• The Journal of Korea Assosiation for Disability and Oral Health
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• v.5 no.1
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• pp.1-4
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• 2009

뇌성마비(Cerebral Palsy)는 임신 중이나 출산, 또는 신생아기에 발생된 뇌손상에 의해 발생하는 중추성 자세 및 운동 장애를 말한다. 뇌성마비는 여러 가지 합병증 및 동반증상을 가지게 되는데, 그 증상들에는 지적장애, 언어장애, 간질, 시각장애, 자폐, 이갈이 및 섭식연하장애 등이 있다. 뇌성마비 장애인에서 나타나는 치과적 특징과 고려사항, 그리고 이들의 구강건강관리에 대해 알아보고자 한다.

• Journal of the Korean Orthopaedic Association
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• v.54 no.4
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• pp.309-316
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• 2019

Purpose: This study examined the residential environment and accessibility of rehabilitation for cerebral palsy (CP) to identify the problems with residential laws pertaining to the disabled and provide basic data on the health legislation for the rights of the disabled. Materials and Methods: The literature was searched using three keywords: residence, rehabilitation, and accessibility. Two items were selected: residential environment and rehabilitation accessibility. The questionnaire included 51 items; 24 were scored using a Likert scale and 27 were in the form of multiple-choice questions. Results: This study included 100 subjects, of which 93 lived at home and seven lived in a facility. Of these 93 subjects, 65% were living in apartments, usually two or more floors above ground, and 40% of them were living without elevators. According to the Gross Motor Function Classification System, subjects with I to III belonged to the ambulatory group and IV, V were in the non-ambulatory group. Subjects from both groups who lived at home found it most difficult to visit the rehabilitation center by themselves. In contrast, among those who lived at the facility, the ambulatory group found it most difficult to leave the facility alone, while the non-ambulatory group found it most difficult to use the toilet alone. Moreover, 83% of respondents thought that rehabilitation was necessary for CP. On the other hand, 33% are receiving rehabilitation services. Rehabilitation was performed for an average of 3.6 sessions per week, 39 minutes per session. Conclusion: There is no law that ensures secure and convenient access of CP to higher levels. Laws on access routes to enter rooms are insufficient. The disabled people's law and the disabled person's health law will be implemented in December 2017. It is necessary to enact laws that actually reflect the difficulties of people with disabilities. Based on the results of this study, an investigation of the housing and rehabilitation of patients with CP through a large-scale questionnaire will necessary.

• 재활복지
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• v.16 no.2
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• pp.287-309
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• 2012

The purpose of this study was to determine the effect of custom seating system on upper extremity access to mouse for a child with cerebral palsy. A single-subject ABAB design was used with one 13years old participant. The measurements were response time and accuracy of mouse click in the participant's typical position and in an intervention position. The intervention position was taken by using current clinical guideline and research on promoting upper extremity movement. The intervention position was achieved through hands-on postural support to the participant's typical seating. The results of this study were as follow: first, response time was decreased in the intervention position compared with the typical seating. Second, accuracy of mouse click was highly in every phases. So further analyses were not conducted on these data. The results of this study provide empirical evidence of the positive effects of functional seating on access to mouse for children with cerebral palsy. Further research is required to confirm the positive effect of the custom seating system across other disabilities type and more subjects.

• Phonetics and Speech Sciences
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• v.13 no.2
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• pp.45-55
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• 2021

This study aims to analyze the acoustic characteristics of Korean affricates produced by dysarthric speakers with cerebral palsy. Korean fricatives and affricates are the consonants that are prone to errors in dysarthric speech, but previous studies have focused only on fricatives. For this study, three affricates /tɕ, tɕ^h, ͈tɕ/ appearing at word initial and intervocalic positions produced by six mild-moderate male speakers of spastic dysarthria are selected from a QOLT database constructed in 2014. The parameters representing the acoustic characteristics of Korean affricates were extracted by using Praat: frication duration, closure duration, center of gravity, variance, skewness, kurtosis, and central moment. The results are as follows: 1) frication duration of the intervocalic affricates produced by dysarthric speakers was significantly longer than that of the non-disordered speakers; 2) the closure duration of dysarthric speakers was significantly longer; 3) in the case of the center of gravity, there was no significant difference between the two groups; 4) the skewness of the dysarthric speakers was significantly larger; and 5) the central moment of dysarthric speakers was significantly larger. This study investigated the characteristics of the affricates produced by dysarthric speakers and differences with non-disordered speakers.

• 재활복지
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• v.22 no.1
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• pp.87-114
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• 2018

The purpose of this study is to identify through empirical analysis about factors affecting the period of job maintenance of workers with cerebral palsy. Based on this, workers with cerebral palsy are looking for ways to maintain their job continuously. For this purpose, this study identifies the general characteristics and verify the affect of demographic factors, disability-related factors, employment-related factors, and social environment factors on the job maintenance period of workers with cerebral palsy. For the analysis, frequency analysis, descriptivel analysis, T-test and One-way Anova was conducted for 233 persons with cerebral palsy. The results of the study, of 17 variables of the four factors affecting the job maintenance period, 15 variables obtained statistically significant results. First, the demographic variables were age, household income, marital status, and education level. Second, the disability-related variables were disability grade, disability cause, and communication ability. Third, the employment-related variables were wage, employment type, disability-related organizations and companies, job type, job training, and qualification. Fourth, the social environment variables were assistive technology devices, and labor support personnel services.

• 재활복지
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• v.22 no.1
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• pp.195-212
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• 2018

The purpose of this study was to compare the function, activity, and participation and quality of life of cerebral palsy, Down syndrome children and typically developing children. The International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY) Checklist, and KIDSCREEN 52-HRQOL questionnaire were used to measure children function, activity and participation and quality of life. The results showed significant differences in functions (except for genitourinary and reproductive functions), activities and participation of ICF-CY were significantly different in all items. In the post-hoc analysis, showed high activity and participation in order of typically developing children, cerebral palsy, Down syndrome children (except for mobility). The quality of life were significantly different in all items (except for bullying), children with cerebral palsy and Down syndrome showed lower quality of life than typically developing children. The results showed that there were a significant difference in activity and participation, and quality of life among the three groups, and higher function, activity and participation, and quality of life in order of typically developing children, cerebral palsy, Down syndrome children.

• 재활복지
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• v.22 no.2
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• pp.175-212
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• 2018

The purpose of this study was to identify factors that affect the optimal selection of rehabilitation therapy and explore a processing model of rehabilitation decision-making for parents of children with cerebral palsy. A ground theory of Strauss and Corbin(1988)was used. Thus, collecting data was classified into open coding 140 concepts, 29 sub-categories and 8 categories. As a result of analysis, we identified that the main phenomenon was 'finding optimal therapy in trial and error' and parents experienced 6 stages including 'embarrassment', 'confusion', 'maximization', 'wandering', 'strategy', and 'balance'. Furthermore, 'rehabilitation-daily life balance' was a key category for continuation of treatment. This qualitative study discribed factors influencing determination of treatment and its continuation, and suggested a processing model of parents' decision- making for rehabilitation of their children.

• Journal of rehabilitation welfare engineering & assistive technology
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• v.3 no.1
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• pp.49-53
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• 2009

In this paper, we compared wheelchair seating system between wheelchair users with cerebral palsy and spinal cord injuries. Wheelchair seating system is divided into three parts, seating components, seating cushion, and special functions. Seating components are composed of 10 sections, such as headrest, footrest, etc. There are 4 seating cushions including gel, form, hybrid, and air. Also leg elevation, seat elevation, tilt-in-space, reclining, and standing are special function of the wheelchair. There are 10 wheelchair users, 5 with celebral palsy, and 5 with spinal cord injuries who have participated in this study. 10 wheelchair users have been customers of rehabilitation technology center in national rehabilitation center. On the result, SCI group mostly uses headrest, and Humeral blocks (seating components), air cushion (seating cushion), and tilt in space, reclining (special functions). On the other hand, CP group uses adductor, abductor, and pommel (seating components), form cushion (seating cushion), and some of CP group uses reclining (special functions)

• The Journal of Korea Assosiation for Disability and Oral Health
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• v.9 no.2
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• pp.122-126
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• 2013

Cerebral palsy is one of the primary handicapping conditions of childhood. The prevalence of malocclusions in patients with cerebral palsy is approximately twice than in general population. Even though these high rates of malocclusions, most clinicians may feel uncomfortable about treating such problems to reduce inclination of anterior teeth because to reduce of protrusion makes to decrease risk of trauma. This is the case report about mitigation of maxillary anterior teeth protrusion in patient with cerebral palsy. A 14 year old boy who had cerebral palsy visited our dental hospital. He had severe protrusive maxillary anterior teeth and narrow arch form. He was experienced at using Castillo morales appliance in early childhood. He had mild mental retardation and was able to learn simple skills. He and his parents had willing to improve his dental problems. A gentle impression taking on maxilla was done. Removable appliance was made including median screw and labial bow. We provide a period of adaption for 3 weeks. After of anterior teeth through activation of labial bow was done once a month by dentist. The treatment carried out for 10 months and we could observe reduced labial inclination of maxillary right central incisor and more wide arch form. Hawley type retainer was set at maxilla for retention. In conclusion, accompanying careful case selection and treatment, patient with cerebral palsy can be treated and should not be ignored their orthodontic needs.

• Journal of Korean Academy of Fundamentals of Nursing
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• v.10 no.1
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• pp.68-77
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• 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.