory Integration and Learning Disorders." (1972), Western Psychological Services
- Ayres, A. J., "Sensory Integration and the Child." (1979), Western Psychological Services
- Bissell, J., "Sensory Motor Handbook: A guide for implementing and modifying activities in the classroom" (1998), Therapy Skill Builders
- Bothwell, J. E., "Botulinum toxin a as a treatment for excessive drooling in children", Pediatric Neurology, 27(1), pp.18~22 (2002)
- Bundy, A. C., "Orchestrating intervention; the art of practice, In Sensory integration theory and practice", pp.261~308 (2002), F. A. Davis Co
- Bundy, A. C., "Sensory Integration : Theory and practice" (2002), F. A. Davis
- Case-Smith, J., "Occupational Therapy for Children" (2001), Mosby
- Clark, R. A., "Validity and reliability of the Nintendo Wii Balance Board for assessment of standing balance", Gait Posture. Mar, 31(3), pp.307~310 (2010)
- Dunn, W., "The Sensory Profile : The performance of a national sample of children without Disabilities", American Journal of Occupational Therapy, 51(1), pp.25~34 (1997)
- Eiland, L. S., "Glycopyrrolate for Chronic Drooling in Children", Clinical Therapeutics, 34(4), pp.735~742 (2012)
- Hassin-Baer, S., "Botulinum toxin injections for children with excessive drooling", Journal of child Neurology, 20(2), pp.120~123 (2005)
- Hopkins, H. L., "Occupational therapy" (1983), J. B. Lippincott Co
- Johnson, H., "A practical approach to saliva control" (1993), Communication Skill Builders
- Jongeriou, P. H., "Botulinum toxin A; a new option for treatment of drooling in children with cerebral palsy. presentation of a case series", European Journal of Pediatrics, 160(8), pp.509~512 (2001)
- Kranowitz, C., "The out-of-sync child: recognizing and coping with sensory processing dysfunction" (2003), The Berkley Publishing Group
- McCracken, A., "Drool control and tongue thrust therapy for the mentally retarded", American Journal of Occupational Therapy, 32(2), pp.79~85 (1978)
- Minshew, N. J., "Underdevelopment of the postural control system in autism", Neurology Dec 14, 63(11), pp.2056~2061 (2004)
- Morris, S. E., "Pre-feeding skill. : A comprehensive resoure for feeding development" (1987), Therapy Skill Builders
- Nourbakhsh, M. R., "The statistical analysis of single-subject data : A comparative examination", Physical Therapy, 74(8), pp.768~776 (1994)
- Oetter, P., "MORE : Integrating the Mouth With Sensory and Postural Functions." (1995), PDP Press, Inc
- Reid, S. M., "The drooling impact scale : a measure of the impact of drooling in children with developmental disabilities", Developmental Medicine & Child Neurology, 52(2), pp.23~28 (2010)
- Roley, S. S., "Understanding the nature of sensory integration with diverse population" (2001), Austin; Pro-Ed
- Sochaniwiskyj, A. E., "Drool quantification : noninvasive technique", Archives of Physical Medicine and Rehabilitation, 63(12), pp.605~607 (1982)
- van der Burg, J., "Drooling in children with cerebral palsy : a qualitative method to evaluate parental perceptions of its impact on daily life, social interaction, and self-esteem", International Journal of Rehabilitation Research, 29(2), pp.179~182 (2006)
- Wilkie, T. F., "The surgical treatment of drooling. A follow-up report of five year’s experience", Plastic and Reconstructive Surgery, 45, pp.549~554 (1970)
- Winstock, A., "The practical management of eating & drinking difficulties in children" (1994), Winslow