• 기본간호학회지
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• 제11권2호
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• pp.203-212
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• 2004

Purpose: This study was done to determine whether providing auditory and vestibular stimulation to preform infants would have an effect on stress hormones. Methods: The design was a nonequivalent control group protest-posttest design in a quasi-experimental study Seventy-nine preform infants were assigned either one of two experimental groups or to a control group: 27 in the auditory stimulation group, 25 in the vestibular stimulation group and 27 in the control group. The criteria for inclusion in this study were 1) gestational age of less than 37 weeks, 2) birth weight of less than 2,500g, 3) the absence of congenital anomalies or specific diseases, 4) recovering physiological weight loss, and 5) weaned from ventilatory assistance or oxygen. The data were collected from March 2002 to May 2003. The auditory stimulation, a music audiotape, was provided 20 minutes twice a day for 10 days and the vestibular stimulation, an infant waterbed, was provided for 10 days. On day 1 and day 10 of the study, 24 hour urine sample was collected for norepinephrine, epinephrine, and cortisol assays. In the data analysis SPSSWIN 10.0 program was utilized for descriptive statistics, ANOVA and t-test. Results: General characteristics of the three groups showed no significant differences, thus three groups were found to be homogenous. The 24 hour urine cortisol for the auditory (t=3.489, p=.001) and for the vestibular (t=2.638, p=.013) stimulation group were significantly reduced compared to the control group after 10 days. Conclusions: The results suggest that auditory and vestibular stimulation can be used to reduce 24 hour urine cortisol in preform infants. Therefore, music audiotapes and waterbeds provided in incubator are be recommended for reduction of the stress in preform infants who are hospitalized in neonatal intensive care units.

• Annals of Clinical Neurophysiology
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• 제12권2호
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• pp.35-46
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• 2010

Various electrophysiological tests have provided a large body of valuable information on neuronal responses to a presented stimulus. The special and general somatic sensory pathways are main targets of evoked potentials. Two types of evoked potentials, exogenous and endogenous, are commonly used. Exogenous evoked potentials of general and special somatic sensory systems will be reviewed. One of general somatic sensory functional pathways, proprioception, can be evaluated by general somatosensory evoked potentials with electrical stimulation on nerves. The special somatosensory functional pathways, including vision, and audition, can be evaluated by visual evoked potentials and auditory evoked potentials. Also laser-evoked potentials are newly developed for pain pathway, including lateral spinothalamic pathway, and vestibular myogenic evoked potentials for sacculocollic pathways. The evoked potentials of sensory system have maximal clinical utility in evaluating functional deficits along the sensory pathways. They are used for evaluating comatose patients, hysterical patients, premature infants, patients with suspected demyelinating diseases or neoplasms, and research. We discuss the neurophysiologic tests of sensory systems in views of practical points. The organized evaluation of sensory electrophysiologic tests can be helpful in detecting and estimating the abnormalities in neurological diseases.

• 대한감각통합치료학회지
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• 제9권2호
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• pp.51-60
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• 2011

목적 : ADHD아동의 감각자극에 대한 생리학적 반응특성은 감각자극의 종류, 측정도구, 그리고 반응으로 알아보고, 행동학적 특성은 측정도구, 빈도, 측정도구별로 공통된 문제 항목을 분석하여 ADHD아동의 감각자극에 대한 특성을 알아보고자 하였다. 연구방법 : 체계적 고찰방법을 사용하였다. 1990년 1월부터 2011년 12월 31일까지 학회지에 게재된 논문을 Riss4U, MEDLINE/PubMed, CINAH을 통해 검색하였다. 주요 검색어는 "ADHD, Children, Sensory processing, sensory integration, SP, SSP, SOR, TIE, CSP, SEP, EDR"으로 하였으며, 최종적으로 15개의 논문을 분석하였다. 결과 : 1. ADHD아동을 대상으로 감각자극에 대한 생리학적 반응에 관한 연구는 5개(33.33%)이고, 행동학적 반응에 관한 연구는 10개(66.67%)이며, 두 가지를 병행한 연구는 2개(13.33%)로 전체 15개(100%)논문을 분석하였다. 2. 생리학적 반응에 관한 연구 5개 중, 촉각과 고유 감각 자극을 사용한 연구는 3개, 후각, 청각, 시각, 촉각, 전정감각을 모두 사용한 연구는 2개였다. 3. 행동학적 특성에 관한 연구 10 중, SP는 5개, SSP는 3개, SOR은 2개, TIE는 1개, CSP는 1개이다. 4. ADHD아동의 감각자극에 대한 생리학적 반응특성은 일차감각피질의 손 영역에 있는 신경원세포의 활동전위에서 큰 반응을 보였다. 반응 시 초기에 큰 반응을 보였고 뒤로 갈수록 빠른 습관화를 보이는 것으로 나타났고, 회복 시에 많은 비 특이적 반응을 보였다. 5. 행동학적 반응특성은 부주의/산만, 전정감각처리, 지구력/근 긴장도 조절, 감정반응에 대한 감각입력 조절, 활력이 부족하고 허약함을 보이는 특성이 있었다. 결론 : ADHD아동의 감각자극에 대한 생리학적 반응 특성과 행동학적 특성을 아는 것은 ADHD아동의 감각조절 문제를 이해하는데 중요한 근거가 된다.