학령기 뇌성마비 아동의 글씨쓰기 속도 관련요인 -국제 기능·장애·건강 분류를 기반으로 = An Investigation of the Factors Affecting Handwriting Speed On School Aged Children with Cerebral Palsy Based on International Classification of Functioning, Disability and Health

다국어 초록 (Multilingual Abstract)

This study investigated the effects of health related factors on handwriting speed in school aged children with cerebral palsy. The study included 96 elementary-school-aged children with cerebral palsy and the study was conducted from 04/07/2011 to 29/08/2011. Based on the ICF, factors related to handwriting speed were classified as personal factor, environmental, body structure, body function, activity and participation. Spatial perception, visuomotor organization and proprioception were significantly associated with handwriting speed. Efforts to manage and improve the handwriting speed of children with cerebral palsy should focus on visuomotor organization, proprioception and bilateral coordination.

참고문헌 (Reference)

1 구현진, "지체장애의 쓰기중재에 대한 국외연구 동향분석" 특수교육재활과학연구소 53 (53): 1-21, 2014

2 오수옥, "시지각 훈련 프로그램이 뇌성마비 아동의 쓰기속도에 미치는 효과" 대구대학교 재활과학대학원 2007

3 삼육재활학교, "뇌성마비 아동의 쓰기훈련 프로그램 개발 및 적용: 특수교육시범 운영보고서" 삼육재활학교 1985

4 정해동, "뇌성마비 아동의 쓰기능력에 관한 연구" 한국특수교육학회 37 (37): 155-174, 2002

5 정해동, "뇌성마비 아동의 쓰기 평가 및 특성에 관한 고찰" 한국특수교육문제연구소 5 (5): 115-133, 2004

6 안병즙, "경직성 뇌성마비 아동의 도형-배경 색상역전과 시지각 및 시각-운동 수행능력" 11 (11): 37-55, 1993

7 Rider, L. G., "Validation of manual muscle testing and a subset of eight muscles for adult and juvenile idiopathic inflammatory myopathies" 62 (62): 465-472, 2010

8 Peter, R., "The world health organization international classification of functioning, disability and health: A model to guide clinical thinking, practice and research in the field of cerebral palsy" 11 (11): 5-10,

9 Tseng, M. H., "The influence of ergonomic factors and perceptual motor abilities on handwriting performance" 47 (47): 919-926, 1993

10 Sermin, T. K., "The effects of pencil grip posture and different desk designs on handwriting performance in children with hemiplegic cerebral palsy" 85 (85): 346-352, 2009

11 Haskell, S. H., "The education of children with physical and neurological disabilities" Champ & Hall 1993

12 Byl, N., "The Byl-Cheney-Boczai sensory discriminator : Reliability, validity and responsiveness for testing stereognosis" 15 (15): 315-330, 2002

13 Berninger, V. W., "Relationship of finger function to beginning writing : Application to diagnosis of writing disabilities" 34 (34): 198-215, 1992

14 Robert, J. P., "Recent advances in physical and occupational therapy for children with cerebral palsy" 11 (11): 66-77, 2004

15 Kevin, H., "Process for applying the international classification of functioning, disability and health Model to a patient with patellar dislocation" 88 (88): 956-964, 2008

16 Mei, H. T., "Perceptual motor functional of school age children with slow handwriting speed" 54 (54): 83-88, 2000

17 Heidi, M. P., "Pedretti's occupational therapy practice skills for physical dysfunction" Mosby 2010

18 Kendall, F. P., "Muscles: Testing and function with posture and pain" Philadelphia 1993

19 Bobath, B., "Motor development, its effect on general development and application to the treatment of cerebral palsy" 57 (57): 526-532, 1971

20 Itzkovic, M., "Lowenstein occupational therapy cognitive assessment manual" Maddak Inc 2000

21 Laszlo, J. I., "Kinaesthesis; its measurement, training, and relationship to motor control" 35 (35): 411-421, 1983

22 박경영, "Jebsen-Taylor Hand Function Test 중 쓰기 항목의 국어 문장간 비교연구" 10 (10): 35-42, 2002

23 Carr, J. H., "Investigation of a new motor assessment scale for stroke patients" 65 (65): 175-180, 1985

24 World Health Organization, "International classification of functioning, disability and health" 2000

25 Alston, J., "Handwriting: Theory, research and practice" Nichols publishing 1987

26 Marr, D., "Handwriting readiness : Locatives and visuomotor skills in the kindergarten year" 3 (3): 1-16, 2008

27 Malloy, M. T., "Handwriting error patterns of children with mild motor difficulties" 62 (62): 258-267, 1995

28 Harrison, E. M., "Building handwriting skills in dyslexic children" Academic Therapy publications 1970

29 Jebsen, R. H., "An objective and standardized test of hand function" 50 (50): 311-319, 1969

30 Bumin, G., "An investigation of the factors affecting handwriting skill in children with hemiplegic cerebral palsy" 32 (32): 692-703, 2010

31 Gonca, B., "An investigation of the factors affecting handwriting performance in children with hemiplegic cerebral palsy" 30 (30): 1374-1385, 2008

32 Kirk, S. A., "Academic and developmental learning disabilities" Love Publishing, London 1984