CHAID 분석 방법을 이용한 온도촉각자극의 사용실태와 인식에 관한 비판적 관점에서의 연구 = A Critical Perspective Investigation of Perception and Usage on Thermal-Tactile Stimulation Using CHAID

다국어 초록 (Multilingual Abstract)

The purpose of this study was to investigate the perception and usage of thermal-tactile stimulation using ice stick used in dysphagia rehabilitation. This study surveyed occupational therapists and stroke patients with dysphagia through a convenience sample. The collected questionnaires were 79 occupational therapists and 88 stroke patients. The data were used for statistical analysis. As a result, the equipment used by occupational therapists for thermal-tactile stimulation treatment was ice stick with the highest proportion of 88.6%. Thermal-tactile stimulation using ice sticks was positively recognized by occupational therapists in 67.1% and 48.1% of the effects and satisfaction of stroke patients with dysphagia. Stroke patients with dysphagia such as discomfort of dysphagia, long meal time, and aspiration symptom knew significantly more about the reasons for dysphagia rehabilitation using ice sticks than stroke patients without severe swallowing problems. Occupational therapists, who perceived thermal-tactile stimulation using ice sticks as 'be of help', responded that thermal-tactile stimulation using ice sticks was 'need'. Stroke patients receiving thermal-tactile stimulation using ice sticks for more than 5 to 20 minutes indicated that therapy using ice sticks were 'be of help'. The results of our study can be used as a basis for further intervention and further studies on thermal-tactile stimulation using ice sticks.

참고문헌 (Reference)

1 문종훈, "혀 근력 및 정확도 훈련이 삼킴장애가 있는 만성 뇌졸중 환자의 혀 근력, 삼킴기능, 삶의 질에 미치는 효과" 한국콘텐츠학회 16 (16): 605-613, 2016

2 이향숙, "작업치료사 핵심직무 분석과 경력과 치료 분야에 따른 직무 차이 비교" 대한작업치료학회 19 (19): 1-14, 2011

3 문종훈, "스마트폰을 사용한 구강안면 운동 프로그램이 삼킴장애가 있는 급성 뇌졸중 환자의 삼킴기능과 혀 근력에 미치는 효과" 한국전자통신학회 11 (11): 995-1002, 2016

4 문종훈, "삼킴장애가 있는 뇌졸중 환자의 특성에 따른 삼킴기능, 식이수준, 인지기능, 일상생활의 비교 및 상관관계" 한국장애인재활협회 부설 재활연구소 20 (20): 265-281, 2016

5 문종훈, "비디오 투시조영 검사를 통한 높은 점도의 음식 삼킴훈련이 삼킴장애가 있는 뇌졸중 환자의 삼킴기능에 미치는 효과" 한국전자통신학회 11 (11): 909-916, 2016

6 오을임, "불확실성 상황에서의 의사결정 양상에 관한 실증적 연구 : 의사결정나무분석(Answer Tree)을 이용하여" 한국행정학회 36 (36): 77-98, 2002

7 신현욱, "데이터마이닝 기법을 이용한 지체장애인 취업결정요인 분석 연구" 한국장애인고용공단 고용개발원 21 (21): 119-152, 2011

8 R. Smith, "Where is the wisdom...?" 303 (303): 798-, 1991

9 T. Nakamura, "Usefulness of ice massage in triggering the swallow reflex" 22 (22): 378-382, 2013

10 M. T. B. R. dos Santos, "Use of cryotherapy to enhance mouth opening in patients with cerebral palsy" 24 (24): 232-234, 2004

11 J. C. Rosenbek, "Thermal application reduces the duration of stage transition in dysphagia after stroke" 11 (11): 225-233, 1996

12 D. G. Smithard, "The natural history of dysphagia following a stroke" 12 (12): 188-193, 1997

13 C. A. McHorney, "The SWAL–QOL and SWAL–CARE outcomes tool for oropharyngeal dysphagia in adults: III. Documentation of reliability and validity" 17 (17): 97-114, 2002

14 A. R. Gatto, "Sour taste and cold temperature in the oral phase of swallowing in patients after stroke" 25 (25): 163-167, 2013

15 R. Bonita, "Prevalence of stroke and stroke-related disability: estimates from the Auckland Stroke Studies" 28 (28): 1898-1902, 1997

16 G. Bhalerao, "Perspective of neuro therapeutic approaches preferred for stroke rehabilitation by physiotherapists" 10 (10): 47-50, 2016

17 C. J. Dubouloz, "Occupational therapists’perceptions of evidence-based practice" 53 (53): 445-453, 1999

18 C. Ertekin, "Neurophysiology of swallowing" 114 (114): 2226-2244, 2003

19 G. de Lama Lazzara, "Impact of thermal stimulation on the triggering of the swallowing reflex" 1 (1): 73-77, 1986

20 A. M. Dysart, "Factors related to evidence-based practice among US occupational therapy clinicians" 56 (56): 275-284, 2002

21 M. Law, "Evidence-based occupational therapy" 65 (65): 131-135, 1998

22 J. A. Gray-Muir, "Evidence-based healthcare:how to make health policy and management decisions" Churchill Livingstone 61-, 1997

23 T-M. Song, "End with a big data study" Hannarae Academy. 2015

24 K. F. Sciortino, "Effects of mechanical, cold, gustatory, and combined stimulation to the human anterior faucial pillars" 18 (18): 16-26, 2003

25 D. G. Burke, "Effects of hot or cold water immersion and modified proprioceptive neuromuscular facilitation flexibility exercise on hamstring length" 36 (36): 16-19, 2001

26 원영식, "Effect of Olfactory Stimulation Mixed Carbonated Water Swallow on Suprahyoid Muscle Activity in Healthy Subjects" 한국지식정보기술학회 15 (15): 121-127, 2020

27 G. D. Eslick, "Dysphagia:epidemiology, risk factors and impact on quality of life–a population‐based study" 27 (27): 971-979, 2008

28 A. Norlander, "Activity among long-term stroke survivors. A study based on an ICF-oriented analysis of two established ADL and social activity instruments" 38 (38): 2028-2037, 2016