대한감각통합치료학회지 (The Journal of Korean Academy of Sensory Integration)

  • 제13권2호
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  • Pages.75-84
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  • 2015
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  • 1738-0405(pISSN)
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  • 2384-115X(eISSN)
대한감각통합치료학회 (Korean Academy of Sensory Integration)
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감각조절과 각성의 관련성에 대한 문헌고찰

Correlation Between Sensory Modulation and Arousal : A Literature Review

  • 홍은경 (신성대학교 작업치료과)
  • 투고 : 2015.11.03
  • 심사 : 2015.12.11
  • 발행 : 2015.12.31
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초록

목적 : 본 연구의 목적은 감각조절과 각성과의 신경학적인 메커니즘을 알아보는 것이다. 본 론 : 감각통합치료에서 아동의 적절한 각성유지는 중요한 이슈이다. 감각입력을 통한 각성 조절을 위해 둘레계 및 그물체는 중요한 관계가 있고, 특히 그물체에서 대뇌피질로 가는 오름그물활성계통은 주요 처리 경로이다. 이때 콜린성 뉴런 및 단가아민계 뉴런 집단 등에서 분비되는 다양한 신경전달물질이 영향을 미친다. 각성을 위한 메커니즘은 중추신경계 및 자율신경계 기능을 측정하는 뇌파나 피부전기반응 등으로 측정한다. 객관적 신경생리학적 측정을 통해 일반아동과 장애아동에서 중추신경계 및 자율신경계 기능이 차이가 있음이 보고되었다. 감각통합치료를 통해 장애아동에게 적절한 감각을 입력하는 것은 그물체와 둘레계, 대뇌피질을 활성화시켜 최적의 각성상태를 유지하도록 돕는다. 결 론 : 객관적 측정도구를 사용한 연구결과의 제시는 감각통합치료에 대한 근거기반 임상을 위한 기초자료가 된다.

Objective : The aim of this study was to provide mechanism information of a link between arousal and sensory modulation to increase understanding of neurophysiological study. Subject : Optimal arousal state of a child is an important issue in sensory integration therapy. Limbic system and reticular formation are related to sensory modulation by sensory input. Sensory inputs processes from reticular formation to cortex via ascending reticular activation system for moderate arousal. A lot of neurotransmitters such as cholinergic neurons and monoamin neurons help this processes. Mechanism of arousal was measured by functions of central nervous system (CNS) and autonomic nervous system (ANS) using objective tools such as an electroencephalogram (EEG) and electrodermal responses. Functions of CNS and ANS showed differences between normal children and children with disabilities. Optimal sensory input using sensory integration therapy for children with disabilities helps to act reticular formation, limbic system, and cortex and to maintain appropriate arousal. Conclusion : Such quantitative studies by using neurophysiological methods provide evidence for sensory integration therapy.

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