• Title/Summary/Keyword: 뇌성마비아

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Clinical study in children with cerebral palsy associated with or without epilepsy (뇌성마비아의 간질 발생에 대한 임상연구)

  • Ahn, Yongjoo;Chung, Hyejeon;Youn, Suk;Cho, Euihyun;Chung, Sajun
    • Clinical and Experimental Pediatrics
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    • v.49 no.5
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    • pp.529-532
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    • 2006
  • Purpose : To study the spectrum of epilepsy in children with cerebral palsy. Methods : A total of 93 consecutive patients with cerebral palsy(CP) were retrospectively suited. Criteria for inclusion were a follow-up period of at least 2 years. The study examined the correlation between the incidence of epilepsy and seizure types in the different forms of CP. Other factors associated with epilepsy, such as age of first seizure, occurrence of abnormalities on brain imaging, and electroencephalogram were also analyzed. Results : The overall prevalence of epilepsy in children with CP was 46.2 percent. The incidence of epilepsy was predominant in patients with mixed, diplegic, and quadriplegic palsies : 55.5 percent, 51.6 percent, and 50.0 percent in frequency. The first seizure occurred during the first year of life in 48.8 percent of patients with epilepsy. Generalized tonic-clonic seizures were the most common seizure type(44.2 percent), predominant in diplegic patients(64.3 percent). On the other hand, infantile spasms and myoclonic seizures were the main cause of seizures among quadriplegic children(60 percent and 40 percent, respectively). The occurrence of epilepsy was more popular in the group with abnormal brain imagings; especially encephalomalacia and cortical atrophy. All children with epilepsy in this study showed abnormal electroencephalogram(EEG) findings: Generalized abnormalities were observed in 55.8 percent of children with epilepsy; more dominantly in quadriplegic children(80.0 percent); and 40 percent of children with diplegia showed focal abnormalities. Conclusion : Cerebral palsy is associated with a higher incidence of seizure disorders, which, in the majority, has its onset in the first year of life; brain imaging and EEG are most effective in spotting epilepsy in children with CP.

A Study on the Development of a Parent Education Program for Cerebral Palsied Child (뇌성마비아의 부모교육 프로그램 개발에 관한 연구)

  • Shin, Hong-Cheul;Soe, Gyu-Won;Kang, Jung-Koo
    • Journal of Korean Physical Therapy Science
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    • v.2 no.3
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    • pp.623-631
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    • 1995
  • The parents of cerebral palsy children are identified as special individual with responsibilities and roles beyond those of other parents. Physical therapist often direct their attention to the cerebrel palsy child without supporting. teaching or appreciating the parent. As parents are the most influential factor in the child's development and because parents generally have a need to be incorporated in their child's treatment and education. education regarding treatment is essential for the parent. Parents tend to seek information about their child's disability and desire accurate. Straight foreward and complete information about their child. Parent groups are advantageous organizations in that they provide mutual support and emotional and social outlets. While learning to accept a disabled child. parents must deal with additional stressful events which occur when community involvement with the cerebral palsy child begins. The parents are immediately thrust into new roles as they come into contact with medical specialists, physical therapist or other parents of disabled children. These events contribute to a psychological stress. sense of loss and lowing of selfesteem.

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A Study on the Stress and Coping Patterns of Mothers with Cerebral Palsy Children (뇌성마비아 어머니의 스트레스와 대처양상에 관한 연구)

  • Lee, Ji-Won
    • 아동간호학회:학술대회논문집
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    • 1997.11a
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    • pp.35-47
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    • 1997
  • Mothers with cerebral palsy children have much stress that is related to the care of children with cerebral palsy and to other household duties, and this state of the mother has an effect on the cerebral palsy child and on other household member. Mothers in such stressful situations use various coping patterns. The purpose of this study was as follows : to develop instruments that can be used for measuring the stress and coping patterns of mothers with cerebral palsy children, and to test a hypothetical model on the relationship between the mother's stress, her coping patterns and the variable affecting the stress and coping patterns. The results of this study can be summarized as follows : 1. The stress scale was composed of 44 items and Cronbach's ${\alpha}$ was .94, and the coping pattern scale was composed of 19 items and Cronbach's ${\alpha}$ was .80. The mean score of stress scale was 136.12 out of a total of 220, and the mean score of the coping scale was 72.87 in a total of 95. 2. In test of the hypothetical model, it was found that extra-care demand, the support of the husband, the degree of handicap, health status and self-esteem had statistically significant influence on the mother's stress(r=.285, -.262, -.133, -.126). And the support of the husband, formal support, informal support, and economic status were found to have statitically significant influence on the mother's coping patterns(r=.412, .178, .178, .138).

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Relationship Between Parenting Stress, Depression, and Yangsaeng in Mothers with Cerebral Palsy Children (뇌성마비아 어머니의 양육 스트레스, 우울 및 양생과의 관계)

  • Moon, Jin-Ha
    • Journal of East-West Nursing Research
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    • v.15 no.2
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    • pp.127-134
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    • 2009
  • Purpose: This study examines parenting stress, depression, and Yangsaeng in mothers with cerebral palsy children, providing information that may be helpful in the development of a health intervention program that may improve the lives of the mothers. Methods: The subjects of this study were 124 mothers with cerebral palsy children; the subjects were selected by convenience sampling. The collected data were processed by using the SPSS program and analyzed by using descriptive statistics and Pearson's correlation. Results: Parenting stress in mothers with cerebral palsy children was $91.84\pm20.75$, depression was $20.54\pm11.30$, and Yangsaeng was $92.77\pm15.79$ There was a positive relationship between parenting stress and depression. Parenting stress and depression were negatively related with Yangsaeng. Conclusions: The results suggest that Yangsaeng as an oriental health care regimen can lower the level of parenting stress and depression. In this regard, to promote a healthier life for mothers with cerebral palsy children, it would be beneficial to develop a nursing intervention program that incorporates the use of Yangsaeng.

The Early Assessment of Cerebral Palsy (뇌성마비아의 조기평가)

  • Park Sung-Ki
    • The Journal of Korean Physical Therapy
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    • v.5 no.1
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    • pp.95-99
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    • 1993
  • We must diagnose and treat as early as possible to the children that have been danger factor and have delayed development, therefore, we shall decrease to disability, shall able to ADL and shall have could live to normal living. Since the children are most fast grow to development during 1 year after birth, the soft sign of cerebral palsy is transverse to the hard sign.

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Study on the Stress and Coping Patterns of Mothers with Cerebral Palsy Children (뇌성마비아 어머니의 스트레스와 대처양상에 관한 연구)

  • Lee Hwa Za;Lee Ji Won
    • Child Health Nursing Research
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    • v.3 no.2
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    • pp.190-202
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    • 1997
  • Mothers with cerebral palsy children have much stress that is related to the care of children with cerebral palsy and to other household duties, and this state of the mother has an effect on the cerebral palsy child and on other household member. Mothers in such stressful situations use various coping patterns. The purpose of this study was as follows : to develop instruments that can be used for measuring the stress and coping patterns of mothers with cerebral palsy children, and to test a hypothetical model on the relationship between the mother's stress, her coping patterns and the variable affecting the stress and coping patterns. The results of this study can be summarized as follows : 1. The stress scale was composed of 44 items and Cronbach's α was .94, and the coping pattern scale was composed of 19 items and Cronbach's α was. 80. The mean score of stress scale was 136.12 out of a total of 220, and the mean score of the coping scale was 72.87 in a total of 95. 2. In test of the hypothetical model, it was found that extra-care demand, the support of the husband, the degree of handicap, health status and self-esteem had statistically significant influence on the mother's stress(r=.285,-.262,-.133, -.126). And the support of the husband, formal support, informal support, and economic status were found to have statitically significant influence on the mother's coping patterns (r=.412, .178, 178, .138).

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Maternal and Child Factors Associated with Early Detection of Cerebral Palsy (뇌성마비아 조기발견과 관련된 모자인자)

  • Bae, Sung-Soo;Park, Jung-Han
    • Journal of Preventive Medicine and Public Health
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    • v.20 no.2 s.22
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    • pp.312-321
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    • 1987
  • To investigate the maternal and child factors associated with early detection of cerebral palsy, 74 mothers of cerebral palsy children who were born since January 1, 1980 and being treated at Taegu Rehabilitation Center for the Handicapped, Rehabilitiation Center of Taegu University, St. Paul Children's House and Pusan Welfare Association of Cerebral Palsy Children were interviewed from February to April 1987. There is no association between age of child when parents noticed the child's abnormality and educational level of father but it tend to be detected earlier when education level of mother is college or above compared with high school or under. There is a trend of earlier detection of child's abnormality although statistically not significant in case father is professional or managerial worker, monthly income of father is over \610,000, child is first-born, age of the parents is 34 years or under, child is a boy, and child has periodic well-baby check-up. The child's abnormality is detected earlier when mothers had 7 prenatal visits or more compared with those who had 6 visits or less (p<0.05). Parents noticed the child's abnormality first in 85.1% of the cases whereas doctors detected it first in 2.7% and this percentage was not different whether the child had periodic well-baby check-up or not. The first physician's diagnosis of the children was cerebral palsy in 36.5% and the rest was normal, need for observation, uncertain, etc. Parents took the child to doctor for diagnosis 2-3 months after they noticed the child's abnormality and after the child was diagnosed as cerebral palsy parents either took no therapeutic measure or brought the child to physiotherapy or acupuncture or gave herb medicine before they started specific rehabilitative therapy. For early detection of the cerebral palsy children, teaching of evaluation method for child development should be reinforced both in medical school and clinical training course and should train the specialist for diagnosis and treatment of crippling conditions. Also, public education is needed for the importance of early detection of crippling conditions and currently available methods for diagnosis and treatment.

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Clinical studies of 38c.p. children in rehabilitation center (재활원의 물리치료대상 뇌성마비아의 임상적 고찰)

  • Kim, Myung-Hoon;Kim, Sang-Yeob
    • Journal of Korean Physical Therapy Science
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    • v.6 no.3
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    • pp.117-123
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    • 1999
  • The prognosis and result of treatment are influenced by associated cerebral handicaps. 38 cerebral palsied children in rehabilitation center were analized and neuromotor type severity associated defects, and their correlation were studied. The results were follows: 1. neuromotor type distribution was 65.78% of spasticity, 21.05% of athetoid, 2.63% of Ataxia, Tremor, and Rigidity, 5.26% of mixed type. 2. Mean values of I.Q, S.Q and M.Q were 84.3, 63.0 and 26.6 respectively, and percentages of strabismus, speech disturbance, shoulder abnormality, spine abnormality and hip abnormality were 26.3%, 81.5%, 5.2%, 52.6% and 15.9% respectively. 3. Significant differences were noted between each group of mild, moderate, and severe in S. Q, M. Q, and spine abnormality and between moderate and severe group in speech disturbance.

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