Journal of Digital Convergence (디지털융복합연구)

The Society of Digital Policy and Management (한국디지털정책학회)
권호 표지
DOI QR코드

DOI QR Code

The effects of feeding and articulation abilities in children with Spastic Cerebral Palsy with and without nasagastric tube in the era of fusion and convergence

융복합 시대 기구(비위관)사용여부가 경직형 뇌성마비 아동의 섭식능력과 조음능력에 미치는 영향

  • 이혜정 (대구대학교 재활과학대학 언어치료학과) ;
  • 김화수 (대구대학교(언어치료학과))
  • Received : 2016.02.04
  • Accepted : 2016.07.20
  • Published : 2016.07.28
Download PDF
⟨ Previous Next ⟩

Abstract

The research mainly focused on how the nasagastric tube used to solve feeding troubles developed by 30 children with CP(Cerebral Palsy) affects the post-childhood feeding development right after their birth. It tested an articulation skill of the children and surveyed their feeding ability with their care-givers from 1st in July to 30th in August, 2015. This study conducted an investigation of the way a feeding ability affects an articulation skill. It suggested that an articulation accuracy significantly depends on whether or not the nasagastric tube is used. Also, the findings showed that the post-articulation accuracy is quite related with the problems for the liquid intake, the use of special feeding methods and tools, and biting and chewing among the evaluating problems for the childhood feeding ability. The research concluded that some areas in the early childhood feeding ability have an apparent influence on the post-articulation skill for children with CP.

본 연구는 경직형 뇌성마비 아동 30명을 대상으로 출생직후 섭식문제를 해결하기 위해 사용되는 비위관이 이후 아동의 섭식발달에 어떠한 영향을 주는지 살펴보았다. 2015년 7월 1일부터 8월 30일까지 뇌성마비 아동을 대상으로 조음능력을 평가하고 주양육자를 통한 섭식능력에 대한 설문조사를 실시하였다. 또한 섭식능력이 조음능력에 미치는 영향에 대해 살펴보았다. 수집된 자료는 SPSS 20.0을 사용하여 분석하였다. 연구결과 비위관의 사용여부는 조음정확도에 유의미한 차이를 보였다. 또한 섭식능력을 평가하는 문항 중 유동식 섭취가능여부, 섭식을 위한 특별한 방법과 도구사용여부, 깨물어 씹기 가능여부는 이후 조음정확도와 관련이 있는 것으로 나타났다. 본 연구 결과 초기 섭식능력의 일부 영역은 이후 조음능력에 영향을 미치는 것으로 보이며 예방적 차원의 접근과 조기개입이 적극적으로 이루어져야 할 것으로 생각된다.

Keywords

References

  1. D. H. Kwon, M. S. Lee, "Language development", Parkhagsa. 2011.
  2. S. J. Kim, J. Y. Shin, "Articulation and phonological disorder", sigmapress. 2007.
  3. S. H. Kim, "A correlation study of the korean assessmenet method for feeding abilities and U-TAP in children with cerebral palsy", Journal of speech & hearing disorders, Vol. 21, No. 4, pp. 55-70, 2012. https://doi.org/10.15724/jslhd.2012.21.4.004
  4. B. Y. Yoon. "The breath and articulatiors functional training effect children with cerebral palsy", korean jounal of physical, multiple, & health disabilities. Vol. 17, No. 1, pp. 33-56, 1991.
  5. Morris, S. E., & Klein, M. D, "Pre-feeding skills: a comprehensive resource for mealtime development. Pro-ed", 2000
  6. H. S. Shim, J. E. Park, "A study on the vowel production ability of cerebral palsied children", Language, and Hearing Research, Vol. 3, No. 3, pp. 68-83, 1998.
  7. Yoo, E. Y., Lee, J. Y., & Jung, H. S. A "Comparison of the sensory processing performance of children with and without cerebral palsy", KSOT, 11(2), 77-79, 2003.
  8. Kim. E. J. & Choi, Y. I,, "A Systematic review and mete-analysis of sensory intergration intervention studies in children with cerebral palsy", Journal of the Korea Convergence Society, Vol. 11, No. 4, pp. 383-389, 2013.
  9. Lee. H. J. & Kim, H. S,, "A study on relationships between the initial food consumption ability of articulation production and intelligibility in children with spastic cerebral palsy", Journal of the Korea Convergence Society, Vol. 12, No. 5, pp. 281-293, 2014.
  10. Tester, R. F., & Morrison, W. R, "Swelling and gelatinization of cereal starches. I. Effects of amylopectin, amylose, and lipids", Cereal chem, 67(6), 551-557. 1990.
  11. Eun-Jung Park, "Effect of facial-and tongue-muscle Massage Techniques on Oral Motor Function and Articulation Accuracy in Adolescents of Spastic Cerebral Palsy", Graduate School of Rehabilitation Science Daegu University, 2004.
  12. Lim. S. H., "An empirical study of relationships among stress, mindfulness and life satisfaction among university students across university class levels", Journal of the Korea Convergence Society, Vol. 11, No. 12, pp. 193-199, 2013.
  13. Yun. S. I., An. H. S., & Oh, S. W,, "The influence of he attachment of parents and the stress of school life middle-school students to the internet game addiction", Journal of the Korea Convergence Society, Vol. 10, No. 7, pp. 221-227, 2012.
  14. Jung-Sun Hong, "A study on helth care utilization of children with cerebral palsy", Graduate School of Rehabilitation Science Seoul University, 2004.
  15. S. H. Kim, J. B. Ahn, D. H. Kwon, "A Correlation Studying between Feeding Skills and Percent of Correct Articulation of the Children with Spastic Cerebral Palsy", Journal of speech & hearing disorders, Vol. 17, No. 4, pp. 1-17, 2008.
  16. Gangil, A., Patwari, A. K., Aneja, S., Ahuja, B., & Anand, V. K, "Feeding problems in children with cerebral palsy", Indian pediatrics, 38(8), 839-846. 2001.
  17. Troughton, K. E. V., & Hill, A. E, "Relation between objectively measured feeding competence and nutrition in children with cerebral palsy", Developmental Medicine & Child Neurology, 43(3), 187-190. 2001. https://doi.org/10.1111/j.1469-8749.2001.tb00185.x
  18. Manikam, R., & Perman, J. A, "Pediatric feeding disorders", Journal of clinical gastroenterology, 30(1), 34-46. 2000 https://doi.org/10.1097/00004836-200001000-00007
  19. Lee. Y. R. & Kim, N. J,, "A study on the factors of convergent caring competency for promotion of caregiver's wellness of disabled children", Journal of the Korea Convergence Society, Vol. 14, No. 2, pp. 479-487, 2016.
  20. Sim. M. I. & Sohn, I. A,, "Investigation of factors contribution to childhood sort-tissue injuries in the face", Journal of the Korea Convergence Society, Vol. 11, No. 8, pp. 219-255, 2013.
  21. Grantham-McGregor, S., & Ani, C, "A review of studies on the effect of iron deficiency on cognitive development in children", The Journal of nutrition, 131(2), 649S-668S. 2001. https://doi.org/10.1093/jn/131.2.649S
  22. Eun-Jung Park, "Effect of facial-and tongue-muscle Massage Techniques on Oral Motor Function and Articulation Accuracy in Adolescents of Spastic Cerebral Palsy", Graduate School of Rehabilitation Science Daegu University, 2004.
  23. Su-Jeong Chang, "Correlation between chewing skills and speech intelligibility of one syllable in children with spastic cerebral palsy", Greaduate School Ewha Womans University, 2005.
  24. Seon-Kyoung Kim, "A Case Study on the Effects of a Chewing Program on the Intelligibility of Nonsense Syllable Preschool Children with Athetoid Cerebral Palsy", Graduate School Ewha Woman University, 2011.
  25. Sun-Hee Kim, "The Effect of the Oral Articulatory Training Program on Ariculation Correction in children with Spastic Cerebral Palsy", Graduate School of Rehabilitation Science Daegu University, 2012.
  26. Shiao, Y. J., Lupo, G., & Vance, J. E, "Evidence that phosphatidylserine is imported into mitochondria via a mitochondria-associated membrane and that the majority of mitochondrial phosphatidylethanolamine is derived from decarboxylation of phosphatidylserine", Journal of Biological Chemistry, 270(19), 11190-11198. 1995. https://doi.org/10.1074/jbc.270.19.11190
  27. Wolf, L. S., & Glass, R. P, "Feeding and swallowing disorders in infancy: Assessment and management", Psychological Corporation. 1992
  28. Arthur, J. L., Higgins, G. D., Davidson, G. P., Givney, R. C., & Ratcliff, R. M, "A novel bocavirus associated with acute gastroenteritis in Australian children", PLoS Pathog, 5(4), e1000391. 2009 https://doi.org/10.1371/journal.ppat.1000391
  29. M. J. Shin, J. O. Kim, S. O. Lee, S. Y. Lee, "SMST: Speech Mechanism Screening Test", Seoul: Hakjisa 2010.
  30. Y. T. Kim, M. J. Shin, "Urimal test of articulation and phonology(U-TAP)", Seoul: Hakjisa, 2004.
  31. M. J. Kim, S. Y. Bae, C. G. Bak, "Pronunciation assessment for children(APAC)", Incheon: Hyubeu Alaenssi, 2007.
  32. Arvedson, J. O. A. N. "Management of swallowing problems. Pediatric swallowing and feeding: Assessment and management", 327-387. 1993
  33. Carroll, L., & Reilly, S. "The therapeutic approach to the child with feeding difficulty: II. Management and treatment", Clinics in Developmental Medicine, 117-131. 1996
  34. Kim. H. Y.,"Rehabilitation and Serious Games", Journal of the Korea Convergence Society, Vol. 12, No. 4, pp. 69-73, 2014
  35. Y. M Lee, "A relationship on the feeding mechanism movement and language ability of the cerebral palsies children", Graduate School Dankook University, 1996
  36. Woo-Ho Kim, Bo-Jun Seo, Jae-Moon Lee, "A Study on the Parents' Recognition of School Enterprise Convergence by Type of Disability", Journal of the Korea Convergence Society, Vol. 6, No. 4, pp. 89-97, 2015. https://doi.org/10.15207/JKCS.2015.6.4.089
  37. Dong-Won Kim, "Wheelchair tennis has ever fusion of classroom participation of the physically disabled basic psychological needs and exercise emotional and exercise commitment", Journal of the Korea Convergence Society, Vol. 6, No. 4, pp. 15-23, 2015. https://doi.org/10.15207/JKCS.2015.6.4.015