자폐스펙트럼장애 아동의 수면 장애에 대한 국외 작업치료 중재의 체계적 고찰 : 2011년부터 2021년까지

최지은,An Sun-Joung Leigh 대한통합의학회 2022 대한통합의학회지 Vol.10 No.3

Purpose : This study aims to systematically review the methods of occupational therapy intervention in children with autism spectrum disorders having sleep disorders and evaluate the improvements with intervention effects, based on experimental studies of children with sleep disorders. Methods : Studies published overseas from January 2011 to June 2021 were searched from a total of two databases. Science Direct and OTseeker. The five selected studies were analyzed by dividing them into age, number, intervention period, intervention type, intervention effect, evaluation tool, research design type, and evidence level. Results : The total number of subjects was 182, 95 subjects in ther experimental group, and 87 in the control group. The interventions included weighted blankets, swimming, and sleep education for parents. Ther interventions were found to increase total sleep time, improve mood when waking up, reduce sleep anxiety, reduce sleep time, reduce the number of waking up of during sleep, and reduce sleep resistance behavior. Conclusion : Many people have sleep disorders, with or without disabilities, and the number is gradually increasing. Consequently, research on occupational therapy intervention in children with autism spectrum disorder are actively conducted in foreign countries, and these interventions have a positive effect. Based on the results of this study, it can be concluded that such occupational therapy intervention studies are necessary for children with autism spectrum disorder with sleep disorders in Korea. In addition, further research on the quality of life of parents of children with autism spectrum disorders due to sleep disorders and their methods are required.

자폐 스펙트럼 장애 아동 대상 시지각 중재: 문헌 고찰

김규린,An Sun-Joung Leigh 한국인지운동치료협회 2023 한국신경인지재활치료학회지 Vol.15 No.2

목적: 본 연구의 목적은 자폐 스펙트럼 장애 아동 대상시지각 중재에 관한 문헌을 고찰하여, 중재의 동향과 효과성을 살펴보고, 향후 연구 방향성을 제시하고자 한다. 방법: 자료수집을 위해 2018년부터 2023년까지 DBPIA, RISS, KMBASE, EMBASE, Google Scholar 데이터베이스에 게재된 자폐 스펙트럼 장애 아동 대상 시지각 중재 문헌을 대상으로 선정 기준과 배제 기준에 따라 1차, 2차 선별을진행하여 총 5편의 논문을 선정하였다. 결과: 선정된 문헌 5편 중 단일대상실험연구가 2편(40%) 으로 가장 많았고, 무작위 비교연구는 없었다. 평균적으로7.8명이 연구 대상자로 참여했으며, 주로 4~9세 사이의 남아를 대상으로 연구가 진행되었다. 중재 방식은 전산화 인지프로그램, 게슈탈트 시운동 통합 학습, 지각-운동 프로그램, TEACCH, Vision Therapy이 사용되었다. 중재 기간, 회기, 시간은 평균적으로 11.25주 동안 22.4회기에 걸쳐 회기당46.67분 동안 진행되었다. 시지각 평가도구로는 K-DTVP-2, DTVP-3, MVPT-3, visual perception skills test, 안구운동평가, 시공간 기술 평가가 활용되었으며, 시지각 평가 이외의 평가도구로는 WeeFIM과 연구자 및 보호자 관찰 등이존재하였다. 결론: 자폐 스펙트럼 장애 아동 대상 시지각 중재는 근래연구에서 시지각 기능 향상뿐 아니라 일상생활활동, 사회성 등에도 긍정적인 영향을 주는 것으로 확인되었다. 그러나 국내외 자폐 스팩트럼 대상 시지각 중재 연구는 현재미흡한 실정이므로, 자폐 스펙트럼 장애 아동 대상 시지각중재 연구가 더욱 활발히 진행되어야 한다. The purpose of this study is to review literature on visual perceptual intervention for children with autism spectrum disorder (ASD), analyze intervention trends and effectiveness, and propose future research directions. For data collection, we selected and screened for the first and second stages based on the inclusion and exclusion criteria from the literature on visual perceptual intervention for children with ASD published between 2018 and 2023 in DBPIA, RISS, KMBASE, EMBASE, and Google Scholar databases, resulting in the selection of five studies. Among the five selected studies, two (40%) employed a single-subject design (SSD), and there were no randomized controlled trials (RCTs). On average, 7.8 participants were involved in the studies, primarily targeting boys with ASD aged 4-9 years. COMCOG, GVMIL, perceptual-motor program, TEACCH, and Vision Therapy were used as intervention methods. The intervention period, sessions, and time averaged 11.25 weeks, 22.4 sessions, and 46.67 minutes per session, respectively. Assessment tools for visual perception skills included K-DTVP-2, DTVP-3, MVPT-3, visual perception skills tests, oculomotor assessments, and visual-spatial skills assessments. Additional assessment tools included the WeeFIM and researcher/parent observations. In this study, visual perceptual interventions for children with ASD were found to have a positive impact not only on the visual perception skills, but also on activities of daily living and social skills. However, research on visual perceptual intervention for children with ASD, both domestically and internationally, is currently inadequate. Therefore, a more active research on visual perceptual intervention for children with ASD is necessary.

자폐 스펙트럼 장애 아동의 섭식 문제에 대한 중재의 국외 문헌 연구

김지원,An Sun-Joung Leigh 대한통합의학회 2024 대한통합의학회지 Vol.12 No.2

Purpose : The purpose of this study provided an overview of the general status and recent intervention approaches in overseas research related to feeding problems in children with autism spectrum disorder (ASD). This review aims to explore interventions for feeding problems in order to provide higher quality follow-up research directions and implications, particularly focusing on providing recommendations for future research in the context of domestic studies. Methods : Analyzing studies published in international journals from 2017 to 2023. This review involved six selected articles, through Embase, Pubmed, RISS, KISS database search engine. A literature analysis that includes inclusion and exclusion criteria, six selected articles were examined. The literature analysis categorized the general status of the research and intervention approaches and treatment components into intervention, treatment settings and therapists, and dependent variables, respectively. Results : Among feeding intervention approaches, parent education interventions based on behavioral therapy had the highest proportion, followed by multidisciplinary interventions. To maintain the effectiveness of interventions over the long term and to generalize them to the home environment, parent education that utilizes parents as mediators is considered a crucial factor. The most commonly observed effects as dependent variables were changes in the consumption of disliked foods, health foods and alterations in feeding behavior. Conclusion : This study introduces various intervention approaches for addressing feeding problems in children with autism spectrum disorder (ASD), focusing on the positive effects demonstrated by active intervention research in abroad. Furthermore, it underscores the need for additional research in Korea to validate the efficacy of these feeding intervention methods. Lastly, the study outlines future research directions aimed at developing feeding programs to support children with ASD and their families coping with feeding issues.

연령대별 우세안과 비우세안의 비교 연구

이완석,예기훈,An Sun-Joung Leigh,신범주 한국안광학회 2013 한국안광학회지 Vol.18 No.2

Purpose: When we look at the object, we used the dominant eye mainly. For this reason, a prescription of thedominant eye is an important factor for glasses and contact lenses. This study evaluated visual acuity differencesbetween dominant and nondominant eyes through analyzing refractive power changes in both eyes by the ages. Methods: This study was performed to investigate the relationship between refractive error and dominant eyewhich had the superiority in the function of binocular. 186 subjects without ocular disease were examined on thedominant eye. The dominant eye was examined by the Hole-in-the-card test. For the consistency of themeasurements, we tested refractive power in three times by the same person. Results: Using SPSS, therelationship between vision and the dominant eye was analyzed. 135 people of the whole subjects have thedominant eye on right. The Number of the non-dominant eye is 51. We were divided into 3 types, the groupunder the age of 10 that begins to expose environment factor affect on vision (the average age 8.8±1.18) and theage group of 10 to 20 that begins to change refractive power in earnest (the average age 14.1±2.58) and thegroup after the age 20 that began to stabilize vision (the average age 51.8±17.51). The visual acuity of dominanteye was higher than non-dominant eye in all age groups. Nevertheless, these results were not statisticallysignificant. Mean astigmatism of dominant eye was smaller than the non-dominant eye, and this is significant,statistically (p=0.017<0.05). Conclusions: It is expected that the balanced eye with a lower level of astigmatismhas a more possibility become a dominant eye. 목적: 양안으로 사물을 주시할 때 우세안을 주로 사용한다. 이러한 이유로 안경과 콘택트렌즈 처방 시 우세안의중요성이 크다. 이를 위해 본 연구는 연령대별로 구분하여 양안에 있어서 굴절력의 변화에 따른 우세안과 비우세안의 시력 차이가 있는지 알아보았다. 방법: 안질환이 없는 186명을 대상으로 Hole-in-the-card test법을 통한 우세안을검사하였다. 검사의 일관성을 위해 동일인이 측정하였으며, 검사의 신뢰성을 높이기 위해 3회 반복 실시하였다. Spss 통계를 통해 굴절력에 따른 우세안과 비우세안의 상관관계를 알아보았다. 결과: 대상자 186명 중 우안 우세안은 135명, 좌안 우세안은 51명이었다. 굴절이상 환경에 노출되기 시작하는 10세 이전(평균 8.8±1.18세)과 본격적으로 굴절이상이 발생하는 10세에서 20세 사이(평균 14.1±2.58세), 그리고 시력안정화 시기에 접근하는 20세 이후(평균51.8±17.51) 모두 우세안의 시력이 비우세안보다 시력이 높았지만 통계적으로 유의하지 않았다. 근시성 난시에 있어서 우세안의 난시 굴절력 평균값이 비우세안 난시안의 평균값보다 작게 나타났으며, 통계적으로 유의한 결과를나타내었다(p=0.017<0.05). 결론: 양안 중에서 전체적으로 난시도가 작고 균형 잡힌 눈이 우세안으로 선택될 확률이높다고 판단된다.

Bactericidal Efficacy of Vital-Oxide®, Disinfectant Solution Against Salmonella Typhimurium and Brucella Ovis

차춘남,이후장,Yeo-Eun Lee,In-Jin Kang,유창열,An Sun-Joung Leigh,김석 한국식품위생안전성학회 2012 한국식품위생안전성학회지 Vol.27 No.1

Salmonella spp. and Brucella spp. have caused a considerable disease of farmed animals and economic loss in animal farming and food industry. In this study, the disinfection efficacy of Vital-Oxidel®, a commercial disinfectant, composed to chlorine dioxide, betaine hydrochloride, and propylene glycol was evaluated against S. typhimurium and Brucella ovis. A bactericidal efficacy test by broth dilution method was used to determine the lowest effective dilution of the disinfectant following exposure to test bacteria for 30 min at 4oC. Vital-Oixdel® and test bacteria were diluted with distilled water (DW), hard water (HW) or organic matter suspension (OM) according to treatment condition. On OM condition, the bactericidal activity of Vital-Oixdel® against S. typhimurium and Brucella ovis was lowered compared to that on HW condition. As Vital-Oxidel® possesses bactericidal efficacy against animal pathogenic bacteria such as S. typhimurium and Brucella ovis, this disinfectant solution can be used to control the spread of bacterial diseases.

Antiviral Efficacy of Citra-kill®, Disinfectant Solution Against Avian Influenza Virus

차춘남,이후장,Yeo-Eun Lee,In-Jin Kang,유창열,박은기,An Sun-Joung Leigh,김석 한국식품위생안전성학회 2012 한국식품위생안전성학회지 Vol.27 No.1

Highly pathogenic avian influenza virus (HPAIV) is already panzootic in poultry and caused a considerable economic loss in poultry industry. In addition, HPAIV continues to cross species barriers to infect humans and other mammals, often with fatal outcomes. In this study, the virucidal efficacy of Citra-Kill® composed to quaternary ammonium chloride and citric acid was investigated against avian influenza H9N2 virus (AIV). A virucidal efficacy was determined with the viability of AIV contacted with the disinfectant in the allantoic membrane of chicken embryos. Citra-Kill® and AIV was reacted on the distilled water (DW), hard water (HW) or organic matter suspension (OM) condition. On DW condition, AIV was inactivated with 2,000 fold dilutions of Citra-Kill®. When the antiviral effect on HW condition was evaluated, the antiviral activity of the disinfectant showed on 1,500 fold dilutions against AIV. With the investigation of the antiviral effect of the disinfectant on OM condition, AIV was inactivated on 500fold dilutions of Citra-Kill®. As Citra-Kill® possesses virucidal efficacy against AIV, the disinfectant solution can be used to limit the spread of animal viral diseases.