Earticle

목적 : 본 연구는 발달장애 아동을 대상으로 가상현실게임 프로그램이 눈-손 협응력에 어떤 영향을 주는지 에 대해 알아보고자 한다. 연구방법 : 발달장애아동 6명을 대상으로 그 중에 3명을 감각통합 프로그램과 가상현실게임 프로그램을 실 시하는 실험군으로 선정하였고, 나머지 3명의 아동들은 감각통합 프로그램만을 실시는 대조군으로 선정 하였다. 2013년 9월부터 10월까지, 총 10회의 프로그램을 실시하였다. 한국판 시지각 발달검사 (K-DTVP-2) 중 하위 항목인 눈-손 협응을 사전-사후평가로 실시하여 결과로 나온 점수를 비교분석하 였다. 결과 : 가상현실프로그램에 참여한 아동이 가상현실 프로그램 참여전보다 참여후가 눈-손 협응 능력의 평균 점수가 높았고 통계적으로 유의한 차이를 보였다(p>0.044). 감각통합 프로그램에 참여한 아동이 감각통합 프로그램 참여 전보다 참여 후가 눈-손 협응 능력의 평균점수가 높았으나 통계적으로 유의한 차이를 보 이지 않았다. 실험군과 대조군 간에는 통계적으로 유의한 차이를 보이지 않았다. 결론 : 가상현실게임 프로그램을 이용한 훈련이 발달장애 아동의 눈-손 협응력 향상에 영향을 주었다.

Objective : This study was the influence of the training program using virtual reality on eye-hand coordination in children with developmental disordered. Methods : Six children(5 males, 1 female)with developmental disordered were recruited and randomly assigned to the control group(n=3) and the experimental group(n=3). Three children in the control group performed a fifty minutes of SI program ten times for ten weeks. In the experimental group, the other three children underwent a fifty minutes of SI program and virtual reality game. K-DTVP-2(Korean Developmental Test of Visual Perception)was used to measure the eye-hand coordination. Results : After a ten weeks of training program, there were significant differences in the eye-hand coordination in the experimental group. Conclusion : The training program using virtual reality games influenced for improving at the eye-hand coordination in children with developmental disordered.

발달장애 아동은 발달지체 이외에 발달지체로 인해 파생되는 이차적인 정서 및 행동 문제를 보이기 때문에 아동을 양육하는 부모의 스트레스를 가중시켜서 부모-아동 상호작용에 영향을 미친다. 본 연구는 15쌍의 발달장애아동과 부모를 대상으로 부모-아동 상호작용 증진 프로그램을 실시하고 프로그램 실시 전과 실시 후의 효과에 대해서 살펴보았다. 부모-아동 상호작용 증진 프로그램은 건강한 부모-자녀 관계의 재형성에 초점을 두고 부모가 아동의 놀이에 적극적으로 참여해서 양육적인 신체활동을 제공하도록 훈련하는 것과 부모-아동 상호작용에 영향을 미치는 발달장애 아동의 특성에 관한 내용을 부모교육 하는 것이다. 중재 프로그램 실시 후에는 아동의 어머니가 아동의 욕구를 인식하여 충족시키는 상호작용 행동이 유의미하게 증가하였다.

Children with development disorder have emotional and behavioral problem as well as developmental delay, which causes more stress for their parents and interactional problem between children and parents. The purpose of this study is to find out the effect of Parent-Child Improvement Program for 15 pairs of developmental disordered children and their parents. Parent-Child Interaction Improvement Program is focused on better relationship between children and parents. It contains training parents to supply their children with developmental physical activities through active participation in children's plays. It also contains educating parents on the characteristics of developmental disordered children which affect parent-child interaction. After Parent-Child Improvement Program, there was significant increase of parent's interactional behaviors to satisfy children's needs based on their own recognition.

이 연구는 발달장애 아동을 대상으로 총 73회기의 장기 놀이치료를 실시하여 자발성, 반응성의 증진, 사회성숙도의 향상에 변화를 보고자 하였다. 본 연구는 발달장애 아동에게 경험적으로 실시 되어온 행동 문제의 수정, 단순한 일상생활의 기술 향상 보다 더욱 적응력있는 발달을 증진시키고자 하는 치료적 목적으로 놀이치료를 실시하였다. 놀이치료의 효과검증은 치료자와의 치료과정 동안 일어난 치료자와의 관계를 통해 평가 분석되었다. 또한 치료 목표를 평가하기 위해 SMS를 사전 사후에 비교 실시하였다. 그 결과 첫째, 아동의 자발성과 반응성을 증진시키는데 있어서 놀이치료가 효과적인 것으로 나타났다. 둘째, 치료회기가 진행됨에 따라 사회적 행동의 일환으로 치료자와의 타협, 욕구조절, 구체적인 적응행동의 향상이 일어났다. 그러나 본 연구가 단일 치료 사례이므로 이를 일반화하기에는 많은 사례들이 요구된다. 그러므로 본 사례의 통계적 효과 검증에는 한계가 있다.

This thesis is to examine children with Developmental Disorder in terms of changes in spontaneousness, the increase of responsiveness, and the improvement in social maturity through 73 sessions. In this study play therapies have been practiced to improve more adaptive development instead of improving the correction of problematic behavior or the everyday skills that have been empirically practiced on children with developmental disorder. Effective test on play therapy is assessed through the relationship with the therapist that occur during the therapies. Then in order to examine the purpose of the therapy, SMS is both compared and assessed before and after the session. First the result shows that play therapy turns out to be effective in increasing the spontaneousness and responsiveness of children. Second, as therapy sessions go on, improvement in the compromise with therapist, control of desire, and concrete adaptive behavior has been attained. But to generalize these findings, more cases are needed, since this study is a single case one. Therefore this study has some limitations to be statistically tested.

A child with five delay, five ankylosis, five weakening needs to take herbal medicine for a long term. So safety, efficacy inspection for the long term usage of herbal medicine and mixed dose is needed because other medication or functional health foods, etc could be taken during this process. Operated liver function test before and after dosing herbal medicine to one hundred and sixty children who aided private oriental medicine located in Seoul, and measured the efficacy by comparing sleeping hours, morbidity, stamina, sanguineness, personality, digestion with the state before taking herbal medicine based on questionnaire done by the parents. Every children were under the limits, and there were no differences between boys and girls, and no notable differences according to family histories. There were positive results in efficacy inspection ordered as improvement in personality, stamina, sanguineness, decrease in morbidity, increase in appetite, digestion. No signs of disorder in liver function has been found during the dose of herbal medicine or simultaneous medicine, and shown promotion of health.

A child with five delay, five ankylosis, five weakening needs to take herbal medicine for a long term. So safety, efficacy inspection for the long term usage of herbal medicine and mixed dose is needed because other medication or functional health foods, etc could be taken during this process. Operated liver function test before and after dosing herbal medicine to one hundred and sixty children who aided private oriental medicine located in Seoul, and measured the efficacy by comparing sleeping hours, morbidity, stamina, sanguineness, personality, digestion with the state before taking herbal medicine based on questionnaire done by the parents. Every children were under the limits, and there were no differences between boys and girls, and no notable differences according to family histories. There were positive results in efficacy inspection ordered as improvement in personality, stamina, sanguineness, decrease in morbidity, increase in appetite, digestion. No signs of disorder in liver function has been found during the dose of herbal medicine or simultaneous medicine, and shown promotion of health.