• 제목/요약/키워드: 뇌성마비 아동

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A Comparison of the Sensory Processing of Children With and Without Spastic Diplegia (경직형 양하지 마비 아동과 일반아동의 감각처리 능력 비교)

  • Kim, Bo-Ram;Shin, Ji-Eun;Kim, Kyeong-Mi
    • The Journal of Korean Academy of Sensory Integration
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    • v.13 no.2
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    • pp.21-29
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    • 2015
  • Objective : This study compares sensory processing ability of children with and without spastic diplegia. In addition, it investigates characteristics of sensory processing differentiated by developmental phase such as pre-school age versus school age. Methods : Participants in this study are ordinal children without specific condition and children with spastic diplegia who are aged 3 to 10 years olds. Using Short Sensory Profile (SSP), sensory processing function of the participants was measured. The survey was distributed to caregivers of the children from November, 2013 to February, 2014, and it was suggested that the caregivers to record the questionnaire directly after approval from a rehabilitation hospital, a university hospital, welfare center, day care center, preschool and elementary school to participate in our study. Results : Group of children with spastic diplegia showed lower score than group of children with no special condition in the total score and the each score of all items of Short Sensory Profile. There was significant difference between the two groups in terms of the total score of sensory processing and the 5 factors except tactile sensitiveness and taste/smell sensitiveness among the 7 factors of test. In the comparison of different age groups, pre-school age group showed lower total score than school age group. Conclusion : This study provides a foundational evidence that can be used when therapist evaluate sensory processing function of children with spastic diplegia. There is need for more study about sensory processing functions of various types of children with cerebral palsy.

Structural Equation Modeling of Factors Contributing to Activities of Daily Living in Children With Cerebral Palsy (뇌성마비 아동의 일상생활동작에 영향을 미치는 요인에 관한 구조방정식 모형 검증)

  • Park, Eun-Young
    • The Journal of the Korea Contents Association
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    • v.9 no.10
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    • pp.206-217
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    • 2009
  • The purpose of this study was to investigate the cause-effect relationship between motor impairments, hand function, gross motor function and activities of daily living (ADL) in children with cerebral palsy through the analysis of structural equation modeling. For this, 105 children with cerebral palsy (between 6 and 12 years old) were assessed about muscle tone and strength, range of motion, abilities of selective motor control, hand function, gross motor function and ADL. The results of this study were follows: Firstly, there were significant correlations between motor impairments of muscle tone, muscle strength, the abilities of selective motor control and ADL (p < .05); Secondly, a good correlation between the gross motor function, hand function and ADL was found in all children (p < .05); Thirdly, the appropriateness of research model was good. This study focused on exploration of the relationship between the motor impairment, gross motor function, hand function and ADL through structural equation modeling.

The Effect of Using Therapeutic Instrumental Music Performance (TIMP) in Uninvolved Hand Function for Children with Spastic Cerebral Palsy (치료적 악기 연주 적용이 경직형 뇌성마비 아동의 우세손기능에 미치는 효과)

  • Han, Song Yi
    • Journal of Music and Human Behavior
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    • v.8 no.1
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    • pp.1-16
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    • 2011
  • This study was to investigate the influence of using Therapeutic Instrumental Music Performance (TIMP) in uninvolved hand function for children with spastic cerebral palsy. Participants were recruited from a welfare center for people with cerebral palsy(CP). Ages ranged from 11 to 12, and a total of 15 TIMP sessions were provided for 3 weeks. Hand function tests were used including Jebsen Hand Function Test for hand function, Box and Block Test for dexterity of uninvolved hand, and MIDI (Musical Instrument Digital Interface) evaluation for velocity of fingers. The TIMP program consisted of hand percussion playing and keyboard playing with changes of timbre and tempo. While the scores of Jebsen test and Box and Block test were improved for all participants, outcomes of MIDI analysis showed differences among participants. Overall, hand function improvements were observed after the completion of using the TIMP program, and the results implies that the TIMP program can be applied in upper extremity rehabilitation for children with CP.

A study on relationships between the Initial Food Consumption Ability of Articulation Production and Intelligibility in Children with Spastic Cerebral Palsy (경직형 뇌성마비 아동의 초기 섭식능력과 조음기관 구조평가 및 말 명료도와의 관련성 연구)

  • Lee, Hye-Jung;Kim, Wha-Soo
    • Journal of Digital Convergence
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    • v.12 no.5
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    • pp.281-293
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    • 2014
  • This study is to help fine some factors of how the Initial food consumption ability affects articulation production and intelligibility in children at aged 4-15 with cerebral palsy. According to the factor analysis of articulation production, here are some positive articulation productions; the ability of mumbling and swallowing food, biting and swallowing and liquid diet, the experience of food consumption therapy, the use of specific methods or tools for food consumption, the behavior-problem during a meal and the beginning of the neck control. Therefore, the study finds that the Initial food consumption ability in children with spastic cerebral palsy may affect articulation production and intelligibility.

Correlation between Manual Ability Oassification System and Functional Evaluation in Children With Spastic Cerebral Palsy (경직형 뇌성마비 아동의 손 기능 분류 체계와 기능적 수행도 평가 간의 상관)

  • Park, Eun-Young
    • The Journal of the Korea Contents Association
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    • v.9 no.7
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    • pp.248-256
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    • 2009
  • 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.

The factor of sensory processing that affect on the motor and process skill of children with cerebral palsy (뇌성마비 아동의 운동 및 처리기술에 영향을 미치는 감각처리 요인)

  • Park, Myoung-Ok
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.17 no.10
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    • pp.221-227
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    • 2016
  • This study was conducted to identify sensory processing factors that affect motor and process skills of children with cerebral palsy. A total of 36 children with cerebral palsy who attended at the J pediatric development center and the N rehabilitation hospital in Seoul participated. Pearson's correlation coefficients were used to test the relationship between motor skills, process skills and sensory processing abilities of children. Moreover, hierarchical multiple regression was used to identify the sensory processing factors influencing motor and process skills. Motor skills of children with cerebral palsy were correlated with auditory filtering, low energy/weakness, and visual/auditory sensitivity of sensory processing items, whereas process skills were correlated with tactile sensitivity and taste/smell sensitivity. The hierarchical regression model for motor skills revealed movement sensitivity, auditory filtering, and low energy/weakness as significant factors influencing sensory processing items. However, no factors were shown to influence process skills. The results of this study will be useful as a basic resource for rehabilitation of children with cerebral palsy. However, further studies evaluating a larger population should be conducted to verify the results presented herein.

The Effects of Arm Function in Sitting With Body Weight Support in Cerebral Palsy : A Preliminary Study (뇌성마비 아동의 앉은 자세에서의 부분적 체중지지가 상지 기능에 미치는 영향: 사전연구)

  • Park, So-Yeon;Lee, Sang-Heon;Kim, Tae-Ho;Kwon, Oh-Yun
    • Physical Therapy Korea
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    • v.10 no.4
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    • pp.33-42
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    • 2003
  • 이 연구의 목적은 뇌성마비 아동에게 앉은 자세에서 현수를 이용하여 체중지지를 해주었을 때 상지기능에 어떠한 영향을 미치는지 알아보는 것이다. 연구대상자는 뇌성마비 아동 5명과 뇌종양 아동 1명이었다. 연구대상자에게 harness를 착용하여 부분적 체중지지를 하기 전과 착용한 상태에서 손 뻗기 동작을 3차원 동작분석기를 이용하여 어깨관절과 손뻗기 동작에 걸린 시간을 측정하였고, Box and Block 검사를 실시하여 체중지지 전과 착용 시 상지 기능을 비교하였다. 자료분석은 윌콕슨 부호순위검정을 사용하였다. 어깨관절의 관절 가동범위와 Box and Block 검사에서는 유의한 차이가 없었으나, 팔뻗기 동작의 수행 시간에는 유의한 차이가 있었다(p<.05). 연구 대상자의 수가 적고, 대상자 마다 연령 및 손상의 정도가 서로 다르기 때문에 연구결과를 일반화하여 해석하기에는 제한점이 있지만, 앉은 자세에서 harness를 이용하여 부분적 체중지지를 적용하였을 때 상지의 기능 향상에 도움을 줄 수 있으리라 생각하며 향후 다수를 대상으로 한 연구가 필요하리라 생각한다.

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Effect of 12-Weeks' Swimming Exercise on Leptin and Plasma Lipids Profile in Cerebral Palsy (12주간의 수영운동프로그램이 뇌성마비 아동들의 렙틴 농도와 혈중지질성분의 변화에 미치는 영향)

  • Lee, Jang-Kyu;Zhang, Suk-Am
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.14 no.7
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    • pp.3374-3382
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    • 2013
  • The purpose of this study was to investigate the effects of 12-weeks' swimming training on BMI, leptin and plasma lipid profiles in limited exercise function and physical activity with cerebral palsy. Swimming training program is scheduled to perform for 12-week and 1h each 4 or more times per week. The results of the this study were as follows; First, Body weight, BMI, total cholesterol, LDL and leptin were slightly decreased trend, although these did not reach statistical significance. HDL was not changed in before vs. after training. Second, in the concentration of plasma triglyceride, after training was significantly higher than before training(p<.05) and free fatty acid level was significantly lower at the after training(p<.001). These results suggest that the 12 weeks' regular swimming program has effect of improving plasma lipid and leptin levels in cerebral palsy. Therefore, we consider that it have effect on prevention of obese-related metabolic diseases in cerebral palsy.

A Systematic Review of the Intervention Study to Improve Participation of Children With Cerebral Palsy (뇌성마비 아동의 참여증진을 목표로 한 중재연구에 관한 체계적 고찰)

  • Kim, Se-Yun
    • Journal of the Korea Convergence Society
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    • v.11 no.2
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    • pp.289-296
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    • 2020
  • The purpose of this study was to identify article measuring treatment outcome for children with Cerebral Palsy in participation. The 6 database included EBSCohost was used for literature search. Key words for search strategy were "Cerebral Palsy and Children and Participation and Interventions". A total of 11 studies were searched and studies of evidence level I was 6(54.5%), studies of intervention method focused on physical function, activity and participation was 7(63.7%). The dependent variables of 2 studies(18.2%) were body structure and function, activity and participation, that of 4 studies(36.4%) were both body structure and function and participation, that of 3 studies(27.3%) were activity and participation, that of 2 studies(18.2%) were only participation. The COPM were used in 5 studies(45.5%).

Food Behavior and Growth of Cerebral Palsy Children - A Study for the Development of Snack (간식 개발을 위한 뇌성마비 아동의 식품섭취 실태)

  • Kim, Jan-Di;Cho, Mi-Sook
    • Journal of the Korean Society of Food Science and Nutrition
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    • v.38 no.4
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    • pp.451-461
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    • 2009
  • The purpose of this study is to provide fundamental information for snack development contributing to physical growth of children with cerebral palsy. The study was conducted on the children with cerebral palsy of age 1 to 7 by investigating their food behavior, physical growth development, nutritional status, and snack intake. As a result of assessing physical growth by WLI (Weight-Length Index), the proportions of the children with cerebral palsy were the following: underweight 45.5%, normal 45.5%, overweight 6.0%, and obesity 3.0%. The mothers of the children with cerebral palsy mainly bought milk and dairy products for their children's snacks (43.5%) as well as fruits (33.3%). They wanted development of new snacks that helped growth development (50.5%), and preferred more development of the following snacks: Korean rice cakes (47.5%), biscuits (24.2%), bread (22.3%). The result of dietary intake showed that the percentage of RI in zinc and folic acid did not reach the RI in every age categories. The proportion of subjects with less than 75% of RI was 76.8% for the zinc and folic acid, and 52.4% for the calcium and iron. These results indicate that children with cerebral palsy had slower physical development and lesser nutrition intake than normal children. Hence, this study provided the basis to develop the snack for the malnutrition state children with cerebral palsy which helped their physical development. The shape of new snack considered was a rice cake which included zinc and folic acid that were insufficient in RI in children with cerebral palsy.