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뇌성마비 아동의 운동 및 처리기술에 영향을 미치는 감각처리 요인

The factor of sensory processing that affect on the motor and process skill of children with cerebral palsy

  • 박명옥 (백석대학교 보건학부 작업치료학과)
  • Park, Myoung-Ok (Department of Occupational Therapy, Baekseok University)
  • 투고 : 2016.07.21
  • 심사 : 2016.10.07
  • 발행 : 2016.10.31

초록

본 연구의 목적은 뇌성마비의 아동의 운동기술과 처리기술에 영향을 미치는 감각처리 요인을 증명하여 뇌성마비 아동을 위한 재활 치료 중재 시 임상적 고려 사항을 파악하고자 하였다. 서울시 소재 J 소아발달센터와 N 재활병원 병원에 내원 중인 뇌성마비 아동 36명을 대상으로 운동 및 처리기술 평가와 단축형 감각 프로파일 검사를 실시하였다. Pearson의 상관계수를 이용하여 뇌성마비 아동의 운동기술과 처리기술 및 감각처리능력과의 상관관계를 검증하였고, 위계적 다중회귀분석을 통해 운동기술과 처리기술에 영향을 주는 주된 감각처리 요인들을 검증하였다. 연구 결과, 운동기술은 감각처리 항목 중 청각여과하기, 활력부족/허약, 시/청각 민감성 항목과 유의미한 상관성을 나타내었다. 처리기술은 촉각민감성, 맛/냄새 민감성 항목과 유의미한 상관성을 나타내었다. 위계적 다중회귀 모형에서 운동기술에 영향을 주는 주요 요인은 움직임 민감성, 청각여과하기, 활력부족/허약 항목이었다. 처리기술에 영향을 주는 요인은 본 연구의 모형에서는 확증되지 않았다. 이번 연구는 뇌성마비 아동을 대상으로 일상생활 활동시 운동기술과 처리기술에 영향을 주는 감각처리 요인들의 관련성과 주요 요인을 검증하여 재활치료를 위한 기초자료를 제공하는데 그 의의가 있다. 추후 연구에서는 더 많은 뇌성마비 아동의 집단을 대상으로 연구가 진행되어 본 연구에서 확인되지 못한 처리기술에 영향을 주는 감각처리 요인들을 검증해볼 필요가 있다.

This study was conducted to identify sensory processing factors that affect motor and process skills of children with cerebral palsy. A total of 36 children with cerebral palsy who attended at the J pediatric development center and the N rehabilitation hospital in Seoul participated. Pearson's correlation coefficients were used to test the relationship between motor skills, process skills and sensory processing abilities of children. Moreover, hierarchical multiple regression was used to identify the sensory processing factors influencing motor and process skills. Motor skills of children with cerebral palsy were correlated with auditory filtering, low energy/weakness, and visual/auditory sensitivity of sensory processing items, whereas process skills were correlated with tactile sensitivity and taste/smell sensitivity. The hierarchical regression model for motor skills revealed movement sensitivity, auditory filtering, and low energy/weakness as significant factors influencing sensory processing items. However, no factors were shown to influence process skills. The results of this study will be useful as a basic resource for rehabilitation of children with cerebral palsy. However, further studies evaluating a larger population should be conducted to verify the results presented herein.

키워드

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