• 대한소아치과학회지
• /
• 제29권3호
• /
• pp.318-327
• /
• 2002

뇌성마비인의 구강위생상태에 관한 조사를 위하여 $3{\sim}48$세의 뇌성마비인 총264명(남153명, 여111명)과 비교군으로 비슷한 연령대의 비뇌성마비인 220명(남125명, 여95명)을 대상으로 구강검사를 시행하고, 우식경험유치율(dft rate), 우식경험유치지수(dft index), 우식경험영구치율(DMFT rate), 우식경험영구치지수(DMFT index), 치태지수(plaque index)를 산출하여 비뇌성마비인과 비교하였으며, 지적, 행동, 언어장애의 정도, 유형 및 이환 부위, 거주형태, 보호자의 직업에 따라 분류, 비교하여 다음과 같은 결과를 얻었다. 1. DMFT rate, DMFT index, dft index에서 뇌성마비군과 비뇌성마비군의 유의한 차이가 없었고, dft rate는 유의한 차이로 뇌성마비군이 높게 나타났다. 2. 뇌성마비군의 성별, 유형 및 이환 부위별 비교에서 우식경험도의 유의한 차이를 보이지 않았다. 3. DMFT rate와 DMFT index는 각각의 장애의 정도가 심할수록 유의성 있는 차이로 감소하였으며, 거주형태에서는 수용군이 비수용군에 비해 낮았고, 보호자 직업에서는 자영업이 낮게 나타났다. 4. 치태지수에서 뇌성마비군이 비뇌성마비군보다 유의성 있게 높았고, 거주형태에서는 비수용군이, 보호자 직업에서는 스스로 벌어서 생활하는 경우가 유의성 있는 차이를 보이며 높게 나타났다. 5. 치태지수에서 뇌성마비군의 성별, 유형 및 이환 부위, 각각의 장애의 정도에 대해서는 유의한 차이를 보이고 있지 않았다.

• 기본간호학회지
• /
• 제10권1호
• /
• pp.68-77
• /
• 2003

Purpose: This study analyzed the effects of meridian massage on the muscle power, ROM, and ADL in persons with cerebral palsy. Method: A non-equivalent pre-test/post-test design was used. The data were collected from August to October, 2000 from 10 persons with cerebral palsy (a control group of 5 and an experimental group of 5). Muscle power was evaluated with the Brunnstrom-Dennen gravity test, ROM with a goniometer, and ADL with a self developed ADL scale. T-test, repeated measure ANOVA were used for statistical analysis. Result: The results are; 1. For muscle power, both time series group difference (F=10.66, p=0.000) and the total period group difference (F=72.67, p=0.000) were significant between the two groups. 2. ROM was not significantly different between the two groups. 3. For ADL, both time series group difference (F=7.09, p=0.001) and total period group difference (F=35.99, p=0.000) were significant between the two groups. Conclusion: Overall, this study shows that Meridian massage is effective for muscle power, ROM, and ADL in persons with cerebral palsy person. So it can be used to develope effective nursing programs to improve the function of motion of persons with cerebral palsy.

• 대한소아치과학회지
• /
• 제25권2호
• /
• pp.441-449
• /
• 1998

For the purpose of knowing oral status of handicapped persons and surveying correlative factors, authors interviewed and inspected 259 persons (cerebral palsy 143, mental retardation 101, Down's syndrome 15) from six year to thirty years old in Kwangju. The results were as follows. 1. The dmf rate and dft index of handicapped persons according to age were lower than that of report of normal persons. 2. The DMF rate and DMFT index of handicapped persons increased with age and were similar to or lower than that of report of normal persons by the age of twenty, but were higher after that age. There was no significant difference between handicaps in DMFT rate. 3. Percentage of toothbrushing by himself or herself was 74% in mental retardation, 69% in Down's syndrome, and 48% in cerebral palsy and the frequency of toothbrushing per day of mental retardation, Down's syndrome was higher than that of cerebral palsy. The frequency of toothbrushing per day increased with age. The number of toothbrushing of handicapped persons was slightly higher than that of report of normal persons. 4. Prevalence of gingivitis was 62% in cerebral palsy, 48% in Down's syndrome and 60% in mental retardation. Prevalence of gingivitis increased with age, and was higher than that of report of normal persons. 5. Percentage of tooth anomaly was 15% in Down's syndrome, 8.5% in mental retardation and 4.9% in cerebral palsy. In this study, dental caries of handicapped persons was similar to or lower than that of normal persons and increased with age. The prevalence of gingivitis was much higher in handicapped persons. Subject or frequency of toothbrushing had no influence on the dental caries and gingivitis, education of oral health and system are needed.

• 대한음성학회지:말소리
• /
• 제66호
• /
• pp.1-20
• /
• 2008

The purpose of this study was to investigate the characteristics of fundamental frequency(F0) and amplitude distributions in persons with cerebral palsy(CP) in the reading task. Participants were divided into three groups: 6 persons with spastic CP, 6 persons with athetoid CP and 6 normal persons who are around 15-20 years old. On the results of this study, firstly, in F0 distributions, most of the spastic CPs tended to appear narrow distributions on the basis of mode, but most of the athetoid CPs were opposite, and both of the CP groups tended to distribute highly on lower and higher frequencies than mean and mode. On the other hand, normal persons had a tendency to appear narrow distributions on the basis of mode. Finally, in amplitude distributions, the spastic CPs showed a tendency that there are little differences between the distribution of mode and the others, and most of the athetoid CPs showed a tendency that the distributions of mode were higher than the others. In addition to, the normal persons had a tendency that the distributions of mode were remarkably higher than both of the CP groups.

• 대한물리치료과학회지
• /
• 제4권3호
• /
• pp.491-498
• /
• 1997

This Research has been made through the questionnaire(enquete) sent to parents whose children are under cerebral palsy treatment in the hospitals of Daejon, Daegu and Pusan area and in other social welfare organizations such as Korea C.P. Welfare institution and Social Welfare Corporation during the period of Februay to August 1997. Form this research, we have obtained following results : 1. Mostly, the blood type of parents of cerebral palsy children is "0" type in father side (24 persons : 30%) and "A" type in mother side(28 persons : 35%), 2. For their(parents) baby-delivery, it shows that the nature delivery was adoped in most cases i. e. 50 persons(62.5%). 3. The birth weight of cerebral palsy children appears to be less than 2.4Kg in most cases(24 persons : 30%) 4. Most of parents positively want to take a medical treatment for their children with hope, but parents of 5 patients(6.3%) have a negative attitude against medical treatment and its cure. 5. Parents of 25 patients (31.7%) appear to have a sense of shame about the fact that their children are C.P. patients. 6. The 65 parents(81.3%) are depending on medical treatment and physical therapy as a means of cure.

• Journal of Dental Anesthesia and Pain Medicine
• /
• 제17권2호
• /
• pp.149-155
• /
• 2017

Cerebral palsy is a non-progressive disorder resulting from central nervous system damage caused by multiple factors. Almost all cerebral palsy patients have a movement disorder that makes dental treatment difficult. Oral hygiene management is difficult and the risks for periodontitis, dental caries and loss of multiple teeth are high. Placement of dental implants for multiple missing teeth in cerebral palsy patients needs multiple rounds of general anesthesia, and the prognosis is poor despite the expense. Therefore, making the decision to perform multiple dental implant treatments on cerebral palsy patients is difficult. A 33-year-old female patient with cerebral palsy and mental retardation was scheduled for multiple implant treatments. She underwent computed tomography (CT) under sedation and the operation of nine dental implants under general anesthesia. Implant-supported fixed prosthesis treatment was completed. During follow-up, she had the anterior incisors extracted and underwent the surgery of 3 additional dental implants, completing the prosthetic treatment. Although oral parafunctions existed due to cerebral palsy, no implant failure was observed 9 years after the first implant surgery.

• 말소리와 음성과학
• /
• 제1권4호
• /
• pp.171-176
• /
• 2009

Intelligibility measurement is one criterion for the assessment of the severity of speech disorders especially of dysarthric persons. Rate control, usually rate reduction, is used with many dysarthric speakers to improve their intelligibility. The purpose of this study is to compare how change intelligibility of speech produced by cerebral palsic speakers according to three speaking conditions. Speech samples were collected from 10 adults with cerebral palsy were asked to speak under three speaking conditions-(1) naturally(control), (2) more slowly(rate control), (3) louder and accurately(clear speech). In a perception test, after listening to the speech samples, a group of three judges were to write down whatever they heard. The result showed that total cerebral palsic subjects were divided into two subgroups according to their intelligibility according to three speaking conditions. Some subjects showed that speech intelligibility increased greatly if asked to speak 'louder and more accurately'. and the others showed no difference of intelligibility according to the speaking conditions. This study suggested that it would be useful clinically to find out the best instruction to improve intelligibility suitable for each speaker with cerebral palsy.

• 대한치과교정학회지
• /
• 제13권1호
• /
• pp.31-43
• /
• 1983

The following results were abtained based on the research of the occlusal patterns among 1074 handicapped persons (cerebral palsy: 46, mental subnormality: 619, deafmute: 285, blind: 111, childish autism:8, cleft lip and cleft palate:3, polimyelitis:2) of the age between 6 and 23 in Chollanamdo, Korea, in comparison with a normal group of 1048 children of the age between 6 and 15 selected at random in J primary school in Gwang-ju City. 1. According to Angle's malocclusion classification, all the handicapped groups, except the cerebral palsy and the blind, showed a higher prevalence of malocclusion than that of the normal. Especially the prevalence of Class II, devision 1 malocclusion in the cerebral palsy was the highest, and the prevalence of Class III malocclusion in all the handicapped groups was higher than that of the normal group. Among these groups the highest prevalence of Class III malocclusion was in the Down's syndrome group. 2. On the the abnormal pattern of the anterior region, there was no significant difference $(P\leqq0.05)$ between the normal and the cerebral palsy, the deafmute, and e blind. The open bite $(7.27{\pm}1.04\%)$ and the cross-bite $(32.7{\pm}6.33\%)$ of the Down's syndrome wire higher than that of the normal, and the forward position of the mandible could be recognized in the Down's syndrome group. 3. On the midline position of the dentition, all the handicapped showed the same percentage of deviation, but the degree of mandibular shift to the right $(20.00{\pm}5.39\%)$ or left $(10.91{\pm}4.20\%)$ was higher than that of the normal only in the Down's syndrome group. 4. On the abnormal pattern of the posterior region, the cross-bite of the Down's syndrome was higher than that of the normal by $20.00{\pm}5.39\%$, the cross-bite of the cerebral palsy and the cross-bite and the open bite of the mental subnormality were slightly higher than that of the normal. The other handicapped groups showed no significant difference $(P\leq0.05)$ to the normal.

• 대한음성학회:학술대회논문집
• /
• 대한음성학회 2006년도 춘계 학술대회 발표논문집
• /
• pp.105-108
• /
• 2006

The purpose of this study was to investigate the diadochokinetic characters in the patients with spastic cerebral palsy(CP) in severity. The diadochokinetic characters were measured through rate, regularity, accuracy and consistency. The subjects participated in this study included 27 persons with spastic CP(mild- 9, moderate- 9, severe- 9) and 9 normal persons who is around 11-20 years old. On the result of this study, rate in AMR was significant difference between all spastic groups and normal group, and rate in SMR was significant difference between normal and mild groups and moderate and severe groups. In regularity of diadochokinetic task, severe group had significant difference the other groups. Finally, accuracy and consistency of diadochokinetic task exhibited significant difference between all spastic groups and normal group.

• 보건행정학회지
• /
• 제28권2호
• /
• pp.145-150
• /
• 2018

Background: The aim of this study was to investigate the current state of the assistive devices and appliances provision system for cerebral palsy patients registered with brain disability. Methods: From 2003 to 2013, we analyzed the records of cerebral palsy patients who had assistive devices and appliances provisioned at least once in their lives based on National Health Information Database. Patients with cerebral palsy were divided into three groups: infants and toddlers, school age and adolescence, and adults. Results: Data on short leg plastic orthoses, ankle joint orthoses, and wheelchair were mainly analyzed. The types of ankle joint orthoses divided into three categories: limited, $90^{\circ}$ limited, and Klenzac. Limited ankle joint orthoses was most frequently supported of the three in all age groups. Powered wheelchair and scooter were most supported to adult patients. When the re-supply duration was evaluated, the duration was suitable to the duration on guideline of regulation of re-supplement according to the related laws in adult patients but not in infants/toddlers and school age/adolescence as the actual re-supplement duration was much shorter than the reference value. Conclusion: This study confirmed the pattern of assistive devices and appliances supply differed depending on the age of cerebral palsy patients.