• Physical Therapy Korea
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• v.6 no.4
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• pp.15-21
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• 1999

이 연구의 목적은 Motor-Free Visual Perception Test (MVPT)와 Mariannene Frostig Developmental Test of Visual Perception (DTVP)을 사용하여 뇌성마비 아동과 정상아동의 시 지각 능력의 차이를 알아보고, 뇌성마비의 사지마비군과 양하지마비군, 그리고 정상아동군에서 두 평가도구의 결과에서 제시한 시 지각능력의 차이를 비교하기 위한 것이다. 뇌성마비 아동 21명(사지마비 11명, 양하지마비 10명)과 정상아동 8명을 대상으로 하였다. 대상의 연령범위는 4세에서 8.5세이었다. 시 지각 능력을 평가하기 위하여 운동기능을 포함하지 않은 MVPT와 운동기능을 포함한 DTVT를 사용하였다. 평가과정과 방법은 표준화된 지침서에 따라 수행하였다. 자료분석은 SPSS를 사용하여 Wilcoxon signed rank test와 Mann-Whitney, Kruskal-Wallis를 하였다. MVPT와 DTVP의 지각지수를 뇌성마비 아동과 정상아동을 비교한 결과 뇌성마비 아동의 지각지수가 정상 아동보다 유의하게 낮았다. 아동의 교정연령과 MVPT와 DTVP의 지각연령의 차(CA-PA)를 사지마비군, 양하지마비군, 그리고 정상군과 비교한 결과 정상군에서는 두 평가도구 간의 차이가 없었으나, 사지마비군에서는 두 평가도구 사이에 유의한 차이가 있었다. 이 연구의 결과는 뇌성마비 아동의 시 지각능력을 평가하기 위한 도구로 MVPT의 사용을 제시하였다.

• Proceedings of the Korea Contents Association Conference
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• 2012.05a
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• pp.349-350
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• 2012

본 연구에서는 경첩 발목 보조기(Hinged Ankle Foot Orthoses, HAFO)의 착용이 경직성 뇌성마비 아동의 보행 시 신체 질량 중심점(Center of Mass, COM)에 미치는 영향을 알아보고자 한다. 실험은 보조 기구의 사용 없이 독립적인 보행이 가능한 경직성 뇌성마비 아동(하지마비 아동 8명, 편마비 아동 5명) 13명이 참여하였다. 34개의 적외선 반사 마커를 신체에 직접 부착한 뒤, 6대의 동작분석 카메라로 맨발 보행과 HAFO착용 보행을 각 5회 촬영하였다. 전-후방, 내-외측, 수직 방향으로의 COM의 이동과 COM 속도를 계산하여 HAFO착용 전 후를 대응표본 T검정으로 분석하였다. HAFO 착용은 양하지 마비 아동 그룹은 COM의 전방 이동이 유의하게 증가하였고(p<0.01), COM 속도는 내-외측과 수직 방향에서 유의하게 증가하였다(p<0.01). 반면 편마비 아동 그룹은 COM 이동과 속도가 모든 방향에서 유의하게 증가하였다(p<0.01). 따라서 HAFO는 뇌성마비 아동의 보행 기능을 개선시킨다고 할 수 있다.

• 재활복지
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• v.22 no.1
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• pp.195-212
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• 2018

The purpose of this study was to compare the function, activity, and participation and quality of life of cerebral palsy, Down syndrome children and typically developing children. The International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY) Checklist, and KIDSCREEN 52-HRQOL questionnaire were used to measure children function, activity and participation and quality of life. The results showed significant differences in functions (except for genitourinary and reproductive functions), activities and participation of ICF-CY were significantly different in all items. In the post-hoc analysis, showed high activity and participation in order of typically developing children, cerebral palsy, Down syndrome children (except for mobility). The quality of life were significantly different in all items (except for bullying), children with cerebral palsy and Down syndrome showed lower quality of life than typically developing children. The results showed that there were a significant difference in activity and participation, and quality of life among the three groups, and higher function, activity and participation, and quality of life in order of typically developing children, cerebral palsy, Down syndrome children.

• The Journal of the Korea Contents Association
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• v.9 no.5
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• pp.182-188
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• 2009

The purpose of this study was to investigate the effect of self-care training based on ICF(International Classification of functioning, Disability and Health) on functional independence in the young children with spastic cerebral palsy. Total of 43 young children(male=25, female=18; age range from 36month to 72month) with spastic cerebral palsy, classified at GMFCS(Gross Motor Function Classification System) levels III-IV. Total of 32sessions of a self-care training (eating, grooming, bathing, toileting) were given 4 times a week for 30minutes from August 1th to September 30th of 2008. Changes in the functional independence after the training obtained by Wee-FIM(Functional Independence Measure for Children). Results were as follows: Functional independence was significantly increased after the training. As a result, a self-care training should be applied as an effective intervention to improve the functional independence in the young children with spastic cerebral palsy.

• The Journal of the Korea Contents Association
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• v.10 no.1
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• pp.317-324
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• 2010

The purpose of this study was to examine the validity of the Manual Ability Classification System (MACS) by analysing of relation between MACS and Jebsen-Talyor Hand Function Test. The concurrent validity was examined by calculation of correlation between MACS and Jabsen-Talyor Hand Function test and the discriminant validity was examined by measurement of hand function difference according to MACS level. For this, eighty-one children with spastic cerebral palsy were employed in this study. The children were evaluated by using the MACS and Jebsen-Taylor Hand Function Test for their hand function. There were a significant correlation between the MACS and Hand function (r = .870, p < .05). The good correlation between the MACS and subtest of Jabsen-Talyor Hand function (p < .05). The hand function according to the MACS level were different significantly (p < .05). The MACS is valid classification system for assessment of hand function of children with cerebral palsy. The MACS in practice will provide usefulness for assessment of hand function in children with spastic cerebral palsy.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.1
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• pp.211-219
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• 2012

This study was performed to search for correlation between activity limitation level and participation restriction of children with cerebral palsy by investigating the activity limitation level through the use of the GMFCS E&R and the MACS and by figuring out participation restriction level through questionnaire survey. This study was performed, from May 1, 2010 to August 31, 2010, on 152 children with cerebral palsy ranging from 4 to 12 years, who are receiving rehabilitation therapy in the hospitals and community clinics in Busan and Gyeongnam province. The levels of activity limitation were assessed by using GMFCS E&R and MACS, and a questionnaire survey was conducted for participation restriction of the participating children. Spearman rank correlation was used for correlation analysis with the statistical software, SPSS 12.0. Majority of the children scored level 5 in both GMFCS E&R and MACS which is high frequency of activity limitation levels. Children in these levels also showed severe or complete participation restriction for mobility, education, and social relations. The analysis showed a significantly positive correlation between activity limitation level and participation restriction. Therefore this study may be useful in assessing the functional movement component of participation in children with cerebral palsy and developing the intervention plan for participation.

• Journal of Convergence for Information Technology
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• v.11 no.8
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• pp.168-175
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• 2021

Goal of this study is to perform the correlation about Gross motor function, eating-drinking function, and oral motor function, to identify necessity for invervention of feeding disorders on severity of the function of children with cerebral palsy. Subjects were 61 children diagnosed with cerebral palsy. The subject were evaluated for oral motor function, feeding function by GMFCS, EDACS, OMAS. The results of this study showed a significant correlation between gross motor function, eating and drinking functions, and oral motor functions. That is, the more severe the deterioration of the motor function, the lower the functional level of eating and drinking and oral motor function deterioration. In evaluating and treating the eating activity of children with cerebral palsy through this study, it seems necessary to check the eating and drinking function and oral motor function according to the gross motor function.

• Physical Therapy Korea
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• v.10 no.4
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• pp.77-83
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• 2003

본 연구는 발가락 벌림 보조기(toe spreader)가 긴장성 발가락 굽힘 반사(Tonic Toe Flexion Reflex: TTFR)가 있는 양하지 뇌성마비 아동의 보행에 미치는 영향을 알아보고자 하였다. 12명의 TTFR이 있는 양하지 뇌성마비 아동을 대상으로 같은 날에 맨발과 발가락 벌림 보조기를 착용한 상태에서 보행분석을 실시하였다. 시간 거리 보행변수로 활보장(step length), 보장(step length), 보폭(step width), 발가락 외전각도(toe out angle), 활보시간(stride), 입각기(stance phase), 유각기(swing phase), 분속수(cadence), 보행속도(speed)를 측정하였다. 발가락 벌림 보조기 착용 시 시간 거리 보행변수는 통계적으로는 유의한 차이가 없었다(p>.05). 양하지 뇌성마비 아동에서 TTFR을 억제하기 위한 발가락 벌림 보조기의 즉시적인 효과는 유의하지 않다고 볼 수 있으며, 추후연구로 장기간 일상생활에서의 지속적인 착용을 통한 연구가 필요하다고 본다.

• The Journal of the Korea Contents Association
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• v.14 no.5
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• pp.262-271
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• 2014

The purpose of this study was to find the effect of Day Hospital Rehabilitation programs on gross motor function in children with cerebral palsy. The subjects were 57 children with spastic cerebral palsy with no previous botulinum toxin injection or operation history within 6 months. The Gross Motor Function Measure(GMFM) score and Gross Motor Function Classification System(GMFCS) were used to evaluate as functional change and functional level. The Programs for Day Hospital Rehabilitation period for cerebral palsy children was 8 weeks. The results of the study are as follows: 1, GMFM Score of pre- and post-programs for Day Hospital Rehabilitation showed the statistically significant difference(p <.001). 2, The age group in 1-2 was higher than age 5-6 group, 3-4 was higher than age 5-6 group by Post-hoc analysis. Lastly, there was significantly different of GMFM in GMFCS level(p<.05), especially mild(GMFCS level I) and moderate(GMFCS level II, III) of CP showed that gross motor function was significantly different than severe(GMFCS level IV, V). The programs for Day Hospital Rehabilitation was effective on gross motor function for children with cerebral palsy, and for early intervention needs to mild, moderate CP, and below age 4 group.

• The Journal of the Korea Contents Association
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• v.13 no.6
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• pp.318-330
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• 2013

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.