Therapeutic Science for Rehabilitation (재활치료과학)

Korean Society of Neurological Occupational Therapy (대한신경계작업치료학회)
권호 표지
DOI QR코드

DOI QR Code

The Effect of Interactive Metronome Training on Attention to Autism Spectrum Disorder Children: Single Case Study

상호작용식 메트로놈(Interactive Metronome; IM) 훈련이 자폐 스펙트럼 장애아동의 주의집중력에 미치는 영향 : 단일대상연구

  • Cho, Sun Young (Dept. of Occupational Therapy, Far-East University) ;
  • Ju, Yumi (Dept. of Occupational Therapy, Far-East University)
  • 조선영 (극동대학교 의료보건과학대학 작업치료학과) ;
  • 주유미 (극동대학교 의료보건과학대학 작업치료학과)
  • Received : 2018.10.16
  • Accepted : 2018.11.03
  • Published : 2018.11.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: The purpose of this study is to investigate the effect of interactive metronome (IM) training on attention among children on the autistic spectrum. Methods: This is a single case study, using ABA design, of one child with autism spectrum disorder (ASD) who had attentional difficulties. A total of 20 sessions were conducted: 3 baseline sessions (A), 14 intervention sessions (B), and 3 follow-up baseline sessions (A'). During the intervention period (B), IM training was performed. Inattention and attention activities were measured as the dependent variables in all three phases (A, B, and A'). Results: Compared to baseline, the subject's inattention decreased in the IM training mediation period, and the performance of activities requiring attention also improved. The intervention effect was maintained even during the follow-up baseline period. Conclusion: The results of this study suggest that IM training positively influences attention among children with ASD with attention deficit symptoms. Further, it provides the clinical basis of IM training as an intervention for children with ASD.

목적 : 본 연구는 상호작용식 메트로놈(interactive metronome, 이하 IM)훈련이 자폐 스펙트럼 아동의 주의집중력에 미치는 영향을 알아보고자 한다. 연구방법 : 본 연구는 주의집중력에 어려움이 있는 자폐 스펙트럼 장애아동 1명을 대상으로 ABA' 설계를 통한 단일대상연구이다. 회기 별 구성은 기초선(A) 3회기, 중재기(B) 14회기, 기초선 2(A') 3회로로 총 20회기 실시하였다. 중재기(B)동안에는 IM 훈련을 하였으며, 기초선(A), 중재기(B), 기초선 2(A') 기간 모두 종속변인으로 부주의 행동과 주의집중 행동을 측정하였다. 결과 : 기초선과 비교하여 IM 훈련 중재기에 대상자의 부주의 행동은 감소하였고, 주의 집중 행동은 증가하였다. 기초선 2 기간에도 중재 효과는 유지되었다. 결론 : 본 연구는 IM 훈련이 주의력 결핍 증상이 있는 자폐 스펙트럼 아동의 주의집중력에 긍정적인 영향을 미치는 것으로 확인되었고, 자폐 스펙트럼 장애아동의 중재로써 IM 훈련의 임상적 근거를 마련하였다는데 의의가 있다.

Keywords

References

  1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders(5th ed.). Washingt on, DC: Author.
  2. Barkley, R. (1997). Attention-deficit/hyperactivity disorder, self regulation, and time: Toward a more comprehensive theory. Journal of Developmental and Behavioral Pediatrics, 18, 271-.279.
  3. Bartscherer, M. L., & Dole, R. L. (2005). Interactive metronome training for a 9-year-old boy with attention and motor coordination difficulties. Physiotherapy Theory and Practice, 21(4), 257-269. doi:10.1080/09593980500321085
  4. Case-Smith ,J., & O'Brien, J. C. (2015). Occupational therapy for children and adolescents(7th ed). St.Louis, Elsevier.
  5. Cassily, J. F., & Jacokes, L. E. (2001). The Interactive Metronome: A new computer-based technology to measure and improve timing, rhythmicity, motor planning, sequencing and cognitive capabilities. Paper presented at the infancy and early childhood training course, advanced clinical seminar, Arlington, Virginia.
  6. Centers for Disease Control and Prevention. (2007). Prevalence of autism spectrum disorders. Autism and developmental disabilities monitoring network, 14 sites, United States, 2002. MMWR, 56, 12-28. Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5601a2.html
  7. Dawson, G. (2012). The changing definition of autism: Critical issues ahead. Retrieved from http://blog. autismspeaks.org/2012/01/20/the-changing-defi nition-of-autism-critical issues-ahead.html
  8. Greenspan, S. I. (1997). The growth of the mind origins of intelligence the endangered. reading. MA: Addison-Wesley Longman.
  9. Hattori, J., Ogino, T., Abiru, K., Nakano, K., Oka, M., & Ohtsuka, Y., (2006). Are pervasive developmental disorders and attention-deficit/hyperactivity disorder distinct disorders? Brain and Development, 28,(6), 371-374. doi:10.1016/j.braindev.2005.11.009
  10. Kadesjo, B. & Gillberg, C. (1999) Developmental coordination disorder in Swedish 7-year-old children. Journal of the American Academy of Child and Adolescent Psychiatry. 38, 820-28. https://doi.org/10.1097/00004583-199907000-00011
  11. Kang, J. W. (2017). The effect of Interactive Metronome training on increasing attention and impulsivity control for children with attention deficit hyperactivity disorder. Therapeutic Science for Neurorehabilitation, 6,(1), 45-54. https://doi.org/10.22683/TSNR.2017.6.1.045
  12. Kim, B. K., Park, S. H., Bang, H. S., Chun, S. H., Han, J. H., & Jeon, B. J.(2010). The effects of sensory integrati on intervention on the attention capabilities of children with autism spectrum disorder (ASD). The Journal of Korean Society of Occupational Therapy, 18(4), 113-125.
  13. Kim, H. H., Bo, G. H., & Yoo, B. K. (2012). The effects of a sensory integration programme with applied interactive metronome training for children with developmental disabilities: A pilot study. Hong Kong Journal of Occupational Therapy, 22, 25-30. doi:10.1016/j.hkjot.2012.05.001
  14. Kinnealey, M., Pfeiffer, B., Miller, J., Roan, C., Shoener, R., & Ellner, M. L. (2012). Effect of classroom modification on attention and engagement of students with autismor dyspraxia. American Journal of Occupational Therapy, 66, 511--519. http://dx.doi.org/10.5014/ajot.2012 .004010
  15. Libkuman, T. M., Otani, H., & Stegar, N. (2002). Training in timing improves accuracy in golf. Journal of General Psychology, 129(1), 77-96. doi:10.1080/00221300209602034
  16. Mundy, P., & Crowson, M. (1997). Joint attention and early social communication: Implications for research on intervention with autism. Journal of Autism and Developmental Disorders, 27, 653-676. https://doi.org/10.1023/A:1025802832021
  17. Namgung, Y., Son, D. I., & Kim, K. M. (2015). Effect of interactive metronome training on timing, attention and motor function of children with ADHD : Case report. The Journal Korean Academy of Sensory Integration, 13,(2), 63-73. http://dx.doi.org/10.18064/JKASI.2015.13.2.063
  18. Patten, E., & Watson, L. R. (2011). Interventions targeting attention in young children with autism. American Journal of Speech-Language Pathology, 20(1). 60-69. doi: 10.1044/1058-0360(2010/09-0081)
  19. Shaffer, R. J., Jacokes, L. E., Cassily, J. F., Greenspan, S. I., Tuchman, R. F., & Stemmer, P. J., R. (2001). Effect of interactive metronome training on children with ADHD. American Journal of Occupational Therapy, 55, 155-162. doi:10.5014/ajot.55.2.155