대한감각통합치료학회지 (The Journal of Korean Academy of Sensory Integration)

  • 제13권1호
  • /
  • Pages.13-22
  • /
  • 2015
  • /
  • 1738-0405(pISSN)
  • /
  • 2384-115X(eISSN)
대한감각통합치료학회 (Korean Academy of Sensory Integration)
권호 표지
DOI QR코드

DOI QR Code

아동의 운동기능평가에 대한 Interactive Metronome® LFA의 타당도 연구

Validity of Long Form Assessment in Interactive Metronome® as a Measure of Children's Praxis

  • 김경미 (인제대학교 의생명공학대학 작업치료학과) ;
  • 허서윤 (인제대학교 대학원 재활과학과) ;
  • 김미수 (인제대학교 대학원 작업치료학과) ;
  • 이수민 (인제대학교 대학원 작업치료학과)
  • Kim, Kyeong-Mi (Dept. of Occupational Therapy, College of Biomedical Science and Engineering, Inje University) ;
  • Heo, Seo-Yoon (Dept. of Rehabilitation Science, Graduate School of Inje University) ;
  • Kim, Mi-Su (Dept. of Occupational Therapy, Graduate School of Inje University) ;
  • Lee, Soo-Min (Dept. of Occupational Therapy, Graduate School of Inje University)
  • 투고 : 2015.07.28
  • 심사 : 2015.09.04
  • 발행 : 2015.09.11
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

목적 : 본 연구의 목적은 상호작용식 메트로놈(Interactive $Metronome^{(R)}$: IM)의 평가인 Long Form Assessment(LFA)의 구별타당도와 동시타당도를 알아보고자 하였다. 연구방법 : 연구대상은 경남과 부산지역에 거주하는 만 6세~만11세의 Attention Deficit Hyperactivity Disorder(ADHD) 아동 25명과 일반 아동 25명을 대상으로 하였다. IM의 LFA에 대한 구별타당도를 알아보기 위하여 ADHD 아동과 일반 아동의 LFA 수행의 차이를 비교하였고, 동시타당도를 알아보기 위해 ADHD 아동을 대상으로 LFA와 Bruininks-Oseretsky Test of Motor Proficiency, second edition(BOT-2)와의 상관관계를 알아보았다. 결과 : 일반아동과 ADHD아동에서 IM의 LFA 과제수행을 비교한 결과 총점에서 유의한 차이가 있었다(p<.05). 둘째, ADHD 아동에서 IM의 LFA와 BOT-2의 상관관계를 분석한 결과 LFA의 총점과 BOT-2의 총점에서 비교적 높은 음의 상관관계를 보였다(p<.05). 또한 LFA의 총점과 BOT-2의 손의조절(rs=-.525) 영역에서 높은 상관관계를 보였으며, 미세운동 정확성(rs=-.447), 손의 기민성(rs=-.532)과 균형(rs=-.623) 하위항목에서 높은 음의 상관관계를 보였다(p<.05). 결론 : 연구결과를 통하여 IM의 LFA는 아동의 운동기능을 판별할 수 있는 도구로서 타당도를 확인하였다. IM의 LFA는 총점으로 운동 실행기능을 평가하는 것이 적절하며, 아동의 운동기능 평가를 위해 임상적으로 사용할 수 있으리라 생각된다.

Objective : The aim of this study is to verify validity of Long Form Assessment, which is an Interactive Metronome $measure^{(R)}$(LFA-IM), as a measurement of praxis of children. Methods : The study was implemented from March 2015 to July 2015. Twenty-five children with Attention Deficit Hyperactivity Disorder (ADHD) and those without ADHD (age of 6~11) were selected from a local university hospital and community in Gyeoung-Nam province and Busan for this study. In order to examine discriminative validity of LFA-IM, Bruininks-Oseretsky Test of Motor Proficiency, second edition (BOT-2) was used to compare the difference of results with LFA-IM for both children with- and without ADHD. For concurrent validity, correlation between LFA-IM and BOT-2 was investigated using spearman correlation coefficients. Results : For the comparison between children with ADHD and children without ADHD, there were significant differences in the total scores of LFA-IM (p<.05). Regarding the concurrent validity, there was a strong negative correlation between the total scores of LFA-IM and BOT-2 (p<.05). In addition, there was high correlation between LFA-IM and BOT-2 for the area of hand control (rs=-.532), and high negative correlation for the area of fine-motor accuracy (rs=-.447), hand dexterity (rs=-.532), and balance control (rs=-.623) (p<.05). Conclusion : This study identified validities of LFA-IM as an assessment of praxis of children. The results showed that it is appropriate to evaluate praxis of children with the total score of LFA-IM and, thus, it is believed that LFA-IM has a potential clinical utility. However, there should be more researches with large number of subjects.

키워드

참고문헌

  1. AERA, APA, & NCME. (1999). Standard for educational and psychological testing. Washington D. C.: American Psychological Association.
  2. Barkley, R. A. (1997). Behavioral inhibition sustained attention and executive function: Constructing a unifying theory of ADHD. Psychological Bulletin, 121, 65-94. https://doi.org/10.1037/0033-2909.121.1.65
  3. Barkley, R. A. (2006). Attention-deficit hyperactivity disorder: A handbook for diagnosis and treatment. 3rd ed. New York: The Guilford Press.
  4. Bartscherer, M. L., & Dole, R. L. (2005). Interactive Metronome training for a 9-year-old boy with attention and motor coordination difficulties. Physiotherapy Theory and Practice, 21(4), 257-269. https://doi.org/10.1080/09593980500321085
  5. Bruininks, R. H., Steffens, K., Spiegl, A., & Werder, J. K. (1990). The Bruininks-Oseretsky Test of the Motor Proficiency: Development, research, and intervention strategies. In H. Van Coppencolle & J. Simons (Eds.), Better by Moving: Proceedings of the 2nd International Symposium Psychomotor Therapy and Adapted Physical Activity, (pp. 17-41). Lueven, Belgiun: Acco.
  6. Bruininks, R. H., & Bruininks, B. D. (2002). Bruininks-Oseretsky Test of Motor Proficiency, Second Edition: Manual. Minnesota: Pearson.
  7. Cassily, J. F., & Jacokes, L. E. (2001). The Interactive $Metronome^{(R)}$ : A new computer-based technology to measure and improve timing, rhythmicity, motor planning, sequencing and cognitive capabilities. Paper presented at The Infancy and Early Childhood Training Course, Advanced Clinical Seminar, Arlington, Virginia.
  8. Choi, J. H. (2010). Study on validity of the Korean Bruininks-Oseretsky Test of Motor Proficiency, 2nd ed. Masters' dissertation. Inje University, Kim-Hae.
  9. Cosper, S. M., Lee, G. P., Peters, S. B., & Bishop, E. (2009). Interactive $Metronome^{(R)}$ training in children with attention deficit and developmental coordination disorders. International Journal of Rehabilitation Research, 32(4), 331-336. https://doi.org/10.1097/MRR.0b013e328325a8cf
  10. Jung, J. H., Kim, S. K. (2013). The effects of Interactive Metronome on bilateral coordination, balance, and upper limb extremity function for children with hemiplegic cerebral palsy: Single subject research. Journal of Korean Society of Occupational Therapy, 21(2), 37-48. https://doi.org/10.14519/jksot.2013.21.4.04
  11. Kadejo, B., & Gillberg, I. C., (1988). Attention deficits and clumsiness in Swedish 7-years-old children. Developmental Medicine and Child Neurology, 40, 796-804.
  12. Kim, K. M. (2003). The literature review for assessment of Sensory Integration. Journal of Korean Society of Occupational Therapy, 11(1), 93-98.
  13. Kim, K. M. (2004). A study on the validity of Short Sensory Profile for children without disability. The Journal Korean Academy of Sensory Integration, 2(1), 1-10.
  14. Koommar, J., Burpee, J. D., DeJean, V., Frick, S., Kawar, M. J., & Fischer, D. M. (2000). Theoretical and clinical perspectives on the Interactive Metronome: A view form occupational therapy practice. American Journal of Occupational Therapy, 55(2), 163-166. https://doi.org/10.5014/ajot.55.2.163
  15. Kuhlman, K., & Schweinhart, L. J. (1999). Timing in child development. Ypsilanti: High/Scope Educational Research Foundation.
  16. Lee, C. H. (2013), Research methodology for physical therapists and occupational therapists. Seoul: Gyechuk cultural history
  17. Mauk, M. D., & Buomonano, D. V. (2004). The Neural Basis of Temporal Processing. Annual Review of Neural Basis of Temporal Processing. Annual Review of Neuroscience, 27, 207-340.
  18. Rubia, K. & Overmeyer S., Taylor E., Brammer M., Williams S. C. .R., Simmnes, A., et al., (1999). Hypofrontality in attention deficit hyperactivity disorder during higher-order motor control: A study with functional MRI. American Journal of Psychiatry, 156, 891-896. https://doi.org/10.1176/ajp.156.6.891
  19. Seok, I. S. (2009). Effects of Interactive Metronome training on children with impulsive and inattentive behavioral problem. Journal of Emotional & Behavioral Disorders, 25(1), 109-122.
  20. Shaffer, R. J., Jacokes, L. E., Cassily, R. F., & Stemmer, P. J. Jr. (2001). Effect of intereactive $metronome^{(R)}$ training on children with ADHD. The American Journal of Occupational Therapy, 55(2), 155-162. https://doi.org/10.5014/ajot.55.2.155
  21. Somme, M., & Ronnqvist, L. (2009). Improved motor-timing: Effects of synchronized metronome training on golf shot accuracy, Journal of Sports Science and Medicine, 8, 648-656.
  22. Rea, L. M., & Parker, R. A. (2005). Designing & Conducting Survey Research A Comprehensive Guide (3rd ed.). San Francisco, CA: Jossey-Bass.
  23. Wickelgren, W. A. (1977). Speed-accuracy tradeoff and information processing dynamics. Acta Psychologica, 41, 67-85. https://doi.org/10.1016/0001-6918(77)90012-9

피인용 문헌

  1. Correlation Between Timing and Motor Function and Between Timing and Executive Function in Children With Attention Deficit Hyperactivity Disorder vol.26, pp.3, 2018, https://doi.org/10.14519/jksot.2018.26.3.02