• 한국환경과학회지
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• 제32권10호
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• pp.713-722
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• 2023

This study was conducted to examine the effects of care farming activities on the brain waves of adults with developmental disabilities from September 2022 to December 2022, with a total of 16 sessions held once a week. For 28 adults with developmental disabilities, 15 participants in the care farm program and 13 participants who did not participate were used as the control group. Before and after the care farming activities, participants' self-esteem, happiness levels, and brain function indices were measured through surveys and electroencephalography (EEG). Consequently, the self-esteem of the participants in the experimental group significantly increased after the activity, and as for the brain function index, the left brain activity index related to stress, attention, brain function, and emotional state increased compared to the control group in the experimental group of adults with developmental disabilities, especially intellectual disabilities. Notably, the effect of care farming activities was greater for women than for men with intellectual disabilities. Therefore, considering the differential effects of care farming activities based on the type of developmental disability and sex, it is deemed advantageous to primarily apply these activities to women with intellectual disabilities in order to maximize the healing effect of care farming.

• 한국콘텐츠학회논문지
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• 제17권10호
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• pp.280-288
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• 2017

본 연구는 지적 장애인들의 감각처리 유형에 따른 감각처리능력을 확인하고자 진행하였다. 장애인복지시설에 생활하는 98명의 지적 장애인을 대상으로 청소년/성인 감각 프로파일을 사용하여 감각처리능력을 알아보았다. 연구결과 지적 장애인들의 감각처리능력은 4가지 영역(낮은 감각등록, 감각찾기, 감각민감성, 감각회피)에서 모두 평균보다 낮은 점수를 보여 대부분의 사람들보다 적거나 매우 적은 반응을 보이고 있었다. 성별에 따른 차이는 통계적으로 유의하지 않았지만, 연령을 청소년기(11세에서 17세)와 성인기(18세 이상)로 구분하여 비교한 결과에서는 낮은 감각등록, 감각찾기, 감각민감성 유형에서 통계적으로 유의한 차이가 나타났다. 장애 등급에 따른 감각처리능력은 낮은 감각등록과 감각회피 유형에서 통계적으로 유의한 차이가 확인되었다. 차후 연구에서는 지적 장애인의 거주 환경에 따른 감각처리능력을 확인하고, 대상자 수를 확대하여 장애등급에 따른 감각처리능력을 비교하는 연구들이 이루어져야 할 것이다.

• 한국엔터테인먼트산업학회논문지
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• 제13권8호
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• pp.505-514
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• 2019

본 연구는 전통적 종이형태의 평가와 전자매체를 이용한 평가적용에 따른 지적장애인들의 시지각과 주의집중의 차이를 분석하는 데 있다. 연구대상은 지적장애인 12명이다. 대상자들에게 전통적 평가방식과 전자매체를 활용한 평가방식을 적용하였으며, 그 차이를 비교하였으며, 그 차이를 비교하기 위해 대상자들의 시지각과 시각적 주의집중을 평가하였다. 시지각을 평가하기 위해 Motor free visual perception test-3를 활용하였으며, 주의집중을 평가하기 위해 Trail making test를 활용하였다. 그 결과, 전자매체를 적용한 평가에서 대상자들의 시지각과 주의집중 모두 높게 나타났다. 전자매체는 지적장애인들의 시지각과 주의집중에 영향을 줄 수 있는 요인으로 작용할 수 있다. 따라서, 지적장애인들에게 전자매체를 적용할 경우 이러한 차이를 고려하여야 할 것이다.

• 대한장애인치과학회지
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• 제10권2호
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• pp.61-67
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• 2014

The aim of this study was to analyze the clinical characteristics of patients with cognitive and behavioral impairments receiving dental treatment under general anesthesia (GA-dental treatment). From August 2007 to April 2014, information was collected from 475 patients who received GA-dental treatment at the Clinic for Persons with Disabilities, Seoul National University Dental Hospital. The demographic factors (gender, age, disability, medication, GA history, residency type, caregiver, meal type, oral hygiene maintenance, and cooperation level) and dental status (operating duration, DMFT, malocclusion, periodontal disease, tooth defect, and treatment protocol) of the patients were evaluated. DMFT and malocclusion levels were compared among the patients with ANOVA and Sheffe's post-hoc test, and chi-square test, respectively. The correlation between the demographic characteristics and dental status of the patients were analyzed with the Pearson's correction test. The mean age of the patients was 27.1 (7 - 83) years and they had intellectual disabilities (55.4%), developmental disorders (17.9%), brain disorders (16.6%), neurocognitive disorders (4.6%), or others (5.5%). The mean DMFT (DT) was 8.6 (5.2) with a significant difference among the disability types (p<0.05). The incidence of malocclusion was higher in patients with intellectual disabilities and brain disorders than in the other types (p<0.05). The operation time ($191.4{\pm}91.2min$) was correlated with decayed or endodontically-treated teeth (p<0.05). Special needs patients requiring GA-dental treatment showed unfavorable oral conditions. Dental practitioners experience time restrictions and additional costs under a GA setting. Treatment planning and decision-making can be efficiently facilitated by evaluating the clinical characteristics of the patients.

• Journal of Dental Anesthesia and Pain Medicine
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• 제18권4호
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• pp.235-244
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• 2018

Background: Patients with intellectual disability (ID) often require general anesthesia during oral procedures. Anesthetic depth monitoring in these patients can be difficult due to their already altered mental state prior to anesthesia. In this study, the utility of electroencephalographic indexes to reflect anesthetic depth was evaluated in pediatric patients with ID. Methods: Seventeen patients (mean age, $9.6{\pm}2.9years$) scheduled for dental procedures were enrolled in this study. After anesthesia induction with propofol or sevoflurane, a bilateral sensor was placed on the patient's forehead and the bispectral index (BIS) was recorded. Anesthesia was maintained with sevoflurane, which was adjusted according to the clinical signs by an anesthesiologist blinded to the BIS value. The index performance was accessed by correlation (with the end-tidal sevoflurane [EtSevo] concentration) and prediction probability (with a clinical scale of anesthesia). The asymmetry of the electroencephalogram between the left and right sides was also analyzed. Results: The BIS had good correlation and prediction probabilities (above 0.5) in the majority of patients; however, BIS was not correlated with EtSevo or the clinical scale of anesthesia in patients with Lennox-Gastaut, West syndrome, cerebral palsy, and epilepsy. BIS showed better correlations than SEF95 and TP. No significant differences were observed between the left- and right-side indexes. Conclusion: BIS may be able to reflect sevoflurane anesthetic depth in patients with some types of ID; however, more research is required to better define the neurological conditions and/or degrees of disability that may allow anesthesiologists to use the BIS.

• Journal of Genetic Medicine
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• 제19권2호
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• pp.105-110
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• 2022

The microdeletion syndrome of chromosome 2p15p16.1 (MIM: 612513) is an extremely rare contiguous gene deletion syndrome. Microdeletions of varying sizes in the 2p15-16.1 region are associated with developmental delay, intellectual disability, autism spectrum disorder, hypotonia, and craniofacial dysmorphism. Previous studies have identified two critical regions: the proximal 2p15 and distal 2p16.1 regions. BCL11A, PAPOLG, and REL genes play crucial roles in patients with 2p16.1 microdeletion. To our knowledge, only 39 patients have been reported as having 2p15p16.1 microdeletion syndrome. Here, we present another patient with 2p15p16.1 microdeletion syndrome. A nine-month-old boy was referred to our clinic for the psychomotor delay, facial dysmorphism, and congenital hypothyroidism. During his follow-up visits, he was diagnosed with global developmental delay, intellectual disability, abnormal behavior, hypotonia, microcephaly, and abnormal electroencephalography. Using a chromosomal microarray for genetic analysis, a novel, de novo, 622 kb microdeletion of 2p16.1 was identified as one of the critical regions of the 2p15p16.1 microdeletion syndrome. This is the first case of its kind in Korea. We have discussed our case and literature reviews to clarify the relationship between the genes involved and clinical phenotypes in 2p15p16.1 microdeletion syndrome.

• Clinical and Experimental Pediatrics
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• 제63권6호
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• pp.211-212
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• 2020

• 디지털융복합연구
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• 제15권2호
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• pp.441-449
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• 2017

본 연구는 본 연구는 지역사회에 거주하는 18세 이상 성인 지적장애인을 대상으로 작업 중심 전환 프로그램을 실시하여 자기효능감 및 사회참여에 미치는 효과를 알아보고, 실제 사회참여가 필요한 성인기 이후의 작업 중심 전환 프로그램 개발에 기초자료가 되기 위해 지역사회에 거주하는 18세 이상 성인 지적장애인 44명을 대상으로 작업 중심 전환 프로그램을 적용한 실험군과 작업 중심 전환 프로그램을 실시하지 않은 대조군으로 나눠 자기효능감 및 사회참여의 변화를 알아보았다. 자기효능감의 변화를 알아보기 위해 자기효능감 척도(Self-Efficacy Scale)를 사용하였으며, 사회참여를 알아보기 위해 사회참여척도(K-Community Participation Indicators; K-CPI)를 통해 평가하였다. 연구의 결과 자기효능감의 경우 실험군에서 대조군에 비해 자기효능감의 점수가 더 많이 증가하였고, 실험군에서는 점수의 변화가 유의하였으나(p<.05), 대조군에서는 유의하지 않았다. 사회참여의 경우 실험군에서 더 많은 증가와 함께 유의한 증가를 보였다(p<.05). 이러한 결과는 18세 이상 성인 지적장애인에게 작업 중심 전환 프로그램이 자기효능감 및 사회참여의 향상에 효과를 가져다 준 것으로 사료된다.

• 한국엔터테인먼트산업학회논문지
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• 제13권3호
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• pp.291-300
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• 2019

본 연구는 촉각중심 감각운동발달 프로그램이 지적장애가 있는 청소년의 시각적 주의집중과 상동행동에 미치는 효과를 알아보고자 하였다. 연구기간 및 대상은 2018년 8월 27일부터 12월 12일까지 A도 B군 특수학교에 재학 중인 지적장애가 있는 청소년 1명으로, 개별대상연구의 A-B-A' 설계를 사용하였다. 중재는 주 2회 40분씩, 총 12회기 실시하였고, 평가는 시각적 주의집중을 위해 물체 주시력 검사를, 상동행동의 빈도와 시간을 위해 상동행동 관찰기록지를 이용하여 매 회기 측정하였다. 연구결과, 본 연구의 촉각중심 감각운동발달 프로그램은 지적장애가 있는 청소년의 물체 주시력 시간과 상동행동의 빈도와 시간에 긍정적인 영향을 미쳤다. 따라서 본 연구의 촉각중심 감각운동발달 프로그램은 지적장애가 있는 청소년의 시각적 주의집중과 상동행동을 위한 중재 접근법으로서의 가치 및 효용성을 확인하였기에, 감각처리과정의 문제를 나타내는 지적장애가 있는 청소년의 중재 프로그램으로 제안하는 바이다.

• International Journal of Computer Science & Network Security
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• 제22권5호
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• pp.255-265
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• 2022

Educational programs for students with intellectual disabilities have undergone drastic changes in pursuit of the general curriculum. Accordingly, teachers in various fields, including mathematics, strive to find effective methods that enhance learning. The objective of this systematic review is to examine the field of teaching mathematics to students with intellectual disabilities to investigate relevant effective teaching strategies and required teaching skills. To achieve this goal, studies published during the period 2018-2021 were reviewed. Findings indicate the inclusion of nine studies that met the inclusion criteria out of 55 studies. The included studies found that the system of least prompts (SLP) in conjunction with feedback and error correction, and schema-based instruction are generally the most effective strategies in teaching mathematical skills to students with intellectual disabilities. Addition is the most targeted skill, followed by subtraction and algebra problem solving. The least targeted skills are multiplication, recognition of geometric shapes, calculating price after discount, rapid recognition of numbers, and rapid problem solving. The paper provides recommendations and suggests venues of future research.