The Journal of Korean Academy of Sensory Integration (대한감각통합치료학회지)

Korean Academy of Sensory Integration (대한감각통합치료학회)
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A Systematic Review of Task-Oriented Training to Improve the Physical Function and Activities of Daily of Living of Children With Cerebral Palsy

뇌성마비 아동의 신체기능 및 일상생활 향상을 위해 적용된 과제 중심 훈련의 체계적 고찰

  • Bak, Ah-Ream (Dept, of Occupational Therapy, Jeonju Kijeon College) ;
  • Lee, Jae-Shin (Dept, of Occupational Therapy, Konyang University)
  • 박아름 (전주기전대학 작업치료과) ;
  • 이재신 (건양대학교 의과학대학 작업치료학과)
  • Received : 2021.01.13
  • Accepted : 2021.06.14
  • Published : 2021.06.30
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Abstract

Objective : This study aimed to analyze and classify the task-oriented training methods used to improve the daily lives of children with cerebral palsy. Methods : The search period from January 2008 to August 2020, and the CINAHL, MEDLINE and PubMed was databases were used. A total of 18 studies was selected, and the PICO method was applied to conduct the systematic review. The training methods were then classified according to task, practice, and feedback as strategies to learn or to exercise control based on prior research. Results : Of the selected studies, 13 reported significant results in the area of motor skills, two of which related to Activities of Daily Living. Discrete and closed were the most common forms of task, and the most used types of practice were whole, part, and blocked, in that order. Finally, feedback was not specifically provided in most studies, followed by extrinsic feedback. Conclusion : Based on this review, task-oriented training for children with cerebral palsy can be made more effective in clinical practice in the future through the systematic selection of techniques that promote exercise control and the presentation of specific methods.

목적 : 본 연구는 뇌성마비 아동의 신체기능과 일상생활 향상을 위해 적용된 과제 중심 훈련 방법에 대해 정리하고 효과를 제시하고자 하였다. 연구방법 : 검색 기간은 2008년 1월부터 2020년 8월까지로 하였으며, 자료 검색을 위해 CINAHL, MEDLINE, PubMed의 데이터베이스를 이용하였다. 총 18편이 선정되었으며, PICO(Patient, Intervention, Comparison, Outcome) 방법을 적용하여 체계적으로 정리하였다. 과제 중심 훈련은 선행연구를 참고하여 운동학습 및 운동조절 이론의 전략인 과제(Task), 실행(Practice), 피드백(Feedback)으로 분류하여 제시하였다. 결과 : 그 결과 13편의 연구가 운동기술 영역에서 유의한 결과를 보였으며, 그 중 2편의 연구에서 일상생활 영역에서 유의한 결과를 보였다. 과제는 개별 과제(discrete task)와 닫힌 과제(closed task) 형태가 가장 많이 사용되었다. 실행은 전체 실행(whole practice) 유형이 가장 많이 사용되었으며, 부분 실행(part practice), 차단 실행(blocked practice) 순으로 사용되었다. 마지막으로 피드백은 구체적으로 제시하지 않은 경우가 가장 많았으며, 외재적 피드백(extrinsic feedback)이 사용되었다. 결론 : 본 연구를 바탕으로 향후에는 뇌성마비 아동의 운동조절을 촉진하는 기술의 체계적인 선택과 구체적인 방법의 제시를 통하여 과제 중심 훈련이 임상에서 더욱 효과적으로 사용될 수 있을 것이라 기대한다.

Keywords

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