DOI QR코드

DOI QR Code

Systematic Review on Occupational Therapy for Children with Cerebral Palsy

뇌성마비아동을 위한 작업치료에 대한 체계적 고찰

  • 홍은경 (신성대학교 작업치료과)
  • Received : 2013.03.20
  • Accepted : 2013.04.24
  • Published : 2013.06.28

Abstract

The purpose of this study was to present results and methods of occupational therapy for children with cerebral palsy using systematic review. This study was searched form papers published from Jan, 2003 to Dec, 2012 using PubMed E-Data base. Key words using on the search were 'occupational therapy' OR 'exercise therapy' OR 'activities of daily living' OR 'splints' OR 'self-help devices' OR 'early intervention(education)' OR 'parents/education' OR 'parents/psychology' OR 'professional family relations' OR 'play and playthings' OR 'upper extremity' AND 'cerebral palsy'. Eighteen studies were included in this review. Methods on occupational therapy for children with cerebral palsy were splint 26.2%, parent education 26.2%, environmental modification 9.6%, training of sensorimotor function 19.0%, activities of daily living 19.0%. Results on occupational therapy for children with cerebral palsy were significant difference on splint 40.0%, parent education 42.9%, environmental modification 40.0%. Results of this study will provide evidences based on occupational therapy.

본 연구는 체계적 고찰을 통하여 뇌성마비 아동에게 적용한 작업치료의 세부적인 치료 방법과 치료 효과를 알아보고자 하였다. 연구대상논문은 2003년 1월부터 2012년 12월까지 출판된 논문이었고, 전자데이터 베이스인 PubMed를 이용하여 검색하였으며, 사용한 검색어는 'occupational therapy' OR 'exercise therapy' OR 'activities of daily living' OR 'splints' OR 'self-help devices' OR 'early intervention(education)' OR 'parents/education' OR 'parents/psychology' OR 'professional family relations' OR 'play and playthings' OR 'upper extremity' AND 'cerebral palsy'이었다. 분석대상논문은 총 18개이었다. 뇌성마비 아동에게 적용한 작업치료 방법은 보조기 26.2%, 부모교육 26.2%, 환경조정 9.6%, 감각운동기능 훈련 19.0%, 일상생활활동 19.0%로 나타났다. 뇌성마비 아동에게 적용한 작업치료의 효과는 보조기 40.0%, 부모교육 42.9%, 환경조정 40.0%에서 통계학적으로 유의하였다. 본 연구의 결과는 뇌성마비 아동의 작업치료에 있어서 근거를 마련하는데 중요한 자료가 될 것이다.

Keywords

References

  1. M. H. Beers, R. S. Porter, T. V. Jones, L. L. Kaplan, and M. Berkwits, "The merck manual of diagnosis and therapy," Merck & Co, 2006.
  2. F. Miller, Cerebral palsy, Springer, 2005.
  3. 강성현, 배영현, "경직형 뇌성마비 아동에서 수중 운동프로그램과 지상운동 프로그램이 운동기능과 균형에 미치는 영향비교", 대한스포츠의학회지, 제30권, 제2호, pp.116-122, 2012.
  4. J. E. Brown and N. J. O'Hare, "A review of the different methods for assessing standing balance," Physiotherapy, Vol.87, No.9, pp.489-495, 2001. https://doi.org/10.1016/S0031-9406(05)60696-7
  5. M. Bax, M. Goldstein, P. Rosenbaum, A. Leviton, N. Paneth, B. Dan, B. Jacobsson, and D. Damiano, "Proposed definition and classification of cerebral palsy," Developmental Medicine and Child Neurology, Vol.47, No.8, pp.571-576, 2005. https://doi.org/10.1017/S001216220500112X
  6. P. Rosenbaum, "Cerebral palsy: What parents and doctors want to know," British Medical Journal, Vol.326, No.7396, pp.670-674, 2003. https://doi.org/10.1136/bmj.326.7391.670
  7. E. M. J. Steultjens, J. Dekker, L. M. Bouter, J. C. M. van de Nes, B. L. M. Lambregts, and C. H. M. van den Ende, "Occupational therapy for children with cerebral palsy: A systematic review," Clinical Rehabilitation, Vol.18, pp.1-14, 2004. https://doi.org/10.1191/0269215504cr697oa
  8. 임애진, 한승협, 김성례, 한윤희, 김지영, 감경윤, "안구운동프로그램이 경직형 뇌성마비아동의 자세조절과 시지각 능력에 미치는 효과", 대한작업치료학회지, 제19권, 제2호, pp.85-96, 2011.
  9. 황기철, 정지심, "의도적인 다감각환경(스노즐렌) 프로그램이 뇌성마비 아동의 눈-손 협응 능력에 미치는 효과", 대한작업치료학회지, 제19권, 제1호, pp.69-81, 2011.
  10. M. de Brito Brandao, A. M. Gordon and M. C. Mancini, "Functional impact of constraint therapy and bimanual training in children with cerebral palsy: A randomized controlled trial," American Journal of Occupational Therapy, Vol.66, No.6, pp.672-681, 2012. https://doi.org/10.5014/ajot.2012.004622
  11. J. Novak, A. Cusick, and K. Lowe, "Brief report-pilot study on the impact of occupational therapy home programming for young children with cerebral palsy," American Journal of Occupational Therapy, Vol.61, No.4, pp.463-468, 2007. https://doi.org/10.5014/ajot.61.4.463
  12. 한지혜, 고주연, "전자게임을 이용한 가상현실프로그램이 경직성 뇌성마비아동의 균형과 일상생활활동에 미치는 영향", 한국콘텐츠학회논문지, 제10권, 제6호, pp.480-488, 2010.
  13. J. Case-Simtih and J. C. O'Brien, Occupational Therapy for Children, MOSBY, 2010.
  14. J. C. Rogers and M. B. Holm, "Accepting the challenge of outcome research: Examining the effectiveness of occupational therapy practice," American Journal of Occupational Therapy, Vol.48, No.10, pp.871-876, 1994. https://doi.org/10.5014/ajot.48.10.871
  15. 김시원, 김정연, 황지현, "국내 뇌성마비 아동 연구 동향 분석 : 특수교육관련 학술지를 중심으로 (2001-2010년)", 한국지체.중복.건강장애교육학회 지체.중복.건강장애연구, 제55권, 제2호, pp.115-143, 2012.
  16. O. Verschuren, M. Ketelaar, T. Takken, P. J. M. Helders, and J. W. Gorter, "Exercise programs for children with cerebral palsy: A systematic review of the literature," American Journal of Physical Medicine Rehabilitation, Vol.87, No.5, pp.404-417, 2008. https://doi.org/10.1097/PHM.0b013e31815b2675
  17. M. Arbesman, J. Scheer, and D. Lieberman, "Using AOTA's critically appraised topic(CAT) and ciritically appraised paper(CAP) series to link evidence to practice," OT Practice, Vol.13, No.5, pp.18-22, 2008.
  18. http://www.otseeker.com.
  19. H. J. Polatajko and N. Cantin, "Developmental coordination disorder(dyspraxia): An overview of the state of the art," Seminar Pediatric Neurology, Vol.12, No.4, pp.250-258, 2006.
  20. C. E. Naylor and E. Bower, "Modified constraint-induced movement therapy for young children with hemiplegic cerebral palsy: A pilot study," Developmental Medicine and Child Neurology, Vol.47, No.6, pp.365-369, 2005. https://doi.org/10.1017/S0012162205000721
  21. I. Y. Sung, J. S. Ryu, S. B. Pyun, S. D. Yoo, W. H. Song, and M. J. Park, "Efficacy of forced-use therapy in hemiplegic cerebral palsy," Archives of Physical Medicine and Rehabilitation, Vol.86, No.11, pp.2195-2198, 2005. https://doi.org/10.1016/j.apmr.2005.05.007
  22. J. R Charles, S. L. Wolf, J. A. Schneider, and A. M. Gordon, "Efficacy of a child-friendly form of constraint-induced movement therapy in hemiplegic cerebral palsy: A randomized control trial. Developmental," Medicine and Child Neurology, Vol.48, No.8, pp.635-642, 2006. https://doi.org/10.1017/S0012162206001356
  23. Q. Qiu, D. A. Ramirez, S. Saleh, G. G. Fluet, H. D. Parikh, D. Kelly, and S. V. "Adamovich, The New Jersey Institute of Technology Robot-Assisted Virtual Rehabilitation (NJIT-RAVR) system for children with cerebral palsy: A feasibility study," Journal of Neuroengineering and Rehabilitation, Vol.16, No.6, pp.1-10, 2009.
  24. M. de Brito Brandão, M. C. Mancini, D. V. Vaz, A. P. Pereira de Melo, and S. T. Fonseca, "Adapted version of constraint-induced movement therapy promotes functioning in children with cerebral palsy: A randomized controlled trial. Clinical Rehabilitation," Vol.24, No.7, pp.639-647, 2010. https://doi.org/10.1177/0269215510367974
  25. P. Facchin, M. Rosa-Rizzotto, L. Visona Dalla Pozza, A. C. Turconi, E. Pagliano, S. Signorini, L. Tornetta, A. Trabacca, E. Fedrizzi, and GIPCI Study Group, "Multisite trial comparing the efficacy of constraint-induced movement therapy with that of bimanual intensive training in children with hemiplegic cerebral palsy: Postintervention results," American Journal of Physical Medicine and Rehabilitation, Vol.90, No.7, pp.539-553, 2011. https://doi.org/10.1097/PHM.0b013e3182247076
  26. K. C. Lin, T. N. Wang, C. Y. Wu, C. L. Chen, K. C. Chang, Y. C. Lin, and Y. J. Chen, "Effects of home-based constraint-induced therapy versus dose-matched control intervention on functional outcomes and caregiver well-being in children with cerebral palsy," Research in Developmental Disability, Vol.32, No.5, pp.1483-1491, 2011. https://doi.org/10.1016/j.ridd.2011.01.023
  27. A. Louwers, A. Meester-Delver, K. Folmer, F. Nollet, and A. Beelen, "Immediate effect of a wrist and thumb brace on bimanual activities in children with hemipegic cerebral palsy," Developmental Medicine and Child Neurology, Vol.53, No.4, pp.321-326, 2011. https://doi.org/10.1111/j.1469-8749.2010.03849.x
  28. M. Wallen, J. Ziviani, O. Naylor, R. Evans, I. Novak, and R. D. Herbert, "Modified constraint-induced therapy for children with hemiplegic cerebral palsy: A randomized trial," Developmental Medicine and Child Neurology, Vol.53, No.12, pp.1091-1099, 2011. https://doi.org/10.1111/j.1469-8749.2011.04086.x
  29. J. Case-Smith, S. C. DeLuca, R. Stevenson, and S. L. Ramey, "Multicenter randomized controlled trial of pediatric constraint-induced movement therapy: 6-month follow-up," American Journal of Occupational Therapy, Vol.66, No.1, pp.15-23, 2012. https://doi.org/10.5014/ajot.2012.002386
  30. S. C. DeLuca, J. Case-Smith, R. Stevenson, and S. L. Ramey, "Constraint-induced movement therapy (CIMT) for young children with cerebral palsy: Effects of therapeutic dosage," Journal of Pediatric Rehabilitation Medicine, Vol.5, No.2, pp.133-142, 2012.
  31. B. M. Lammi and M. Law, "The effects of family-centered functional therapy on the occupational performance of children with cerebral palsy," The Canadian Journal of Occupational Therapy, Vol.70, No.5, pp.285-297, 2003. https://doi.org/10.1177/000841740307000505
  32. H. R. Rostami and R. A. Malamiri, "Effect of treatment environment on modified constraint-induced movement therapy results in children with spastic hemiplegic cerebral palsy: A randomized controlled trial," Disability and Rehabilitation, Vol.34, No.1, pp.40-44, 2012. https://doi.org/10.3109/09638288.2011.585214
  33. I. Novak, A. Cusick, and N. Lannin, "Occupational therapy home programs for cerebral palsy: Double-blind, randomized, controlled trial," Pediatrics, Vol.124, No.4, pp.606-614, 2009. https://doi.org/10.1542/peds.2009-0288
  34. S. E. Ryan, K. A. Campbell, P. J. Rigby, B. Fishbein-Germon, D. Hubley, and B. Chan, "The impact of adaptive seating devices on the lives of young children with cerebral palsy and their families," Archives of Physical Medicine and Rehabilitation, Vol.90, No.1, pp.27-33, 2009. https://doi.org/10.1016/j.apmr.2008.07.011
  35. F. A. Costigan and J. Light, "Effect of seated position on upper-extremity access to augmentative communication for children with cerebral palsy: Preliminary investigation," American Journal of Occupational Therapy, Vol.64, No.4, pp.596-604, 2010. https://doi.org/10.5014/ajot.2010.09013
  36. S. E. Ryan, P. J. Rigby, and K. A. Campbell, "Randomised controlled trial comparing two school furniture configurations in the printing performance of young children with cerebral palsy," Australian Occupational Therapy Journal, Vol.57, No.4, pp.239-245, 2010. https://doi.org/10.1111/j.1440-1630.2009.00831.x
  37. 유은영, "경직형 뇌성마비 아동의 손기능 분류체계와 기능적 수행도 평가간의 상관", 한국콘텐츠학회논문지, 제9권, 제7호, pp.248-256, 2009.
  38. M. E. Msall, B. T. Rogers, H. Ripstein, N. Lyon, and F. Wllczenski, "Measurements of functional outcomes in children with cerebral palsy," Mental Retardation Developmental Disabilities Research Review, Vol.3, No.2, pp.194-203, 1997. https://doi.org/10.1002/(SICI)1098-2779(1997)3:2<194::AID-MRDD11>3.0.CO;2-Q
  39. http://www.ucpa.org
  40. P. McCabe, C. Lippert, M. Weiser, M. Hilditch, C. Hartridge, J. Villamere, and Erabi Group, "Community reintegration following acquired brain injury," Brain Injury, Vol.21, No.2, pp.231-257, 2007. https://doi.org/10.1080/02699050701201631
  41. R. Teasell, N. Bayona, S. Marshall, N. Cullen, M. Bayley, J. Chundamala, J. Villamere, D. Mackie, L. Rees, C. Hartridge, C. Lippert, M. Hiditch, P. Welch-West, M. Weiser, D. Ferri, P. McCabe, A. McCormick, J. A. Aubut, P. Comper, K. Salter, R. Van Reekum, D. Collins, N. Foley, J. Nowak, J. Jutai, M. Speechley, C. Hellings, and L. Tu, "A systematic review of the rehabilitation of moderate to severe acquired brain injury," Brain Injury, Vol.21, No.2, pp.107-112, 2007. https://doi.org/10.1080/02699050701201524
  42. I. InNovak and A. Cusick, "Home programmes in paediatric occupational therapy for children with cerebral palsy: Where to start?," Australian Occupational Therapy Journal, Vol.53, No.4, pp.251-264, 2006. https://doi.org/10.1111/j.1440-1630.2006.00577.x
  43. M.Howison, Willard and Spackma n's occupational therapy, Lippincott, 1988.
  44. 유은영, 정민예, 박소연, 최은희, "한국 작업치료사의 영역별 평가도구 사용 동향", 대한작업치료학회지, 제14권, 제3호, pp.27-37, 2006.

Cited by

  1. Systematic review of the effects of mirror therapy in children with cerebral palsy vol.28, pp.11, 2016, https://doi.org/10.1589/jpts.28.3227