집중치료가 뇌성 마비아의 대동작 기능 점수에 미치는 영향

The Effect of Intensive Therapy on Gross Motor Function Measure Score in Cerebral Palsy

  • 오정림 (대원대학 물리치료과) ;
  • 김중선 (대구대학교 재활과학대학 물리치료학과)
  • Oh, Jung-Lim (Department of Physical Therapy, Daewon collage) ;
  • Kim, Chung-Sun (Department of Physical Therapy, Collage of Rehabilitation Science, Daegu University)
  • 발행 : 2009.05.30

초록

Purpose:The purpose of this study was to find the effect of intensive therapy on gross motor function measure(GMFM) score in cerebral palsy. Methods:Twenty eight cerebral palsy children were recruited in this study. Gross motor Function Measure(GMFM) score and Gross motor Function Classification System(GMFCS) were used to evaluate as functional change and functional level. Intensive therapy period for cerebral palsy children was 3, 4, and 5 weeks. Statistical analysis was used paired T test and one way ANOVA to know change between pre and post therapy was used. Results:GMFM Score of pre- and post- intensive therapy showed the statistically significant difference. Intensive therapy period indicated the statistically significant difference in GMFM score. GMFCS level did not reveal statistically significant difference in GMFM score. Conclusion:Intensive therapy was effective on gross motor function measure(GMFM) score in cerebral palsy.

키워드

참고문헌

  1. 김세주, 이은하, 이상헌 등. 뇌성마비아 부모의 욕구조사. 대한재활의학회지 2000;24(6):1070-8.
  2. 김수경. 뇌성 마비 아동의 운동 기능 발달을 위한 재활 치료. 한국스포츠리서치. 2004;15(6):211-20.
  3. 두정희, 김선엽. 발달장애 아동 어머니의 가정치료 참여도. 한국전문물리치료학회지. 1995;2(2):24-39.
  4. 박창일, 박은숙, 신지철 등. 뇌성마비의 조기진단을 위한 이학적 평가항목의 개발. 대한재활의학회지. 1997;21(4);679-88.
  5. 대한소아재활의학회. 소아 재활 의학. 군자 출판사. 2008.
  6. 정대영, 공남호. 자세, 움직임 정상화 프로그램이 뇌성마비아동의 대근육운동능력과 안구운동 능력에 미치는 효과. 지체부자유아교육. 2007;50(1):115-42.
  7. 조미애, 박창일, 박은숙 등. 위험인자를 지닌 신생아에서 뇌성마비 발생 빈도. 대한재활의학회지. 1997;21:1068-75.
  8. Bar-Ham S, Harries N, Belokopytov M et al. Comparsion of efficacy of Adeli suit and nuueodevelopmental treatment in children with cerebral palsy. Dev Med Child Neurol, 2006;48(5):325-30. https://doi.org/10.1017/S0012162206000727
  9. Bobath K & Bobath B the facilitation of normal postural reaction and movement in the treatment of cerebral palsy. Physiotherapy 1964;50:3-19.
  10. Bobath K & Bobath B The neuro- developmental treatment. 1984
  11. Brouwer D S, Missal M, Barnes G R et al. Quantitative analysis of catch up saccades during sustained pursuit. J Neurol. 2002;86:550-8.
  12. Bulter, C. & Darrah J. Effectof neurodevelopmental treatment(NDT) for cerebral palsy: an AACPMD evidence report, Dev Med Child Neurol, 2001;43:778-90. https://doi.org/10.1017/S0012162201001414
  13. Murphy CC, Yeargin-Allsopp M, Decoufle P et al. Prevalence of cerebral palsy among ten-year-old children in metropolitan Atalmta, 1985 through 1987. J Pediatr. 1993;123(5):S13-20. https://doi.org/10.1016/S0022-3476(05)80892-3
  14. Lilly LA, & Powell NJ. Measuring effect of neurodevelopmental treatment on the daily living skills of 2 children with cerebral palsy. Am J Occup Ther. 1993;44:139-45.
  15. Ottenbacher K. Evaluating Clinical Change: Strategies for Occupational and Physical Therapists. Baltimore: Williams & Wilkins. 1986.
  16. Paneth N. Etiologic factors in cerebral palsy. Pediatr Ann. 1986;15(3):191, 194-5, 197-201.
  17. Palmer FB, Shapiro BK, Wachtel RC et al. The effects of physical therapy on cerebral palsy. A controlled trial in infants with spastic diplegia. N Engl J Med. 1988;318(13):803-8. https://doi.org/10.1056/NEJM198803313181302
  18. Royeen CB, DeGangi GA. Use of neurodevelopmental treatment as an intervention : annotated listing of studies 1980-1990. Percept Mot Skills. 1992;75(1):175-94.
  19. Russell D, Rosenbaum PL, Gowland C et al. Manual for the gross motor function measure Hamilton Ontarino Canada: McMaster University; 1993.
  20. Scherzer AL, Tscharmurter I. Early Diagnosis and therapy in Cerebral Palsy: A Primer on infant Development Problems. New York, NY: Marcel Dekker Inc. 1982.
  21. Trahan j, Maloulin F. Changes in the Gross Motor Function Measure in Children With Different Types of Cerebral Palsy: An Eight-Month Follow-up Study. Ped Phys Ther. 1999;11:12-7.
  22. Umphred DA. Neurological rehabilitation 3rd ed. Mosby, 1997;802-37.
  23. Verschuren O, Ketelaar M, Gorter JW et al. Exercise training program in children and adolescents with cerebral palsy: a randomized controlled trial. Arch Pediatr Adolesc Med. 2007;161(11):1075-81. https://doi.org/10.1001/archpedi.161.11.1075
  24. Weindling AM, Cunningham CC, Glenn SM et al. Additional therapy for young children with spastic cerebral palsy: a randomised controlled trial. Health Technol Assess. 2007;11(16):1-71.