대한물리의학회지 (Journal of the Korean Society of Physical Medicine)

  • 제5권3호
  • /
  • Pages.499-508
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  • 2010
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  • 1975-311X(pISSN)
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  • 2287-7215(eISSN)
대한물리의학회 (The Korean Society of Physical Medicine)
권호 표지

신생아 중환자실에서 감각운동자극이 저체중 미숙아의 발달에 미치는 효과

The Effects of Sensorimotor Stimulation on Development of Infants with Low Birth Weight Premature in NICU

  • 이은주 (대구대학교 대학원 재활과학과 물리치료) ;
  • 박소현 (대구대학교 대학원 재활과학과 물리치료) ;
  • 오태영 (신라대학교 의생명과학대학 물리치료학과) ;
  • 박래준 (대구대학교 재활과학대학 물리치료학과)
  • Lee, Eun-Ju (Physical Therapy, Department of Rehabilitation Science, Graduate School of Daegu University) ;
  • Pack, So-Hyun (Physical Therapy, Department of Rehabilitation Science, Graduate School of Daegu University) ;
  • Oh, Tae-Young (Department of Physical Therapy, College of Medical Life Science, Silla University) ;
  • Pack, Rae-Jun (Department of Physical Therapy, College of Rehabilitation Science, Daegu University)
  • 투고 : 2010.06.27
  • 심사 : 2010.08.25
  • 발행 : 2010.08.31
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초록

Purpose : The purpose of this study was to investigate the effect of sensorimotor stimulation on the development of infant with low birth weight premature. Methods : Ten infants with low birth weight premature and ten normal infants participated in this study. We carried out test TIMP(Test of Infants Motor Performance) according pre intervention, post 3 weeks, PCA 40 week and normal infants. The intervention of sensorimotor stimulation applied to infants with low birth weight premature four times a week and fifteen minutes a once time. There was no intervention for normal infants. The collected dada were analyzed by ANOVA using by SPSS/PC 17.0 ver. program. Results : There was significant difference among three differential test period to improved developmental value in infants with low birth weight premature. According over time, numbers of observed items presented significant difference among test period, and elicited total score and total raw score was significant value(p=.00). There was no significant value that means sensorimotor stimulation affected on development of infants with low birth weight premature. Conclusions : In conclusion, sensorimotor stimulation had affects on the development of infants with low birth weight premature.

키워드

참고문헌

  1. 강준원, 이건수. 미숙아에서 발달 장애의 예후인자. 대한소아신경학회지. 2007;15(1):67-74.
  2. 김중선, 서경희. 저출생 체중 미숙아의 발달 및 학습상의 제 문제에 관한 고찰. 정서학습장애연구. 1998; 14(1):25-44.
  3. 박진희, 박호란. 노리개젖꼭지 제공이 미숙아의 심박동수, 산소포화도 및 행동상태에 미치는 효과. 아동간호학회지. 2007;13(3):299-307.
  4. 송희승, 신희선. 감각자극이 미숙아의 체중 증가, 행동상태 및 생리적 반응에 미치는 영향. 대한간호학회지. 2001;31(4):703-11.
  5. 오명호, 이인규, 이희정. 일반 영아와 위험군 영아에 관한 발달 평가. 아동학회지. 2004;25(5): 147-61.
  6. 임혜상, 박은숙, 김명화 등. 약손요법이 미숙아의 체중 증가와 미숙아 어머니 역할수행에 대한 자신감 및 만족도에 미치는 효과. 아동간호학회지. 2005;11(4):481-9.
  7. 장미영. 캉가루식 돌보기가 미숙아의 체중과 스트레스 호르몬(코티졸)에 미치는 영향. 아동간호학회지. 2008;14(2):138-45
  8. 정경화, 유일영, 김희순 등. 달래기 젖꼭지 제공이 위관수유 중인 미숙아의 생리적 상태 및 행동적 상태에 미치는 영향. 대한간호학회지. 2006;36(5): 732-41.
  9. 정남연, 송영신. 아기마사지가 미숙아의 신체성장과 스트레스 반응에 미치는 영향. 아동간호학회지. 2009; 15(1):71-80.
  10. 주현옥.G시 보건소에 등록된 미숙아의 영유아기 성장과 발달 상태. 아동간호학회지. 2008;14(1): 44-52.
  11. 추선자, 최순희. 음악요법이 미숙아의 심박동수와 행동상태에 미치는 영향. 아동간호학회지. 2006;12(1):84-8.
  12. 통계청. 2008. http;//www.kosis.kr/
  13. Acolet D, Modi N, Giannakoulopoulos et al. Changes in plasma cortisol and catecholamine concentrations in response to massage in preterm infants. Arch Dis Child 1993;68:29-31. https://doi.org/10.1136/adc.68.1_Spec_No.29
  14. Als H, Gilkerson L. The role of relationship based developmentally supportive newborn intensive care in strengthening outcome of perterm infants. Semin Perinatol. 1997;21(3):178-89. https://doi.org/10.1016/S0146-0005(97)80062-6
  15. Als H, Lawhon G, DuftY FH et al. Individualized developmental care for the very low-birth-weight preterm infant. Medical and neurofunctional effects. JAMA. 1994;272(11 ):853-8. https://doi.org/10.1001/jama.272.11.853
  16. Als H. The behavior of the preterm infant. Paper presented at Conference on "Caring for Special Babies". Chapel Hill. University of North Carolina 1981.
  17. Aly H, Moustafa MF, Hassanein SM et al. Physical activity combined with massage improves bone mineralization in premature infants; a randomized trial. J Perinatol. 2004;24(5):305-9. https://doi.org/10.1038/sj.jp.7211083
  18. Arce CA, Iriondo SM, Karuel VJ et al. Neurological follow-up of very low birth weight newborns at the age of two years(1988-1999). An Pediatr (Bare). 2003;59(5):454-61. https://doi.org/10.1157/13053368
  19. Blackburn S. Environmental impact of the nicu developmental outcome. J Pediatr Nurs. 1998; 13 (5):279-89. https://doi.org/10.1016/S0882-5963(98)80013-4
  20. Boiron M, Nobrega L, Roux S et al. Effects of oral stimulation and oral support on non-nutritive sucking and feeding performance in preterm infants. Dev Med Child Neurol. 2007;49(6):439- 44. https://doi.org/10.1111/j.1469-8749.2007.00439.x
  21. Brazelton TB. Neonatal behavioral assessment scale. 2nd ed. London. Spastic International Medical Publications. 1984.
  22. Burguet A, Monnet E, Roth P et al. Neuro developmental outcome of premature infants born at less than 33 weeks of gestational age and not cerebral palsy at the age of 5 years. Arch Pediatr. 2000;7:357-68. https://doi.org/10.1016/S0929-693X(00)88830-2
  23. Cameron EC, Maehle V, Reid J. The effects of an early physical therapy intervention for very pretenn, very low birth weight infants: a randomized controlled clinical trial. Pediatr Phys Ther. 2005;17(2):107-19. https://doi.org/10.1097/01.PEP.0000163073.50852.58
  24. Campbell SK, Kolobe TH, Osten ET et al. Construct validity of the test of infant motor performance. Phys Ther. 1995;75(7):585-96.
  25. Campbell SK, Osten ET, Kolobe TIl et al. Development of the test of infant motor performance. Phys MED Rehabil Clin N Am 1993;4(3):541-50.
  26. Darcy A. Neurological rehabilitation (umphred). 5th. London. Mosby Elsevier. 2007.
  27. Feldman R, Eidelman AI. Skin-to-skin contact (Kangaroo Care) accelerates autonomic and neurobehavioural maturation in preterm infants. Dev Med Child Neurol. 2003;45(4):274-81.
  28. Field T, Diego MA, Hemandez-Reif M et al. Moderate versus light pressure massage therapy leads to greater weight gain in preterm infants. Infant Behav Dev. 2006;29(4):574-8. https://doi.org/10.1016/j.infbeh.2006.07.011
  29. Girolami GL, Campbell SK. Efficacy of a neurodevelopmental treatment program to improve motor control in infants born prematurely. Pediatr Phys Ther. 1994;6:175-84.
  30. Harrison LL, Williams AK, Berbaum ML et al. Physiologic and behavioral effects of gentle human touch on preterm infant. Res Nurs Health. 2000;23(6):435-46. https://doi.org/10.1002/1098-240X(200012)23:6<435::AID-NUR3>3.0.CO;2-P
  31. Holditch-Davis D, Bartlett TR, Belyea M. Developmental problems and interactions between mothers and prematurely born children. J Pediatr Nurs. 2000; 15(3): 157-67.
  32. Tecklin JS. Pediatric physical therapy. 3rd ed. Philadelphia Lippincott Williams & Wilkens. 1999.
  33. Johnson MH. Functional brain development in infants: elements of an interactive specialization framework. Child Dev. 2000;71:75-81. https://doi.org/10.1111/1467-8624.00120
  34. Kleberg A, Westrup B, Stjemqvist K. Developmental outcome, child behaviour and mother - child interaction at 3 years of age following newborn individualized developmental care and intervention program (NlDCAP) intervention early human development. Early Hum Dev. 2000;60(2):123-35. https://doi.org/10.1016/S0378-3782(00)00114-6
  35. Leib SA, Benfield DG, Guidubaldi J. Effects of early intervention and stimulation on the preterm infant. Pediatrics. 1980;66(1):83-90.
  36. Lekskulchai R, Cole J. Effect of a developmental program on motor performance in infants born preterm. Aust J Physiother. 2001;47:169-76.
  37. Mahoney, Marla C, Cohen et al. Effectiveness of developmental intervention in the neonatal intensive care unit: implications for neonatal physical therapy. Pediatr Phys Ther. 2005;17(3): 194-208. https://doi.org/10.1097/01.pep.0000176574.70254.60
  38. Monterosso L, Kristjanson L, Cole J. Neuromotor development and physiologic effects of positioning in low birth weight infant. J Obstet Gynecol Neonatal Nurs. 2002;31(2):138-46.
  39. Nudo RJ, Miliken GW, Jenkins WM et al. Usedependent alterations of movement representations in primary motor cortex of adult squirrel monkeys. J neurosci. 1996;16:785-807.
  40. Prechtl H. The neurological examination of the full-term newborn infant Philadephia JB Lippincott. 1977.
  41. Swaiman KF, Wu Y. Cerebral palsy. Pediatric neurology principles and practice. 4th ed. Philadelphia Mosby. 2006.
  42. Sweeney JK, Heriza CB, Blanchard Y et al. Neonatal physical therapy. Part II: Practice frameworks and evidence-based practice guidelines. Pediatr Phys Ther. 2010;22(1):2-16. https://doi.org/10.1097/PEP.0b013e3181cdba43
  43. Vaivre-Douret L, Ennouri K, Jrad I et al. Effect of positioning on the incidence of abnormalities of muscle tone in low-risk, preterm infants. Eur J Paediatr Neurol. 2004;8(1):21-34. https://doi.org/10.1016/j.ejpn.2003.10.001
  44. Wang SJ, Chen CN, Hsieh WS et al. Development of vestibular evoked myogenic potentials in preterm neonates. Audiol Neurootol. 2008;13(3): 145-52. https://doi.org/10.1159/000112422
  45. Weisglas-Kuperus N, Baerts W, Smrkovsky M et al. Effects of biological and social factors on the cognitive development of very low birth weight children. Pediatrics. 1993;92(5):658-65.
  46. White-Traut RC, Nelson MN, Silvestri JM et al. Developmetal patterns of physiological response to a multisensory intervention in extremely premature and high-risk infants. J Obstet Gynecol Neonatal Nurs. 2004;33(2):266-75. https://doi.org/10.1177/0884217504263289
  47. Wolf MJ, Koldewijn K, Beelen A et al. Early intervention in preterm infants after discharge from hospital. Pediatrics. 2004;114(6):1738-9
  48. Wong DL, Hockenberry-Eaton M, Wilson D et al. Essential of pediartic nursing. 6th ed. New York. Mosby. 2001.
  49. World Health Organization. 2008. Retrived from http://www.who.int/whosis