수정된 델파이 기법을 활용한 성인 뇌성마비 장애인의 운동 기능 향상을 위한 무용 프로그램 개발 = A Modified Delphi Study for the Development of a Dance program on the Improvement of motor function in adult with cerebral palsy

국문 초록 (Abstract)

본 연구의 목적은 대동작기능 분류(Gross Motor Function Classification System: GMFCS) 레벨 Ⅰ,Ⅱ,Ⅲ에 해당하는 성인 뇌성마비 장애인의 운동 기능 향상을 위한 무용 프로그램 개발을 위해 프로그램 구성요인 및 동작에 관한 전문가들의 합의를 수정된 델파이 기법(Modified Delphi Technique)을 사용하여 도출하는 것이다. 무용 전문가 6인, 특수체육 전문가 5인, 재활 전문가 5인을 대상으로 2회의 델파이 조사를 실시하였다. 연구 결과 GMFCS 레벨 Ⅰ~Ⅲ 성인 뇌성마비 장애인의 운동 기능 향상을 위한 무용 프로그램의 구성요인은 근력 및 근지구력, 관절 가동성, 보행 기능, 균형기능, 자세조절 및 협응기능, 감각기능으로 전문가 패널 대부분이 중요하게 여기고 있는 핵심요인인 것으로 나타났다. 동작은 바 워크 11개, 플로워 시티드 워크 4개, 플로워 라잉 워크 14개와 각 동작의 단계별 접근법 및 유의사항으로 구성되며 대부분의 전문가 패널 의견이 수렴되는 결과를 보였다. 프로그램 시간은 스트레칭 15~30분, 본 운동 시간 30-40분 또는 40-60분이 적합한 것으로 나타났다. 지도 고려사항은 뇌성마비 장애 유형에 따른 신체적 특징 및 뇌성마비의 근골격계의 특징(증가된 근 긴장도, 근육 구축 등)에 관한 이해와 낙상 예방에 관한 내용을 중심으로 총 14개의 고려사항이 전문가 패널 100%가 주요하다고 하는 핵심 사항인 것으로 나타났다. 본 연구 결과는 성인 뇌성마비 장애인의 운동 기능 향상을 위한 무용 프로그램 구성 내용과 동작에 대한 전문가들의 합의를 검증함으로써 무용 현장에서 사용할 수 있는 실질적인 지식과 기초자료를 제공하였다는 점에서 의미가 있다.

다국어 초록 (Multilingual Abstract)

The purpose of this study is to draw consensus among as expert panel regarding the component and dance actions of dance program for adult with cerebral palsy who correspond to the Gross Motor Function Classification System (GMFCS) levels Ⅰ, Ⅱ, and Ⅲ, using modified Delphi Technique. Six dance experts, five special sports experts, and five rehabilitation experts were participated in this study. As of result, the components of dance program for adult with cerebral palsy(GMFCS level Ⅰ~Ⅲ) were muscle strength and endurance, joint mobility, gait function, balance function, postural control & coordination function and sensory function were found as key factors. Dance actions consisted of 11 barre work actions, 4 floor seated work actions, and 14 floor lying work actions including each step and teaching guidance considerations that indicated the consensus of most expert opinion. The program time was 15-30 minutes for stretching, 30-40 minutes or 40-60 minutes for main exercise. 14 items of teaching guidance considerations based on physical features of cerebral palsy including abnormal musculoskeletal function (increased muscle stiffness, muscle contraction et al.) and fall risks showed the 100% consensus of expert opinion. The results of this study are meaningful in that we provided practical and basic knowledge that can be used in the dance field by verifying the experts' consensus on the contents and dance actions of dance programs to improve motor function in adults with cerebral palsy.

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