Therapeutic Science for Rehabilitation (재활치료과학)

Korean Society of Neurological Occupational Therapy (대한신경계작업치료학회)
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A Systematic Review of the Effects of Visual Perception Interventions for Children With Cerebral Palsy

뇌성마비 아동에게 시지각 중재가 미치는 효과에 대한 체계적 고찰

  • Ha, Yae-Na (Dept. of Occupational Therapy, Graduate School, Yonsei University) ;
  • Chae, Song-Eun (Bobath Children's Hospital, Occupational Therapist/Dept. of Occupational Therapy, Graduate School, Yonsei University) ;
  • Jeong, Mi-Yeon (Jun Clinic) ;
  • Yoo, Eun-Young (Dept. of Occupational Therapy, College of Software and Digital Healthcare Convergence, Yonsei University)
  • 하예나 (연세대학교 일반대학원 작업치료학과) ;
  • 채송은 (보바스어린이의원 작업치료사/연세대학교 일반대학원 작업치료학과) ;
  • 정미연 (준재활의학과의원) ;
  • 유은영 (연세대학교 소프트웨어디지털헬스케어융합대학 작업치료학과)
  • Received : 2023.01.04
  • Accepted : 2023.04.04
  • Published : 2023.05.31
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Abstract

Objective : This study aims to analyze the effects of visual perception intervention by systematically reviewing the studies that applied visual perception intervention to children with cerebral palsy. Methods : The databases used were PubMed, EMbase, Science Direct, ProQuest, Koreanstudies Information Service System (KISS), Research Information Sharing Service (RISS), and the National Assembly Library. The keywords used were cerebral palsy, CP, and visual perception. According to the PRISMA flowchart, 10 studies were selected from among studies published from January 1, 2012 to March 30, 2022. The quality level of the selected studies, the demographic characteristics of study participants, the effectiveness of interventions, area and strategies of intervention, assessment tools to measure the effectiveness of interventions, and risk of bias were analyzed. Results : All selected studies confirmed that visual perception intervention was effective in improving visual perception function. In addition, positive results were shown in upper extremity function, activities of daily living, posture control, goal achievement, and psychosocial areas as well as visual perception function. The eye-hand coordination area was intervened in all studies. Conclusion : In visual perception intervention, It is necessary to evaluate the visual perception function by area, and apply systematically graded customized interventions for each individual.

목적 : 본 연구는 뇌성마비 아동에게 시지각 중재를 적용한 연구들에 대해 체계적으로 고찰하여, 시지각중재의 효과에 대해 분석하고자 한다. 연구방법 : 데이터 베이스는 PubMed, EMbase, Science Direct, ProQuest, Koreanstudies Information Service System (KISS), Research Information Sharing Service (RISS), 국회도서관을 사용하였다. 키워드는 뇌성마비, 시지각, cerebral palsy, CP, visual perception을 사용하였다. PRISMA Flowchart에 따라 2012년 1월 1일부터 2022년 3월 30일까지 게재된 연구 중에서 10편을 선정하였다. 선정된 연구들의 질적 수준, 연구 대상자의 인구학적 특성, 중재의 효과, 중재의 영역과 전략, 중재의 효과를 측정하기 위한 평가도구, 비뚤림 위험에 대해 분석하였다. 결과 : 선정된 모든 연구에서 시지각 중재가 시지각 기능 증진에 효과적임을 확인하였다. 또한 시지각중재는 시지각 기능뿐만 아니라 상지기능, 일상생활활동, 자세조절, 목표달성, 심리사회 영역에서도 긍정적인 결과를 나타냈다. 눈-손 협응 영역은 모든 연구에서 중재되었다. 결론 : 시지각 중재 시 시지각 기능을 영역별로 평가하고, 개인별 체계적으로 단계화된 맞춤 중재를 적용해야 한다.

Keywords

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