DOI QR코드

DOI QR Code

Domestic Occupational Therapist Awareness Survey for the Need to Apply Artificial Intelligence Measurement Technology for Clinical Observation Evaluation Based on Sensory Integration

감각통합에 기초한 임상 관찰 평가의 AI 측정 기술 적용 필요성을 위한 국내 작업치료사 인식 조사

  • Cho, Sun-Young (Department of Occupational Therapy, Sangji University) ;
  • Jung, Young-Jin (School of Healthcare and Biomedical Engineering, Chonnam National University) ;
  • Kim, Jung-Ran (College of Human Service, Catholic Kwandong University)
  • 조선영 (상지대학교 보건과학대학 작업치료학과 ) ;
  • 정영진 (전남대학교 헬스케어메디컬공학부 ) ;
  • 김정란 (가톨릭관동대학교 휴먼서비스대학)
  • Received : 2022.11.08
  • Accepted : 2023.01.02
  • Published : 2023.02.28

Abstract

Objective : This study is to examine the practical use of clinical observational evaluation of sensory integration therapy and the difficulty and importance of measuring results for each sub-item, and through this, to confirm the usefulness of the application of Artificial Intelligence measurement technology in clinical observational measurement and the need for application. Methods : The questionnaire consisted of the actual use of the sensory integration evaluation tool, the difficulty of measurement for each detailed item of clinical observation, the usefulness of AI measurement technology, the importance of evaluation for each detailed item, and the need for developing AI measurement technology. Results : The detailed items that were difficult to measure during clinical observation were the Finger-to-Nose Test and Postural control (71.0%), followed by Eye movement and Protective Extension Test (67.7%). 83.9% of the study subjects answered that it would be useful to apply AI measurement technology when observing images. Postural control (on the ball) (90.3%) was the highest item that answered that AI measurement technology was needed, followed by Eye movement (83.9%), and Prone Extension and Protective Extension Test (77.4%). Conclusion : The results confirmed the desire of therapists that clinical observation is an important evaluation tool in the field of child occupational therapy in Korea.

목적 : 본 연구는 국내 감각통합치료의 임상 관찰 평가 사용실태와 세부 항목별 결과 측정의 어려움 및 중요도를 알아보고 이를 통해 임상 관찰 측정에 있어 AI 측정 기술의 적용 유용성과 세부 항목별 적용 필요도를 확인하고자 하였다. 연구 방법 : 연구 과정은 국내 작업치료사 31명에서 온라인 설문지 배포를 통해 조사 연구를 실시하였다. 설문지는 일반적 정보, 감각통합 평가 도구 사용 실태, 임상 관찰의 세부 항목별 측정의 어려움, AI 측정 기술의 유용성, 세부 항목별 평가의 중요성 및 AI 측정 기술 개발의 필요성을 조사하는 내용으로 구성되었다. 조사의 결과를 빈도분석과 기술통계를 사용하여 분석하였다. 결과 : 조사에 참여한 작업치료사들은 Sensory Profile(96.8%)을 가장 많이 사용하였고 그다음으로 임상 관찰(90.3%)을 많이 사용하였다. 임상 관찰 시 측정이 어려운 세부 항목은 Finger-to-nose Test와 Postural Control(on the 이었으며, 다음으로 Eye Movement와 Protective Extension Test(67.7%)였다. 임상 관찰 시 AI 측정 기술 적용은 83.9%의 연구 대상자들이 모두 유용할 것으로 응답하였다. AI 측정 기술 적용이 필요하다고 응답한 가장 높은 항목은 Postural Control(on the ball)(90.3%)이었고, 다음으로 Eye Movement(83.9%), Prone Extension과 Protective Extension Test(77.4%) 순으로 나타났다. 결론 : 본 연구의 결과는 국내 아동 작업치료 현장에서 임상 관찰이 중요한 평가도구이며 임상 관찰 평가의 측정 정확성을 향상하기 위해서 AI 기술 적용이 필요하다는 작업치료사들의 인식을 확인할 수 있었다.

Keywords

Acknowledgement

이 논문은 전남대학교 학술연구비(과제번호: 2022-2705) 지원에 의하여 연구되었음.

References

  1. Ayres, A. J. (1979). Sensory and the child. Western Psychological Services.
  2. Bak, A. R. (2017). Establish reliability and validity of Korean-translated version of Short Sensory Profile 2 (Master's thesis). Konyang University.
  3. Bezrukikh, M. M., & Ivanov, V. V. (2013). Eye movements during reading as an indicator of development of reading skill. Fiziol Cheloveka, 39(1), 83-93. https://doi.org/10.7868/S0131164612060045
  4. Blanche, E. I. (2002). Observations based on sensory integration theory (pp. 1-44). Pediatric Therapy Network, Western Psychological Service.
  5. Chung, J. W., & Kim, Y. H. (1994). A study on equilibrium reaction which affects posture. Journal of Korean Physical Therapy Science, 1(2), 321-331.
  6. Dewey, D., & Wilson, B. N. (2001). Developmental coordination disorder: What is it? Physical & Occupational Therapy in Pediatrics, 20(2-3), 5-27. https://doi.org/10.1080/J006v20n02_02
  7. Dunn, W. (1981). A guide to testing clinical observations in kindergartners (pp. 1-53). American Occupational Therapy Association.
  8. Faedda, G. L., Ohashi, K., Hernandez, M., McGreenery, C. E., Grant, M. C., Baroni, A., Polcari, A., & Teicher, M. H (2016). Actigraph measures discriminate pediatric bipolar disorder from attention-deficit/hyperactivity disorder and typically developing controls. Journal of Child Psychology and Psychiatry, 57(6), 706-716, https://doi.org/10.1111/jcpp.12520
  9. Ha, T. Y., & Lee, H. J. (2020). Analysis on the mobile healthcare behavior using an artificial intelligence based pose estimation. Journal of the Institute of Electronics and Information Engineers, 57(1), 63-69. https://doi.org/10.5573/ieie.2020.57.1.63
  10. Ji, S. Y., Kim, M. S., Keum, H. J., & Kim, S. H. (2009). Developmental standard of short sensory profile for korean children of school age (7 to 9 years old). The Journal of Korean Academy of Sensory Integration, 7(1), 27-36.
  11. Jung, H. R., & Lee, J. H. (2022). Investigating professional competency and the needs of training for occupational therapists using sensory integration interventions. Journal of Korean Academy of Sensory Integration, 20(1), 26-38. https://doi.org/10.18064/jkasi.2022.20.1.26
  12. Kim, D. Y., Park, C. I., Chang, W. H., Jangn, Y. W., Park, T. H., & Chon, J. S. (2005). Quantitative assessment of intention tremor after brain injury using tri-axial accelerometry. Annals of Rehabilitation Medicine, 29(5), 495-500.
  13. Kim, I. A., & Han, M. K. (2016). The validation of functional fitness test for the students with severe brain lesions. Korean Journal of Adapted Physical Activity, 24(3), 163-176. https://doi.org/10.17006/kjapa.2016.24.3.163
  14. Kim, J. S. (2003). Spontaneous eye movements: Nystagmus and saccadic oscillations. Research in Vestibular Science, 3(2), 254-265.
  15. Kim, M. H., Namgung, E. Y., Bu, K. H., Sim, H. A., & Lee, E. S. (2003). The performance of the clinical observations of motor and postural skills (COMPS) in school-aged normal children. The Journal of Korean Academy of Sensory Integration, 1(1), 17-23.
  16. Koenig, K. P., & Rudney, S. G. (2010). Performance challenges for children and adolescents with difficulty processing and integrating sensory information: A systematic review. American Journal of Occupational Therapy, 64(3), 430-442. https://doi.org/10.5014/ajot.2010.09073
  17. Ko, K. E., & Shim, K. B. (2017). Trend of object recognition and detection technology using deep learning. Journal of Institute of Control Robotics and Systems, 23(3), 17-24. http://dx.doi.org/10.5302/J.ICROS.2017.17.0095
  18. Lawshe, C. H. (1975). A quantitative approach to content validity. Personnel Psychology, 28(4), 563-575. https://doi.org/10.1111/j.1744-6570.1975.tb01393.x
  19. Lee, M. H. (2003). The effects of sensory integration therapy camp in children with sensory modulation disorder: Case study. The Journal of Korean Academy of Sensory Integration, 1(1), 39-51.
  20. Lee, S. H., Hong, C. R., & Park, H. Y. (2018). Current trend in use of occupational therapy assessment tool by pediatric occupational therapist. The Journal of Korean Academy of Sensory Integration, 16(3), 23-33. http://dx.doi.org/10.18064/JKASI.2018.16.3.023
  21. May-Benson, T. A. (2015). Sensory integration clinical observations: Instruction manual. The Spiral Foundation.
  22. May-Benson, T. A., & Teasdale, A. (2021). Inter-rater and test-retest reliability of the sensory integration clinical observations. Physical & Occupational Therapy in Pediatrics, 41(1), 74-84. https://doi.org/10.1080/01942638.2020.1760412
  23. Mutti, M. A., Sterling, H. M., & Spalding, N. V. (1978). Quick neurological screening test (Rev. ed.). Academic Therapy Publications.
  24. O'Brien, J. C., & Kuhaneck, H. M. (2020). Case-Smith's occupational therapy for children and adolescents (8th ed, pp. 1-902). ELSEVIER Inc.
  25. O'Mahony, N., Florentino-Liano, B., Carballo, J. J., Baca-arca, E., & Rodrguez, A. A. (2014). Objective diagnosis of ADHD using IMUs. Medial Engineering & Physics, 36(7), 922-926. https://doi.org/10.1016/j.medengphy.2014.02.023.
  26. Rine, R. M., & Wiener-Vacher, S. (2013). Evaluation and treatment of vestibular dysfunction in children. NeuroRehabilitation, 32(3), 507-518. https://doi.org/10.3233/NRE-130873
  27. Ryu, S. U., Kim, I. S., & Kim, K. M. (2013). The effect of sensory integrative intervention on postural control and occupational performance (play) of the preschool child with postural disorder: Case study using Goal Attainment Scale (GAS). The Journal of Korean Academy of Sensory Integration, 11(2), 1-11.
  28. Wilson, B., Pollock, N., Kaplan, B. J., Law, M., & Faris, P. (1992). Reliability and construct validity of the clinical observations of motor and postural skills. The American Journal of Occupational Therapy, 46(9), 775-783. https://doi.org/10.5014/ajot.46.9.775
  29. Wilson, B. N., Pollock, N., Kaplan, B. J., & Law, M. (2000). Clinical observations of motor and postural skills COMPS (2nd ed.). Therapro.