구강 활동을 병행한 감각통합중재가 구강 방어 아동의 먹기에 미치는 효과: 단일 실험 설계 연구 = The Effects of Oral Activity With Sensory Integration Intervention on Eating of a Child With Oral Defensiveness: A Single-Subject Research Design

다국어 초록 (Multilingual Abstract)

Objective : The purpose of this study was to investigate the effects of sensory integration intervention combined with oral activity on eating of child with sensitive oral senses. Methods : The study subject was 6 years old boy and diagnosed with developmental disorder. The experiment period was 15 sessions from April 21, 2017 to June 2, 2017. Experimental design used AB design in single-subject design, baseline(A) phase(sensory integration therapy) was 5 sessions and intervention phase(B) (sensory integration therapy combined oral activity) was 10 sessions. During the experiment, the child used the Goal Attainment Scale (GAS) to measure behavioral changes in eating. Results : The GAS score of voluntary eating of favorite foods was 0 on the baseline phase and increased to 1.9 on the intervention phase. The GAS score of voluntary eating of disliking foods was 0 on average during the baseline phase and increased to 1.7 on average during the intervention phase. Conclusion : This study suggests that sensory integration intervention combined with oral activity program may have a positive effect on eating of children with sensitive oral senses and limited food intake.

국문 초록 (Abstract)

목적: 본 연구는 구강활동을 병행한 감각통합중재가 구강방어 아동의 먹기에 어떠한 효과가 있는지 알아보고자 하였다. 연구방법: 발달장애로 진단받은 만 6세의 남자 아동을 대상으로 2017년 4월 21일부터 6월 2일까지 총 6주간 구강활동을 병행한 감각통합 중재를 실시하고 평가하였다. 실험설계는 개별실험연구(single-subject design) 중 AB설계를 사용하였고, 기초선 A(감각통합치료) 5회기와 중재기간 B(구강 활동을 병행한 감각통합치료) 10회기로 총 15회기를 적용하였다. 실험기간 동안 아동의 먹기 수행의 변화를 측정하기 위해 목표성취척도(Goal Attainment Scale: GAS)를 사용하였다. 결과: 구강 활동을 병행한 감각통합중재 후 좋아하는 음식을 자발적으로 먹기(GAS 평균값 1.9점)와 싫어하는 음식을 자발적으로 먹기(GAS 평균값 1.7점)가 향상되었다. 결론: 구강활동을 병행한 감각통합중재가 구강방어로 음식섭취에 제한이 있는 아동의 먹기 수행에 긍정적인 효과가 있었다.

참고문헌 (Reference)

• 1 최유진, "아동의 재활치료 중재효과 측정을 위한 목표성취척도 (Goal Attainment Scale)의 사용에 관한 문헌고찰" 대한작업치료학회 17 (17): 105-114, 2009
• 2 신민경, "구강감각자극 가정프로그램이 구강방어가 있는 자폐 범주성 장애 아동의 양치질에 미치는 영향: 단일 대상 연구" 대한작업치료학회 25 (25): 1-13, 2017
• 3 Miller, C. K., "Updates on pediatric feeding and swallowing problems" 17 (17): 194-199, 2009
• 4 Kim, J. M., "The review of proprioceptive activities in sensory integration intervention" 5 (5): 1-13, 2007
• 5 H. R., "The realization of sensory integration" Yeongmunsa 2001
• 6 Park, M. H., "The necessity for adult's sensory processing evaluating tool and the introduction of adolescent/adult sensory profile" 4 (4): 1-12, 2006
• 7 Park, E. J., "The effects of oral sensory stimulation program on the eating habits of children with developmental disorder" Honam University 2017
• 8 Choi, Y. W., "The effects of oral activity with sensory integration intervention on breathing and oral diadochokinetic movement of a child with developmental disability" 11 (11): 1-9, 2013
• 9 Chung, O. N., "The effects of behavioral intervention procedures on eating problems of pervasive developmental disorders" Daegu University 1996
• 10 Kim, H. R., "The effect of the direct stimulation to oral sensory on the feeding function of children suffering from severe cerebral palsy" Dankook University 2001
• 11 Park, J. H., "The effect of sensory integrative intervention focused on proprioceptive-vestibular stimuli on adaptive response of children with sensory defensiveness: Case study" 9 (9): 29-39, 2011
• 12 Beckman, C. L., "Single-subject research in rehabilitation: A review of studies using AB, withdrawal, multiple baseline, and alternating treatments designs" 78 (78): 1145-1153, 1997
• 13 Davis, A. M., "Sensory processing issues in young children presenting to an outpatient feeding clinic: A retrospective chart review" 56 (56): 156-160, 2013
• 14 Kim. M. H., "Sensory integration therapy in child with sensory modulation disorder: Case study" 4 (4): 29-36, 2006
• 15 Ayres, A. J., "Sensory integration and the child" 2005
• 16 Bundy, A. C., "Sensory integration" F. A. Davis 2002
• 17 Wilbarger, P., "Sensory defensiveness seminar a comprehensive treatment approach" Korean Academy of Sensory Integration 2007
• 18 Ottenbacher, K., "Oral sensorimotor therapy in the developmentally disabled: A multiple baseline study" 37 (37): 541-547, 1983
• 19 Stein, L. I., "Oral care and sensory concerns in autism" 66 (66): 73-76, 2012
• 20 Case-Smith, J., "Occupational therapy for children" Mosby 2010
• 21 Case-Smith, J., "Occupational therapy for children" Mosby-Year Book, Inc 453-488, 2001
• 22 Kwon, Laurie, L. E., "Neuroscience" Elsevier Korea 2014
• 23 Crapnell, T. L., "Neurodevelopmental profile, growth, and psychosocial environment of preterm infants with difficult feeding behavior at age 2 years" 167 (167): 1347-1353, 2015
• 24 Perske, R., "Mealtimes for severely and profoundly handicapped persons: New concepts and attitudes" University Park Press 1977
• 25 Nadon, G., "Mealtime problems in children with autism spectrum disorder and their typically developing siblings: A comparison study" 15 (15): 98-113, 2011
• 26 Oetter, P., "MORE: Integrating the mouth with sensory and postural function" PDP Press Inc 1995
• 27 Miller, L. J., "Lessons learned: A pilot study of occupational therapy effectiveness for children with sensory modulation disorder" 61 : 161-169, 2007
• 28 Donnelly, C., "Individualized outcome measures: A review of the literature" 69 (69): 84-94, 2002
• 29 Kiresuk, T. J., "Goal attainment scaling: Applications, theory and measurement" Erlbaum 1994
• 30 Kiresuk, T. T., "Goal attainment scaling: A general method for evaluating community mental health programs" 4 : 443-453, 1968
• 31 Kang, H. J., "Feeding children with disabilities and related evaluations and Interventions" 9 (9): 41-49, 2010
• 32 Ottenbacher, K. J., "Discriminative versus evaluative assessment: Some observations on goal attainment scaling" 47 (47): 349-354, 1993
• 33 Kang, H. J., "Correlation between sensory processing ability and characteristics of eating for children with pervasive developmental disorders" 9 (9): 41-49, 2011
• 34 Yack, E., "Building bridges through sensory integration" Sensory resources 2002
• 35 Twachtman-Reilly, J., "Addressing feeding disorders in children on the autism spectrum in school based settings: Physiological and behavioral issues" 39 (39): 261-272, 2008
• 36 Kim, K. M., "A study of factors influencing the eating attitude in the adolescence: Centered in the anorectic eating concerns of the adolescent" Mokwon University 2000
• 37 Kientz, M. A., "A comparison of the performance of children with and without autism on the sensory profile" 51 (51): 530-537, 1997