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신경발달치료원리에 기초한 일상생활활동 훈련이 뇌성마비아동의 분리된 움직임과 앉은 자세 균형에 미치는 효과

The Effects of Activities of Daily Living Training based on Neurodevelopmental Treatment Principles for the Segmental Movement and Sitting Balance of Children with Cerebral Palsy : Single-Subject Research Design

김경미|최유진
특수교육재활과학연구소 (The Research Institute for Special Education & Rehabilitation Science)|2008.03|특수교육재활과학연구|제47권 제1호|pp. 191-212

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참고문헌

키워드

cerebral palsy뇌성마비신경발달치료일상생활 훈련분리된 움직임앉은 자세 균형neurodevelopmental treatmentADL trainingsegmental movementsitting balance
주제분류기타사회과학

초록

본 연구는 신경발달치료원리에 기초한 일상생활 활동 훈련을 통해 뇌성마비 아동의 분리된 움직임 및 앉은 자세 균형의 효과를 알아보고자 하였다. 연구대상은 P시에 거주하는 만 4세 6개월 된 여아로, 경직성 양하지 마비로 진단받았다. 본 연구는 개별 실험 연구 중 AB설계를 사용하였다. 실험과정은 기초선 기간(A) 6회, 중재 기간(B) 13회로 진행되었다. 기초선 기간에는 일상생활활동 훈련을 하지 않았으며, 중재기간에는 신경발달치료 원리에 기초한 일상생활활동 훈련을 실시하였다. 분리된 움직임과 앉은 자세 균형은 아동의 개별화된 중재목표에 따라 긴팔 티셔츠 벗기와 발목보조기 벗기 활동 시 설정한 측정기준에 따라 평가하였다.본 연구의 결과는 다음과 같다. 아동의 분리된 움직임과 앉은 자세 균형은 기초선 기간과 비교하여 중재기간에 대부분 2 표준편차이상으로 향상되었다. 따라서 신경발달치료원리에 기초한 일상생활 활동 훈련이 뇌성마비 아동의 분리된 움직임과 앉은 자세균형 향상에 효과적이었다. 본 연구는 뇌성마비 아동에게 널리 사용되고 있는 신경발달 치료원리를 일상생활 활동 훈련에 접목시켜 사용하였으며, 개별화된 중재목표에 따라 그 결과를 측정함으로써, 신경발달치료의 질적인 효과를 제시한데 의의가 있다.

Abstract

The purpose of this study is to verify the effects ADL training based on Neurodevelopmental treatment(NDT) principles on segmental movement and sitting balance of children with cerebral palsy. The subject is a 4 years and 6 months old girl with spastic diplegia and lives in P city. An AB design for a single-subject research was used for this study. The procedures consisted of 6 times of baseline phase(A), 13 times of treatment phase(B). The baseline phase involved no ADL training, but during treatment phase ADL training was conducted. The measurement criteria of segmental movement and sitting balance was designed to reflect individualized therapy goals that is included removal T-shirt and ankle-foot orthosis(AFO). According to this study, the majority of segmental movement and sitting balance was improved above 2 standard deviation in treatment phase compared with in baseline phase. Therefore, this study supported the effectiveness of ADL training based on NDT principles by dealing with segmental movement and sitting balance of children with cerebral palsy. The study is integrated ADL training with NDT principles that are widespread for CP and measured outcomes based on individualized therapy goals. Consequently the study is suggested the meaning of quality effectiveness of NDT.

참고문헌 (41)

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