The Journal of Korean Academy of Sensory Integration (대한감각통합치료학회지)

Korean Academy of Sensory Integration (대한감각통합치료학회)
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Effect of Group Cognitive Orientation to Daily Occupational Performance (CO-OP) Intervention on the Occupational Performance Skills of Children With Cerebral Palsy

인지 기반 작업수행(Cognitive Orientation to daily Occupational Performance: CO-OP) 그룹 중재가 뇌성마비 아동의 작업수행기술에 미치는 영향: 사례연구

  • Jeon, Joo Young (Dept. of Occupational Therapy, Graduate School, Yonsei University) ;
  • Park, Jin Hee (Yonsei Roi Rehabilitation Clinic) ;
  • Kim, Geon Woo (Purme Foundation NEXON Children's Rehabilitation Hospital)
  • 전주영 (연세대학교 일반대학원 작업치료학과) ;
  • 박진희 (연세로이재활의학과의원) ;
  • 김건우 (푸르메재단 넥슨어린이재활병원)
  • Received : 2022.02.17
  • Accepted : 2022.06.21
  • Published : 2022.06.30
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Abstract

Objective : The purpose of this study was to investigate the effects of group Cognitive Orientation to daily Occupational Performance (CO-OP) on the occupational performance and social interaction skills of children with Cerebral Palsy (CP). Methods : A single-case experimental study with an ABA design was conducted from April to June 2021, targeting three children with cerebral palsy who met the study selection criteria. The baseline period consisted of 3 intervention sessions until the data were stabilized, and the intervention period consisted of 10 sessions (once a week, 60 minutes/session). For comparison before and after the intervention, motor development, visual perception, and daily life behavior were evaluated. To evaluate the quality of each session, a performance quality evaluation scale was used. Results : In all 3 subjects, the quality of work performance in the three common goal activities improved. The evaluation scores for visual perception, large and small movements, and daily activities were also improved. Conclusion : This study provided evidence that group CO-OP can improve the pre-academic skills and occupational performance of children with CP.

목적 : 본 연구는 뇌성마비 아동의 작업수행기술에 인지 기반 작업수행(Cognitive Orientation to daily Occupational Performance; CO-OP) 그룹 중재가 효과가 있는지 알아보고자 한다. 연구 방법 : 연구 선정기준에 부합하는 뇌성마비 아동 3명을 대상으로 2021년 4월부터 6월까지 진행하였으며, 연구 설계는 단일실험연구 ABA를 적용하였다. 기초선 기간(A) 3회기, 중재 기간(B)은 10회기(주 1회, 60분/회), 재기초선 기간(A') 3회기로 구성하여 실시하였다. 중재 전후 비교를 위한 평가로는 운동발달평가, 시지각 평가, 일상생활 동작 평가를 시행하였으며, 매회기의 수행의 질을 평가하기 위해서 수행의 질 평가척도를 사용하였다. 결과 : 3명의 대상자 모두 3가지 공통 목표 활동(양치질하기, 색종이 접기, 옷 입고 벗기)에서 작업수행의 질이 향상되었다. 또한 시지각, 대 운동과 소 운동, 일상생활 동작 평가 점수도 향상되었다. 결론 : CO-OP 그룹 중재가 전 학령기 및 학령기 뇌성마비 아동의 학업 전 기술 및 작업수행 향상에 효과적인 것으로 나타났다.

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