• Title/Summary/Keyword: 발달장애아

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Analysis of Factors Influencing on the Early Treatment of Children With Developmental Disability (발달장애아의 조기치료에 영향을 미치는 요인 분석)

  • Park, Hye-Jeong;Kim, Sun-Hye
    • Physical Therapy Korea
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    • v.6 no.1
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    • pp.47-61
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    • 1999
  • The purpose of this study was to investigate factors influencing on the early treatment of children with developmental disability. Data was collected from 102 mothers of children with developmental disability who were treated at 4 rehabilitation facilities in Kyunggi-Do and Kangwon-Do. The results were as follows: 1) Of a total of 102, 63 children began to receive rehabilitation therapy during the period 0~12 months (early treatment group), 38 children after 1 year of age (delayed early treatment group). 2) There were statistically significant differences between the early treatment group and delayed early treatment group for prematurity, low birth weight, the time to discover developmental abnormalities, the time of first diagnosis, and first treatment (p<0.05). 3) There were no statistically significant differences in the two groups for level of education, economic status, risk factors (except prematurity and birth weight), home care, family's cooperation and commuting time (p>0.05). Based on this study, the important factors for early treatment were early detection, early diagnosis and constant follow-up for high-risk babies.

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A Study on the Treatment of Oriental Medicine Music Therapy for the Children with Developmental Disability (발달장애아 치료(治療)에 쓸 수 있는 한방음악치료(韓方音樂治療) 기법(機法)에 관한 연구(硏究))

  • Lee, Seung-Hyun
    • The Journal of Pediatrics of Korean Medicine
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    • v.24 no.3
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    • pp.81-91
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    • 2010
  • Objectives: The basic cause of developmental disability is congenital weakness, which is a disorder of the kidney according to the Oriental medicine definition. I suggest the oriental medicine music therapy, which can improve congenital weakness and recover the kidney dysfunction. Methods: This study focused autism and Asperger syndrome in terms of Oriental medicine, and also considered view points from the Western medicine. Conclusions 1. The kidney monitors vital elements which were produced from the bone marrow. Therefore, the growth and the development of a skeletal structure are related to the strength and weakness of kidney, which is measured in Qi score. 2. In a case of the deficiency of kidney, an essence due to congenital defect, it shows the symptoms of the developmental disability such as sluggish reaction and physical movements, falling of memory, hearing, and eyesight. 3. For the kidney disorder, "Eum music therapy", one of the oriental medicine music therapies, can promote development of the kidney and kidney-Qi score for the children with developmental disability.

Rehabilitation Medical Desire of Parents with Developmental Disability Children (발달장애아 부모의 재활적 의료 욕구도)

  • Kim, Youn-Soon;Lee, Soo-Kyung;Yang, Chung-Yong
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.19 no.2
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    • pp.568-572
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    • 2005
  • This study is aiming for evaluating the factors influencing rehabilitation medical desire in parents (RMDP) with developmental disability children. This study was made with a randomized sample of 156 parents, who were given a questionnaire about how they feel medical needs for their children. The results of the study were as follows: The RMDP is significantly high in relatively the older aged parents group(p<.01). The RMDP is significantly high in severe disability group(p<.01). The RMDP is significantly high in the more spend group of monthly medical cost(p<.05). The group difference of RMDP by monthly income or movement type of disability is not significant(p>.05). It is thought that medical staff need to be actively involved in parents group with developmental disability children to improve motivation, who is relatively the younger than 35 years old or has mild to moderate disability degree of child.

The Effect of Cognitive Movement Therapy on Emotional Rehabilitation for Children with Affective and Behavioral Disorder Using Emotional Expression and Facial Image Analysis (감정표현 표정의 영상분석에 의한 인지동작치료가 정서·행동장애아 감성재활에 미치는 영향)

  • Byun, In-Kyung;Lee, Jae-Ho
    • The Journal of the Korea Contents Association
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    • v.16 no.12
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    • pp.327-345
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    • 2016
  • The purpose of this study was to carry out cognitive movement therapy program for children with affective and behavioral disorder based on neuro science, psychology, motor learning, muscle physiology, biomechanics, human motion analysis, movement control and to quantify characteristic of expression and gestures according to change of facial expression by emotional change. We could observe problematic expression of children with affective disorder, and could estimate the efficiency of application of movement therapy program by the face expression change of children with affective disorder. And it could be expected to accumulate data for early detection and therapy process of development disorder applying converged measurement and analytic method for human development by quantification of emotion and behavior therapy analysis, kinematic analysis. Therefore, the result of this study could be extendedly applied to the disabled, the elderly and the sick as well as children.

An Analysis of Research Trends in Forest Play Activities for Children (유아를 대상으로 한 숲놀이 활동의 연구 동향 분석)

  • Kim, Mi Jin;Jandg, Hyun Hee;Yun, Suk Yonng;Choi, Byung Jin
    • Journal of the Korean Society of Floral Art and Design
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    • no.41
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    • pp.13-24
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    • 2019
  • The purpose of this study was to analyze research papers related to forest play of children's and present future research directions and basic data. 174 out of the forest play papers for children's provided to the research information sharing service (www. riss. kr) from 2009 to 2018 were studied. The number of papers according to the study was 114 published for children. Looking at the research method of forest play papers for children, 55.17% for experimental papers, 9.77% for observation papers, 17.82% for research papers, 5.75% for case studies, 6.32% for literature review papers and 5.17% for other papers. Looking at trends by target age, in the case of the papers which studied on the single age, the number of papers researching on age 3.51%) for 2 years old, 2.63% for the 3 years old, 9.65% for the 4 years old, 35.96% for the 5 years old. A total of 40.36% consisted of children aged between 2 and 5 years. A total of 7.89% were published for infants and children with handicapped. The number of theses that studied emotional development accounted for 30.7%, social development was 25.44%, cognitive development was 16.67%, self concept development was 14.04%, physical development was 6.14%, language development was 3.51% and other development was 3.51%. As a result of the above analysis, it was necessary to study the language development and the forest play.

Structural Equation Modeling for Quality of Life of Mothers of Children with Developmental Disabilities: Focusing on the Self-Help Model (발달장애아 어머니 삶의 질 구조모형: Self-Help Model을 중심으로)

  • Yang, Mi Ran;Yu, Mi
    • Journal of Korean Academy of Nursing
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    • v.52 no.3
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    • pp.308-323
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    • 2022
  • Purpose: This study aimed to construct and test a predictive model for the quality of life (QOL) in mothers of children with developmental disabilities (DB). The hypothesized model included severity of illness, distress, uncertainty, self-help, and parenting efficacy as influencing factors, QOL as a consequence based on the Braden's Self-Help Model. Methods: The data were collected through a direct and online surveys from 206 mothers in 8 locations, including welfare or daycare centers, developmental treatment centers, and The Parents' Coalition for the Disabled located in two provinces of Korea. Data were analysed using SPSS/WIN 23.0 and AMOS 21.0 program. Results: The fit indices of the predictive model satisfied recommended levels; 𝛘2 = 165.79 (p < .001), normed 𝛘2 (𝛘2/df) = 2.44, RMR = .04, RMSEA = .08, GFI = .90, AGFI = .85, NFI = .91, TLI = .93, CFI = .95. Among the variables, distress (β = - .46, p < .001), parenting efficacy (β = .22, p < .001), and self-help (β = .17, p = .018) had direct effects on QOL. Severity of illness (β = - .61, p = .010) and uncertainty (β = - .08, p = .014) showed indirect effects. The explanatory power of variables was 61.0%. Conclusion: The study results confirm the utility of Braden's Self-Help Model. They provide a theoretical basis for improving QOL in mothers of children with DB. Nursing intervention strategies that can relieve mothers' distress and uncertainty related to disease and enhance parenting efficacy and self-help behavior should be considered.

DRUG THERAPY FOR DEVELOPMENTAL DISORDER PATIENTS WITH SELF-MUTILATION (자해 증상을 가진 발달장애아의 약물치료)

  • Kim, Bong-Seog
    • Journal of the Korean Academy of Child and Adolescent Psychiatry
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    • v.14 no.1
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    • pp.53-63
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    • 2003
  • The autistic disorder is identified as an independent clinical entity, since the first description of Leo Kanner. The etiologies of the autistic disorder are almost unclear and the autistic disorder has several abnormalities in aspect of morphology and function of brain. Self-mutilation is observed in the low functioning autistic patients, and early treatment for self mutilation are needed in order not to be chronic. This article reviewed the drugs for the several symptoms of the autistic disorder, especially for self-mutilation. The serotonin reuptake inhibitors does not have clear primary anti-aggressive effects. The dopamine blockers have considerable effects in order to decrease aggression and self injury, and the risperidone is most recommended because of side effects of conventional drugs. The naltrextone does not have consistent study results yet. The clonidine has aggression-decreasing effect. Also lithium is effective on the treatment for aggressive and self-injurious behaviors. And the anticonvulsants including carbamazepine are effective on aggressive explosive behaviors. In the future the pharmacotherapy for self-mutilation will be advanced through stalbe diagnosis and measurement of treatment response.

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Review on the Kampo Treatment and Education Program for Children with Developmental Disabilities in Japan (일본에서 발달장애아를 대상으로 Kampo치료 및 교육프로그램의 제공에 대한 연구동향)

  • Kim, Mi-Suk;Ko, Byoung Seob
    • The Journal of Pediatrics of Korean Medicine
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    • v.33 no.4
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    • pp.60-73
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    • 2019
  • Objectives This study reviewed the effects of a combined treatment with Kampo and Western medicine for Developmental disability in Japan, and the provision of education programs in clinical care. Methods The search database includes J-STAGE. To narrow the search, the following key words were used: 'pervasive developmental disorders, Attention-Deficit/Hyperactivity Disorder, Learning Disorders or Learning Disabilities, Intellectual Disability, and Kampo'. The search was limited to the publication date from 2001 to 2019. Results 1. Japan analyzed five sections: The usage of the Kampo medicine ranges from 25.2% to 71.6%, and the Kampo medicine was highly used in large cities. 2. In Japan, the educational programs were provided for the caregiver and special educational programs were available for children with disabilities. 3. In Japan, there were 9 studies regarding developmental disability treating with herbal remedies. There were seven clinical trial reports, and two were published in a review or report form. 4. The results showed benefits of using Kampo for patients with lack of Yin in blood in treatment of developmental disorder. It is also important to control the liver qi and Yin in blood. 5. Seven papers reported no side effects or abnormal findings. They have reduced the use of antipsychotics. Conclusions These review studies in regards to the combined treatment of Kampo and Western medicines can be helpful to improve long term side effects of the antipsychotics used in developmental disorders.

The Effects of the Early Intervention of V{\ddot{o}}jta Therapy for the Infant with Central Coordination Disturbance (영유아 뇌성 운동발달 장애아에 대한 보이타치료법 조기적용의 효과)

  • Yang, Eu-Jin;Kim, Chung-Sun;Ahn, So-Youn;Kim, Byung-Jo
    • The Journal of Korean Physical Therapy
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    • v.13 no.1
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    • pp.49-59
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    • 2001
  • The purpose of this study was to examine the effect of treatment when the V{\ddot{o}}jta therapy applied to the infant with central coordination disturbance in early stage. The subject were 10 cases : each one with the V{\ddot{o}}jta therapy applied to the group of the infants before 6 months old and the group of the infants over 6 months old. When the V{\ddot{o}}jta therapy was applied I analized the papper which was written about the infants who were diagnosed as moderate CCD and divided two groups which were the infants before 6 months old and the infants over 6 months old. These collected data were analyzed by using t-test. The results of study were as follow; 1. When I compared the locomotion stage after the V{\ddot{o}}jta therapy. t-test showed significant differences. The group of infants before 6 months old had the result 7 to over stage 7 and the group of infants over 6months old had the result 2(p<.05). 2. When I compared the result of the postural reaction after the V{\ddot{o}}jta therapy, 1-test showed significant differences. The group of infants before 6 months old had 6 cases was normalizes and the group of infants over 6 months old had 1 case was normalized(p<.05). 3. When 1 compared the duration of the V{\ddot{o}}jta therapy between the group of infants before 6 months old and the group of infants over 6 months old. t-test showed significant differences. The group of the infants before 6 months old had 5 cases for 1-6 months and 4 cases for 7-15 months, 3 cases for 16-24 months and the group of infants over 6 months old had 6 cases for 7-15 months and cases for 16-24 months, 1 case for 25-30 months(p<.01).

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The Efficacy of Speech and Language Therapy for Children with Speech and Language Delays according to the Eiologies (말 언어 지연을 보인 소아에서 원인에 따른 말 언어 치료의 효과)

  • Kim, June Bum;Suh, Jin-Soon;Kim, Young-Hoon;Chung, Seung-Yun;Lee, In-Goo;Whang, Kyung-Tai;Lee, Byung-Churl
    • Clinical and Experimental Pediatrics
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    • v.48 no.9
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    • pp.924-928
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    • 2005
  • Purpose : Treatment efficacy for children with speech and language delay has been the subject of considerable debate in recent years. We evaluated the clinical features of children with delayed speech and language and their prognoses according to their etiologies after 6 months of speech and language therapy. Methods : From January, 2000 to March, 2004, we retrospectively reviewed 56 children with speech and language delay who were administered speech and language therapy for 6 months in Uijongbu St. Mary's Hospital. Results : Of 56 cases, the proportion of developmental language disorder was 66.1 percent, structural malformation 19.6 percent, mental retardation 12.5 percent, hearing defect 1.8 percent. The ratio of male to female was 4.6 : 1 and the most frequent age group was over 47 months. The mean age of first spontaneous words with useful meaning was 15.9 months. The mean gestational age of the subjects was 39.8 weeks. The proportion of full-term infants was 96.4 percent and of premature infants was 3.6 percent. As for the birth order, the proportion of the first baby was 51.8 percent, the one of second babies it was 42.9 percent, and percent of third babies it was 7.1 percent. After 6 months of language intervention, 32.4 percent of patients with developmental language disorder showed normal linguistic development. All the patients with mental retardation showed sustained language and speech delay. As for the patients with structural malformations, five out of 11 patients showed normal linguistic development. Conclusion : The relatively advanced old age of majority of participants in this study suggests the necessity of screening test for language delay in this local community.