목적 : 본 연구의 목적은 발달장애아동의 감각처리능력과 작업수행기술 간의 관련성을 파악하고 작업수행기술에 영향을 주는 감각처리요인을 알아보고자 한다. 연구방법 : 2010년 6월부터 2011년 2월까지 국립재활원과 충남 장애인 부모회 당진지회 발달센터를 내원하고 있는 발달장애아동 39명을 대상으로 Short Sensory Profile(SSP)과 Assessment of Motor and Process Skill(AMPS)을 사용하여 감각처리능력과 작업 수행기술을 평가 분석하였다. 결과 : 전체 대상자의 작업수행기술 중 운동기술에서는 활력부족/허약 영역, 처리기술에서는 활력부족/허약과 시/청각 민감성 영역이 유의한 상관성을 나타내었다. 정신지체 그룹에서는 처리기술과 감각처리능력 총점 및 촉각 민감성 영역에서 유의한 상관성을 보였다. 뇌성마비 그룹에서는 운동기술과 움직임 민감성 영역에서 강한 상관성이 나타났으며, 처리기술과 청각여과하기 영역에서 상관성을 보였다. 전반적 발달장애 및 그 외 그룹에서는 운동기술과 활력부족/허약 영역에서 유의한 상관성을 보였다. 다중회귀 분석 결과 운동기술에 영향을 주는 감각처리영역은 활력부족/허약이었으며, 처리기술에 영향을 주는 유의한 변수는 없었다. 결론 : 본 연구결과 발달장애 유형별 감각처리능력과 작업수행 기술 간의 관련성이 다름을 알 수 있었다. 추후 더 많은 연구 집단을 대상으로 각 진단별 감각처리능력과 작업수행기술의 관계에 어떠한 차이가 있는지 검증할 필요가 있다.
목적 : 발달장애아동의 질환별 감각처리능력을 파악하여 감각통합치료에 방향성을 제시 하고, 작업치료 전략을 수립하는데 기초자료를 제공하고자 하였다. 연구방법 : 발달장애아동의 질환별 감각처리능력을 파악하기 위하여 임윤정 등(2007)이 한국어로 번역한 Sensory Profile을 사용 하였다. 연구대상은 발달장애아동으로 진단받은 아동을 양육하고 있는 보호자에게 설문조사에 대한 동의를 얻어 2009년 3월부터 2010년 2월까지 방문 및 우편 배부를 하여, 총 325명의 자료가 분석에 사용되었다. 자료 분석은 일반적 특성과 감각처리능력의 감각영역 14항목과 감각요인 9항목은 빈도 분석하였으며, 감각통합처리기술을 비교하기 위하여 일요인 분산분석을 실시하였다. 그리고 사후검정은 Scheffe 검정을 하였다. 연구결과 : 감각영역에서 G영역(지구력/근긴장도 조절)이 네 집단(ADHD아동, 자폐아동, 정신지체아동, 발달지연 아동)에서 모두 문제범주로 나타났다. 발달장애아동의 질환별 감각요인 비교에서 요인1(감각추구)과 요인2(정서반응)가 통계학적으로 유의한 차이를 보였다(p<.01). 결론 : 발달장애아동은 역치와 행동의 관계를 설명하는 4개의 감각모델(감각등록저하, 감각민감성, 감각회피, 감각 찾기) 중 감각등록저하에 공통적인 문제점을 갖는 것을 확인할 수 있었다. 앞으로는 정상아동과의 연구를 통해서 발달장애아동과의 차이를 판별할 수 있는 기준을 결정할 수 있는 후속연구가 필요하리라 사료된다.
Objective: The purposes of this study were to understand behavior problems of preschoolers and to investigate the relationship between behavior problems and the sensory processing skills.
Participants: Parents of preschoolers between ages of 4 and 6 who attended D kindergarten or S nursery school in the national capital region.
Method: Parents filled out the questionnaire at home from 12th to 14th of August in 2002.
We used SSP (short sensory profile) which was used by Kim, Mi-Sun in 2001 to understand the sensory processing skills. We also used CBCL (child behavior checklist) which was reconstructed by Jung, Yeon-Woo in 2001 to understand behavior problems. The results were analyzed with SAS 6.12.
Results: 1. The total incidents in behavior problems were 87 out of 200. And the total incidents in sensory processing were 164 out of 190. Among low-ranking patterns, the mark of overactivity was highest with 21.56 point and the mark of flinching activity was lowest with 13.97 point.
2. There was no significant difference in the gender comparison of sensory processing, but there were significant differences in gender comparison of aggressive behavior and flinching behavior in behavior problems.
3. There was no significant finding in age difference.
4. In correlation between behavior problems and sensory processing skills, as the incidents of
hyperactivity rose the incidents of underresponsive/seeks sensation and auditory filtering decreased significantly. In relations, as the incidents of anxiety behavior rose the incidents of
underresponsive/seeks sensation and auditory filtering decreased significantly. In relations, as the incidents of flinching behavior rose, incidents of movement sensitiveness, low energy and
weakness decreased. In relations, as the children acted aggressively the incidents of sensitiveness, low energy, weakness and auditory filtering decreased. In relations, as children
acted immaturely the incidents of sensitiveness, underresponsive/seeks sensation, auditory
filtering, low energy and weakness decreased significantly.
Conclusions: We hope that the children who have behavior problems with difficulties in sensory processing skills can be distinguished on the basis of this study. And we also hope the development of a study which can present the effectiveness of sensory integrative treatment for
the children with behavior problems.
The study was intended to compare typically developing children with autism or PDD (Pervasive Developmental Disability) children in sensory processing skills. To accomplish this goal, was translate and change of Short Sensory Profile(Dunn, 1999). The first step was perform factor analysis, items-total raw score relations and reliability of the scales. Then, the sensory processing skills of typically
developing children and autism or PDD children was compared. Also, each two age groups of typically developing children and autism or PDD children were compared.
Finally, gender of each typically developing children and autism or PDD children were compared. The subjects of the research were 186 typically developing children and 95 autism or PDD children aged 3 to 10 years.
The result of the study have shown as follows:
1. There were significant differences between groups in total score and sub factor score. This results yielded significant differences between groups suggest that autism or PDD children had sensory processing difficulties.
2. There were no significant differences between two age groups differences of autism or PDD children but there were significant differences between two age groups of typically developing children on fore sub-factor score and total score.
3. There were no significant differences between each gender groups of typically developing children and autism or PDD children.
In conclusion, this research proves the fact that differences between typical children and autistic PDD children in sensory processing skills. The scales utilized this study can be used to screening the autism or PDD children with sensory processing difficulties. It is expected that development of screening test tool for various disabilities children with sensory processing difficulties.