The Journal of Korean Academy of Sensory Integration (대한감각통합치료학회지)

Korean Academy of Sensory Integration (대한감각통합치료학회)
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Single Case Study: The Positive Impact of the Intensive Sensory Integration Intervention for the Sensory Defensiveness

감각통합기능장애에 대한 집중치료프로그램의 효과 : 사례보고

  • Park, Ji-Hun (Daejeon Health Sciences College Children Development Institute) ;
  • Noh, Jong-Su (Dept. of Occupational Therapy, Daejeon Health Sciences College) ;
  • Lee, Hyang-Sook (Dept. of Occupational Therapy, Daejeon Health Sciences College) ;
  • Cha, Jung-Jin (Dept. of Occupational Therapy, Daejeon Health Sciences College)
  • 박지훈 (대전보건대학 아동발달연구소) ;
  • 노종수 (대전보건대학 작업치료과) ;
  • 이향숙 (대전보건대학 작업치료과) ;
  • 차정진 (대전보건대학 작업치료과)
  • Received : 2009.11.24
  • Accepted : 2009.12.19
  • Published : 2009.12.31
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Abstract

Objective : The purpose of this study was to identify effects of intensive sensory integration (SI) treatment and home-program for a child who has a sensory integration disorder. This study also examined whether the positive effect is long-lasting by a follow-up test. Method : A boy with sensory integration dysfunction underwent an intensive SI treatment for 2 weeks. The intervention was consisted of 9 sessions and duration of the each session was 40 minutes. Sensory diet and Wilbarger protocol was provided as home program. The child's sensory function was evaluated before and after the SI intervention. Five month later, re-evaluation was executed for follow-up purpose. Results : In the evaluation after the Si intervention, the child's sensory defensiveness was decreased. Praxis, visual perception, sensory regulation dysfunction (sleep function), affective stabilization and performance of activities of daily living are also improved. In the re-evaluation after the 5 month later, the self-regulation ability, especially sleep function, has been maintained and the visual perception was developing continually. However, the child showed some affective regulation such as bothering his mother and losing his temper. Conclusions : The intensive SI intervention showed positive effects in terms of SI function improvement and the effect lasted long without any additional therapeutic intervention.

목적: 본 연구는 감각통합기능장애를 가진 아동을 대상으로 2주간에 걸친 집중치료프로그램을 제공하였을 때 미치는 효과를 알아보기 위한 것이며, 사후 평가를 통하여 감각통합기능의 유지 여부를 알아보았다. 연구방법: 단일사례연구로써 2주간 9회기 1회기에 40분씩 치료접근을 실시하고, 가정에서 Sensory diet와 더불어 Wilbarger Protocol을 실시하였다. 초기평가와 1차 재평가 사이의 시간은 15일이며 5개월 후 2차 재평가를 실시하였다. 결과: 집중치료프로그램 적용 후 아동은 전반적인 감각영역에서 감각방어가 감소되었고, 자기조절(수면, 각성)이 향상되었다. 또한 실행과 시-지각에서도 향상을 보였으며, 정서적 안정과 일상생활에서도 향상을 보였다. 프로그램 적용 5개월 후 감각조절능력, 안정적인 수면은 유지되고 시-지각에서도 지속적인 발달을 보였지만 정서적인 안정은 지속되지 않았다. 결론: 집중치료프로그램이 긍정적인 효과가 있음을 알 수 있었고, 집중치료프로그램 적용 후 치료적 접근이 없어도 대부분의 감각영역에서 감각조절능력을 유지할 수 있음을 알 수 있었다.

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