감각통합훈련이 발달장애아의 감각기능에 미치는 효과 = The Influence of Sensory Integration Training on Sensory Function in Children with Development Disorder

국문 초록 (Abstract)

본 연구는 감각통합훈련이 발달장애아의 전정감각 및 고유수용감각기능에 미치는 효과를 밝히는 연구이며, 연구대상 선정은 경북에 소재한 장애전담어린이집에 소속된 발달장애아로서 감각기능 이상을 가지고 있는 대상아 3명을 선정하였다. 감각통합훈련 프로그램은 Ayres(1985)와 坂本(1990)이 제시한 감각통합훈련 프로그램을 토대로 본 연구자가 감각통합훈련 프로그램을 개발하여 사용하였으며, 1주 5회씩 매회 50분 수업으로 39회기를 실시하였다. 감각통합훈련의 효과와 감각기능 개선을 밝히기 위하여, 전정감각반응검사, 회전 후 안진검사, 고유수용감각반응검사, Cybex770 등속성 검사, QEMG8 근전도 검사를 사용하였다.이와 같은 연구방법에 의해서 대상아의 둔감반응 비율이 낮아지고, 안진 지속시간이 길어지며, 근전도의 변화가 나타나는 등의 감각기능의 변화를 가져 왔으며, 이러한 자료를 토대로 감각통합훈련이 발달장애아의 감각기능에 미치는 효과에 대한 결론은 다음과 같다.첫째, 감각통합훈련은 발달장애아 전정감각기능의 둔감반응을 개선하는데 효과적이었으며, 그 수준은 일반적인 감각기능 형태로 진행시켰다. 둘째, 감각통합훈련은 발달장애아 고유수용감각기능의 둔감 반응을 개선하는데 효과적이었으며, 그 수준은 일반적인 감각기능 형태로 진행시켰다.

다국어 초록 (Multilingual Abstract)

This study aims to illuminate the effect of sensory integration training on the sense of vestibular and the function of proprioceptive sensibility of children with developmental disorder. The object of the study was selected from the children with developmental disorder belonging to the disabled nursery located in Kyeong-puk.
The sensory integration training used for this study was developed by the author of this study on the basis of the program that was suggested by Ayres(1985) and Panbon(1990). The program was conducted 5 times a week, for a total of 39 sessions of 50-minute class each time. To find out the effect of the sensory integration training and the improvement in sensory function, the examinations of the vestibular sensory response test, proprioceptive sensory response test, postrotary nystagmus test, Cybex770 isokinetic test, QEMG8 electromyography were used.
By such methods of research, the sensory functions changed including lower rate of the insensible response, longer time of continued nystagmus and changes in electromyogram for the object children. On the basis of such data, the conclusions for the effects of sensory integration training on the sensory function of children with developmental disorder were made as follows.
Firstly, the sensory integration training was effective for the improvement of the insensible response of the sense of vestibular for children with developmental disorder, and the level was progressed to the form of normal sensory function.
Secondly, the sensory integration training was effective for the improvement of the insensible response of the function of proprioceptive sensibility for children with developmental disorder, and the level was progressed to the form of normal sensory function.

참고문헌 (Reference)

1 "정신지체아동의 감각통합훈련과 중단이 대근육 운동능력 및 균형능력에 미치는 영향" 2005

2 "전정기능훈련이 자폐성 장애 아동의 상동행동 개선에 미치는 효과" 2002

3 "운동 강도가 자폐아동의 상동행동이 미치는 영향" 4 : 23-34, 1996

4 "감각통합훈련프로그램이 중복장애아의 상동행동에 미치는 효과" 2002

5 "障害兒の 感覺運動指導。" 1982

6 "障害兒の 感覺運動指導 장애아의 감각운동지도" 대구대학교출판부 1990

7 "Weighted vests: School-based at Shenandoah University study completed at Shenandoah University's Program in Occupational Therapy" under the guidance of Barbara Chandler and Yvonne Teske 1999

8 "Vestibular stimulation in the treatment of postural and related disorders Manual of physical therapy techniques" 239-258, 1989

9 "Using a sensory Integrative approach to treat self-injurious behavior in an adult with profound mental retradation American Journal of Occupational Therapy" 403-411, 1992

10 "The use of tactile and vestibular stimulation to reduce stereotypic behaviors in two adults with mental retardation American Journal of Occupational Therapy" 536-541, 1990

11 "The role of psychophysiology in defining gravitational insecurity" 1-4, 1984

12 "The performance of a national sample of children without disabilities" 51 (51): 25-34, 1997

13 "The impact of sensory processing abilities on the daily lives of young children and their families: A conceptual model" 9 : 23-35, 1997

14 "Teaching Children with autism Strategies to enhance" 1995

15 "Tactile defensiveness and stereotyped behaviors" 51 : 91-95, 1997

16 "Sherrington's concept of proprioception Trends in Neuroscience" 44-46, 1981

17 "Sensory integration assessment and intervention with infants" Boston: Butterworth-Heinemann 223-254, 1998

18 "Sensory Integration Theory and Practice (2Eds.)" Philadelphia: F.A. Davis 2002

19 "Rapid Clinical Evaluation of Sensory Integrative Therapy for Self-Injurious Behavior American Association on Mental retardation" 1988

20 "Proprioceptive sensory codes mediating movement rajectory perception: Human hand vibration-induced drawing illusions" 73 : 295-304, 1995

21 "Part Ⅱ of a final project report" 1986

22 "Effects of linear vestibular stimulation on body-rocking behavior in adult with profound inental retardation American Journal of Occupational Therapy" 910-915, 1992

23 "A Cornerstone of Sensory Integrative Intervention" USA: A Harcourt Health Sciences Company 109-123, 2001