The Journal of Korean Academy of Sensory Integration (대한감각통합치료학회지)

Korean Academy of Sensory Integration (대한감각통합치료학회)
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The Effects of Oral Activity With Sensory Integration Intervention on Eating of a Child With Oral Defensiveness: A Single-Subject Research Design

구강 활동을 병행한 감각통합중재가 구강 방어 아동의 먹기에 미치는 효과: 단일 실험 설계 연구

  • Kim, Yoon-Sung (Department of Occupational Therapy, Graduate School of Inje University) ;
  • Son, Cho-Rok (Department of Occupational Therapy, Graduate School of Inje University) ;
  • Kim, Kyeong-Mi (Department of Occupational Therapy, College of Health and Medical Affairs, Inje University)
  • 김윤성 (인제대학교 대학원 작업치료학과) ;
  • 손초록 (인제대학교 대학원 작업치료학과) ;
  • 김경미 (인제대학교 보건의료융합대학 작업치료학과)
  • Received : 2018.05.15
  • Accepted : 2018.06.15
  • Published : 2018.06.30
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Abstract

Objective : The purpose of this study was to investigate the effects of sensory integration intervention combined with oral activity on eating of child with sensitive oral senses. Methods : The study subject was 6 years old boy and diagnosed with developmental disorder. The experiment period was 15 sessions from April 21, 2017 to June 2, 2017. Experimental design used AB design in single-subject design, baseline (A) phase (sensory integration therapy) was 5 sessions and intervention phase (B) (sensory integration therapy combined oral activity) was 10 sessions. During the experiment, the child used the Goal Attainment Scale (GAS) to measure behavioral changes in eating. Results : The GAS score of voluntary eating of favorite foods was 0 on the baseline phase and increased to 1.9 on the intervention phase. The GAS score of voluntary eating of disliking foods was 0 on average during the baseline phase and increased to 1.7 on average during the intervention phase. Conclusion : This study suggests that sensory integration intervention combined with oral activity program may have a positive effect on eating of children with sensitive oral senses and limited food intake.

목적 : 본 연구는 구강활동을 병행한 감각통합중재가 구강방어 아동의 먹기에 어떠한 효과가 있는지 알아보고자 하였다. 연구방법 : 발달장애로 진단받은 만 6세의 남자 아동을 대상으로 2017년 4월 21일부터 6월 2일까지 총 6주간 구강활동을 병행한 감각통합 중재를 실시하고 평가하였다. 실험설계는 개별실험연구(single-subject design) 중 AB설계를 사용하였고, 기초선 A(감각통합치료) 5회기와 중재기간 B(구강 활동을 병행한 감각통합치료) 10회기로 총 15회기를 적용하였다. 실험기간 동안 아동의 먹기 수행의 변화를 측정하기 위해 목표성취척도(Goal Attainment Scale; GAS)를 사용하였다. 결과 : 구강 활동을 병행한 감각통합중재 후 좋아하는 음식을 자발적으로 먹기(GAS 평균값 1.9점)와 싫어하는 음식을 자발적으로 먹기(GAS 평균값 1.7점)가 향상되었다. 결론 : 구강활동을 병행한 감각통합중재가 구강방어로 음식섭취에 제한이 있는 아동의 먹기 수행에 긍정적인 효과가 있었다.

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