발달성협응장애 중학생의 소근운동제어특성에 관한 예비연구: Finger Tapping Task = A preliminary study on the characteristics of fine motor control in adolescent with developmental coordination disorder: Finger Tapping Task

국문 초록 (Abstract)

본 연구의 목적은 발달성협응장애 중학생의 소근운동제어특성을 알아보기 위한 것으로 손가락텝핑과제(finger tapping task)를 활용하여 전형적 발달그룹과의 차이를 규명하고자 예비연구를 실시하였다. 연구대상자를 선정하기 위해 1차 선별검사(DCDQ-K, BOTMP-2 Short Form)를 실시하였으며, 발달성협응장애 중학생 10명, 전형적인 발달 중학생 10명을 연구대상자로 선정하였다. 연구대상자의 소근운동제어특성을 살펴보기 위해 손가락텝핑과제 중 힘유지과제(Force maintained)를 제시하여 세가지 변수(Peak Force, Contact Interval, Noncontact Interval)을 측정하였다. 측정된 데이터는 SPSS 23.0 프로그램을 사용하여 독립 t검정을 실시하였으며 발달성협응장애 개별 대상자의 힘조절능력과 타이밍조절능력이 전형적인 발달 그룹과 어느 정도 차이가 나는지를 알아보기 위해 전형적인 발달 그룹의 평균값을 기준으로 z-score를 산출하여 비교분석하였다. 연구결과 Peak Force(3, 4, 5)의 일관성(t=-2.257, p=.037)과 Contact Interval 5의 일관성(t=-2.608, p=.018)에서 유의한 차이가 나타났다. 또한 z-score를 산출하여 비교분석한 결과 발달성협응장애 그룹 내에 소근운동제어특성이 다양하다는 것을 확인할 수 있었다. 따라서 본 연구의 결과를 통해 발달성협응장애가 힘제어과제 수행과 타이밍과제 수행에 있어 어려움을 겪고 있음이 확인되었으며, z-score를 통해 확인한 결과 이들이 가지고 있는 소근운동제어특성은 개별화 되어 있음을 확인할 수 있었다. 따라서 이들을 위한 선별과정과 중재방법을 개발 및 적용하는데 있어 보다 세분화된 정보를 확인할 필요가 있다.

다국어 초록 (Multilingual Abstract)

The purpose of this study is to find out the characteristics of fine motor control in adolescent with developmental coordination disorder. Preliminary study is conducted to determine the difference from the typically developing group using a finger tapping task. The primary screening test (DCDQ-K, BOTMP-2 Short Form) was conducted to select the subjects of the study. 10 middle school students with developmental coordination disorder and 10 typically developing middle school students with developmental coordination were selected as subjects. Three variables(Peak Force, Contact Interval, and Non-contact Interval) were measured by presenting Force maintained of the finger tapping tasks to examine the characteristics of the subject's fine motor control. The measured data were independently t-tested using the SPSS 23.0 program, and the average value of the typically developing group was calculated to find out how much the force control ability and timing control ability of individual subjects with developmental coordination disorder differ from the typically developing group. The z-score was calculated and analyzed for comparison. As a result of the study, there are significant differences in the consistency of Peak Force (3, 4, 5) (t=-2.257, p=.037) and the consistency of Contact Interval 5 (t=-2.608, p=.018). In addition, as a result of comparative analysis by calculating the z-score, it is confirmed that the fine motor control characteristics are diverse within the developmental coordination disorder group. Therefore, through the results of this study, it is confirmed that adolescent with developmental coordination disorder has difficulties in performing force control tasks and timing tasks, and as a result of checking through z-score, it is confirmed that their fine motor control characteristics are individualized. Therefore, it is necessary to confirm more detailed information in developing and applying the screening process and intervention method.

참고문헌 (Reference)

1 김민주, "발달성협응장애의 운동협응 특성과 발현율에 관한 기초 연구" 한국초등체육학회 21 (21): 1-9, 2016

2 김동민, "발달성협응장애 중학생과 비장애 중학생의 인지적 부하량에 따른 정보처리속도 비교 연구" 한국특수체육학회 27 (27): 61-70, 2019

3 최승오, "발달성 협응력 장애인의 운동감각에 대한 심리물리학적 분석" 한국특수체육학회 11 (11): 157-168, 2003

4 Williams, H. G., "Timing and motor control in clumsy children" 24 (24): 165-172, 1992

5 Pitcher, T. M., "Timing and force control in boys with attention deficit hyperactivity disorder: subtype differences and the effect of comorbid developmental coordination disorder" 21 (21): 919-945, 2002

6 Piek, J. P., "Timing and force control during a sequential tapping task in children with and without motor coordination problems" 5 (5): 320-329, 1999

7 Lundy-Ekman, L., "Timing and force control deficits in clumsy children" 3 (3): 367-376, 1991

8 Stelmach, G. E., "The preparation and production of isometric force in Parkinson's disease" 26 (26): 93-103, 1988

9 Shimoyama, I., "The finger-tapping test : a quantitative analysis" 47 (47): 681-684, 1990

10 Maduell, M., "The dynamics of ensemble : the case for flamenco" 35 (35): 591-627, 2007

11 Wilson, B. N., "The developmental coordination disorder questionnaire 2007(DCDQ’07)"

12 Newell, K. M., "Task constraints and infant grip configurations" 22 (22): 817-831, 1989

13 Mandich, A. D., "Rites of passage: Understanding participation of children with developmental coordination disorder" 22 (22): 583-595, 2003

14 Doyon, J., "Reorganization and plasticity in the adult brain during learning of motor skills" 15 (15): 161-167, 2005

15 Biotteau, M., "Neural signature of DCD : a critical review of MRI neuroimaging studies" 7 : 227-, 2016

16 Rasmussen, P., "Natural outcome of ADHD with developmental coordination disorder at age 22 years : a controlled, longitudinal, community-based study" 39 (39): 1424-1431, 2000

17 Henderson, S. E., "Movement Assessment Battery for Children-2" Human Kinetics Publishers 2007

18 Barrett, T. M., "Learning about tools in infancy" 43 (43): 352-, 2007

19 Nessler, J. A., "Interpersonal synchronization during side by side treadmill walking is influenced by leg length differential and altered sensory feedback" 28 (28): 772-785, 2009

20 Geuze, R., "Inconsistency and adaptation in timing of clumsy children" 13 (13): 421-432, 1987

21 Eliasson, A. C., "Impaired anticipatory control of isometric forces during grasping by children with cerebral palsy" 34 (34): 216-225, 1992

22 Witt, S. T., "Functional neuroimaging correlates of finger-tapping task variations : an ALE meta-analysis" 42 (42): 343-356, 2008

23 Keele, S. W., "Force control and its relation to timing" 19 (19): 96-114, 1987

24 Smits-Engelsman, B. C., "Fine motor deficiencies in children diagnosed as DCD based on poor grapho-motor ability" 20 (20): 161-182, 2001

25 Li, R., "Evaluation of the fine motor skills of children with DCD using the digitalised visual-motor tracking system" 2018 (2018): 123-129, 2018

26 Contreras-Vidal, J. L., "Effects of Parkinson's disease on visuomotor adaptation" 150 (150): 25-32, 2003

27 Oliveira, M. A., "Effect of kinetic redundancy on hand digit control in children with DCD" 410 (410): 42-46, 2006

28 Pereira HS, "During precision grip lifts in children with DCD(developmental coordination disorder)and DAMP(deficits in attention motor control and perception)" 39 : 478-488, 2001

29 Doyon, J., "Distinct contribution of the cortico-striatal and cortico-cerebellar systems to motor skill learning" 41 (41): 252-262, 2003

30 American Psychiatric Association, "Diagnostic and statistical manual of mental disorders: DSM-IV-TR" American Psychiatric Pub 2000

31 Geuze, R. H., "Developmental coordination disorder: Diagnosis, description, processes and treatment" 20 (20): 2001

32 이규진, "Developmental Coordination Disorder Questionnaire 2007 (DCDQ’07)의 번안 및 신뢰도 연구" 한국특수체육학회 24 (24): 99-110, 2016

33 Jucaite A, "Deficient coordination of associated postural adjustments during a lifting task in children with neurodevelopmental disorders" 45 : 731-742, 2003

34 Smits-Engelsman, B. C., "Children with developmental coordination disorder are equally able to generate force but show more variability than typically developing children" 27 (27): 296-309, 2008

35 Hellgren, L., "Children with deficits in attention, motor control and perception(DAMP)almost grown up : general health at 16 years" 35 (35): 881-892, 1993

36 Ivry, R. B., "Cerebellar involvement in clumsiness and other developmental disorders" 10 (10): 141-153, 2003

37 Newell, K. M., "Body scale and infant grip configurations" 26 (26): 195-205, 1993

38 Bruininks, R. H., "BOT2 : Bruininks-oseretsky test of motor proficiency" AGS Publishing 2005