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Relation between Gross Motor Function and Eating and Drinking Ability, Oral Motor Function in Cerebral palsy

뇌성마비 아동의 대동작 기능과 먹고 마시기 기능, 구강운동기능의 상관관계 연구

  • Min, Kyoung-Chul (Department of Rehabilitation, Seoul Metropolitan Children's Hospital) ;
  • Moon, Yong-Seon (Department of Rehabilitation, Seoul Metropolitan Children's Hospital) ;
  • Seo, Sang-Min (Department of Occupational Therapy, Semyung University)
  • 민경철 (서울특별시 어린이병원 재활의학과 작업치료실) ;
  • 문용선 (서울특별시 어린이병원 재활의학과 작업치료실) ;
  • 서상민 (세명대학교 작업치료학과)
  • Received : 2021.06.03
  • Accepted : 2021.08.20
  • Published : 2021.08.28

Abstract

Goal of this study is to perform the correlation about Gross motor function, eating-drinking function, and oral motor function, to identify necessity for invervention of feeding disorders on severity of the function of children with cerebral palsy. Subjects were 61 children diagnosed with cerebral palsy. The subject were evaluated for oral motor function, feeding function by GMFCS, EDACS, OMAS. The results of this study showed a significant correlation between gross motor function, eating and drinking functions, and oral motor functions. That is, the more severe the deterioration of the motor function, the lower the functional level of eating and drinking and oral motor function deterioration. In evaluating and treating the eating activity of children with cerebral palsy through this study, it seems necessary to check the eating and drinking function and oral motor function according to the gross motor function.

본 연구는 뇌성마비 아동의 대동작 기능과 먹기, 마시기 기능, 구강 운동 기능과의 상관관계를 확인해보고, 뇌성마비 아동의 대동작 기능의 심한 정도에 따른 연하 재활의 필요성을 확인하기 위해 시행되었다. 뇌성마비 진단을 받은 아동 61명을 대상으로 대동작 기능 분류 체계(GMFCS), 먹기와 마시기 기능분류 체계(EDACS), 구강 운동 기능 검사(OMAS)를 사용하여 대동작 기능, 먹고 마시기 기능, 구강 운동 기능 수준을 평가하고 각 기능 간 상관관계를 확인하였다. 본 연구의 결과는 대동작, 먹고 마시기 기능, 구강 운동 기능 사이에서 유의한 상관관계를 보였다. 즉, 대동작 기능 저하가 심할수록 먹고 마시기 기능과 구강 운동 기능 저하 역시 낮은 기능 수준을 보였다. 본 연구를 통하여 뇌성마비 아동의 섭식활동을 평가하고 치료함에 있어, 아동의 대동작 기능에 따른 먹고 마시기 기능, 구강 운동 기능에 대한 확인이 필요할 것으로 보인다.

Keywords

Acknowledgement

This work was supported by the research grant of Korean Academy of Dysphagia Rehabilitation of 2021

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