The Journal of Korean Academy of Sensory Integration (대한감각통합치료학회지)

Korean Academy of Sensory Integration (대한감각통합치료학회)
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Interactive Metronome Training for a Child With Praxis Problems: A Single Subject Design

실행문제가 있는 아동의 상호작용식 메트로놈 중재를 통한 타이밍 변화: 단일 대상 연구

  • Received : 2020.11.20
  • Accepted : 2020.12.24
  • Published : 2020.12.31
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Abstract

Objective : The purpose of this study is to apply interactive metronome (IM) training to a child with praxis problems who are attending elementary school and to measure the change in participants' timing following IM training. Methods : A total of 11 sessions were conducted using a single subject design. The participant was a boy aged 12 years and two months. During period A, the IM Long Form Assessment (LFA) and the Short Sensory Profile (SSP) were administered along with clinical observation. During period B, IM training was conducted. During all sessions, tasks 1 and 2 of the IM Short Form Assessment (SFA) were carried out, and changes in the participant's timing were recorded. Results : As a result of the initial assessment, the participant was suspected to have bilateral integration and sequencing deficits. In SFA tasks 1 and 2, the accuracy of the participant's timing increased during the B period compared to the A period. In addition, the trend line of SFA task 1 showed a negative slope during the B period but a positive slope during the A period. Conclusion : This study indicates that IM has a positive effect on the timing of children who have problems with praxis. This result provides a basis for applying IM training in clinical practice.

목적 : 본 연구는 실행 문제가 있는 일반초등학교에 재학 중인 아동을 대상으로 상호작용식 메트로놈(Interactive Metronome; IM) 훈련을 적용하고, IM 훈련에 따라 타이밍의 변화도를 측정하고자 하였다. 연구방법 : 연구 대상은 만 12세 2개월의 남아 1명이었다. 단일대상연구의 A-B설계를 사용하여 총 11회 기를 적용하였다. 기초선 기간 동안 아동에 대한 IM 전체형 평가, 임상관찰, 단축형 감각프로파일을 실시하였고, 중재 기간 동안 IM 훈련을 하였다. 모든 회기 동안 동일하게 IM의 단축형 평가(Short Form Assessment; SFA) 동작 과제 1, 2를 실시하였고, 변화도를 그림으로 제시하였다. 결과 : 초기평가 결과, 대상 아동은 양측통합과 순서실행장애로 의심되었다. SFA 동작 과제 1, 2에서 기초선 기간에 비해 중재선 기간 동안 타이밍에 대한 정확도가 높았다. 또한 SFA 동작 과제 1의 추세선을 살펴본 결과, 기초선 기간에 음의 기울기를 보였으나 중재기간에는 양의 기울기를 보였다. 결론 : 실행에 문제가 있는 아동의 타이밍에 IM이 긍정적인 효과가 있음을 시사하므로 임상에서 IM 훈련을 적용하는 근거가 될 것으로 보인다.

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References

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