The Journal of Korean Academy of Sensory Integration (대한감각통합치료학회지)

Korean Academy of Sensory Integration (대한감각통합치료학회)
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The Effect of Sensory Integrative Intervention Focused on Proprioceptive-Vestibular Stimuli on the Handwriting and Fine Motor Function in Lower Grade Elementary School Children

고유-전정감각 중심의 감각통합 중재가 초등학교 저학년 아동의 글씨쓰기와 소운동에 미치는 영향

  • 황지혜 (보연아동청소년발달지원센터) ;
  • 김희정 (가야대학교 작업치료학과) ;
  • 정혜림 (가야대학교 작업치료학과)
  • Received : 2017.07.06
  • Accepted : 2017.09.01
  • Published : 2017.09.11
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Abstract

Objective : The purpose of this study was to investigate the effect of proprioceptive-vestibular based sensory integrative intervention on handwriting and fine motor function in elementary school students in grades 1 to 3. Methods : In this study, eight students in an elementary school in Busan were enrolled. The intervention was conducted twice a week from May to October, 2016, and a total of 14 intervention sessions were conducted. In order to evaluate the writing ability and the fine-motor exercise ability before and after the intervention, the fine-motor movement items of the Korean alphabet writing test and the Bruininks-Oseretsky Test of Motor Proficiency (BOTMP) evaluation were used. Results : There was a statistically significant difference between the total scores of consonant writing and the Korean alphabet writing assessment after the intervention. In BOTMP-Fine motor, the response speed items showed statistically significant difference. Visual-motor control scores increased during intervention, but the statistical significance was not found. Conclusion : Sensory integration interventions might have positive effects on elementary school students' writing skills and fine motor functions.

목적 : 본 연구는 고유-전정감각 중심의 감각통합 중재가 초등학교 저학년 아동의 글씨쓰기와 소근육 능력 향상에 영향을 미치는지 알아보고자 하였다. 연구방법 : 본 연구는 부산 소재 초등학교에 재학 중인 저학년 아동 8명을 대상으로 단일집단 사전-사후 설계(one group pretest-posttest design)를 사용하였다. 2016년 5월에서 10월까지 주 2회, 총 14회기의 고유-전정감각 중심의 감각통합중재를 실시하였으며 글씨쓰기와 소근육 능력에 대한 측정은 한글자모쓰기검사와 Bruininks-Oseretsky Test of Motor Proficiency (BOTMP)의 Fine motor영역 검사를 실시하였다. 결과 : 중재 후 한글자모쓰기검사 결과 자음쓰기와 전체 총점은 통계적으로 유의한 차이를 나타냈으며 모음쓰기는 통계적으로 유의한 차이는 없었으나 점수의 향상을 나타내 글씨쓰기 능력의 향상을 나타냈다. BOTMP-Fine motor결과 Response Speed항목은 통계적으로 유의한 차이를 나타냈으며 Visual-Motor control항목은 중재 전후로 점수의 증가가 있었으나 통계적으로 유의한 차이는 없었다. 결론 : 본 연구는 고유-전정감각 중심의 감각통합 중재가 초등학교 저학년 아동의 글씨쓰기와 소근육 능력 향상에 긍정적 영향을 미치는 것을 확인하였다.

Keywords

References

  1. Anderson, P. L. (1983). Denver Handwriting Analysis: Manual. Academic Therapy Publications.
  2. Amundson, S. J. (1995). Evaluation tool of children's handwriting. Homer, AK: O.T. KIDS.
  3. Amundson, S. J. (2001). Prewriting and handwriting skills. In J. Case-Smith (Ed.), Occupational Therapy for Children (4th ed., pp. 545-570), St. Louis: Mosby.
  4. Amundson, S. J. (2005). Prewriting and handwriting skills. In J. Case-Smith (Ed.), Occupational Therapy for Children (5th ed., pp. 587-610). Philadelphia: Elsevier Inc.
  5. Ayres, A. J. (1979). Sensory integration and the child. Los Angeles: Western Psychological Services.
  6. Benbow, M. (1995). Principles and practices of teaching handwriting. In A. Henderson & C. Pehoski (Eds.), Hand-function in the child: Foundations for Remediation (pp. 255-281). St. Louis: Mosby.
  7. Bo, J., Bastian, A. J., Contreras-Vidal, J. L., Kagerer, F. A., & Clark, J. E. (2008). Continuous and discontinuous drawing: High temporal variability exists only in discontinuous circling in young children. Journal of motor behavior, 40(5), 391-399. http://dx.doi.org/10.3200/JMBR.40.5.391-399
  8. Bruininks R. H. (1978). Bruininks-Oseretsky Test of Motor Proficiency Owner's Manual. Circles manual. MN.: American Guidance Service.
  9. Case-Smith, J. (2001). Occupational Therapy for Children (4th ed.). St. Louis: Mosby.
  10. Case-Smith, J., Holland, T., Lane, A., & White, S. (2012). Effect of a coteaching handwriting program for first graders: One-group pretest-posttest design. American Journal of Occupational Therapy, 66(4), 396-405. http://dx.doi.org/10.5014/ajot.2012.004333
  11. Choi, D. K. (2009). The effect of proprioceptionoriented sensory integration training on gross motor function and balance in children with developmental delay. Master's thesis, Dankook University, Cheonan.
  12. Donica, D. K. (2015). Handwriting without $tears^{(R)}$: General education effectiveness through a consultative approach. American Journal of Occupational Therapy, 69(6), 6906180050p1-6906180050p8. http://dx.doi.org/10.5014/ajot. 2015.018366
  13. Feder, K., Majnemer, A., & Synnes, A. (2000). Handwriting: Current trends in occupational therapy practice. Canadian Journal of Occupational Therapy, 67(3), 197-204. https://dx.doi.org/10.1177/000841740006700313
  14. Gardner, M. F. (1998). Test of handwriting skills. Hydesville, CA: Psychoolgical and Educational Publication.
  15. Ham, B. H., Kim, S. K., Lee, J. S., & Jeon, B. J. (2012). The effects of sensory integration treatment on handwriting performance in children with attention deficit hyperactivity disorder. The Journal Korean Academy of Sensory Integration, 20(2), 55-70.
  16. Hwang, H. J., Park, K. R., Jin, H. J., & Kim, K. M. (2014). The relationship between writing ability of a preschool child and functional achievement ability. The Journal Korean Academy of Sensory Integration, 12(2), 13-24.
  17. Jeong, H. D. (2001). The handwriting activities of children with cerebral palsy. Doctor's dissertation, Dankook University, Cheonan.
  18. Ji, S. Y., & Namgung, Y. (2002). Postural control, bilateral coordination and motor planning outcomes in child with developmental delay who receive sensory integration therapy: Single subject research design. The Journal of Korean Society of Occupational Therapy, 10(1), 63-70.
  19. Kim, D. J., Kwon, K. O., Park, Y. H., Lee, S. M., & Kim, K. M. (2006). The relationship with motor praxis and visual perception of elementary school student. The Journal of Korean Society of Occupational Therapy, 14(2), 69-79.
  20. Kim, H. N. (2011). Effects of sensory integration program on hand dexterity and hand precision of the children with developmental coordination disorder. Master's thesis, Dankook University, Cheonan.
  21. Kim, J. M., & Kim, K. M. (2007). The review of proprioceptive activitiesin sensory integration intervention. The Journal Korean Academy of Sensory Integration, 5(1), 51-62.
  22. Kim, K. M., Ji, S. Y., & Noh, J. S. (2003). Sensory integration Q & A. Seoul: Jeongdam.
  23. Lee, S. M. (2002). A study relationship between finger coordination and handwriting speed in low-level of elementary school students. Master's thesis, Daegu University, Kyeongsan.
  24. Lee, S. Y., & Park, S. Y. (2006). The development of in-hand manipulation skills in normal children. Research of sports science, 17, 59-69.
  25. Levine, M. D., Oberklaid, F., & Meltzer, L. (1981). Developmental output failure: A study of ow productivity in school-aged children. Pediatrics, 67(1), 18-25.
  26. Lynne, P., & Kelly, R. (2004). Practical considerations for school-based occupational therapists. MD: American Occupational Therapy Association.
  27. McHale, K., & Cermak, S. (1992). Fine motor activities in elementary school: Preliminary findings and provisional implications for children with fine motor problems. American Journal of Occupational Therapy, 46(10), 898-903. http://dx.doi.org/10.5014/ajot.46.10.898
  28. Min, K. C. (2008). Relationships between handwriting legibility and visual perception skills of preschool children. Master's thesis, Yonsei University, Wonju.
  29. Parham, L. D., & Mailoux, Z. (2010). Sensory integration. In J. Case-Smith (Ed.), Occupational Therapy for Children (6th ed., pp. 325-372). Mayland: Mosby.
  30. Parham, L. D., Roley, S. S., May-Benson, T. A., Koomar, J., Brett-Green, B., Burke, J. P., et al. (2011). Development of a fidelity measure for research on the effectiveness of the Ayres Sensory $Integration^{(R)}$ intervention. American Journal of Occupational Therapy, 65(2), 133-142. http://dx.doi.org/10.5014/ajot.2011.000745
  31. Park, H. N. (2009). Effects of a weighted vest on the handwriting activity of the children with developmental coordination disorder. Master's thesis, Dankook University, Cheonan.
  32. Park, H. S., Lee, N. H., Kim, K. M., & Jang, M. Y. (2013). The effects of proprioceptive-vestibular based sensory integration intervention on drooling and postural control of the child with developmental delay: Single subject research design. Journal of Special Education & Rehabilitation Science, 52(1), 337-354.
  33. Park, J. H., Lee, E. J., Noh, J. S., Lee, H. S., & Cha, J. J. (2010). The effect of sensory integration program (sensory integration therapy) after school on functional task performance in school. The Journal Korean Academy of Sensory Integration, 8(1), 27-40.
  34. Phelps, J., Stempel, L., & Speck, G. (1984). The children's handwriting evaluation scale: A new diagnostic tool. Dallas, TX: Texas Scottish Rite Hospital for Crippled Children.
  35. Phelps, J., & Stempel, L. (1987). The children's handwriting evaluation scale for manuscript writing. Dallas, TX: Texas Scottish Rite Hospital for Crippled Children.
  36. Reisman, J. (1999). Minnesota handwriting test. San Antonio, TX: Psychological Corporation.
  37. Rho, G. M., Hong, E. K., & Kim, K. M. (2011). The effects of sensory integration on postural control and hand function in child with pervasive developmental disorder. Journal of Special Education & Rehabilitation Science, 50(3), 377-392.
  38. Ryu, S. U., Kim, I. S., & Kim, K. M. (2013). The effect of sensory integrative intervention on postural control and occupational performance (play) of the preschool child with postural disorder: Case study using goal attainment scale (GAS). The Journal Korean Academy of Sensory Integration, 11(2), 1-11.
  39. Schneck. C. M. (1991). Comparison of pencil-grip patterns in first graders with good and poor writing skills. American Journal of Occupational Therapy, 45(8), 701-706. http://dx.doi.org/10.5014/ajot.45.8.701
  40. Schneck, C. M., & Amundson, S. J. (2010). Prewriting and handwriting skills. In J. Case-Smith (Ed.), Occupational Therapy for Children (6th ed., pp. 555-580). Mayland: Mosby.
  41. Sin, M. K., & Park, J. H (2016). Effects of a taskoriented intervention on handwriting of school aged children with ADHD: A case study. The Journal of Korean Society of Occupational Therapy, 24(1), 65-74. http://dx.doi.org/10.14519/jksot.2016.24.1.06
  42. Smith-Zuzovsky, N., & Exner, C. E. (2004). The effect of seated positioning quality on typical 6-and 7-year-old children's object manipulation skills. American Journal of occupational therapy, 58(4), 380-388. http://dx.doi.org/10.5014/ajot.58.4.380
  43. Tseng, M. H., & Cermak, S. A. (1993). The influence of ergonomic factors and perceptual-motor abilities on handwriting performance. American Journal of Occupational Therapy, 47(10), 919-926. http://dx.doi.org/10.5014/ajot.47.10.919
  44. Tseng, M. H., & Murray, E. A. (1994). Differences in perceptual-motor measures in children with good and poor handwriting. Occupational Therapy Journal of Research, 14(1), 19-36. http://dx.doi.org/10.1177/153944929401400102
  45. Tseng, M. H., & Chow, S. M. (2000). Perceptualmotor function of school-age children with slow handwriting speed. American Journal of Occupational Therapy, 54(1), 83-88. http://dx.doi.org/10.5014/ajot.54.1.83
  46. Weil M, J., & Amundson, S. J. C. (1994). Relationship between visuomotor and handwriting skills of children in kindergarten. American Journal of Occupational Therapy, 48(11), 982-988. http://dx.doi.org/10.5014/ajot.48.11.982
  47. 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. The Journal Korean Academy of Sensory Integration, 4(1), 1-15.