감각통합치료가 발달장애 아동의 기능적 쥐기에 미치는 영향

장문영,김경미,권혁철,Chang, Moon-Young,Kim, Kyeong-Mi,Kwon, Hyuk-Cheol 대한감각통합치료학회 2003 대한감각통합치료학회지 Vol.1 No.1

Objective : The experiment consists of measuring functional grasp ability of a child suffering from sensory defense disability of the hands as the child is treated with sensory integration therapy. Methods : We treated two-year-old child with developmental disability to set up the reversal design(ABAB design). We used treatment equipments, free activities, and toys for sensory integration therapy. Results : A child's functional grasp ability did not show anything before the sensory integration therapy, however, after the sensory integration was applied during the first treatment(Treatment 1), the five minutes before the treatment, it averaged 1.87 times(ranges=0 to 5 times), the five minutes after the treatment, it averaged 1.25 times(ranges=0 to 8 times) showing an increased. After ending the sensory integration therapy, the functional grasp ability averaged 2.5 times before the therapy and 4 times after the therapy, which showed a totally different tendency, when we reapplied the treatment during the second treatment(Treatment 2), it averaged 2.4 times(ranges=1 to 4 times) before the treatment, and it averaged 5.3 times(ranges=4 to 6 times) after the treatment, which showed a big improvement. Conclusion : The sensory integration therapy brought an increase in functional grasp ability along with improvement in daily life functions of the child. For this result, there should be more research to see more effects and results to help those in need.

전 학령기 아동의 SIPT 운동감각(kinesthesia) 검사에 대한 비교 연구

장문영,황기철,Chang, Moon-Young,Hwang, Ki-Chul 대한감각통합치료학회 2004 대한감각통합치료학회지 Vol.2 No.1

Objective : This study is to provide the norms of normal children when comparing the performance ability of preschool children while using the kinesthesia test of Sensory Integration and Praxis Tests(SIPT). Methods : Participants consisted of 90 normal children ranging in age from four to six years. The kinesthesia test of SIPT was utilized to investigate the performance ability. Results : 1. Regarding the kinesthesia ability according to age, the average value of kinesthesia performance error decreased as age getting older and that value showed the statistically significant differences between four and five, six age(p<0.05). 2. The kinesthesia performance ability according to gender, the accuracy of both hands and the dominant hand did not show the statistically significant differences. 3. Regarding the kinesthesia performance ability of test items, 1R item and 6R item(26.2cm), 5R item and 2L item(20.2cm) passing through the midline of body and having the large movement in distance and angle showed the difficulty to perform in all the children between 4 and 6 age. Conclusion : By providing the norms of the kinesthesia performance ability in normal children of the above results to the occupational therapists treating children, the helpful data to the hand skill development of children, exercise plan and implementation, and the performance therapy of ADL through the proper evaluation and training of kinesthesia is considered for the occupational therapists to be provided.

[<특강 I>] 한국목재산업의 위기와 대응

장문영 ( Chang Moon-young ) 韓國木材工學會 2017 한국목재공학회 학술발표논문집 Vol.2017 No.1

청각자극의 세기에 따른 노인의 인지 반응시간 분석

김경미,장문영,홍은경,Kim, Kyeong-Mi,Chang, Moon-Young,Hong, Eun-Kyoung 대한감각통합치료학회 2007 대한감각통합치료학회지 Vol.5 No.1

Objective: The purpose of this study was to get the cognitive reaction time according to the intensity of auditory stimuli in older people and to differentiate the cognitive reaction time between older people and adults. Method: 49 subjects consisted of 32 older people and 17 adults. Cognitive reaction time was assessed with Simple Auditory Reaction of Foundation I in PSS CogReHab. Analysis of the data was done by using independent t-test. Results: The results were as follows: 1. There was a significant difference of the mean of cognitive reaction time to the intensity of auditory stimuli. 2. There was no significant difference from older people regardless of sexual distinction in mean of cognitive reaction time. However, there was a significant difference of the mean of cognitive reaction time in adults. 3. There was a significant difference between older people who got a job or not in 90 dB of auditory stimuli. 4. The mean of cognitive reaction time to the intensity of auditory stimuli in older people was slower than adults. There was a significant difference of the mean of cognitive reaction time between older people and adults in 70 dB of auditory stimuli. 5. The mean of cognitive reaction time to the intensity of auditory stimuli in older people did not have the significant difference in scholastic ability. Conclusions: The results of the study showed slowing of the cognitive reaction time in auditory stimuli to aging in older people. Therefore, applying silver industry and development of equipment for older people may maintain independent life.

대학생을 대상으로한 구조화된 시간 사용과 웰빙(well-being)의 상관관계

김환희,장문영,Kim, Hwan-Hee,Chang, Moon-Young 대한지역사회작업치료학회 2011 대한지역사회작업치료학회지 Vol.1 No.1

목적: 대학생을 대상으로 구조화된 시간 사용과 웰빙(well-being)의 상관성을 알아보고자 하였다. 연구방법: 233명의 대학생들에게 설문지를 배부하여 233부를 회수하였고, 그 중 기록이 미비한 설문지 10부를 제외하고, 총 223부가 본 연구의 분석 자료로 사용되었다. 구조화된 시간사용 설문지와 웰빙을 측정하기 위해서 한국판 세계보건기구 삶의 질 척도, 삶의 기대척도, 삶의 만족척도, 주관적 행복척도를 사용하였다. 설문 시간은 평균 20분정도 소요되었다. 기술통계를 사용하여 일반적인 특정과 설문지의 평균값을 알아보았고, 구조화된 시간 사용과 웰빙의 상관성은 피어슨 상관분석을 사용하였다. 결과: 구조화된 시간 사용과 웰빙은 전체적으로 양의 상관관계가 있었다. 구조화된 시간사용 설문지의 하부항목 중 효과적인 조직화는 삶의 만족척도와 삶의 기대척도에서, 미래방향은 삶의 질, 삶의 만족척도, 주관적 행복척도에서 유의한 차이를 보이지 않았고, 그 외에는 모두 유의한 상관관계를 나타냈다(p<.05). 결론: 구조화된 시간사용과 웰빙의 상관관계를 알아봄으로써 우리는 시간 관리의 중요성을 알 수 있었다. 작업치료는 수행요소를 중재하는 치료에서 나아가 고객의 시간을 관리해줌으로써 개인의 삶을 웰빙하게 하는데 도움을 줄 수 있을 것이다. 앞으로는 구조화된 시간사용에 영향을 미치는 요인들에 대한 연구 또한 이루어져야 할 것이다. Object : The relationships between the TSQ(Time structure questionnaire) and Well-being were examined. Methods : TSQ and questionnaire about Well-being were executed for 223 university students from April 26th to May 7th, 2010. The questionnaire adapted the item of the TSQ and Korean WHOQOL-BREF, SWLS(Satisfaction with Life Scale), LSES(Life Satisfaction Expectancy Scale), SHS(Subjective Happiness Scale). The questionnaires were distributed directly to the participants. Relativity between the TSQ and questionnaire about Well-being were analyzed using Pearson's correlation analysis. Results : As a result of the relationship between the TSQ and questionnaire about Well-being, overall there was a positive correlation. TSQ(sense of purpose, structured routine, persistence, past orientation) and questionnaire about Well-being showed a statistically significant correlation(p<.05). Conclusion : A structured time use and well-being by investigating the relationship, we were able to see the importance of time management. Currently, clinical occupational therapy focused on performance components, in future, intervention of personal time management to help make ones live well-being.

전반적 발달장애아동의 감각처리능력과 섭식 특성의 상관관계

강현진,장문영,김경미,Kang, Hyun-Jin,Chang, Moon-Young,Kim, Kyeong-Mi 대한감각통합치료학회 2011 대한감각통합치료학회지 Vol.9 No.2

목적 : 전반적발달장애아동과 일반아동의 감각처리능력과 섭식특성에 어떤 차이가 있는지 알아보고 전반적발달장애아동의 감각처리능력과 섭식특성의 상관관계를 알아보기 위한 것이다. 연구방법 : 본 연구의 대상은 만 4세에서 6세의 전반적발달장애로 진단받은 아동과 만 4세에서 6세 사이의 일반적 아동이다. 연구도구는 자폐아동의 섭식행동 체크리스트(Brief Autism Mealtime Behavior Inventory: BAMBI), The Sensory Checklist의 Food 영역, 감각에 대한 아동의 반응 질문지(Short Sensory Profile: SSP)이다. 전반적 발달장애아동과 일반아동의 부모를 대상으로 하는 설문조사를 기관을 통해 실시하였다. 전반적발달장애아동의 설문지 45부와 일반아동의 설문지 109부를 분석하여 감각처리, 섭식행동, 구강섭식의 차이와 상관관계를 알아보았다. 결과 : 전반적발달장애아동과 일반아동의 감각처리능력은 차이가 있었다. 감각처리능력의 모든 하위 영역에서도 차이가 있었다. 전반적발달장애아동과 일반아동의 섭식특성인 섭식행동과 구강섭식에서는 차이가 없었다. 전반적발달장애아동은 감각처리능력에 어려움이 많을수록 섭식행동의 문제가 많이 나타났다. 전반적발달장애아동의 감각처리능력의 하위 영역 중 맛/냄새민감성, 청각여과하기에 어려움이 많을수록 섭식행동의 문제가 많이 나타났다. 그리고 감각처리능력의 하위 영역 중 과소반응/자극추구행동, 청각여과하기와 구강섭식은 상관관계가 있었다. 결론 :본 연구를 통해 전반적발달장애아동과 일반아동의 감각처리능력과 섭식특성을 비교하고 감각처리능력과 섭식 특성의 상관관계를 파악할 수 있었다. 본 연구의 결과를 전반적발달장애아동의 섭식행동 중재를 위한 프로그램 제공시에 활용할 수 있을 것이다. Objective : This study aims to compare children with and without pervasive developmental disorders in terms of the sensory processing ability and behavioral characteristic of oral feeding. This study also aims to identify correlation between sensory processing and characteristics of eating. Methods : The subjects of this research were normal children and those who have diagnosis of a pervasive developmental disorder, aged from 4 to 6. The research instruments were composed of Short Sensory Profile (SSP), Brief Autism Mealtime Behavior Inventory (BAMBI) and Food Items of the Sensory Checklist. Data collection was done by a professional survey institute located in 10 cities including Busan, South Korea. The survey questionnaires were distributed to 455 parents of children with and without pervasive developmental disabilities through the survey institutes. Total 263 answers were collected out of 455 questionnaires (62%) and 154 answers were used in data analysis. Out of 154 answers, 45 were for children with pervasive developmental disabilities and 109 were for normal children. Data analysis was done to identify correlations between sensory processing and characteristics of eating such as eating behavior and oral feeding. Results : 1. There was a significant difference between children with and without pervasive developmental disorders in all area of sensory processing ability (p<.05). 2. There was no difference between children with and without pervasive developmental disorders in eating behavior (p=0.881) and oral feeding (p=0.324). 3. In the group of children with a pervasive developmental disorders, it is found that there is negative correlation between sensory processing, eating behavior and oral feeding (r=-0.384, p<.01). 4. A remarkable significant correlation was found between sensory processing and eating behavior especially in taste/smell sensitivity (r=-0.6, p<.01) and auditory filtering (r=-0.326, p<.05). The correlation between sensory processing and oral feeding was most significant in under responsiveness/seeking sensation (r=-0.372, p<.05) and auditory filtering (r=-0.382, p<.05). Conclusion : This study found that there are significant correlations between sensory processing ability and some characteristics of eating behaviors for children with pervasive developmental disorders. This information can be useful to develop a program to intervene eating behavior problems of children with pervasive developmental disorders.

감각통합치료적 접근에서의 부모교육 프로그램의 만족도

김경미,장문영,안덕현,Kim, Kyeong-Mi,Chang, Moon-Young,Ahn, Duck-Hyun 대한감각통합치료학회 2005 대한감각통합치료학회지 Vol.3 No.1

Objective : The purpose of this paper was to suggest a model of the parent educational program with a sensory integration approach for developmental disabilities. Methods : A questionnaire survey were conducted to investigate the needs of the parent educational program and the satisfaction on after of the parent educational program with sensory integration for developmental disabilities. The parent educational program was completed by 8 mothers and each one children with developmental disabilities ranging in age from five to six years for five weeks. The parent educational program with sensory integration approach were consisted of the lecture, an exploration group and individual counseling for parent and individual evaluation and treatment, and group treatment for children. Results : 1. In the needs of the parent education, 50% for active participation of parent and 40% for the understanding with children. 2. In the satisfaction for the parent educational program with sensory integration, 9.3/10point for a individual education with the home program, 9.0/10point for the understanding with children, 8.7/10point for the chance of a participation in sensory integration program, 6.7/10point for a individual treatment, 5.7/10point for a group treatment. Conclusion : The parent educational program with sensory integration suggest that its useful program to understanding their children and sensory integration for parent.

작업치료(학) 전공 학생들의 노인에 대한 지식 및 태도

황기철 ( Ki Cheol Hwang ),장문영 ( Moon Young Chang ) 고령자.치매작업치료학회 2007 고령자.치매작업치료학회지 Vol.1 No.2

MVPT-R을 이용한 한국과 미국 전학령기 아동의 시지각 능력 비교를 위한 기초 연구

박성현,박소정,박수희,정혜림,장문영,Park, Sung-Hyun,Park, So-Jung,Park, Soo-Hee,Jung, Hye-Rim,Chang, Moon-Young 대한감각통합치료학회 2005 대한감각통합치료학회지 Vol.3 No.1

Objective : The purpose of this study was to indicate the foundational data to standardize MVPT-R for Koreans. Method : This study was conducted on 221 children ranging in all preschool age from 4 to 6 years residing in Busan and Kyungsangnam-do. It was performed from January 12, 2004 to April 30, 2004. Result : First, similar to American children, as Korean children grow older, the mean raw score of MVPT-R increased. Second, Korean children's mean raw score was higher than that of American children; 3.51 in 4 age, 1.52 in 4.6 age, 2.93 in 5 age, 1.72 in 5.6 age, 1.84 in 6 age and 0.48 in 6.6 age. Third, the mean of PQ(106.57) in Korean children was higher than that of PQ in American children. Fourth, The raw score in Korean children was higher than the raw score in American children in most of the subjects(excluding visual closure subjects). Conclusion : The visual perception skill of Korean children is higher than that of American children. If we apply MVPT-R developed in U.S to Korean children, it will be difficult for Korean children to achieve the adequate results. Therefore, we must use the standardized MVPT-R for Korean that can minimize the differences between American and Korean children's visual perception skills.

장애인복지관에 근무하는 재활전문가들의 감각통합치료에 대한 인식조사

황기철 (Hwang, Ki-Cheol),장문영 (Chang, Moon-Young),노효련 (Ro, Hyo-Lyun) 대한감각통합치료학회 2008 대한감각통합치료학회지 Vol.6 No.1

목적 : 본 연구는 우리나라에서 현재 감각통합치료가 많이 이루어지고 있는 장애인복지관에 근무하는 재활전문가들의 감각통합치료에 대한 인식수준과 인식도 및 일반적 특성에 따른 감각통합치료 인식도를 조사하였다. 연구방법 : 감각통합치료에 대한 인식조사를 파악하는 설문지를 서울․경기, 대구․경북, 부산․울산 지역 장애인복지관에 근무하는 재활전문가 121명을 대상으로 직접 방문하여 자료를 수집하였다. 결과 : 감각통합치료의 필요성에 대해 재활전문가들의 96.7%가 인식하고 있으나 감각통합치료에 관련된 정보를 구하기가 용이하지 않은 것으로 나타났다. 재활전문가들의 93.4%가 감각통합치료에 대한 전문적 교육을 희망하고 있으며, 감각통합치료 인식개선을 위해 교육 활성화 필요에 대한 의견이 가장 많았다. 일반적 특성에 따른 감각통합치료 목적, 대상, 방법, 전문가의 기본요건에 대한 인식도를 조사한 결과 전문영역, 근무기관의 감각통합치료 서비스여부, 전문가의 감각통합치료 서비스여부, 전문가의 감각통합치료 서비스 경력과 경력유무에 따라 통계적으로 유의한 차이를 보이는 것으로 나타났다. 특히, 작업치료사의 인식도가 공통적으로 가장 높았다. 결론 : 감각통합치료 인식개선을 위해 폭넓은 감각통합치료 교육 활성화가 요구되고, 재활관련기관 및 재활전문가들의 감각통합치료 인식수준과 인식도를 높이기 위해 홍보가 필요할 것으로 사료된다. Objective : The purpose of this study is to investigate awareness of rehabilitation practitioners working at community wellness centers regarding the sensory integration (SI) therapy. Methods : 121 rehabilitation practitioners working at community wellness centers, located in Seoul․Gyeonggi, Daegu․Gyeongbuk and Busan․Ulsan, participated in a questionnaire survey to examine their awareness of SI therapy. The questionnaire constructed based on four elements of the information about SI therapy; SI therapy's purpose, target population and technical process, and the qualification of SI therapist. Correlations between general characteristics and the four awareness elements of SI information were explored. The level of recognition on SI therapy were examined in various perspective such as 'have heard', 'means of the recognition', 'easiness of getting information', 'recognition of necessity of SI therapy', 'willing to participate in professional education course' and 'opinions for improving recognition'. Result : There is significant difference in awareness of the all four elements of SI informations depends on several general characteristics; practitioner's clinical field, location of the center, whether SI service has been provided or not at the center, whether the practitioner carry out SI therapy, and the practitioner's clinical experience in SI therapy. Specially, the recognition of occupational therapists is relatively high compared other rehabilitation practitioners. In terms of level of recognition, most rehabilitation practitioners(96.7%) are well-aware of necessity of sensory integration therapy. 79.4% of the practitioners manifest somewhat of difficulty in getting information related SI therapy. 93.4% of the practitioners are willing to participate in professional education course for SI therapy. Opinion for improving recognition with the most number of people(21) chosen is 'educational revitalization'. Conclusion : Many rehabilitation practitioners working at community wellness centers recognize the necessity of understand SI therapy, but there is uneasiness to get relative and valid information. There are difference awareness of the SI therapy Revitalization of education for SI therapy may provide an opportunity to improve level recognition of rehabilitation practitioners. It is suggested that organ related rehabilitation, there is a need for public relations.