융합정보논문지 (Journal of Convergence for Information Technology)

중소기업융합학회 (Convergence Society for SMB)
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뇌성마비 아동의 대동작 기능과 먹고 마시기 기능, 구강운동기능의 상관관계 연구

Relation between Gross Motor Function and Eating and Drinking Ability, Oral Motor Function in Cerebral palsy

  • 민경철 (서울특별시 어린이병원 재활의학과 작업치료실) ;
  • 문용선 (서울특별시 어린이병원 재활의학과 작업치료실) ;
  • 서상민 (세명대학교 작업치료학과)
  • Min, Kyoung-Chul (Department of Rehabilitation, Seoul Metropolitan Children's Hospital) ;
  • Moon, Yong-Seon (Department of Rehabilitation, Seoul Metropolitan Children's Hospital) ;
  • Seo, Sang-Min (Department of Occupational Therapy, Semyung University)
  • 투고 : 2021.06.03
  • 심사 : 2021.08.20
  • 발행 : 2021.08.28
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초록

본 연구는 뇌성마비 아동의 대동작 기능과 먹기, 마시기 기능, 구강 운동 기능과의 상관관계를 확인해보고, 뇌성마비 아동의 대동작 기능의 심한 정도에 따른 연하 재활의 필요성을 확인하기 위해 시행되었다. 뇌성마비 진단을 받은 아동 61명을 대상으로 대동작 기능 분류 체계(GMFCS), 먹기와 마시기 기능분류 체계(EDACS), 구강 운동 기능 검사(OMAS)를 사용하여 대동작 기능, 먹고 마시기 기능, 구강 운동 기능 수준을 평가하고 각 기능 간 상관관계를 확인하였다. 본 연구의 결과는 대동작, 먹고 마시기 기능, 구강 운동 기능 사이에서 유의한 상관관계를 보였다. 즉, 대동작 기능 저하가 심할수록 먹고 마시기 기능과 구강 운동 기능 저하 역시 낮은 기능 수준을 보였다. 본 연구를 통하여 뇌성마비 아동의 섭식활동을 평가하고 치료함에 있어, 아동의 대동작 기능에 따른 먹고 마시기 기능, 구강 운동 기능에 대한 확인이 필요할 것으로 보인다.

Goal of this study is to perform the correlation about Gross motor function, eating-drinking function, and oral motor function, to identify necessity for invervention of feeding disorders on severity of the function of children with cerebral palsy. Subjects were 61 children diagnosed with cerebral palsy. The subject were evaluated for oral motor function, feeding function by GMFCS, EDACS, OMAS. The results of this study showed a significant correlation between gross motor function, eating and drinking functions, and oral motor functions. That is, the more severe the deterioration of the motor function, the lower the functional level of eating and drinking and oral motor function deterioration. In evaluating and treating the eating activity of children with cerebral palsy through this study, it seems necessary to check the eating and drinking function and oral motor function according to the gross motor function.

키워드

과제정보

This work was supported by the research grant of Korean Academy of Dysphagia Rehabilitation of 2021

참고문헌

  1. J. W. Gorter, P. L. Rosenbaum, S. E. Hanna, R. J. Palisano, D. J. Bartlett, D. J. Russell, S. D. Walter, P. Raina, B. E. Galuppi & E. Wood MD. (2004). Limb distribution, motor impairment, and functional classification of cerebral palsy. Developmental Medicine & Child Neurology, 46(7), 461-467. https://doi.org/10.1111/j.1469-8749.2004.tb00506.x
  2. J. Arvedson. (2013). Feeding children with cerebral palsy and swallowing difficulties. European Journal of Clinical Nutrition, 67(2), S9-S12. https://doi.org/10.1038/ejcn.2013.224
  3. S. E. Morris & M. D. Klein. (2000). Pre-Feeding Skills: A Comprehensive Resource for Mealtime Development. San Antonio : Therapy Skill Builders
  4. B. Rogers. (2004). Feeding method and health outcomes of children with cerebral palsy. The Journal of Pediatrics, 145(2), S28-S32. https://doi.org/10.1016/j.jpeds.2004.06.032
  5. K. Stein. (2000). Children with feeding disorders: An emerging issue. Journal of the Academy of Nutrition and Dietetics, 100(9), 1000.
  6. I. Novak, M. Hines, S. Goldsmith & R. Barclay. (2012). Clinical prognostic messages from a systematic review on cerebral palsy. Pediatrics, 130(5), e1285-e1312.
  7. J. S. Kim, Z. A. Han, D. H. Song, H. M. Oh & M. E. Chung. (2013). Characteristics of dysphagia in children with cerebral palsy, related to gross motor function. American Journal of Physical Medicine & Rehabilitation, 92(10), 912-919. https://doi.org/10.1097/PHM.0b013e318296dd99
  8. E. A. Townsend & H. J. Polatajko. (2007). Advancing an occupational therapy vision for health, well-being, and justice through occupation. Ottawa : CTTC Building.
  9. K. E. Williams, D. G. Field & L. Seiverling. (2010). Food refusal in children: A review of the literature. Research in Developmental Disabilities, 31(3), 625-633. https://doi.org/10.1016/j.ridd.2010.01.001
  10. K. A. Benfer, K. A. Weir, K. L. Bell, R. S. Ware, P. S. Davies & R. N. Boyd. (2013). Oropharyngeal dysphagia and gross motor skills in children with cerebral palsy. Pediatrics, 131(5), e1553-e1562. https://doi.org/10.1542/peds.2012-3093
  11. K. A. Benfer, K. A. Weir, K. L. Bell, R. S. Ware, P. S. Davies & R. N. Boyd. (2015). Validity and reproducibility of measures of oropharyngeal dysphagia in preschool children with cerebral palsy. Developmental Medicine & Child Neurology, 57(4), 358-365. https://doi.org/10.1111/dmcn.12616
  12. J. Parkes, N. Hill, M. J. Platt & C. Donnelly. (2010). Oromotor dysfunction and communication impairments in children with cerebral palsy: a register study. Developmental Medicine & Child Neurology, 52(12), 1113-1119. https://doi.org/10.1111/j.1469-8749.2010.03765.x
  13. E. B. Fung, L. Samson-Fang, V. A. Stallings, M. Conaway, G. Liptak, R. C. Henderson, G. Worley, M. O'DONNELL, R. Calvert & P. Rosenbaum. (2002). Feeding dysfunction is associated with poor growth and health status in children with cerebral palsy. Journal of the American Dietetic Association, 102(3), 361-373. https://doi.org/10.1016/S0002-8223(02)90084-2
  14. S. Marcus & S. Breton. (2013). Infant and child feeding and swallowing: occupational therapy assessment and intervention. American Occupational Therapy Association Press
  15. E. Gisel, E. Alphonce & M. Ramsay. (2000). Assessment of ingestive and oral praxis skills: children with cerebral palsy vs. controls. Dysphagia, 15(4), 236-244. https://doi.org/10.1007/s004550000033
  16. P. Rosenbaum, N. Paneth, A. Leviton, M. Goldstein, M. Bax, D. Damiano, B. Dan & B. Jacobsson. (2007). A report: the definition and classification of cerebral palsy April 2006. Developmental Medicine & Child Neurology, Suppl, 109(suppl 109), 8-14.
  17. J. A. Seikel, D. G. Drumright & D. W. King. (2015). Anatomy & physiology for speech, language, and hearing, Cengage Learning.
  18. F. Redstone & J. F. West. (2004). The importance of postural control for feeding. Pediatric Nursing, 30(2), 97-100.
  19. E. A. Calis, R. Veugelers, J. J. Sheppard, D. Tibboel, H. M. Evenhuis & C. Penning. (2008). Dysphagia in children with severe generalized cerebral palsy and intellectual disability. Developmental Medicine & Child Neurology, 50(8), 625-630. https://doi.org/10.1111/j.1469-8749.2008.03047.x
  20. R. Palisano, P. Rosenbaum, S. Walter, D. Russell, E. Wood & B. Galuppi. (1997). Development and reliability of a system to classify gross motor function in children with cerebral palsy. Developmental Medicine & Child Neurology, 39(4), 214-223. https://doi.org/10.1111/j.1469-8749.1997.tb07414.x
  21. D. Sellers, A. Mandy, L. Pennington, M. Hankins & C. Morris. (2014). Development and reliability of a system to classify the eating and drinking ability of people with cerebral palsy. Developmental Medicine & Child Neurology, 56(3), 245-251. https://doi.org/10.1111/dmcn.12352
  22. A. De Oliveira Lira Ortega, A. Ciamponi, F. Mendes & M. Santos. (2009). Assessment scale of the oral motor performance of children and adolescents with neurological damages. Journal of Oral Rehabilitation, 36(9), 653-659. https://doi.org/10.1111/j.1365-2842.2009.01979.x
  23. K. A. Benfer, K. A. Weir, K. L. Bell, R. S. Ware, P. S. Davies & R. N. Boyd. (2014). Oropharyngeal dysphagia in preschool children with cerebral palsy: Oral phase impairments. Research in Developmental Disabilities, 35(12), 3469-3481. https://doi.org/10.1016/j.ridd.2014.08.029
  24. Y. R. Goh, J. Y. Choi, S. A. Kim, J. Park & E. S. Park. (2018). Comparisons of severity classification systems for oropharyngeal dysfunction in children with cerebral palsy: Relations with other functional profiles. Research in Developmental Disabilities, 72, 248-256. https://doi.org/10.1016/j.ridd.2017.12.002