누난증후군 아동에게 적용된 삼킴재활치료의 효과 - 증례보고
The Effect of Swallowing Therapy on Child of Noonan Syndrome - A Case Report
윤인진,
소속 상세정보
윤인진 ( Yoon In-Jin )
Seoul Asan Medical Center Department of Occupational Therapy
Abstract
The purpose of this report is to identify the effect of swallowing therapy on the child who was diagnosed with Noonan syndrome. At the initial examination (29 months old), the patient could not chew the food and hold in the mouth. He ate only the type of the puree and refused solid food. He was evaluated 24 scores on the Behavioral Assessment Scale of Oral Function in Feeding(BASOFF), and 5 levels on the American Speech Language and Hearing Association: National outcomes measurements system(ASHA NOMS). His main problem was decrease of the function of cheek, lips, tongue, and chewing, and refusal the food. So, he was participated in the swallowing therapy during 30 minutes, once a week. His goal was to eat regular diet through improved the swallowing function. The swallowing therapy consisted of oral sensory motor facilitation, exercise of the cheek, lips and tongue, chewing training, training for reduction of rejected food, and feeding training. At 33 months old, he was evaluated 38 scores on the BASOFF, and 6 levels on the ASHA NOMS. And at 37 months old, he was evaluated 44 scores on the BASOFF, and 7 levels on the ASHA NOMS. He could eat various type of the food without drooling, coughing, holding in the mouth, and refusal. He has reached the goal, so the swallowing therapy was finished. This report suggests that the swallowing therapy for children with Noonan syndrome who are difficult in feeding and swallowing has positive effects on swallowing function.
키워드
Noonan Syndrome; Child; Dysphagia; Swallowing therapy
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