[논문]포괄적 구강안면기능척도(Comprehensive Oro-Facial Function Scale; COFFS)의 개발

손영수; 민경철; 우희순

doi:10.22683/tsnr.2022.11.1.069

포괄적 구강안면기능척도(Comprehensive Oro-Facial Function Scale; COFFS)의 개발
Development of Comprehensive Oro-Facial Function Scale 원문보기

Therapeutic science for rehabilitation = 재활치료과학, v.11 no.1, 2022년, pp.69 - 85

손영수 (브레인재활요양병원 작업치료실) , 민경철 (서울특별시 어린이병원 재활의학과 작업치료실) , 우희순 (원광대학교 의과대학 작업치료학과)

초록
AI-Helper

목적 : 본 연구는 연하장애 환자를 대상으로 구강안면기능을 평가할 수 있는 포괄적 구강안면기능척도(Comprehensive Oro-Facial Function Scale; COFFS)를 개발하고자 실시되었다. 연구방법 : COFFS의 문항 구성과 신뢰도를 검증하는 연구로 4개의 선행 연구를 선택 분석하여 예비문항을 수집하였고, 전문가를 대상으로 2차의 설문조사를 통해 내용타당도(Content Validity Ratio; CVR)를 도출하였다. 평가 항목의 내적 타당도를 위해 Cronbach's 𝛼값을 산출하였으며, 급간 내 상관계수(Internal Classification Coefficients; ICC)를 이용하여 검사-재검사 신뢰도 및 검사자간 신뢰도를 구하였다. 결과 : 전체 문항의 내용타당도는 0.67로 나타났으며, 영역별 Cronbach's 𝛼값의 경우 의사소통 영역 0.849, 구강안면 구조 및 형태 -0.224, 구강안면 움직임 수행능력 0.831, 저작 및 삼킴 기능은 0.946으로 도출되었으며, 검사-재검사 신뢰도는 0.974, 검사자간 신뢰도는 0.937로 높은 신뢰도를 보였다. 결론 : 본 연구에서 COFFS의 평가도구는 4개의 영역에서 34개의 문항을 최종적으로 선정하였고, 평가항목에 따라 3~5점 척도로 개발되었다. 추후 연구에서는 구강안면기능을 측정하는 다른 평가도구와의 상관관계를 통해 타당도를 입증할 추가연구가 필요할 것으로 사료된다.

Abstract ▼ AI-Helper

Objective : This study aimed to develop a Comprehensive Oro-Facial Function Scale (COFFS) that can evaluate oro-facial function in patients with dysphagia. Methods : To verify the item composition and reliability of the COFFS, preliminary items were collected by selecting and analyzing four previous studies, and the Content Validity Ratio (CVR) was derived through a second survey of experts. Cronbach's 𝛼 was calculated for the internal validity of the evaluation items, and the test-retest reliability and inter-rater reliability were calculated using the internal classification coefficients (ICC). Results : The content validity ratio of all items was 0.67; in the case of Cronbach's 𝛼 value for each domain, 0.849 for communication domain, -0.224 for the oro-facial structure and shape, 0.831 for the ability to perform orofacial movements, and 0.946 for mastication and swallowing function. The test-retest reliability was 0.974 and the inter-rater reliability was 0.937, showing high reliability. Conclusion : In this study, the evaluation tool of COFFS was finally selected from 34 items in four areas and developed on a 3-5 point scale according to the evaluation items. In future studies, additional research is needed to prove its validity through correlation with other evaluation tools that measure oro-facial function.

주제어

표/그림 (6)

표 Table 1. Characteristics of Survey Group (N=24)
표 Table 2. General Characteristics of Subjects (N=20)
표 Table 3. Evaluation Items and CVRs in Comprehensive Oro-Facial Function Scale (COFFS)
표 Table 3. Evaluation Items and CVRs in Comprehensive Oro-Facial Function Scale (COFFS) (continued)
표 Table 4. Result of Internal Consistency
표 Table 5. Test-Retest Reliability and Inter-rater Reliability Result of COFFS (N=20)

참고문헌 (34)

Adams, V., Mathisen, B., Baines, S., Lazarus, C., & Callister, R. (2013). A systematic review and meta-analysis of measurements of tongue and hand strength and endurance using the Iowa Oral Performance Instrument (IOPI). Dysphagia, 28(3), 350-369. https://doi.org/10.1007/s00455-013-9451-3

상세보기
Bakke, M., Bergendal, B., McAllister, A., Sjogreen, L., & Asten, P. (2007). Development and evaluation of a comprehensive screening for orofacial dysfunction. Swedish Dental Journal, 31(2), 75-84.

상세보기
Campos, C. H., Ribeiro, G. R., Costa, J. L. R., & Garcia, R. C. M. R. (2017). Correlation of cognitive and masticatory function in Alzheimer's disease. Clinical Oral Investigations, 21(2), 573-578. https://doi.org/10.1007/s00784-016-1923-z

상세보기
Chang, K. Y. (1997). Evaluation and treatment of oral motor function. Journal of Korean Society of Occupational Therapy, 5(1), 67-74.
Clark, H. M., Henson, P. A., Barber, W. D., Stierwalt, J. A., & Sherrill, M. (2003). Relationships among subjective and objective measures of tongue strength and oral phase swallowing impairments. American Journal of Speech-Language Pathology, 12(1), 40-50. https://doi.org/10.1044/1058-0360(2003/051)

상세보기
Clark, H. M., & Solomon, N. P. (2012). Age and sex differences in orofacial strength. Dysphagia, 27(1), 2-9. https://doi:10.1007/s00455-011-9328-2

상세보기
Ertekin, C. (2011). Voluntary versus spontaneous swallowing in man. Dysphagia, 26(2), 183-192. https://doi.org/10.1007/s00455-010-9319-8

상세보기
Felicio, C. M. D., Lima, M. D. R. F., Medeiros, A. P. M., & Ferreira, J. T. L. (2017). Orofacial myofunctional evaluation protocol for older people: Validity, psychometric properties, and association with oral health and age. Communication Disorders Audiology and Swallowing, 29(6), 1-12. https://doi.org/10.1590/2317-1782/20172017042

상세보기
Fleiss, J. L. (1986). The design and analysis of clinical experiments. John Wiley & Sons.
Freed, M. L., Freed, L., Chatburn, R. L., & Christian, M. (2001). Electrical stimulation for swallowing disorders caused by stroke. Respiratory Care, 46(5), 466-474.

상세보기
Jo, E. J., Han, S. H., Choi, Y. W., Kim, H. J., Lee, S. J., Noh, D. H., Bae, W. J., Lee, N. J., Choi, M. K., Kim, K. J., & Kam, K. Y. (2016). Dysphagia evaluation of stroke patients: A systematic review. Journal of Korean Society of Occupational Therapy, 24(4), 45-68. https://doi.org/10.14519/jksot.2016.24.4.04

상세보기
Kang, B. M., Kwon, H. C., Kim, H., & Cho, Y. N. (2013). Effect of orofacial exercise on the swallowing function of stroke patients. The Journal of Korean Society of Occupational Therapy, 21(1), 57-69.
Koch, W. M. (1993). Swallowing disorders: Diagnosis and therapy. Medical Clinics of North America, 77(3), 571-582. https://doi.org/10.1016/S0025-7125(16)30240-1

상세보기
Koo, T. K., & Li, M. Y. (2016). A guideline of selecting and reporting intraclass correlation coefficients for reliability research. Journal of Chiropractic Medicine, 15(2), 155-163. https://doi.org/10.1016/j.jcm.2016.02.012

상세보기
Lawshe, C. H. (1975). A quantitative approach to content validity. Personnel Psychology, 28(4), 563-575.

상세보기
Lazarus, C., Clark, H., Arvedson, J., Schooling, T., & Fymark, T. (2011). Evidence-based systematic review: Effects of oral sensory-motor treatment on swallowing in adults. American Speech Language Hearing Association, 1-42.
Logemann, J. A. (1998). Evaluation and treatment of swallowing disorders (2nd ed.). PRO-ED.
Lund, J. P. (1991). Mastication and its control by the brain stem. Critical Reviews in Oral Biology & Medicine, 2(1), 33-64. https://doi.org/10.1177/10454411910020010401

상세보기
Mann, G., Hankey, G. J., & Cameron, D. (2000). Swallowing disorders following acute stroke: Prevalence and diagnostic accuracy. Cerebrovascular Diseases, 10(5), 380-386. https://doi.org/10.1159/000016094

상세보기
Marchesan, I. Q., Berretin-Felix, G., & Genaro, K. F. (2012). MBGR protocol of orofacial myofunctional evaluation with scores. International Journal of Orofacial Myology, 38, 38-77.

상세보기
Miller, A. J. (2003). Oral and pharyngeal reflexes in the mammalian nervous system: Their diverse range in complexity and the pivotal role of the tongue. Critical Reviews in Oral Biology & Medicine, 13(5), 409-425. https://doi.org/10.1177/154411130201300505

상세보기
Morris, S. E., & Klein, M. D. (2000). Pre-feeding skills: A comprehensive resource for mealtime development. Therapy Skill Builders.
Morisaki, N. (2018). Effects of oral exercise on oral function among Japanese dependent elderly individuals living in nursing facilities. International Journal of Nursing & Clinical Practices, 5, 1-4. https://doi.org/10.15344/2394-4978/2018/301
Oh, J. C. (2014). Reliability and validity of Korean Mann Assessment of Swallowing Ability (K-MASA) (Doctoral dissertation). Yonsei University, Wonju.
Park, Y. G., Cha, T. H., & Jung, M. Y. (2011). Rehabilitation dysphagia therapy for individuals with dysphagia. Journal of the Korean Dysphagia Society, 1(1), 31-38.
Park, Y. H. (2011). Clinical evaluation of the swallowing. Journal of the Korean Dysphagia Society, 1(1), 19-24.
Prosiegel, M., Riecker, A., Weinert, M., Dziewas, R., Lindner-Pfleghar, B., Stanschus, S., & Warnecke, T. (2012). Management of dysphagic patients with acute stroke. Nervenarzt, 83(12), 1590-1599. https://doi.org/10.1007/s00115-012-3679-2

상세보기
Robbins, J., Kays, S. A., Gangnon, R. E., Hind, J. A., Hewitt, A. L., Gentry, L. R., & Taylor, A. J. (2007). The effects of lingual exercise in stroke patients with dysphagia. Archives of Physical Medicine and Rehabilitation, 88(22), 150-158. https://doi.org/10.1016/j.apmr.2006.11.002

상세보기
Seo, S. M., Song, Y. J., & Woo, H. S. (2020). Study on the status of dysphagia rehabilitation. Journal of the Korean Dysphagia Society, 10(1), 47-55. https://doi.org/10.34160/jkds.2020.10.1.006

상세보기
Shrout, P. E., & Fleiss, J. L. (1979). Intraclass correlations: Uses in assessing rater reliability. Psychological Bulletin, 86(2), 420-428. https://doi.org/10.1037//0033-2909.86.2.420

상세보기
Solomon, N. P., Clark, H. M., Makashay, M. J., & Newman, L. A. (2008). Assessment of orofacial strength in patients with dysarthria. Journal of Medical Speech-language Pathology, 16(4), 251-258.

상세보기
Steele, C. M., Bailey, G. L., Polacco, R. E., Hori, S. F., Molfenter, S. M., Oshalla, M., & Yeates, E. M. (2013). Outcomes of tongue-pressure strength and accuracy training for dysphagia following acquired brain injury. International Journal of Speech-Language Pathology, 15(5), 492-502. https://doi.org/10.3109/17549507.2012.752864

상세보기
Yeates, E. M., Molfenter, S. M., & Steele, C. M. (2008). Improvements in tongue strength and pressure-generation precision following a tongue-pressure training protocol in older individuals with dysphagia: Three case reports. Clinical Interventions in Aging, 3(4), 735-747. https://doi.org/10.2147/cia.s3825

상세보기
Yoshida, M., Kikutani, T., Tsuga, K., Utanohara, Y., Hayashi, R., & Akagawa, Y. (2006). Decreased tongue pressure reflects symptom of dysphagia. Dysphagia, 21(1), 61-65. https://doi.org/10.1007/s00455-005-9011-6

상세보기

표제어: PCR

동의어: Packet Collision Rate

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용어 설명: PCR은 세균 특이성이 있는 primer를 이용하여 적은 수의 세균이 있을지라도 쉽게 검출할 수 있는 유용한 방법이며, 이를 이용하여 구강 내 치면세균막이나 타액에서 직접 세균을 검출할 수 있게 되었다[8].

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