• The Journal of Korean Academy of Sensory Integration
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• v.18 no.3
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• pp.39-52
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• 2020

Objective : The purpose of this study was to investigate the effect of parent education on feeding problems in children with autism spectrum disorder. Method : Articles published between 2000 and May 2019 were identified through a database search of Cochrane Library, Embase, Ovid-Medline, and PubMed as well as through additional manual searches. A total of six articles were selected and qualitatively analyzed according to the level of evidence of the study and arranged according to PICO (Patient, Intervention, Comparison, Outcome). Results : Six articles were used for the data analysis; four articles were at evidence level 1 and two articles were at evidence level 3. Behavioral therapy was the most common interventional approach to parent education, and all of the articles based on behavioral therapy had evidence level 1. Conclusion : This study examines the various ways of parenting to help families with autism spectrum children with feeding problems in order to find directions for parent education that can be applied in clinical practice.

• The Journal of Korean Academy of Sensory Integration
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• v.18 no.2
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• pp.15-28
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• 2020

Objective : The purpose of this study was to verify the construct validity of Short Sensory Profile-2 (SSP-2) for children with Autism Spectrum Disorder (ASD). Methods : Data were collected from SSP-2 for 120 parents of ASD children. Raw data were analyzed by applying the Rasch analysis to the goodness fit of person and item, item difficulty, rating scale, and separation reliability of SSP-2. Results : 7 persons in sensory processing area and 8 persons in behavioral response area were inappropriate criteria and excluded from the analysis. Item goodness-of-fit analysis determined that the If the Mnsq value is between 0.6 and 1.4 and the Z value is outside the ±2 range for nonconformity. this study All items in the instrument were found to have appropriate criteria. Item difficulty analysis in sensory processing area was high in item 13 (.48 logit) and low in item 10 (-.54 logit). In the behavioral response area, item 25 (1.58 logit) was high and item 30 (-.68 logit) was low. In the rating scale analysis, it was found that the 3-point scale is more appropriate than the 5-point scale. The separation reliability of sensory processing area was .90 and the behavioral response area was .95. Conclusion : This study verified the construct validity of SSP-2 and expected to be applied as a useful evaluation tool for children with ASD.

• Therapeutic Science for Rehabilitation
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• v.13 no.2
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• pp.9-25
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• 2024

Objective : Children with autism spectrum disorder (ASD) commonly suffer from feeding disorders. Major feeding problems include mealtime behavior problems, picky eating, and a lack of food variety can lead to nutritional problems, developmental and social limitations, and stress for the caregivers. A review of the latest literature was conducted to gain an in-depth understanding of assessment tools for feeding disorders in children with ASD. Method : This study analyzed assessments to identify feeding problems in ASD based on previous studies searched through keywords such as ASD, ASD feeding problem, and ASD feeding evaluation. Results : The ASD feeding disorder assessment was divided into direct and indirect assessments. Indirect assessment, in which caregivers measure a child's situation using questionnaires, is mainly used. The assessment of feeding disorders in children with ASD was divided into 1) mealtime behavior, 2) sensory processing, 3) food consumption, and 4) others. Conclusion : As the main feeding disorder characteristics of children with ASD are very diverse, a comprehensive evaluation is necessary but is still limited. Swallowing rehabilitation experts, such as occupational therapists, should apply comprehensive assessment tools based on a basic understanding of the feeding problems, behaviors, and sensations in ASD.

• Journal of Music and Human Behavior
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• v.21 no.3
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• pp.41-64
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• 2024

The purpose of this study is to develop and evaluate the feasibility of a structured music therapy protocol that incorporates Augmentative and Alternative Communication (AAC) devices to enhance communicative behaviors in children with severe and profound autism spectrum disorder (ASD). The developed protocol consists of four stages: optimizing attention and arousal levels, familiarizing with target vocabulary, acquiring target vocabulary through AAC, and applying communicative skills in everyday contexts. In the first stage, music serves as a multisensory medium to enhance attention and arousal, fostering motivation for communication in children with ASD. The second stage introduces target vocabulary through musical elements to facilitate familiarization with the words and support language processing. The third stage involves the use of AAC devices during music-based activities, encouraging children to express their preferences and communicate effectively. The final stage focuses on generalizing communicative skills by applying target vocabulary in real-life situations. The protocol was validated by professionals in music therapy and speech-language therapy. Its clinical applicability was further confirmed through implementation with children with ASD by music therapists who had no prior experience using AAC. The findings suggest that this protocol effectively improves communication in children with severe and profound ASD and provide therapists with practical and evidence-based strategies.

• Therapeutic Science for Rehabilitation
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• v.8 no.4
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• pp.19-31
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• 2019

Objective : The purpose of this study was to examine differences of psychological symptoms for mothers of infants with autism spectrum disorder(ASD) according to the level of parenting stress. Methods : The subjects were seventy-two mothers of infants with ASD(aged 22 months to 71 months) completed Korean Parenting Stress Index (K-PSI) and Minnesota Multiphasic Personality Inventory(MMPI-2). The data was analyzed using SPSS 23.0 program. Results : First, total and parent domain of parenting stress were positively correlated with several clinical scales of MMPI-2. However, there was no significant association between the child domain of parenting stress and clinical scale MMPI-2. Second, as a result of verified the difference of psychological symptoms according to level of total and parent domain of parenting stress, high-risks group was significantly higher scores in several clinical scales of MMPI-2 relative to those in normal range group. However, regarding the association between the child domain of parenting stress and psychological symptoms, there was no significant difference in psychological symptoms between high-risks group and normal range group. Conclusions : The results of this study have implications for verified the difference of psychological symptoms according to level of parenting stress among mothers of infants with ASD.

• Journal of the Korean Academy of Child and Adolescent Psychiatry
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• v.24 no.3
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• pp.109-123
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• 2013

The discovery of the mirror neuron system (MNS) is one of the most important neuroscientific achievements in the 20th century. Some researchers had reported that MNS dysfunction was discovered in autism spectrum disorders (ASD). Finally, the 'broken mirror' theory of ASD was announced in the mid 2000's. According to this theory, ASD cannot simulate the mind and behavior of others due to MNS dysfunction; therefore, they cannot imitate the behaviors and empathized with the mind of others. However, ASD does not always show imitation problems. The researchers who have criticized the 'broken mirror' theory proposed the 'social top-down response modulation (STORM)' theory. On STORM theory, the medial prefrontal cortex or temporo-parietal junction, brain areas related with mentalising, might modulate MNS according to social context. We compared the strengths and weaknesses of each theory.

• 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.

• Journal of IKEEE
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• v.23 no.4
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• pp.1440-1447
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• 2019

Currently, the prevalence of autism spectrum disorders in children is reported to be higher and shows various types of disorders. In particular, they are having difficulty in communication due to communication impairment in the area of social communication and need to be improved through training. Thus, this study proposes a method of acquiring voice information through a microphone mounted on a robot designed through preliminary research and using this information to make intelligent motions. An ANN(Artificial Neural Network) was used to classify the speech data into robot motions, and we tried to improve the accuracy by combining the Recurrent Neural Network based on Convolutional Neural Network. The preprocessing of input speech data was analyzed using MFCC(Mel-Frequency Cepstral Coefficient), and the motion of the robot was estimated using various data normalization and neural network optimization techniques. In addition, the designed ANN showed a high accuracy by conducting an experiment comparing the accuracy with the existing architecture and the method of human intervention. In order to design robot motions with higher accuracy in the future and to apply them in the treatment and education environment of children with autism.

• Journal of Digital Convergence
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• v.11 no.11
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• pp.753-766
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• 2013

Even though civilization is developing at a fast rate, human beings and their living environments do not look happy. Given that the civilization comes from the human mind, which is changing in interaction with human body, society, and nature, it is hard to think that the human mind is changing in the desirable direction. This paper described a whole changing paradigm of the human mind and its causes through the cognitive mechanism in the brain from which all the diverse minds are formed. According to the cognitive mechanism, the human mind can change from the first free and peaceful mind through the middle mind to the last obsessive and anguish mind in accordance with the change of one of the factors in the origin of the human mind. Today's unfavorable changes in human beings, society, and the natural environment including the excessive development of civilization are the results of the undesirable changes of the human mind. This paper specified the respective characteristics of the first, middle, and the last mind and discussed where individuals' minds are and where they are going. Lastly, this paper suggested the specific ways to return to the first original mind based on the cognitive mechanism.

• The Journal of Korean Academy of Sensory Integration
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• v.17 no.2
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• pp.56-68
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• 2019

Objective : The purpose of this study is to provide evidence for a systematic analysis of occupational therapy interventions for the activity and participation of children and adolescents with developmental disabilities. Methods : The articles used in this study were collected from the RISS, KISS, and DBpia databases. The key words used were "children and occupational therapy" "children and sensory integration," "adolescent and occupational therapy," "adolescent and sensory integration," "developmental disorder and occupational therapy," and "developmental disorder and sensory integration." The research period was limited to January 2008 to August 2018. Seven articles in total were selected for systematic analysis. Results : Most of the included works were single-case studies, and most subjects dealt with the autism spectrum disorder. The majority of the interventions used involved sensory integration. Occupational therapy interventions were self-care (33%), major life area (33%), learning and application (11%), communication (11%), and mobility (11%). Conclusion : This study will help with understanding the current state of occupational therapy interventions for the activity and participation. On the basis of this understanding, various studies on this subject are expected to be conducted in the future.