융합정보논문지 (Journal of Convergence for Information Technology)

중소기업융합학회 (Convergence Society for SMB)
권호 표지
DOI QR코드

DOI QR Code

구강운동촉진기술이 다운증후군 아동의 구강실행기능에 미치는 효과 : 단일 사례 연구

The Effect of Oral Motor Facilitation Technique(OMFT) on Oral Praxis of Down Syndrome Child : Case Study

  • 민경철 (서울특별시 어린이병원 재활의학과 작업치료실) ;
  • 서상민 (세명대학교 작업치료학과)
  • Min, Kyoung-Chul (Department of Rehabilitation, Seoul Metropolitan Children's Hospital) ;
  • Seo, Sang-Min (Department of Occupational Therapy, Semyung University)
  • 투고 : 2021.03.04
  • 심사 : 2021.04.20
  • 발행 : 2021.04.28
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

본 연구는 새로 개발된 구강운동치료 접근법인 구강운동촉진기술(OMFT) 치료법을 소개하고, 다운증후군 아동 사례를 통해 구강감각운동 치료 접근이 구강실행기능 및 구강기능에 미치는 효과를 확인하고자 한다. 구강운동촉진기술은 치료사의 직접적인 치료 접근을 통해 얼굴 구강 구조물들의 감각, 근력, 근긴장도, 구강운동 협응증진을 통한 섭식 및 구강실행 기능 향상을 목적으로 하는 구강운동 치료법이다. 대상 아동은 다운증후군 남자 1명(10세)으로, 2020년 5월~7월, 주 1회, 15분의 구강운동촉진기술 치료(8회)를 하였으며, 치료 전 후 구강실행기능, 침흘림, 씹기 기능을 비교하였다. 치료 결과 구강실행기능의 모든 항목에서 수행이 증진되었다. 침 흘림의 양과 빈도가 감소하였고 씹기 기능의 질적인 증진을 보였다. 본 연구를 통해 구강운동촉진기술을 적용한 구강운동치료 접근이 다운증후군 아동의 구강실행기능 및 씹기 기능 증진과 침 흘림 감소에 미치는 효과를 확인하였다.

Goal of this study is to introduce newly developed Oral Motor Facilitation Technique(OMFT), to identify effect of oral motor therapy on oral praxis and oral function of Down syndrome child. OMFT is comprehensive oral motor therapy for improving sensory adaptation, oral sensori-motor function, oral motor coordination of oro-facial structure by therapist's direct manual stroking. Subject was 10years old down syndrome boy. Treatment was practiced 8 times, 15minutes per time, from May to July, 2020. Oral praxis, drooling, quality of chewing ability were tested before and after treatments. Every single items of Oral Praxis Test was increased. Severity and frequency of drooling were decreased. Quality of chewing ability is improved. Through this case study, we can find the positive effect of OMFT on oral praxis, drooling, chewing ability of Down syndrome child.

키워드

참고문헌

  1. M. Hennequin, D. Faulks, J. L. Veyrune & P. Bourdiol. (1999). Significance of oral health in persons with Down syndrome: a literature review. Developmental Medicine and child neurology, 41(4), 275-283. DOI : 10.1017/s0012162299000596.
  2. E. Lewis & A. Kritzinger. (2004). Parental experiences of feeding problems in their infants with Down syndrome. Down Syndrome Research and Practice, 9(2), 45-52. DOI : 10.3104/reports.291.
  3. K. Vitaskova & J. Tabachova. (2017). The Evaluation of Orofacial Praxis as an Important Component of Differential Diagnosis in Symptomatic Speech Disorders-the Example of Moebius Syndrome and Autism Spectrum Disorders. Prodedia-Social and Behavioral Sciences, 237, 1537-1543. https://doi.org/10.1016/j.sbspro.2017.02.242
  4. E. G. Gisel, E. Alphonce & M. Ramsay. (2000). Assessment of Ingestive and Oral Praxis Skills: Children with Cerebral Palsy vs. Controls. Dysphagia, 15, 236-244. DOI : 10.1007/s004550000033.
  5. S. Bodison & Z. Mailloux. (2006). The Sensory Integration and Praxis Tests : Illuminating Struggles and Strengths in Participation at School. OT Practice, 11(17), 1-7.
  6. M. S. Leme, T. S. Barbosa, M. B. D. Gaviao & R. O. Cienc. (2012). Assessment of Orofacial Functions in Brazilian Children Using The Nordic Orofacial Test-Screening(NOT-S). Revista Odonto Ciencia, 27(2), 108-114 https://doi.org/10.1590/S1980-65232012000200003
  7. D. Faulks, V. Collado, M. N. Mazille, J. L. Veyrune & M. Hennequin. (2008). Masticatory Dysfunction in Persons with Down's Syndrome. Part 1: Aetiology and Incidence. Journal of Oral Rehabilitation, 35(11), 854-862. DOI : 10.1111/j.1365-2842.2008.01877.x.
  8. L. C. Brown, S. Copeland, S. Dailey, D. Downey, M. C. Petersen, C. Stimson & D. C. Van Dyke. (2008). Feeding and Swallowing Dysfunction in Genetic Syndromes. Developmental Disabilities Research Reviews, 14, 147-157. DOI : 10.1002/ddrr.19.
  9. A. Jackson, J. Maybee, M. K. Moran, K. W. Warmerdam & F. Hickey. (2016). Clinical Characteristics of Dysphagia in Children with Down Syndrome. Dysphagia, 31(5), 663-671. DOI : 10.1007/s00455-016-9725-7.
  10. T. Lazenby. (2008). The Impact of Aging on Eating, Drinking, and Swallowing Function in People with Down's Syndrome. Dysphagia, 23(1), 88-97. DOI : 10.1007/s00455-007-9096-1.
  11. K. C. Min S. M. Seo & H. S. Woo. (2021). Oral Motor Facilitation Technique(OMFT); Part I-Theoretical Base and Basic Concept. Therapeutic Science for Rehabilitation, 10(1), 37-52. https://doi.org/10.22683/TSNR.2021.10.1.037
  12. K. C. Min S. M. Seo & H. S. Woo. (2021). Oral Motor Facilitation Technique(OMFT); Part II-Conceptual Hierarchy and Key Point Technique. Science for Rehabilitation, 10(1), 53-61.
  13. D. Elliott, J. D. Weeks & S. Gray. (1990). Manual and Oral Praxis in Adults with Down's Syndrome. Neuropsychologia. 28(12), 1307-1315. DOI : 10.1016/0028-3932(90)90046-q.
  14. M. K. Baghbadorani, Z. Soleymani, H. Dadgar & M. Salehi, M. (2014). The effect of oral sensorimotor stimulations on feeding performance in children with spastic cerebral palsy. Acta Medica Iranica, 12(52), 899-904.
  15. J. Arvedson, H. Clark, C. Lazarus, T. Schooling & T. Frymark. (2010). The effects of oral-motor exercises on swallowing in children: an evidence-based systematic review. Developmental Medicine & Child Neurology, 52(11), 1000-1013. DOI : 10.1111/j.1469-8749.2010.03707.x.
  16. W. J. Song, J. H. Park, M. Y. Jung & E. Y. Yoo. (2013). Effect of Oral Sensory Treatment on Oral Function in Dysphagia children with Cerebral Palsy. The Journal of Korean Society of Occupational Therapy, 21(4), 47-58. DOI : https://doi.org/10.14519/jksot.2013.21.4.05
  17. B. M. Kang, H. C. Kwon, H. Kim & Y. N, Cho. (2013). Effect of Oro-facial Exercise on The Swallowing Function of Stroke Patients. The Journal of Korean Society of Occupational Therapy, 21(1), 57-69.
  18. N. Thomas-Stonell, & J. Greenberg. (1988). Three treatment approaches and clinical factors in the reduction of drooling. Dysphagia, 3(2), 73-78. DOI : 10.1007/BF02412423.
  19. B. S. Lessen. (2011). Effect of the Premature Infant Oral Motor Intervention on Feeding Progression and Length of Stay in Preterm Infants. Advances in Neonatal Care, 11(2), 123-139. DOI : 10.1097/ANC.0b013e3182115a2a.