경직성 뇌성마비 아동의 발성·발어 향상을 위한 신체이완훈련 적용 효과

• 영문명: Body-relaxing Training to Improve Articulation·Vocalization in Children with Spastic Cerebral Palsy
• 발행기관: 한국지체.중복.건강장애교육학회
• 저자명: 조규영(Cho, Kyu-yeong)
• 간행물 정보: 『지체.중복.건강장애연구』제45권, 209~224쪽, 전체 16쪽
• 주제분류: 사회과학 > 교육학
• 파일형태: PDF
• 발행일자: 2005.01.30

국문 초록

본 연구의 목적은 경직형 뇌성마비아의 이차적 언어 장애 손실을 예방하기 위하여 전신이완 훈련을 실시하고 뇌성마비아의 호흡, 발성, 구강동작의 기능적 수준 변화에 어떤 효과가 미치는가를 알아보기 위하여 훈련전과 후에 발성발어의 기본 동작을 측정하여 훈련의 결과를 검증하고자하였다. 또한 훈련 효과와 관련이 높다고 생각되는 하위 영역의 훈련이 기능적 수준에 어떤 변화를 보이는지 알아보고자하였다. 발성발어와 관련된 기능 수준의 변화를 분석하기 위하여 각 대상자별로 향상도를 알아보는데 그 목적을 두었다. 발성 동작에서 훈련 전에 비해 대상 아동 모두는 유의미한 차이를 나타낸 변인은 전신의 긴장으로 인해 기능적 수준 향상 전반에 걸쳐 근육의 긴장성 때문에 발생되는 문제는 반복적인 전신의 신체이완 훈련을 실시한 결과 유의미하게 기능수준이 증가하였다. 호흡동작과 구강동작은 전반적으로 발성발어 동작에 가장 높은 요소로 나타내었고 그 다음으로 발성동작 순서로 나타났으며, 훈련 영역별 개인의 발성발어의 차이는 사전 사후 검사 결과에 향상도가 높게 나타났으며, 각 하위 영역에서도 차이가 나타났다. 발성발어동작에 차이를 보이지 않는 하위 영역은 구강동작으로 나타났다.

영문 초록

This study aimed at allowing rigid spastic children to practice body relaxing training in order to prevent them from secondary speech disorder and measuring behaviors which bases articulation and vocalization before and after training to examine what an effect it has on the change in functioning level of respiration, articulation, and oral movement and verifying the findings. Also, this study put an emphasis on identifying that subordinate training highly related to training effects has an effecton the functioning level and determining the extent of improvement by subjects to analyze the change in the functioning level related to articulation·vocalization. During articulation, participants showed significant difference, compared with prior to training, generally enhancing their functioning level. On the other hand, they suffered the stiffness of muscles due to bodily stress but made significant improvement following the repeated bodily relaxation training. Regarding oral organs, the movement of respiration generally played a central role in articulation·vocalization, followed by oral organs and articulation. Individuals, during articulation by training division, showed high improvement, in comparison with the results before and after training, and somewhat difference even in subordinate training. They showed some change in oral movement, while showing no change in articulation·vocalization. This study aimed at allowing rigid spastic children to practice body relaxing training in order to prevent them from secondary speech disorder and measuring behaviors which bases articulation and vocalization before and after training to examine what an effect it has on the change in functioning level of respiration, articulation, and oral movement and verifying the findings. Also, this study put an emphasis on identifying that subordinate training highly related to training effects has an effecton the functioning level and determining the extent of improvement by subjects to analyze the change in the functioning level related to articulation·vocalization. During articulation, participants showed significant difference, compared with prior to training, generally enhancing their functioning level. On the other hand, they suffered the stiffness of muscles due to bodily stress but made significant improvement following the repeated bodily relaxation training. Regarding oral organs, the movement of respiration generally played a central role in articulation·vocalization, followed by oral organs and articulation. Individuals, during articulation by training division, showed high improvement, in comparison with the results before and after training, and somewhat difference even in subordinate training. They showed some change in oral movement, while showing no change in articulation·vocalization.

목차

Ⅰ. 서 론

Ⅱ. 연구 방법

Ⅲ. 연구 결과 및 논의

Ⅳ. 결론 및 제언

키워드

신체이완훈련 발성 뇌성마비 Body-relaxing training vocalization cerebral palsy