DOI QR코드

DOI QR Code

우리나라 학령전기 아동의 실행능력에 대한 기초 연구

The Preliminary Study on Praxis in Preschoolers in Korea

  • 손미숙 (Sensory Power 아동.청소년 감각통합 연구소) ;
  • 김형경 (서울대학교병원 재활의학과 작업치료실) ;
  • 맹호경 (분당서울대병원 재활의학과 작업치료실) ;
  • 박미진 (청운복지재단 청운어린이집) ;
  • 손초록 (화명일신기독병원 소아재활센터 작업치료실) ;
  • 조소정 (인제대학교 의생명공학대학 작업치료학과) ;
  • 김경미 (인제대학교 의생명공학대학 작업치료학과)
  • Son, Mi-Suk (Research Center for Sensory Integration and Behavior Improvement) ;
  • Kim, Hyoung-Kyoung (Dept. of Occupational Therapy, Seoul National University Hospital) ;
  • Maeng, Ho-Kyung (Dept. of Occupational Therapy, Seoul National University Bundang Hospital) ;
  • Park, Mi-Jin (Chungwoon Daycare Center) ;
  • Son, Cho-Rok (Hwamyung Ilsin Christian Hospital) ;
  • Jo, So-Jung (Dept. of Occupational Therapy, College of Biomedical Science and Engineering, Inje University) ;
  • Kim, Kyeong-Mi (Dept. of Occupational Therapy, College of Biomedical Science and Engineering, Inje University)
  • 투고 : 2013.10.30
  • 심사 : 2013.11.04
  • 발행 : 2013.12.30

초록

목적 : 우리나라 학령전기 아동을 대상으로 감각통합실행검사(Sensory Integration and Praxis Tests; SIPT)의 실행과 관련된 항목들을 사용하여 실행능력평가의 표준화를 위한 선행연구로서 기초자료를 제공하는 것이다. 연구방법 : 2011년 10월 21일부터 10월 29일까지 B시 소재의 00유치원에 재원중인 만 5세 10개월~6세 10개월 아동 총 50명(남 27명, 여 23명)을 대상으로 하였다. 감각통합실행검사(Sensory Integration and Praxis Tests; SIPT) 항목 중 실행과 관련된 자세실행(Postural Praxis; PPr), 구두지시에 따른 실행(Praxis on Verbal Command; PrVC), 순서실행(Sequencing Praxis; SPr), 구강실행(Oral Praxis; OPr)항목을 사용하여 대상자를 평가하였다. 기술통계분석을 사용하여 실행능력의 평균값, 표준편차, 최대값, 최소값을 제시하였고, t검정을 사용하여 성별에 따른 실행능력의 차이를 비교하였다. 결과 : 평가 항목별 실행능력의 평균값과 표준편차는 PPr가 $25.72{\pm}4.35$, PrVC가 $15.62{\pm}4.35$, SPr가 $84.52{\pm}13.09$, OPr가 $31.36{\pm}6.01$ 있었다. 아동의 실행능력에 있어서 성별 간에 통계학적으로 유의미한 차이가 있었다(p<.05). 결론 : 본 연구를 통하여 우리나라 학령전기 아동의 실행능력에 대한 지표인 평균값을 제시하였고, 성별에 따른 실행능력의 차이를 확인하였다. 연구 결과는 임상가들에게 정상아동의 실행능력에 대한 기초자료를 제공하는 것에 의의가 있으며, 앞으로는 연구대상을 확장하고 SIPT의 다른 항목들을 포함하여 표준화하는 연구가 필요하다.

Objective : The purpose of this study was to present a preliminary data of the praxis in Korean preschoolers using items of SIPT, and to compare the differences in gender. Methods : Fifty typically developing preschool aged children consisting of 27 boys and 23 girls (mean age of 75.88 months, SD=4.66) were selected. Each participant was evaluated based on four items selected from the SIPT (Postural Praxis, PPr; Praxis on Verbal Command, PrVC; Sequencing Praxis, SPr; Oral Praxis, OPr). This study was conducted from 21st Oct. though 29th Oct. 2011. The collected data were evaluated using SPSS version 19.0, and technological statistics were used to analyze the results, including the means and standard deviations. A t-test was administrated to compare the results of the two different genders. Results : The results showed a mean and standard deviation in PPr of $25.72{\pm}4.35$, PrVC of $15.62{\pm}4.35$, SPr of $84.52{\pm}13.09$, and OPr of $31.36{\pm}6.01$. There was a statistically significant difference in the praxis between the two genders (p<.05). Conclusion : This study presents the average score of the praxis in preschoolers. Significant differences in the praxis were found between the two genders. The reliable information in this study can help therapists who are willing to evaluate their clients'praxis and to compare the score with those of typical preschoolers. However, an enhanced study has to be conducted with larger numbers of participants, and all items of the SIPT need to be applied.

키워드

참고문헌

  1. Ayres, A. J. (1972). Sensory integration and learning disorder. Los Angeles, CA: Western Psychological Services.
  2. Ayres, A. J. (1979). Sensory integration and the child. Los Angeles, CA: Western Psychological Services.
  3. Ayres, A. J. (1980). Sensory integration and the child. Los Angeles, CA: Western Psychological Services.
  4. Ayres, A. J. (1985). Developmental dyspraxia and adult-onset apraxia. Torrance, CA: Sensory Integration International.
  5. Ayres, A. J. (2000). Sensory Intergration and Praxis Test (6th ed.). Los Angeles, CA: Western Psychological Services.
  6. Bang, Y. S., Kim, B. R., Kim, J. M., Kim, M. J., Baek, H. H., Oh, M. H., & Jung, H. A. (2008). Pediatric occupational therapy (2nd ed.), Seoul, Korea: E Public.
  7. Bullinger, M., Anderson, R., Cella, D., & Aaronson, N. (1993). Developing and evaluating cross-cultural instruments from minimum requirements to optional models. Quality of Life Research, 2, 451- 459. doi:10.1177/1049732311425051
  8. Coster, W. (1998). Occupational-centered assessment of children. American Journal of Occupational Therapy, 52, 337-344. https://doi.org/10.5014/ajot.52.5.337
  9. Chang, M. Y., & Hwang, K. C. (2004). Comparison of kinesthesia test of SIPT for preschool children. Journal of Korean Society of Sensory Integration Therapists. 2(1), 1-9.
  10. Custer, J. W. H., Hoijtink, H., & Net, J. (2000). Cultural differences in functional status measurement: Analyses of person fit according to the Rasch model. Quality of Life Research, 9, 571-578. https://doi.org/10.1023/A:1008949108089
  11. Custer, J. W. H., Wassenberg-Severijnen, J. E., Net, J., Vermeer, A., Hart, T., & Helders, P. J. M. (2002). Dutch adaptation and content validity of the 'Pediatric Evaluation of Disability Inventory (PEDI)'. Disability and Rehabilitation, 24, 250- 258. doi:10.1080/0963290110076036
  12. Fredericks, C. M., & Saladin, L, K. (1996). Pathophysiology of motor systems: Principles and clinical presentations. Philadelphia, PA: F.A. Davis.
  13. Geschwind, N. (1975). The apraxia: Neural mechanisms of disorders of learned movement. American scientist, 63, 188-196.
  14. Guillemin, F., Bombardier, C., & Beaton, D. (1993). Cross-cultural adaptation of health-related quality of life measures: Literature review and proposed guidelines. Journal of Clinical Epidemiology, 46, 1417-1432. doi:10.1016/0895-4356 (93)90142-N
  15. Hui, C. H., & Triandis, H. C. (1985). Measurement in cross-cultural psychology: A review and comparison of strategies. Journal of Cross- Cultural Psychology, 16, 131-152. doi:10.1177/0022002185016002001
  16. Hunt, S. M. (1993). Cross-cultural comparability of quality of life measures. Therapeutic Innovation & Regulatory Science, 27, 395-400. doi:10.1177/ 009286159302700223
  17. Jo, B. H., Jeoung, O. B., & Yu, G. H. (2000). Human development. Seoul, Korea: Kyomunsa.
  18. Kim, H. H., Yu, B. G., & Jang, Y. S. (2009). The effect of sensory integration intervention program on bodyscheme and praxis ability in children with developmental disability. Journal of Korean Society of Sensory Integration Therapists, 7(1), 47-57.
  19. Kwon, J. S., Kim, Y. G., Kim, J. Y., Yuk, J. S., Jo, H. J., & Hong, S. P. (2008). Cognitive rehabilitation for occupational therapists. Seoul, Korea: Pacific Books.
  20. Lee, I. J. (2011). Development in nonverbal intelligence and executive function in 3-7 years old: Comparison between normal and attention problem children (Master's thesis). University of Ulsan, Ulsan.
  21. Park, S. R., & Park, H. J. (2012). An analysis of the cognitive processes of 5-year-old children: A focus on a performance of cognitive assessment system based on gender, monthly age, and tendencies towards hyperactivity. Child Studies in Diverse Contexts, 31(4), 139-157.
  22. Patrick, D. L., & Deyo, R. A. (1989). Generic and disease specific measures in assessing health status and quality of life. Medical Care, 27(3), S217-S232. https://doi.org/10.1097/00005650-198903001-00018
  23. Srsen, K. G., Vidmar, G., & Zupan, A. (2005). Applicability of the Pediatric Evaluation of Disability Inventory in Slovenia. Journal of Child Neurology, 20, 411-416. https://doi.org/10.1177/08830738050200050301
  24. Touw-Otten, F., & Meadows, K. (1996). Cross-cultural issues in outcome measurement. In A. Hutchinson (Ed.), Health outcome measures in primary and outpatient care (pp. 199-208). Amsterdam, Netherlands: Harwood Academic Publishers.
  25. Yu, S. B., Kim, J. J., & Kim, K. M. (2006). The correlation between handwriting skills and praxis in the low grades students at an elementary school. Journal of Korean Society of Sensory Integration Therapists, 4(1), 1-15.