• The Journal of Korean Academy of Sensory Integration
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• v.14 no.2
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• pp.46-57
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• 2016

Objective : The purpose of this study is to prove the effects of exercise intervention on postural control of children with cerebral palsy in Korea by systematic review. Methods : Total 18 studies were selected through Korean research database engine such as DBpia, KISS and RISS for the systematic review in this study. Key words used were 'cerebral palsy', 'postural control' and 'balance' and publication time period was limited only after October 2006 in the research selection. All the selected studies were reviewed in terms of quality level of evidence and methodological quality level, and then the results were analyzed with Patient, Intervention, Comparison, Outcome (PICO). Results : For the level of evidence, it is found that 8 studies show Grade I, 5 studies show Grade III, and 2 studies show Grade V. In terms of Methodological quality, majority of the studies showed 'Fare' level. Majority of target population of the studies was children with spastic diplegia. Most research design of the studies were randomized controlled trials. The results in several suited showed that the postural control exercise used in Korea has positive impact on improvement of motor and balance ability. Conclusion : Impact of the exercise intervention used in Korea for postural control of children with cerebral palsy has been evidenced in this study. It is proposed that further research need to be done considering several types of cerebral palsy.

• The Journal of Korean Physical Therapy
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• v.17 no.4
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• pp.601-612
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• 2005

본 연구는 복직근의 기능적 전기자극이 경직형 뇌성마비 아동의 1회 호흡용적과 폐활량 등의 호흡능력과 복직근의 근육활동에 미치는 영향을 알아보기 위해서 대구 시내 OO특수학교에 재학 중인 14세 이상 16세 미만의 경직형 사지 뇌성마비 아동 6명(남자 3, 여자 3)을 대상으로 하여 복직근에 1회 20분. 주 3회씩 총 6주간 기능적 전기자극을 적용하였다. 기능적 전기자극의 적용 6주 전과, 직전에 두 번의 사전 검사와 적용 후 사후 검사를 실시하였다. MP30(Biopack, USA)을 이용하여 폐활량과 예측치 폐활량 백분율, 1회 호흡용적을 검사하였으며 Table면전극 근전도(Noraxon, USA)를 이용하여 복직근의 근육 활동량을 측정하였다. 분석결과는 다음과 같다. 1. 복직근의 기능적 전기자극 적용 6주 전과 직전의 폐활량은 유의한 차이가 없었으나, 적용 후의 폐활량은 적용 전에 비해 유의한 증가를 나타내었다(p<0.05). 2. 복직근의 기능적 전기자극 적용 6주 전과 직전의 예측치 폐활량 백분율은 유의한 차이가 없었으나, 적용 후의 예측치 폐활량 백분율은 적용 전에 비해 유의한 증가를 나타내었다(p<0.05). 3. 복직근의 기능적 전기자극 적용 6주 전과 직전의 1회 호흡용적은 유의한 차이가 없었으나, 적용 후의 1회 호흡용적은 적용 전에 비해 유의한 증가를 나타내었다(p<0.05). 4. 복직근의 기능적 전기자극 적용 6주 전과 직전의 복직근의 활동 값은 유의한 차이가 없었으나 적용 후의 복직근의 활동 값은 적용 전에 비해 유의한 증가를 나타내었다(p<0.05). 이상의 결과를 종합해 볼 때 6주간의 복직근의 기능적 전기자극이 경직형 뇌성마비 아동에 있어서 복직근의 근력을 강화시킴으로써 폐활량과 1회 호흡 용적 등의 호흡능력을 향상시킴을 확인할 수 있었다.

• The Journal of the Korea Contents Association
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• v.12 no.7
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• pp.232-239
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• 2012

The purpose of this study was to investigate the relationship among functional evaluation systems, the Selective Motor Control Scale (SMC scale), the Gross Motor Function Classification System (GMFCS), the Gross Motor Function Measure (GMFM) and Activities of daily living in children with spastic cerebral palsy and to provide the foundation data about SMC scle for evaluation system of abilities of selective motor control in children with spastic cerebral palsy. For this, sixty eight children with spastic cerebral palsy were participated in this study. The children were evaluated by using the SMC scale for their selective motor control ability and by using the GMFCS and GMFM for their gross motor function. The activities of daily living were assessed by using the Functional Independence Measure of Children (WeeFIM). There were a significant correlation between the SMC scale and the GMFCS (r = -.485, p < .05). The good correlation between the SMC scale and GMFM was found (r = .482, p < .05). The activities of daily living were not a significant correlation with SMC scale (r = .019, p > .05). The SMC scale in practice will provide usefulness for assessment of abilities of selective motor control in children with spastic cerebral palsy.

• The Journal of Korean Academy of Sensory Integration
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• v.10 no.2
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• pp.11-22
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• 2012

Objective : This research investigated the intervention effects, protocol of modified constraint-induced movement therapy in children with hemiplegic cerebral palsy. Methods : For the key words of a database search, "Cerebral Palsy", "Hemiplegia", "Constraint Induced Movement Therapy", "modified Constraint Induced Movement Therapy" were used. We examined papers published in journals from January 2001, when the modified Constraint Induced Movement Therapy was first suggested, to May 2011, using PubMed, Medline. Ovid. Results : A total of 10 papers were analyzed and results of modified Constraint Induced Movement Therapy were an effective therapeutic method to improve motor function, quality of movement and that they also increased the frequency of functional use of the affected hands of hemiplegic cerebral palsy. Conclusion : This paper conducted a systematic review of the research literature reporting on the effects of modified constraint-induced movement therapy in children with hemiplegic cerebral palsy. Analysis of the fewer number of papers, there was limitation that we consider studies at all levels of evidence. However the restraint methods should be decided according to the characteristics of the individually and apply a variety of therapeutic activities, there is positive support for the use of modified constraint-induced movement therapy to improve the recovery of the paretic upper extremity with cerebral palsy.

• The Journal of the Korea institute of electronic communication sciences
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• v.8 no.11
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• pp.1763-1770
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• 2013

The purpose of this study was to investigate the correlation amongst the social function, communication function, activities of daily living and gross motor function beyond existing research on physical function and functional capacity in cerebral palsy. 43 children with cerebral palsy participated in this study and significant correlations were found among social function, communication function, activities of daily living and gross motor function. The greatest significant correlations were found between social function and activities of daily living. Significant higher correlations were found between items of social function and communication, but were lower between social function and gross motor function. The results showed that we consider the social aspects of function of children with cerebral palsy in the area of rehabilitation in order to focus on the problem in real life.

• Therapeutic Science for Rehabilitation
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• v.9 no.1
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• pp.79-90
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• 2020

Objective : The purpose of this study was to investigate the age, motor function, and characteristics of feeding and articulation in children with spastic cerebral palsy. Methods : This study included 34 boys and 27 girls who lived in Seoul, Gyeonggi, Daegu, Daejeon, or Busan, and were diagnosed with cerebral palsy by rehabilitation doctors. A total of 61 children with cerebral palsy were identified as dependent variables for verbal intelligibility, diadochokinesis speed and intelligibility. Multiple regression analysis was performed. Results : Verbal intelligibility among the articulating abilities of children with spastic cerebral palsy was significantly associated with the non-speech mechanisms of cup drinking, and spoon feeding. Diadochokinesis speed was significantly associated with the speech mechanism of porridge feeding, the non-speech mechanism of cup drinking, and motor function. Diadochokinesis intelligibility also showed significant results with regards to the speech mechanism of porridge feeding and the non-speech mechanism of cup drinking. Conclusion : It is useful to evaluate and treat eating function by considering speech and non-speech mechanisms and motor function, according to eating function, among the variables related to articulation ability in children with spastic cerebral palsy. In addition, it would be very useful to study the improvement of articulation abilities after developing and applying a feeding program for children with cerebral palsy.

• The Journal of Korean Academy of Sensory Integration
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• v.16 no.2
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• pp.64-74
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• 2018

Objective : The purpose of this study is to examine the effects of therapeutic interventions on upper extremity function of children with cerebral palsy using systematic review methods and to suggest intervention trends in Korea. Methods : The subjects of the study were the researches published in the Korean Journal since 2008. Total 12 studies were selected through Korean research database engine such as DBpia, Scholar, KSDC, KISS and RISS for the systematic review. Key words were 'cerebral palsy', 'upper extremity function' and 'hand function'. The results of this study were analyzed by qualitative level and methodological quality level of evidence, and the results of each study were analyzed according to the PICO approach, that is Patient, Intervention, Comparison and Outcome. Results : For the level of evidence, Grade IV and V were most frequent. In terms of methodological quality, majority of the studies showed 'Fair' level. The subjects were the children with hemiplegia, and Single-subjects designs and case studies were frequent experimental design. Constraint-induced movement therapy (CIMT) was most frequently conducted among the intervention studies, and Jebsen-Taylor Hand Function Test was most frequently used evaluation tool. Eleven studies showed that the upper limb functions were significantly improved or were positively effective. Conclusion : Various intervention methods have been implemented to improve the upper limb functions of children with cerebral palsy. In the future, studies on intervention methods based on the type of paralysis and studies with high quality of evidence should be conducted in Korea.

• 재활복지
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• v.16 no.2
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• pp.287-309
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• 2012

The purpose of this study was to determine the effect of custom seating system on upper extremity access to mouse for a child with cerebral palsy. A single-subject ABAB design was used with one 13years old participant. The measurements were response time and accuracy of mouse click in the participant's typical position and in an intervention position. The intervention position was taken by using current clinical guideline and research on promoting upper extremity movement. The intervention position was achieved through hands-on postural support to the participant's typical seating. The results of this study were as follow: first, response time was decreased in the intervention position compared with the typical seating. Second, accuracy of mouse click was highly in every phases. So further analyses were not conducted on these data. The results of this study provide empirical evidence of the positive effects of functional seating on access to mouse for children with cerebral palsy. Further research is required to confirm the positive effect of the custom seating system across other disabilities type and more subjects.

• The Journal of the Korea Contents Association
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• v.10 no.5
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• pp.268-284
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• 2010

The purpose of this study was to evaluate the effects of horseback riding simulation training(HRST) on gross motor function of children with cerebral palsy. Twenty-four children with cerebral palsy participated were divided into two groups randomly. Control group and experimental group both received 30 minutes of regular neuro-rehab exercises for three times a week per twelve weeks, but experimental group received additional 15 minutes of the HRST. Gross Motor Function Measure(GMFM) was used to evaluate the changes before and after HRST. Normalized GMFM scores were compared using Mann-Whitney U test, statistical significance was set at a=.05. The results were as followings: First, in each compared before and after the experiment, the control group showed significantly increased GMFM score in dimensions A and B. The experimental group showed significant increasing in all dimensions of GMFM test. Second, the experimental group showed significant differences comparing to control group in dimensions C, D and E of GMFM test. Consequently, HRST should be considered as a therapeutic method for physical therapy for the children with cerebral palsy to improve the functional movements.

• 재활복지
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• v.18 no.4
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• pp.315-330
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• 2014

The purpose of this study was to verify the construct validity of the Sensory Profile for children with congenital cerebral palsy. Parents of 87 children(the ages of 3 to 10) with congenital cerebral palsy participated in this study. The data were analyzed through Winstep version 3.81 using the Rasch model to examine the uni-dimensionality of the fit of each item, the distribution of difficulty of each item, and the reliability and appropriateness of the rating scale. Based on a Rasch analysis, four out of the 87 children were considered to be inappropriate participants, and 15 item of the Sensory Profile was determined to be an inappropriate item. The items of high-level difficulty are needed as new items of the Korean Sensory Profile. The rating scale of three categories were appropriate than those of the five categories. The person and item separation reliability of three categories was above 0.90, which is a relatively excellent value. Finally, it will be need to verify of validity for Korean version of Sensory Profile, to develop new item of a high level of difficulty and convert into three point rating scale.