• 대한감각통합치료학회지
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• 제13권2호
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• pp.21-29
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• 2015

목적 : 뇌성마비아동 중 양하지마비 아동과 일반아동을 대상으로 감각처리 능력을 비교하고자 하였다. 또한 아동을 학령전기와 학령기로 나누어 연령에 따른 감각처리 특성을 알아보고자 하였다. 연구방법 : 경직형 양하지마비 아동과 일반아동의 감각처리 능력을 알아보기 위해 단축형 감각프로파일(Short Sensory Profile: SSP)을 사용하였다. 연구대상은 뇌성마비 중 양하지마비 유형으로 진단받은 만 3~10세 아동과 일반아동을 대상으로 보호자가 직접 설문지 작성을 하도록 하였다. 2013년 11월부터 2014년 2월까지 설문지 배부 및 수거가 이루어 졌으며 경직형 양하지마비 아동 40명, 일반아동 40명의 자료가 분석에 사용되었다. 연구 분석은 집단별 비교를 위해 독립표본 t-test, 연령별 비교를 위해 Mann Whitney U-test를 사용하였다. 연구결과 : 단축형 감각프로파일 총점과 모든 영역에서 경직형 양하지마비 아동이 일반아동보다 점수가 낮게 나타났으며 촉각 민감성과 맛/냄새 민감성을 제외한 5가지 영역과 감각처리 총점에서 두 그룹 간 유의미한 차이가 있는 것으로 나타났다. 학령전기 아동은 총점과 움직임 민감성, 과소반응/특정자극 찾기, 청각 여과하기, 활력이 부족하고 허약함, 시각/청각 민감성에서 일반아동과 유의미한 차이를 보였으며 학령기 아동은 움직임 민감성, 활력이 부족하고 허약함, 시각/청각 민감성에서 유의미한 차이를 보였다. 결론 : 본 연구 결과는 경직형 양하지마비 아동의 감각처리 평가 시 기초자료로 사용될 수 있으리라 생각된다. 앞으로 뇌성마비의 다른 유형을 대상으로 하는 감각처리 능력에 대한 연구가 이루어져야 할 것이다.

• 대한감각통합치료학회지
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• 제4권1호
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• pp.47-55
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• 2006

Objective : The purpose of this study was to evaluate the correlation between visual perception ability and activities of daily living(ADL) in the children with spastic diplegia who were treated at developmental disabilities children salutary institute. Method : The subject were consisted of 8 children with spastic diplegia(mean age, 10). The visual perception ability was measured by the Developmental Test of Visual Perception(DTVP) and by the Functional Independence Measure for Children(WeeFIM) to evaluate activities of daily living. Collected data analysis were completed by using correlation analysis. Results : Visual perception ability of children with spastic diplegia is the highest in Position in Space(PS) score, and is the lowest in Visual-Motor coordination(VM) score. Average visual perception performance of children with spastic diplegia is the highest in SR(Spatial relationship) score, and is the lowest in VM score. In activities of daily living, eating component were significantly correlated with Visual-Motor coordination. Conclusions : Therefore, accurate evaluation of visual perception ability and visual perception training for children with spastic diplegia will be important to improve patient's activities of daily living skill.

• 대한물리의학회지
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• 제7권2호
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• pp.213-221
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• 2012

Purpose : The purpose of this study was to investigate the effect of Vojta therapy on Gross Motor Function Measurement(GMFM) and Selective Voluntary Motor Control (SVMC) in children with Spastic diplegia. Methods : During this experiment, the subject of four children diagnosed with spastic diplegia was tested using ABA design for Single-subject Experimental Research Design. The procedure consisted of baseline, intervention and follow-up phase which was held thirty minutes each for three times a week for a total of 24 times. Gross motor function was measured using GMFM and selective voluntary motor control was measured using SCALE. Results : According to this study, the gross motor function and selective voluntary motor control of all subjects were improved from their intervention phase to their baseline phase. During the follow phase which the intervention was removed, the ability that was enhanced during the prior phases was still either maintained or only reduced slightly. Conclusion : The Vojta therapy used on children diagnosed with spastic diplegia was effective on both GMFM and SVMC. In other words, the therapy was effective on coordination. However, this study is difficult to be generalized due to the insufficient number of subject. In further studies, it will be necessary to increase the number of trials with a control group in order to generalize the effectiveness of Vojta therapy.

• PNF and Movement
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• 제19권2호
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• pp.163-172
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• 2021

Purpose: This study investigated the correlation between physical function and forward head posture in spastic diplegia. Methods: The subjects of this study were 10 spastic diplegia patients. We took pictures of the subjects' craniovertebral angle with a digital camera to determine the degree of forward head posture and then analyzed them using the NIH image J program. The physical function test used the TCMS, the BBT, and a spirometer. The data in this study were measured using SPSS version 23.0, and the statistical significance level α was 0.05. A Pearson correlation coefficient analysis was performed to identify the correlation between the degree of the subject's head forward position and physical function. Results: When we performed the BBT and spirometer tests, the subjects' forward head postures were not correlated (p < 0.05). However, with the TCMS, there was a strong correlation between the forward position of the head and balance, with balance decreasing as the head position increased (p < 0.05). Conclusion: Spastic diplegia patients with severe forward head posture showed problems with static balance, dynamic balance, and equilibrium reaction when sitting. Intervention on the right posture and preventive activities will be needed to improve the health of spastic diplegia patients and prevent future problems with physical function.

• 대한감각통합치료학회지
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• 제14권2호
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• pp.46-57
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• 2016

목적 : 뇌성마비 아동의 자세조절을 향상시키기 위해 국내에서 사용되는 운동 중재의 방법과 효과를 알아보기 위해 체계적 고찰을 사용하여 근거를 제시하고자 하였다. 연구방법 : 누리미디어(DBpia), 학술연구정보서비스(RISS) 그리고 한국학술정보(KISS)의 데이터베이스를 사용하여 2006년 10월 이후로 게재된 국내학회지를 검색하였다. '뇌성마비', '자세조절', '균형'를 키워드로 검색하여 총 18개의 연구가 연구대상으로 선정되었다. 각 연구는 근거의 질적 수준과 방법론적 질적 수준으로 분석하였고 그 결과는 대상자, 중재, 대조군, 결과에 따라 Patient, Intervention, Comparison, Outcome(PICO)로 분석하였다. 결과 : 본 연구의 분석에 사용된 연구의 근거수준은 수준 I이 8개, 수준 III이 5개, 수준 IV가 2개, 수준 V가 3개이었고, 방법론적 질적 수준은 '우수'의 연구가 가장 많았다. 대상자는 경직형 양하지 마비, 실험설계는 무작위 대조군 실험 연구가 가장 많았다. 분석결과 국내에서 사용되는 자세조절 운동 중재는 뇌성마비 아동의 운동능력과 균형능력 향상에 긍정적인 영향을 보였다. 결론 : 국내에서 사용되는 운동 중재는 뇌성마비 아동의 자세조절 능력을 향상시켰다. 앞으로 뇌성마비 아동의 유형별 자세조절 향상을 위한 연구가 이루어져야 할 것이다.

• 대한물리의학회지
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• 제8권4호
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• pp.637-645
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• 2013

PURPOSE: The purpose of this study was to examine the effect of using a suspension device for arm reaching activity on trunk stability and gross motor function of children with spastic diplegia cerebral palsy. METHODS: The subject in this study consisted of 11, GMFCS(Gross Motor Function Classification System) III~IV children with spastic diplegia cerebral palsy, all of whom agreed to participate in the study. All subjects were divided into two groups: the experimental group using a suspension device, and the control group using no suspension device. For each group, a thirty-minute intervention was done twice per week during 8 weeks. Before and after intervention, each test was measured using TIS(Trunk Impairment Scale), GMFM (Gross Motor Function Measure) and PRT(Pediatric Reaching Test) to change trunk stability, gross motor function and arm reaching activity. The data were analyzed with the Wilcoxon signed rank test. RESULT: All two groups had a meaningful increase in GMFM-Sit data measured before and after intervention. The experimental group had a significant increase from an average of 78.83 to an average of 84.83 in GMFM-Crawling. For both groups, there was a substantial increase in the change in sitting position and arm reaching. CONCLUSION: According to the results of this study, the arm reaching activity using suspension device had an effect on trunk stability and gross motor function and it changed arm reaching activity.

• The Journal of Korean Physical Therapy
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• 제26권4호
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• pp.274-279
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• 2014

Purpose: The aim of this study was to determine the change of static and dynamic foot pressure on trunk stabilization exercise in children with spastic diplegic cerebral palsy. Methods: This study examined five male children participants ages 10~14 years old with spastic diplegic cerebral palsy. All subjects participated in a 6-week sling exercise program for trunk stabilization; the exercise was performed three times per week and each session lasted 50 minutes. The subjects were measured for static and dynamic foot pressure and bilateral symmetry of both feet before and after the trunk stabilization exercise. Results: The static foot pressure increased significantly before and after the trunk stabilization exercise (left foot: before $0.41{\pm}0.02%BW/cm^2$ after $0.79{\pm}0.02%BW/cm^2$, right foot: before $0.14{\pm}0.03%BW/cm^2$, after $0.43{\pm}0.44%BW/cm^2$) (p<0.05) and bilateral symmetry of both feet increased (before $0.27{\pm}0.18%BW/cm^2$, after $0.37{\pm}0.05%BW/cm^2$) with more weight shift on left foot than right foot, but was not statistically significant (p>0.05). The dynamic foot pressure increased (left foot: before $2.58{\pm}0.44%BW/cm^2$, after $3.40{\pm}0.31%BW/cm^2$, right foot: before $2.75{\pm}0.19%BW/cm^2$, after $3.26{\pm}0.18%BW/cm^2$) with more weight shift on right foot than left foot, but was not statistically significant (p>0.05), and bilateral symmetry of both feet decreased (before $0.31{\pm}0.36%BW/cm^2$, after $0.13{\pm}0.20%BW/cm^2$) (p<0.05). Conclusion: The findings of this study indicated that the trunk stabilization exercise has a positive impact on static and dynamic foot pressure in children with spastic diplegic cerebral palsy.

• PNF and Movement
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• 제17권2호
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• pp.237-243
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• 2019

Purpose: The purpose of the present study was to investigate the effects of toe wedges on the gait ability of adolescents with spastic diplegic cerebral palsy. Methods: Six adolescents with spastic diplegic cerebral palsy participated in this study. During the participants walked with- and without toe wedges, the gait ability was analyzed using the electronic walkway system. Gait parameters, including velocity, cadence, step length, stride length, single support time, and double support time, were collected and analyzed. Results: When the participants walked with toe wedges, there were significant improvements in gait velocity, cadence, and double support time compared to those without toe wedges (p<0.05). However, there were no significant differences in step length, stride length, and single support time. Conclusion: Toe wedges may have a positive effect on the gait ability of adolescents with spastic diplegic cerebral palsy. However, it is necessary to conduct high-quality studies to identify the effects of toe wedges.