한국콘텐츠학회논문지 (The Journal of the Korea Contents Association)

  • 제9권7호
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  • Pages.248-256
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  • 2009
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  • 1598-4877(pISSN)
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  • 2508-6723(eISSN)
한국콘텐츠학회 (The Korea Contents Association)
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경직형 뇌성마비 아동의 손 기능 분류 체계와 기능적 수행도 평가 간의 상관

Correlation between Manual Ability Oassification System and Functional Evaluation in Children With Spastic Cerebral Palsy

  • 박은영 (전주대학교 대체의학대학 재활학과)
  • 발행 : 2009.07.28
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초록

이 연구는 뇌성마비 아동의 손 기능을 평가하기 위해 개발된 손 기능 분류 체계(Manual Ability Classification System: MACS)를 이용하여 경직형 뇌성마비 아동의 손 기능을 평가하고 손 기능과 기능적 수행도 평가인 일상생활활동평가(Functional Independence Measure of Children: WeeFIM), 대운동 기능 분류체계(Gross Motor Function Classification System: GMFCS)의 관계를 알아보고, 이를 통해 뇌성마비 아동의 손 기능 평가 체계로써의 MACS에 대한 기초의 자료를 제공하는데 그 목적이 있었다. 경직형 뇌성마비 아동 60명을 대상으로 아동의 손 기능과 대동작 기능, 일상생활활동을 평가하였다. 평가한 자료를 바탕으로, MACS와 WeeFIM 및 GMFCS와의 관계와 손 기능 수준에 따른 일상생활활동의 차이를 알아보았다. 그 결과, MACS와 GMFCS의 상관은 유의수준.05에서 유의한 것으로 나타났으며, 그 정도는 r =.659이었다. WeeFIM과의 상관을 알아본 결과에서도 총점과의 상관은 유의수준.05에서 유의한 것으로 나타났으며, 그 정도는 r = -.576이었다. 손 기능 분류 체계로 평가한 수준에 따른 일상생활 활용의 차이를 알아본 결과 유의한 차이가 있는 것으로 나타났다(p <.05). 뇌성마비 아동의 손 기능 평가 도구로써 MACS는 임상적으로 유용한 평가 체계로 사용될 수 있음을 알 수 있다.

The purpose of this study was to investigate the relationship among functional evaluation systems, the Manual Ability Classification System (MACS), the Gross Motor Function Classification System (GMFCS), and the functional status (WeeFIM) in children with spastic cerebral palsy and to provide the foundation data about MACS for evaluation system of hand function in children with spastic cerebral palsy. For this, sixty children with spastic cerebral palsy were employed in this study. The sixty children were evaluated by using the MACS for their hand function and by using the GMFCS for their motor function. The functional status were assessed by using the Functional Independence Measure of Children (WeeFIM). There were a significant correlation between the MACS and the GMFCS (r =.659, p <.05). The good correlation between the MACS and WeeFIM was found (r = -.576, p <.05). The functional status according to the hand function level evaluated by using the MACS were different significantly (p <.05). The MACS in practice will provide usefulness for assessment of hand function in children with spastic cerebral palsy.

키워드

참고문헌

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