발달장애아의 조기지도 방법에 대한 연구-뇌성마비아와 감각통합장애를 중심으로- = Study of Early Intervention Methods for Developmentally Disordered Children -emphasis on cerebral palsy and sensory integration -

국문 초록 (Abstract)

본 연구는 발달장애아의 조기지도 방법으로 신경학적 지도법에 대하여 검토하였다.뇌성마비아에 대하여 Bobath박사의 신경발달학적치료(NDT)와 감각통ㅎ바 장애아에 대하여 Ayres박사의 감각통합훈련의 양 지도법에 대하여 그 특징을 파악하고자 하였다.그 결과 양 지도방법은 각각 독특한 지도기법으로 그 특징을 가지고 있으나 상호보완적기능을 수행 할 수 있어, 뇌성마비아 및 감각통합장애아에게 유용하게 사용할 수 있으리라 생각된다. 따라서 지도방법에 대한 충분한 이해와 각각의 특징을 밝혀 현장에서 유용하게 사용되어지기를 기대할 수 있다.

다국어 초록 (Multilingual Abstract)

One of the purposes of this study was to identify the characteristics of the Neuro-Developmental Treatment(NDT) by Bobath and Sensory-Integration(SI) by Ayres as intervention methods for developmentally Disordered Children specially for cerebral-palsy and sensory integration. Also, this study is presenting investigation about mutual supplementary function and some notices in clinical setting using NDT and SI.
The result are as follows;
First, NDT and SI can have mutual supplementary function in treatment for develomentally disordered children.
Second, NDT is focused on the importance of postural maintenance and its effects on physical function.
Third, SI is focused on the sensory aspect and its effects on motivation, attention, movement and social emotional status.
Fourth, NDT can be used parallel with SI in clinical setting for cerebral-palsy and sensory-integration disordered children.
Fifth, in the case of using NDT parallel with SI, the clinician should understand both of the theories very well and apply those characteristics clinically.

참고문헌 (Reference)

1 안소윤, "뇌성마비의 평가와 물리치료" 도서출판 대학서림 1993

2 小林芳文著, "重度重複障害兒(者)の感覺運動指導, コレ-ル社." 2001

3 高橋智宏譯, "神經發達的治療 と 感覺統合理論, 協同?書出版社." 2001

4 Ayres, "Types of sensory integrative dysfunction among disabled learners American Journal of Occupational Therapy 26" 13-18, 1972b

5 Bobath Course syllabus, "The different problems and needs in the treatment of athetoid and spastic children" 1974

6 Bly, "Lecture notes on NDT theory presented at the NDTA" Inc 1993

7 "Its effect on general development and application to the treatment of cerebral palsy" 526-32, 1971a

8 2d ed, "Abnormal postural reflex activity caused by brain lesions" Heinemann 1971b

9 Bly, "A historical and current view of the basis of NDT" 131-135, 1991