2024년 작업치료 개념서 01-신경계 CHAPTER 1 감각운동접근법 _7 1.1 NDT ························································································· 9 1.2 Rood 접근법 ··········································································· 28 1.3 Brunnstrom 접근법 ································································· 39 1.4 PNF 접근법 ············································································ 51 1.5 운동학습 ················································································· 67 1.6 운동조절 평가 ········································································· 70 Summary ······················································································ 79 CHAPTER 2 뇌졸중 _83 2.1 개요 ························································································ 85 2.2 평가 ························································································ 91 2.3 합병증 ··················································································· 111 2.4 회복 단계 ·············································································· 112 2.5 치료 ······················································································ 114 2.6 주의사항 ··············································································· 128 Summary ···················································································· 129 CHAPTER 3 연하곤란 _133 3.1 개요 ······················································································ 135 3.2 연하 관련 해부 및 생리 ······················································· 136 3.3 삼키기 평가 ·········································································· 150 3.4 치료 ······················································································ 166 Summary ···················································································· 184 CHAPTER 4 척수 손상 _187 4.1 정의 ······················································································ 189 4.2 척수 손상의 결과 ································································· 190 4.3 완전 손상과 불완전 손상 ····················································· 190 4.4 합병증 ··················································································· 197 4.5 척수 손상의 외과적 관리 ····················································· 201 4.6 작업치료 수행 ······································································· 201 Summary ···················································································· 210 CHAPTER 5 외상성 뇌 손상 _213 5.1 개요 ······················································································ 215 5.2 코마 및 의식 수준 ······························································· 218 5.3 임상적 양상 ·········································································· 221 5.4 초기 수준의 환자 평가 ························································· 227 5.5 초기 수준의 환자 치료 ························································· 228 5.6 중기 및 중기 이상의 환자 ··················································· 233 Summary ···················································································· 238 CHAPTER 6 신경원성 및 근육성 질환 _241 6.1 개요 ······················································································ 243 6.2 신경성 질환 ·········································································· 243 6.3 급성회백수염 ········································································· 245 6.4 소아마비 후 증후군 ······························································ 248 6.5 길랭 바레 증후군 ································································· 250 6.6 말초 신경 손상 ····································································· 254 6.7 신경근육 연접 질환 ······························································ 264 6.8 근육퇴행위축 ········································································· 266 Summary ···················································································· 269 CHAPTER 7 중추 신경계의 퇴행성 질환 _277 7.1 ALS ······················································································ 279 7.2 알츠하이머병 ········································································· 281 7.3 헌팅턴 병 ·············································································· 286 7.4 다발성 경화증 ······································································· 291 7.5 파킨슨 병 ·············································································· 295 Summary ···················································································· 301

머리말 작업치료 분야는 그 어떤 영역보다 광범위하고 다차원적인 분야이다. 의학, 심리학, 사회학 등 인간 관련 다영역적 학문으로 매우 다양하고 복합적 성격을 지닌 학문이다. 국내 작업치료 역사는 한국전쟁을 시작으로 이미 반세기가 지났으며, 매우 다양한 분야로 진출하고 있다. 반면, 국내 작업치료의 교육 현실은 예전보다 많이 발전하였으나 전공 교육과정에 필요한 교재는 여전히 부족한 상태이며, 이로 인해 국가시험을 준비해야 하는 재학생들에게 큰 부담이 되고 있다. 이에 본 교재는 부족한 교육과정을 보충하고 중요한 내용들을 요약정리하므로 보다 쉽게 작업치료사 국가고시를 준비할 수 있도록 구성하였다. 최근 국가시험은 보다 전문적이고, 과학적이며, 다양한 문제들이 출제되는 경향을 보이고 있다. 과거 출간된 서적들 대부분이 암기형 문제 풀이식으로 구성되어 있어 국가시험을 준비하는 학생들에게 큰 도움을 주지 못했던 반면, 본 서적은 다양한 분야의 실기형ㆍ 사례형 문제들을 탑재하는 동시에 풍부한 해설을 통해 체계적이고, 논리적 학습이 가능하도록 편집하였다. 본 교재는 학생들의 이해도를 높이기 위해 구체적이고, 보다 체계적인 해설과 매뉴얼을 제공하고 있으며, 실전 문제와 같은 문제들을 통해 국시 및 임상대비 능력을 극대화하고자 하였다. 국시에 필요한 전공과목의 체계적인 정리는 학생들 스스로 학습이 가능하도록 하였으며, 출제 비중이 높은 이론과 실기, 그에 따른 해설을 통해 학생들의 학습효과를 극대화하여 국가시험에 대한 자신감을 높여주고자 한다. 작업치료사 국가시험을 준비하는 모든 학생들에게 등대와 같은 교재가 되기를 희망하며… 2024년 4월 작업치료 국시연구회