수면 자세가 운동발달에 미치는 영향 = A study on the effects of sleep position and of body weight on motor development

다국어 초록 (Multilingual Abstract)

Department of Pediatrics, Presbyterian Medical Center, Chonju, Korea
Purpose : This study investigated how gross motor and fine motor development are influenced by sleep position.
Methods : From December, 2003 to September, 2005, for a year and 9 months, 800 children aged from 3 months to 16 months, who visited the Presbyterian Medical Center, Chonju, Korea were surveyed for motor development scale, sleep position and body weight.
Results : The sleep position came in order : 79.3 percent of supine position, 10.0 percent prone position and 10.7 percent side position. Gross motor scale and fine motor scale were not connected with sex. The prone position indicated remarkable increase on gross motor scale from 5-6 months, but stayed the same after 7 months. Fine motor scale was not related to age and sleep position. Gross motor scale and fine motor scale were higher on group weighing more than under average weight group.
Conclusion : This study showed that prone position did not influence gross motor scale after 7 months, affecting children of 5-6 months only. Hence, It is not recommended to use the prone position for a baby's fast gross motor development.

국문 초록 (Abstract)

목 적 : 엎어 재우기, 똑바로 누워 재우기, 옆으로 재우기 등 수면 자세에 따라서 조대운동발달과 미세운동발달이 차이가 나는지 살펴보기 위해서 연구를 시작하였다. 방 법 : 2003월 12월부터 2005년 9월까지 1년 9개월 동안, 전주예수병원 소아과를 방문하는 3개월부터 16개월 사이의 소아 800명을 대상으로 운동발달검사, 수면 자세, 몸무게를 조사하여 연구하였다.결 과 : 똑바로 누워 재우기가 79.3%, 엎어 재우기가 10.0%, 옆으로 재우기가 10.7%로, 똑바로 누워 재우기가 가장 많았다. 남아와 여아의 조대운동발달 지수는 각각 109.5±16.3, 108.1±17.3이었으며, 미세운동발달 지수는 각각 102.3±17.1, 100.7±16.9로 성별에 따른 발달의 차이는 없었다. 똑바로 누워 재우기, 엎어 재우기, 옆으로 재우기에 따른 조대운동발달 지수는 5개월에 98.2±16.8, 126.2±10.9, 117.2±6.6, 6개월에 101.2±13.0, 115.2±18.0, 95.7±20.2로 각각 엎어 재우기에서 의의 있게 높았다. 7개월에서 16개월까지는 차이가 없었다. 똑바로 누워 재우기, 엎어 재우기, 옆으로 재우기에 따른 미세운동발달 지수는 차이가 없었다. 연령별 평균 미만의 몸무게 군과 연령별 평균 이상의 몸무게 군에서, 조대운동발달 지수는 각각 106.3±16.3, 109.9±16.8이고, 미세운동발달 지수는 각각 99.4±16.2, 102.5±17.2로 연령별 평균 이상의 몸무게 군에서 조대운동발달 지수와 운동발달 지수가 의의 있게 높았다.

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