• Therapeutic Science for Rehabilitation
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• v.8 no.3
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• pp.31-41
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• 2019

Objective: This study was conducted to comprehensively analyze domestic and international literature on the oral sensorimotor intervention approaches and evaluation/non-instrumental assessment methods for children with cerebral palsy with feeding disorders. Methods: One hundred and seventy-six papers published from January 2009 to December 2018 were screened. Forty-seven papers were selected based on the abstract and title, and five papers were selected through a secondary search. Results: The PEDro scale of the selected papers was high with an average of 7 points, and the therapeutic intervention period was found to be between 2 and 6 months, providing therapeutic interventions once to 5 times a week, at least 15 minutes to 1 hour a day. The treatment approach was used with impairment-based intervention and adaptive-based intervention, and the assessment method was divided into clinical evaluation and non-instrumental assessments. Conclusion: Through this systematic review, we found that there are a variety of oral sensorimotor interventions for children with cerebral palsy with feeding disorders. This study provides support for planning oral sensorimotor intervention programs for occupational therapy in clinical practice for children with cerebral palsy.

• The Journal of Korean Academy of Sensory Integration
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• v.20 no.1
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• pp.1-13
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• 2022

Objective : The purpose of this study was to investigate the effects of group Cognitive Orientation to daily Occupational Performance (CO-OP) on the occupational performance and social interaction skills of children with Cerebral Palsy (CP). Methods : A single-case experimental study with an ABA design was conducted from April to June 2021, targeting three children with cerebral palsy who met the study selection criteria. The baseline period consisted of 3 intervention sessions until the data were stabilized, and the intervention period consisted of 10 sessions (once a week, 60 minutes/session). For comparison before and after the intervention, motor development, visual perception, and daily life behavior were evaluated. To evaluate the quality of each session, a performance quality evaluation scale was used. Results : In all 3 subjects, the quality of work performance in the three common goal activities improved. The evaluation scores for visual perception, large and small movements, and daily activities were also improved. Conclusion : This study provided evidence that group CO-OP can improve the pre-academic skills and occupational performance of children with CP.

• Therapeutic Science for Rehabilitation
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• v.4 no.1
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• pp.7-17
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• 2015

Objective : To investigate the current researches which identify the improvement of bilateral coordination skill of children with hemiplegic cerebral palsy after bimanual intensive training. Methods : We systematically examined papers published in journals from 2004 to 2014, using RISS, Pubmed. Total 6 studies were included in the analyses. Result : All of the selected 6 studies were foreign papers, and the Pedro score was 5 or more. Among various interventions, modified CIMT designs were the most. The primary outcome measure tools are AHA and JTTHF for evaluating bilateral coordination and hand functions, and QUEST, ABILHAND-Kids, COPM, GAS, PEDI, 3-D movement kinematics were used for evaluating various aspects of effectiveness of interventions. Conclusion : Through this systematic review, it is identified that bilateral intensive training provides positive effects to not only hand functions but also bilateral coordination. Furthermore, it also provided supports to participate in ADL requiring bilateral coordination. These results will provides evidence concerning the effectiveness of BIT for children with hemiplegic cerebral palsy.

• The Journal of Korean Academy of Sensory Integration
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• v.21 no.1
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• pp.11-22
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• 2023

Objective : The purpose of this study was to examine the effects of using Kinesiology Tape (KT) for drooling in children with cerebral palsy. Methods : A single-case experimental design with an ABA design was conducted. A total of 46 sessions were conducted, consisting of three baseline sessions (A), 40 intervention sessions (B), and three baseline sessions (A'). The Drooling Impact Scale (DIS) and the Interlabial Gap (IG) were measured before and after the KT intervention, and a Goal Attainment Scale (GAS) was assessed to determine whether there was any change in the target activity for each session. The KT intervention was attached to the orbicularis oris muscle. The KT intervention time was set as the time taken for dysphagia intervention and the actual meal time, for up to one hour a day, for a total of eight weeks. Results : The results of the study showed that the KT intervention had an effect on both the DIS and the IG, and that the GAS scale indicated that target activity increased with each session. Conclusion : These results indicate that the KT intervention can easily be applied to children with cerebral palsy who suffer from drooling, whether in clinical practice, by therapists, or caregivers, and that it can be used for various purposes.

• Physical Therapy Korea
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• v.10 no.4
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• pp.17-22
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• 2003

대동작 운동 수행능력 측정도구(GMPM)는 뇌성마비 아동의 움직임을 질적인 면에서 평가하기 위해 개발된 도구이다. 이 연구의 목적은 대동작 운동 수행능력 측정도구의 측정자간 신뢰도를 알아보는 것이다. 뇌성마비 아동 10명(평균 5.6세, 범위 4~8세)에게 GMPM 평가를 실시하였다. 평가 과정을 비디오로 녹화하여 각 속성 항목별로 3명의 평가자간의 급간내 상관계수로 일치도를 보았다. 전반적으로 측정자간 신뢰도는 '불량~보통'범주에 속했다. 이 연구의 결과는 충분한 교육을 받지 않고 평가하면 그 결과를 신뢰하기 어렵다는 것을 말해준다. 향후 임상에서 GMPM을 이용하여 평가할 때 측정자간 신뢰도에 어떤 변화가 있는지 알아보는 연구가 필요하다.

• Journal of rehabilitation welfare engineering & assistive technology
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• v.10 no.4
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• pp.251-257
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• 2016

The Pediatric Balance Scale (PBS) was balance measurement equipment for school-age children with mild to moderate motor impairments. The aims of this study are to examine the correlation between PBS and spatiotemporal gait parameter and to identify the walking function with cerebral palsy through balance scale. The PBS consists of 14 items such as sitting of standing, standing to sitting, transfers, standing unsupported, standing on one foot, turning 360 degrees, turing to look behind, etc., and the spatiotemporal parameters include walking speed, stride length, step length, step width, cadence, double-limb support. All subjects were independently ambulatory children with spastic diplegic cerebral palsy, and they were assessed on PBS and spatiotemporal gait parameters by an experienced pediatric physical therapist. Pearson's correlation coefficient was used to assess the correlation between PBS and spatiotemporal gait parameters, and the level of significance was set at ${\alpha}$ = 0.05. Total score of PBS(r=.49~.58), standing to sitting(r=.48~.60), turning to look behind(r=.47~.53), and pick up object(r=.52~.69) were positively correlated with walking speed, stride length, step length, and cadence. Most items of the PBS were negatively correlated with double-limb support(r=-.48~-.92). These findings suggest that the pediatric balance scale can be applied to estimate gait function level for children with spastic diplegic cerebral palsy.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.12
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• pp.5709-5714
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• 2011

The purpose of this study was to investigate the utility of function classification system in children with cerebral palsy (CP). For this, relationship among the Manual Ability Classification System (MACS), the Gross Motor Function Classification System (GMFCS), and the functional status (WeeFIM) in children with cerebral palsy form September 2008 to August 2010. The participants was 217 children with CP in this study. The 217 children were evaluated by using the MACS for their hand function and by using the GMFCS for their motor function. The functional status were assessed by using the Functional Independence Measure of Children (WeeFIM). The GMFCS have a significant correlation with total score and domains of WeeFIM (p<.05) There were a significant correlation with total score and domains of WeeFIM (p<.05) except no significancy with communication domain in dyskinesia type. The highest number of participants were in level 1 (20.3) and level 5 (40.6%) for GMFCS. For MACS, the highest number of participants were level 2 (48.8%) and level 5 (16.6%). The function classification of GMFCS and MACS in practice will provide usefulness for assessment of function in children with CP.

• Science of Emotion and Sensibility
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• v.24 no.4
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• pp.139-148
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• 2021

This study aimed to verify how a multisensory storytelling-based activity-based intervention affects social interaction in children with cerebral palsy. As a quasi-experimental investigation, this study used a single-blind, two-group pre-post test design. This study comprised 24 children aged 7 to 8 y who had been diagnosed with spastic cerebral palsy and were classified as having GMFCS stages I to III. Twelve children were randomly assigned to experimental and control groups, with neither the children nor their guardians knowing which group they were placed in. The group program comprised 16 sessions of 60 min each, twice a week for eight weeks. The experimental group engaged in an activity-centered intervention centered on multisensory storytelling, whereas the control group engaged in structured physical activity. The activities were assessed using the peer relations skills scale to determine the extent to which social interaction had changed prior to and during the child's intervention. The SPSS 25.0 for Windows (IBM Corp, USA) application was used to analyze the data, and the significance level (α) for statistical verification was set to 0.05. Furthermore, the Wilcoxon Signed-Rank and Mann-Whitney U tests were used to assess the differences in social interaction between the experimental and control groups. Significant differences were observed in the total of the peer relationship skill scale and cooperation and empathy areas of the subtest in the intragroup change of the peer relationship skill scale between the experimental and control groups. However, the experimental group demonstrated a significant difference in the initiative area, whereas the control group demonstrated no significant difference. A significant difference was observed in the amount of change between the two groups in the initiative area and total of the subtest of peer relationship skills but no significant difference in the collaboration and empathy areas. We gave a multisensory storytelling-based activity-based intervention based on multisensory storytelling to children with cerebral palsy and saw a significant improvement in peer relationship skills. It may be proposed as an effective intervention strategy for children with cerebral palsy who struggle with social contact.

• The Journal of Korean Physical Therapy
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• v.24 no.4
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• pp.290-290
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• 2012

• Journal of the Korea Academia-Industrial cooperation Society
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• v.13 no.9
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• pp.4098-4106
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• 2012

This study aims to investigate the effect of trunk muscle strengthening exercises on balance performance of sitting posture and muscle tone, targeting the children with spastic diplegic cerebral palsy. 16 children with spastic diplegic cerebral palsy in IV phase of GMFCS were sampled at random and the tests were conducted for 6 weeks, 3 times per week. For experimental groups, only trunk muscle strengthening exercises were conducted and for control groups, only basic physical therapy was conducted. The trunk muscle strengthening exercise consisted of 2 exercises to strengthen abdominal muscles and back muscles. BPM(Balance Performance Monitor) was used to measure balance performance and MMAS(Modified Modified Ashworth Scale) was used to measure muscle tone. As a result, the changes of sitting balance performance in experimental groups and control groups show significant difference in the changes of sway path and sway velocity(p<.05), the comparison of changes in sitting balance performance in between experimental groups and control groups show significant difference in the changes of sway path and sway velocity(p<.05). Knee flexor muscles and hip adductor muscles in both groups show no significant difference in changes of the muscle tone(p>.05). Therefore, the balance performance in both experimental groups and control groups was improved. However, the experimental group had more significant improvement in balance performance and no change in muscle tone was detected in both groups. Thus, these findings show trunk muscle strengthening exercises are effective in improving the balance performance of sitting posture for the children with spastic diplegic cerebral palsy without changing muscle tone.