The Journal of Korean Academy of Sensory Integration (대한감각통합치료학회지)

Korean Academy of Sensory Integration (대한감각통합치료학회)
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The Effect of Intensive Weight Shift Training on Seated Postural Balance in Children With Spastic Cerebral Palsy: A Case Study

집중체중 이동훈련이 뇌성마비 아동의 체간조절 능력에 미치는 영향: 사례연구

  • 유현남 (아이들의꿈재활의원) ;
  • 한진태 (경성대학교 물리치료학과)
  • Received : 2019.04.17
  • Accepted : 2019.06.18
  • Published : 2019.06.30
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Abstract

Objective : This study investigated the effect of intensive weight shift training (IWST) on the ability to balance in a sitting posture of children with spastic cerebral palsy (SCP). Methods : One child with spastic diplegia participated in this study for a total of 8 weeks using the ABA experimental design. For the pre-intervention period (A1), general physical therapy (GPT) for children with SCP was performed. The intervention period (B1 and B2), GPT and IWST were conducted for children with SCP, and GPT was conducted again for the post-intervention period (A'1 and A'2). Trunk control capacity was measured using the Korean Trunk Control Measurement Scale (TCMS-K) and Biorescue (RM Ingenierie, France). Results : All TCMS-K variables increased from A1 to B2, and decreased from B2 to A'2. The total area with limit of stability (LOS) increased from A1 to B2, and decreased from B2 to A'2. The ratio of the left/right (Lt/Rt) and anterior/posterior (Ant/Post) LOS area was closer to 1, meaning symmetry, in B2 than in A1. The ratio of the Lt/Rt LOS area decreased further from 1 in A'2 than in B2. The ratio of the Ant/Post LOS area was closer to 1 in A'2 than in B2. Conclusion : IWST had a positive effect on the improvement of balance in the sitting posture of a child with SCP. The results suggest that IWST might help to improve the balance abilities of children with SCP for independent sitting, postural control, and activities of daily living.

목적 : 본 연구의 목적은 경직성 뇌성마비아동의 앉은 자세균형에 대한 집중체중 이동훈련의 효과를 알아보고자 하였다. 연구방법 : 경직성 사지마비로 진단 받은 11세 여자를 대상으로 ABA 실험설계를 이용하여 8주간 실험을 진행하였다. 기초선(A1)에서 일반 물리치료를 수행하였고, 중재 중(B1, B2)에서 일반 물리치료와 집중체중 이동훈련을 실시하였으며, 중재 후(A'1, A'2)에서 다시 일반 물리치료를 실시하였다. 체간조절능력은 한국형 체간조절 측정척도(TCMS-K)와 균형측정시스템(Biorescue, RM Ingenierie, France)를 사용하여 측정하였다. 연구결과 : 한국형 체간조절 측정척도의 모든 항목이 집중체중 이동훈련 기간 중에 증가하였다. 또한 안정성한계 면적이 집중체중 이동훈련 기간 중에 증가하였고 왼쪽/오른쪽 그리고 앞/뒤 안정성한계 면적이 집중체중 이동훈련 기간 중에 대칭적이었다. 결론 : 집중체중 이동훈련이 경직성 뇌성마비 아동의 체간조절 능력을 개선하는데 긍정적인 효과가 있었다. 본 연구는 집중체중 이동훈련이 경직성 뇌성마비 아동의 독립적 앉기, 자세조절, 일상생활을 위한 균형능력 개선에 도움이 될 것으로 사료된다.

Keywords

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