• 대한지역사회작업치료학회지
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• 제6권2호
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• pp.31-38
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• 2016

목적 : 본 연구의 목적은 학령기 지체장애 아동의 스트레스와 공격성에 연관성을 알아보고 공격성에 영향을 주는 요인을 찾아 작업치료 중재에 참고할 수 있는 정보를 제공하고자 하였다. 연구방법 : 본 연구는 경상북도, 경상남도, 대구광역시, 부산광역시 소재의 병원에서 지체장애 등급판정을 받은 105명의 학령기 아동들의 설문을 통하여 자료를 수집하였다. 일반적인 특성은 기술통계로 분석하였고, 특성에 따른 스트레스와 공격성 값은 t검증과 일원배치분산분석으로 분석하였고, 스트레스와 공격성은 피어슨 상관분석 하였고 단계별 회귀분석을 실시하였다. 결과 : 첫째, 스트레스는 2.65점이었고 공격성은 전체 2.53점이었으며 신체적 공격성이 3.01점으로 가장 높았다. 둘째, 학년에 따른 비교는 신체적 공격성이 유의미한 차이가 있었고(p=.021), 성별에 따른 비교는 스트레스(p=.048), 전체 공격성(p=.040), 신체적 공격성(p=.047)이 유의미한 차이가 있었고, 학교생활만족은 스트레스(p=.035)와 전체 공격성(p=.042)이 유의미한 차이가 있었다. 셋째, 스트레스와 공격성의 상관관계에서는 전체 공격성(r=.475), 신체적 공격성(r=.568), 언어적 공격성(r=.311), 분노(r=.397), 적대감(r=.491) 모두 유의미한 양적 상관성을 보였다. 넷째, 학령기 지체장애 아동의 공격성에 영향을 주는 요인은 스트레스, 성별의 남자, 학교생활 만족도이었다(F=61.187, p<.01). 결론 : 본 연구는 학령기의 지체장애 아동이 겪고 있는 스트레스와 일반적 특성 중 일부가 그들의 공격성에 영향을 미치는 사실을 알게 되었다.

• 한국전문물리치료학회지
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• 제17권4호
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• pp.69-76
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• 2010

The purposes of this study were to examine the reliability and validity of Korean translation of Pediatric Evaluation of Disability Inventory (PEDI-K) in school-aged children with cerebral palsy (CP). The PEDI-K, Functional Independence Measure for Children (WeeFIM) and Gross Motor Function Classification System (GMIFCS) were completed in 104 school-aged children with CP by therapists. The internal consistency of the PEDI-K was calculated by Cronbach's alpha (${\alpha}$) for assessing reliability. Concurrent validity was evaluated by correlation with the subsets of WeeFIM. Discriminant validity was assessed by comparing GMFCS levels with tests of the PEDI-K. The results showed that internal consistency was good (Cronbach's ${\alpha}$ ranged from .97~.98). Concurrent validity was demonstrated. The correlation with WeeFIM was high in the Functional Skills (self-care, r=.74~.94; mobility, r=.59~.91; social function, r=.65~.93) and in the Caregiver Assistance (self-care, r=.75~.94; mobility, r=.63~.90; social function, r=.78~.96). Discriminant validity was demonstrated on significant decreases in domain scores with increasing GMFCS levels. Reliability and validity have been demonstrated on the PEDI-K. This study extends usage of PEDI-K in clinical activities and research.

• 한국전문물리치료학회지
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• 제21권3호
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• pp.55-62
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• 2014

This study investigated the relationship between function classification systems and the Pediatric Evaluation of Disability Inventory (PEDI) functional skills in children with cerebral palsy (CP). Two hundred and eleven children with CP participated in this study. The Korean-Gross Motor Function Classification System (K-GMFCS), Korean-Manual Ability Classification System (K-MACS), Korean-Communication Function Classification System (K-CFCS), and self-care, mobility, and social function domains of the Korean-Pediatric Evaluation of Disability Inventory (K-PEDI) functional skills were measured by physical therapists or occupational therapists. All of the function classification systems were significantly correlated with PEDI functional skills ($r_s$=-.549 to -.826) (p<.05). Especially, K-GMFCS, K-MACS, and K-CFCS were correlated significantly with mobility, self-care, and social function, respectively. Using stepwise multiple regression analysis, we established that K-GMFCS, K-MACS, and K-CFCS were predictors of self-care skills (74.3%) and mobility skills (79.5%) of the K-PEDI (p<.05). In addition, K-CFCS and K-MACS were predictors of social function (65.9%) of the K-PEDI (p<.05). The information gathered in this study using the levels measured in the function classification systems may be useful to clinicians for estimating the PEDI functional skills in children with CP.

• 대한물리의학회지
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• 제14권4호
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• pp.45-53
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• 2019

PURPOSE: This study examined the differences in the trunk impairment scores according to the levels of the gross motor classification system by evaluating trunk control in children with spastic cerebral palsy using the index of trunk impairment. In addition, the characteristics of trunk control disabilities were investigated according to the cerebral palsy type. METHODS: The subjects were 49 children (mean age 8.57±1.83 years, 11 with hemiplegia, 26 with diplegia, and 12 with quadriplegia) with spastic cerebral palsy levels I to IV under the gross motor function classification system (GMFCS). The coordination and balance of the children with cerebral palsy were evaluated using the index for trunk impairment. Statistical analyses were performed using a Kruskal-Wallis test, and Bonferroni analyses were used as a post-hoc comparison for any significant results. RESULTS: The median of the total scores of trunk impairment was 13 (range, 9-17), which was 56% of the maximum score. The total score of trunk impairment and subscales differed significantly according to the disease severity and type of motor disability. The scores for children with quadriplegia were the lowest compared to children with hemiplegia and diplegia. CONCLUSION: Trunk control function in children with spastic cerebral palsy was reduced, and varied according to the disease severity and types of motor disabilities. The degree of trunk impairment differed from the trunk control ability according to the degree of motor disability of children with cerebral palsy.

• 한국사회복지학
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• 제62권1호
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• pp.83-107
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• 2010

본 연구는 출생 3개월 이전에 정상아인줄 알고 입양한 후, 양육과정에서 장애가 드러난 장애아동을양육하는 입양어머니의 내적 경험을 Van Manen(2000)의 해석학적 현상학 연구방법으로 접근하였다. 서울 광주 경남 전북에서 6명의 어머니를 대상으로 심층 인터뷰하였다. 연구결과, '안개 속을 헤메임, 삭히는 시간, 고통 중의 감사, 세상에 당당히 맞섬, 내 삶의 중심으로 들어 온 아픈 아이, 아직 살아보지 않은 날에의 기대'로 도출된 본질적 주제를 통해 '아픈 아이의 꿈을 이뤄주고 싶은 엄마마음'으로 해석학적 글쓰기를 하였다. 조금은 부족한 아이이므로 더 잘 키워주어 아이의 꿈을 이뤄주고 싶은 어머니의 마음은 결국 한 생명에 대한 사랑이었다. 긴 가슴앓이의 시간 후, 입양어머니에게 아이의 장애는 짐이 아니라 새로운 세상에의 기대로 나타나고 있고, 아동의 홀로서기를 만들어내고 있으며, 세상의 모든 아이는 가정을 가질 수 있음을 나타내고 있다.

• 대한통합의학회지
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• 제4권4호
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• pp.91-100
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• 2016

Purpose : The purpose of this study has been performed to find the changes in the balance and activities of daily living on children with ataxic cerebral palsy from dual task training. Methods : This study selects 3 subjects for 7.6 years old who were diagnosed with children with ataxic cerebral palsy. The dual task training applied three times a week for six weeks to ataxic cerebral palsy. To assess changes in balance, we performed the length and surface area ellipse of central of pressure, Pediatric Balance Scale, We also assessed activities of daily living using Pediatric Evaluation of Disability Inventory. Result : There were statistically significant differences in the changes during training period for the static(length and surface area ellipse of central of pressure) and functional balance(PBS). There were statistically significant differences in the changes during training period for the Pediatric Evaluation of Disability Inventory including self-care and mobility domains, except for social function domain. Conclusion : The results from this case study suggest that dual task training may have a beneficial changes on balance and activities of daily living for children with ataxic cerebral palsy.

• 한국콘텐츠학회논문지
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• 제13권4호
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• pp.508-517
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• 2013

본 연구의 목적은 장애이해교육이 비장애아동의 장애아동에 대한 수용태도에 미치는 영향을 분석하여, 성공적인 통합교육을 실천하는데 기초자료로 활용하고자 한다. 연구결과 장애이해교육이 비장애아동의 장애아동에 대한 학교생활과 개인생활 수용태도는 긍정적으로 변화하였다. 이는 장애이해교육이 시간을 무조건 많이 제공하기보다는 4주라는 짧은 시간이라도 효과가 있다는 것을 단적으로 보여주고 있다. 그러나 사회생활 수용태도는 긍정적인 영향을 미치지 못한 것으로 나타났다. 따라서, 비장애아동들의 사회생활에 대한 수용태도 변화를 이끌어내기 위해서는 비장애인의 잘못된 장애인식이나, 장애에 대한 무지로 인한 차별을 해소하기 위해 지속적이고 다양한 접근방식의 장애이해교육 프로그램이 개발되어야 한다.

• Journal of Dental Anesthesia and Pain Medicine
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• 제16권3호
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• pp.213-216
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• 2016

Children with an intellectual disability often demonstrate lack of cooperation during dental treatment and require behavioral management. A child with mild intellectual disability can be managed adequately using restraints and medication. However, in cases of profound intellectual disability, dental treatment under general anesthesia is usually required. In cases where the patient is an intellectually disabled child who has intellectually disabled parents, it is difficult to evaluate the patient's preoperative condition and to obtain consent for treatment under general anesthesia. Furthermore, they are unable to respond to emergencies after treatment. Therefore, dental treatment should be performed under general anesthesia with hospitalization for children with an intellectual disability. This case presents the dental treatment of an intellectually disabled child, who has intellectually disabled parents, and who required general anesthesia and hospitalization.

• 대한한방소아과학회지
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• 제33권4호
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• pp.60-73
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• 2019

Objectives This study reviewed the effects of a combined treatment with Kampo and Western medicine for Developmental disability in Japan, and the provision of education programs in clinical care. Methods The search database includes J-STAGE. To narrow the search, the following key words were used: 'pervasive developmental disorders, Attention-Deficit/Hyperactivity Disorder, Learning Disorders or Learning Disabilities, Intellectual Disability, and Kampo'. The search was limited to the publication date from 2001 to 2019. Results 1. Japan analyzed five sections: The usage of the Kampo medicine ranges from 25.2% to 71.6%, and the Kampo medicine was highly used in large cities. 2. In Japan, the educational programs were provided for the caregiver and special educational programs were available for children with disabilities. 3. In Japan, there were 9 studies regarding developmental disability treating with herbal remedies. There were seven clinical trial reports, and two were published in a review or report form. 4. The results showed benefits of using Kampo for patients with lack of Yin in blood in treatment of developmental disorder. It is also important to control the liver qi and Yin in blood. 5. Seven papers reported no side effects or abnormal findings. They have reduced the use of antipsychotics. Conclusions These review studies in regards to the combined treatment of Kampo and Western medicines can be helpful to improve long term side effects of the antipsychotics used in developmental disorders.

• 대한음성학회지:말소리
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• 제56호
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• pp.15-28
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• 2005

In this study, children with MR were compared with normal children in overall production rate and production types of six semantic categories of negation. For this purpose, 10 children with MR and another 10 language-age matched normal children were selected. The results of this study were as the following: First, the children with MR showed significantly low overall production rate, compared with normal children. Two groups demonstrated signifiant differences in denial, disability, ignorance, prohibition and rejection except nonexistence. Second, in production type, the children with MR tended to use more gestures, and in comparison, normal children used more 'mixed types'.