뇌성마비아의 호흡기능 개선을 위한 정적이완훈련법에 대한 고찰 = Static relaxation training for improvement of breathing function in child with cerebral palsy

다국어 초록 (Multilingual Abstract)

Child with cerebral palsy has abnormal muscle tensions and their accompanying troubles. This difficulty brings about communication disorder.
The basic method of making abnormal muscle tensions normal is to make the body relax. It is the basic training course for physical training, occupational training and speech training of many rehabilitative methods.
This study is a program of static relaxation training of improvement of breathing function which causes communication disorder in child with cerebral palsy. Static relaxation training is whole body relaxation training applied principle of DOHSA-method. A study of movement is that child with cerebral palsy tries to revival body-feeling of extension of region and sensory of relaxation. Child trains input of proper region for better movement's acquire.
The technique of this mediation used static relaxation training which developed by Hiroshi(1993). It is consist of 16 blocks.
As child with cerebral palsy achieved unsuitable movement, mediator must mediate to leading normal muscle tone. Child experienced suitable movement and he must help achieving object movement by his own efforts.
As child with cerebral palsy cannot expressive because of difficulty of vocalization and speech in breathing features. If we improve breathing function with this technique, we can look for qualitative progress and positive outcome.

국문 초록 (Abstract)

본 연구는 뇌성마비아동에게서 나타나는 의사소통장애의 근본적인 원인인 호흡 기능을 개선시키기 위한 방안의 하나로 정적이완훈련법을 소개하고자 한다. 정적이완훈련은 임상동작법의 원리를 적용한 신체의 이완훈련으로서 체간 또는 국소 부위의 확대감과 이완의 감각을 자신의 노력에 의해 재현하여 동작을 학습시키며, 아동으로 하여금 보다 좋은 동작의 습득을 위해 적절한 부위의 입력을 유도하고 훈련시키게 된다. 중재자는 뇌성마비아동이 부적절한 동작을 수행할 때 정상적인 근 긴장을 아동 스스로가 이끌어 내도록 중재하며, 적절한 동작을 체험하게 하고, 목적동작이 수행되도록 한다. 뇌성마비아의 호흡 특성 중 역호흡으로 인한 발성발어의 어려움으로 의사 표현이 곤란한 경우 이 기법을 적용하여 호흡 기능을 개선시킨다면 의사소통의 질적인 향상과 언어 표현의 긍정적인 효과를 기대할 수 있을 것이다.

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