뇌성마비 및 Down증후군 아동의 습식행동 양상
FEEDING BEHAVIOR OF CEREBRAL PALSY AND DOWN'S SYNDROME CHILDREN
서미숙, 안형준, 성기홍,
소속 상세정보
서미숙 ( Seo Mi-Suk ) - 경북대학교 치과대학 소아치과학
안형준 ( ) - 경북대학교 치과대학 소아치과학
성기홍 ( ) - 경북대학교 치과대학 소아치과학
KMID : 0358919930200010204
Abstract
요약
심신 장애 아동중 섭식 장애가 심하게 나타나는 뇌성마비아 50명(평균 연령 12.6세)과
Down증후군 아동 30명(평균 연령 9.8세)을 대상으로 섭식 행동양상을 평가하기 위해 아동
을 직립 자세를 유지시킨 상태에서 우유와 콘프레이크를 혼합한 음식물을 주었을때의 구순
폐쇄능, 혀돌출 양상, 혀운동 발달, 턱운동 발달, 저작 기능, 연하시 과긴장과 과민반응등의
섭식 행동양상을 비디오 화면상에서 반복 평가하여 아래와 같은 결론을 얻었다.
뇌성마비아와 Down증후군 아동은 연하 방법의 미성숙, 구순폐쇄능의 감소, 혀돌출의 증
가, 혀와 턱운동의 미발달, 저작 기능의 미발달이 나타났다.
포식시, 음식물처리시의 구순폐쇄능은 Down증후군 아동이 좋았으나 연하시 구순폐쇄능은
뇌성마비아가 더 좋았다.
Down증후군 아동은 음식물 처리시나 연하시 혀돌출이 많았으며 돌출시 혀의 위치도 뇌
성마비아에 비해 더 전방에 위치하였다.
혀와 턱운동의 발달은 Down증후군 아동에서 덜 잘 발달되었다.
뇌성마비아에 있어서는 상순의 저긴장이 Down증후군 아동에 있어서는 혀근육의 저긴장
이 나타났다.
과긴장과 과민반응은 주로 뇌성마비아에서 나타났다.
#초록#
It has been well documented that many cerebral palsy and Down's syndrome children
exibit various types of abnormal eating patterns which mainly originate from
underdevelopment of oral functions.
In this study, a method for evaluating the oral functions in the feeding of the
handicapped children was developed and applied to evaluation of 50 cerebral palsy
children(mean age : 12.6) and 30 Down's syndrome children(mean age : 9.8).
Children were maintained upright position and were given milk and corn flake as
feeding materials.
The assessment scale consisted of swallowing pattern, lip sealing ability, tongue
protrusion behavior, and developmental evaluation of tongue and jaw movement,
mastication ability, muscle hypertension, and tactile hypersensitivity.
The oral movement of the subject was video-taped in actual feeding session. The
assessment, except for the evaluation of hypersensitivity, was carried out later on by
using the images on the video display.
The following conclusions were obtained.
Underdeveloped swallowing pattern, decreased lip sealing ability, increased tongue
protrusion rate, underdeveloped tongue and jaw movement, and mastication inability
were observed.
For sucking and mastication, lip sealing ability is better developed in Down syndrome
group but for swallowing lip sealing ability is better developed in cerebral palsy group.
In Down syndrome group, more tongue protrusion behavior is observed for mastication
and swallowind and when protruded more anteriorly positioned than in the cerebral
palsy group.
Tongue and mandibular movement is better developed in Down syndrome group than
in the in the cerebral palsy group.
The cerebral palsy group has upper lip hypotonicity and Down's syndrome group has
tongue hypotonicity.
Muscle hypertension and tactile hypersensitivity are more prevalent in the cerebral
palsy group than in the Down's syndrome group.
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