• Title/Summary/Keyword: 발달협응장애

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The Effect of Vestibular-Proprioceptive Based Sensory Integration Intervention on Spatial Relations and Visual-Motor Coordination in Children with Developmental Disabilities (전정감각, 고유감각 중심의 감각통합중재가 발달장애 아동의 공간 지각력과 시-운동 협응력에 미치는 영향)

  • Kang, Set-Byul;Kim, Su-Kyoung
    • The Journal of Korean Academy of Sensory Integration
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    • v.21 no.2
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    • pp.24-34
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    • 2023
  • Objective : This study sought to investigate the effects of a sensory integration intervention focusing on vestibular and proprioceptive on the spatial relations and visual-motor coordination of children with developmental disorders. Methods : Three children with developmental disabilities aged 5 to 6 years were the subjects of this study, and the ABA' design, which is one of the single subject research designs. A total of 18 sessions were conducted over a six-week period-that is, three 30-minute sessions per week. During the three baseline sessions, the children's spatial relations and visual-motor coordination were evaluated prior to the intervention. During the 12 sessions conducted in the intervention period, a vestibular and proprioception sensory integration intervention was performed, while in the final three sessions, the children's spatial relations and visual-motor coordination were again evaluated (without any further intervention Children were measured and evaluated every session after intervention using a computer cognitive rehabilitation program (CoTras-C). Moreover, the Kaufman Assessment Battery for Children and the Korean-Development Test of Visual Perception-2 were used as evaluation tools to verify the effectiveness of the intervention. Results : There were significant differences in the spatial relations and visual-motor coordination scores of the children with developmental disorders before and after the vestibular and proprioceptive sensory integration intervention. More specifically, after the intervention, all three children showed statistically significant improvements. Conclusion : The applied vestibular and proprioceptive sensory integration therapy had a significant impact on the spatial relations and visual-motor coordination of the three children with developmental disorders.

COMPARISON OF DEVELOPMENTAL AND PSYCHOPATHOLOGlCAL CHARACTERISTICS FOR RAD AND PDD CHILDREN (반응성 애착장애 아동과 전반적 발달장애 아동의 발달 및 정신병리학적 특징의 비교연구)

  • Yoon, Hyun-Sook;Choi, Jin-Sook;Kim, Tae-Ryeon;Hong, Kang-E
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.3 no.1
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    • pp.3-13
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    • 1992
  • For the purpose of better understanding of RAD children, comparisons were performed about the developmental and psychopathological characteristics between RAD and PDD children. Study subjects were the children between the ages 2 and 6. who visitied SNUCH Child and Adolescent Psychiatry OPD or treated in Day Treatment Center during May, 1989 and Sep., 1991, diagnosed by the child psychiatrist as RAD or PDD according to DSM-III-R diagnostic criteria. A total of 40 children were included in the study. 20 were RAD(18 boys, 2 girls). 20 were PDD(20 boys). PEP was performed to all study subjects, by the raters blind to psychiatric diagnosis of each. And analysis was done about the level of developmental functioning score and psychopathological scores between RAD and PDD children. The results are as follows 'There were retardation on the general developmental functioning in RAD children, and the severity of retardation were lined up as perceptual ability>imitation>gross motor>cogitive language>eye-hand coordination>fine motor. Characteristics of psychopathology in RAD children were lined up by severity as language>play>relationship>affection >sensory. Group differences of the two shows on PDD group rejection score was significantly higher on the perception item. while RAD was superior on the perception emerging response. Differences of the psychopathology between two groups were on such areas as ; Affection, which was significantly higher on 'Absent' in RAD, while significantly higher on 'severe' in PDD children. On the interest for the play and materials. sensory and language areas, RAD children were significantly higher ratings on 'Absent' than PDD children.

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The Intervention and Outcome Measurement Tools of Children With Attention Deficit Hyperactivity Disorder: A Systematic Review (주의력결핍과잉행동장애 아동의 중재방법과 측정도구에 관한 체계적 고찰 : 국제 기능.장애.건강 분류 모델의 분류기준에 근거하여)

  • Lee, Na-Hae;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.12 no.1
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    • pp.39-50
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    • 2014
  • Objective : The purpose of this study was to provide for the intervention and outcome measurement tools of children with Attention Deficit Hyperactivity Disorder (ADHD) through ICF model. Methods : The systematic review methods were used. Papers published in the journal between January, 2000 and July, 2014 were searched through MEDLINE/PubMed, Sciencedirect, Ovid. The main terms searched were 'ADHD, Children, intervention, outcome measure', and 8 papers were analyzed. Results : 1. The subjects of ADHD were pure ADHD (75.8%), ADHD with dyslexia (9.1%), ADHD with conduct disorder (5.8%), ADHD with tic disorder (3.8%), ADHD with DCD (3.0%), ADHD with emotional disorder (2.5%). 2. The nonpharmacologic intervention of ADHD were functioning and disability (80%) and contextual factors (20%). Most frequently used intervention were body function and structure (60%). 3. The outcome measurement tools of ADHD were functioning and disability (80.5%) and contextual factors (19.5%). Most frequently used outcome measurement tools were body function and structure (70.8%). Conclusion : This study can provide information on the intervention and outcome measurement tools of ADHD.

A Systematic Review on Sensory Integration Intervention in Korea: Focusing on Ayres Sensory Integration (ASI) (국내 감각통합치료 중재에 관한 체계적 고찰 - Ayres의 감각통합중재(ASI)를 중심으로)

  • Jung, Hyerim;Choi, Yeon-Woo;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.11 no.2
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    • pp.27-40
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    • 2013
  • Objective : The aim of this study was to investigate how many studies for sensory integration intervention in Korea reflect the principle of Ayers' sensory integration through a systemic review. Methods : The systemic review was executes using RISS, NDSL, KISS, DBpia. The key words for search were 'sensory integration therapy', 'sensory integration intervention', 'sensory integration program', 'sensory integration training' to search the articles, published in 2000-2012. To analyze ASI fidelity of 49 studies included in the present study, the numbers of items were calculated if the study describe the ASI principle. Results : The IV was the most levels of evidence, and the subjects for the studies were mental intellectual disability (15), developmental disability (14) and autism spectrum disorders (13) etc. It was described the most that presenting sensory opportunities (43), challenging postural, ocular, oral and/or bilateral motor control (37) of ASI fidelity. The studies using more than 4 ASI principle were 26.5%(13), and 7 studies using 8 or more than 8 were studied in OT. Conclusion : In OT, 34 of 49 studies performed, and they used several principles of ASI. To have unity for sensory integration principle and to improve therapy professionalism the study using various data and systematic review study will be needed in the future.

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Effect of Pharmacological Treatment for Attention-Deficit Hyperactivity Disorder on Motor Coordination: Open Label Study (주의력결핍 과잉행동장애 아동의 약물치료가 운동협응력에 미치는 효과: 개방연구)

  • Park, Kee Jeong;Kweon, Kukju;Lee, Saejeong;Lim, Yun Shin;Joung, Yoo Sook;Kim, Hyo-Won
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.28 no.4
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    • pp.244-251
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    • 2017
  • Objectives: The objective of this study was to investigate the effect of pharmacological treatments for attention-deficit hyperactivity disorder (ADHD) on motor coordination, using the Developmental Coordination Disorder Questionnaire (DCDQ). Methods: The participants were recruited from April 2015 to November 2016 from the Department of Psychiatry of Asan Medical Center and were treated for 3 months with methylphenidate or atomoxetine. The illness severity at baseline and 3 months were scored using the ADHD Rating Scale (ARS), Clinical Global Impression-Severity Scale (CGI-S) and/or Clinical Global Impression-Improvement Scale (CGI-I). A total of 39 children with ADHD (age $8.0{\pm}1.4years$, 36 boys) completed the Advanced Test of Attention (ATA) and their parents completed the DCDQ at baseline and 3 months. The paired t-test, mixed between-within analysis of variance and correlation analysis were used. Results: The CGI-S (p<0.001), ARS (p<0.001), and fine motor/hand writing (p=0.005) on the DCDQ were significantly changed between pre-treatment and post-treatment. When the participants were divided into those who were suspected of having developmental coordination disorder (DCD) (n=23) and those who probably did not (n=16), the control during movement, fine motor/hand writing and general coordination scores on the DCDQ showed the main effects for group (p<0.001, p<0.001 and p<0.001, respectively). The fine motor/hand writing on the DCDQ has a significant main effect for time [F(1,37)=7.31, p=0.010, ${\eta}^2=0.405$] and the interaction effect between group and time was also significant [F(1,37)=4.63, p=0.038, ${\eta}^2=0.111$]. The baseline visual commission error on the ATA is significantly correlated with the changes in the DCDQ total scores (r=0.330, p=0.040). Conclusion: Our results provide preliminary evidence that pharmacological treatment for ADHD improves not only the core symptoms of ADHD, but also the motor coordination. Further studies are needed to confirm the effect of the pharmacological treatment for ADHD on the motor coordination.

A Comparative Study of Sensory Processing Abilities and Visual Perception Skills in Children With Attention Deficit Hyperactivity Disorder and Typical Children (ADHD 아동과 일반 아동의 감각처리능력과 시지각 기술의 비교 연구)

  • Ju, Jin-Ok;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.18 no.3
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    • pp.1-13
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    • 2020
  • Objective : The purpose of this study was to evaluate the differences in sensory processing and visual perception between school-age children with Attention Deficit Hyperactivity Disorder (ADHD) and typical children. Methods : The participants in this research were children in the first and second grade in elementary school in Kyoung-Nam Region; 25 children diagnosed with ADHD comprised the experimental group, and 51 typical children comprised the control group. To evaluate the sensory processing of the children, the Sensory Profile (SP) was used, and the Korean Developmental Test of Visual Perception-2 (K-DTVP-2) was used to assess visual perception skills. The data were analyzed using SPSS 20.0, and the Independent t-test was used to compare the sensory processing and visual perception skills of the two groups. Results : The study found differences in the Sensory Profile summary scores and factor summary scores between the two groups (p<.05). We also found differences in the visual perception index and subtest standard scores between the two groups (p<.05). Conclusion : The results of this study show that the experimental and the control groups had significant differences in sensory processing and visual perception skills. The result will contribute to the assessment and education of children with ADHD.