파킨슨병 환자의 Handwriting 기능 향상을 위한 운동학습 전략에 대한 문헌 고찰

유연환; 박진혁; 이주현

서지반출

국문초록

목적 : 본 연구의 목적은 파킨슨병으로 인하여 발생하는 handwriting에서의 문제에 대한 효과적인 운동학습 전략을 제시하기 위함이다. 방법 : 이를 위하여 파킨슨병 환자에게 발생하는 handwriting에서의 문제점인 소자증(Micrographia)을 치료한 국내외 문헌들을 고찰하였다. 결과 : 소자증을 개선하기 위해 파킨슨병 환자에 적용하는 운동학습 방법 중 외적단서와 되먹임 전략을 주로 적용한다. 이는 기저핵 손상으로 인한 내적 동기체계의 문제와 운동 개시의 어려움을 개선하기 위함이다. 외적단서는 시각적·청각적·언어적 단서 등을 이용하였고, 되먹임은 주로 시각적 자극을 이용하였다. 외적단서와 시각적 되먹임을 제시하는 동안 소자증을 가진 환자의 글자의 크기를 확대시키는 효과가 있었고, 일부 연구에서는 단서 제거 후 짧은 기간 동안 쓰기과제 수행이 유지되는 결과를 보고하였다. 결론 : 앞으로 운동학습의 효과가 장기간 유지되는 전략을 도출하는 연구가 필요할 것으로 사료된다.

영문초록

Objective : The purpose of the study is to propose the treatment methods for problem of handwriting, micrographia in Parkinson's disease. Methods : For this purpose, foreign literatures on the subjects with Parkinson's disease was researched. Results : The results of this review is summarized as follows. The treatment methods for micrographia were applied to external cue and feedback among motor learning strategies in order to improve motor initiation. The external cues included visual, auditory, and verbal stimulations, and feedback strategy was visual stimulation. For writing with external cue or visual feedback, result in expanding the size of the letters in addition, writing task performance is maintained for a short period without those. Conclusion : Further studies are needed to examine the strategy maintained effect for long periods.

키워드

파킨슨병 운동학습 쓰기 소자증 외적단서 되먹임 Parkinson's disease Motor learning Handwriting Micrographia External cue Feedback

참고문헌 (42건)

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