• Title/Summary/Keyword: Cerebral palsy

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The Correlation between Physical Function and Lower Limb Tactile Sense in Children with Spastic Cerebral Palsy (경직형 뇌성마비 아동의 신체기능과 하지 촉각의 상관관계 연구)

  • Hye-Lyeong Yun;Na-Yeon YE;Eun-Ju Lee
    • PNF and Movement
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    • v.21 no.2
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    • pp.265-272
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    • 2023
  • Purpose: The purpose of this study was to investigate tactile sense perception of the lower extremities according to physical function in children with spastic cerebral palsy. Methods: This study was conducted on 15 children diagnosed with spastic cerebral palsy. Physical function measurement items included dynamic balance ability, gross motor function level, and lower extremity ankle spasticity. The lower extremity tactile sensation uses a monofilament to measure the sole of the first metatarsal head, the sole of the fifth metatarsal head, the heel, the anterior part of the shin midway between the patella and the ankle joint, the kneecap, the upper anterior iliac spine, and the knee. A total of six measurements were taken in the mid-femoral region of the bone. Spearman correlation analysis was performed to determine the degree of body function and lower extremity tactile perception. Results: As the physical function of children with spastic cerebral palsy deteriorated, there was a decrease in tactile sensation in the thigh area corresponding to the proximal lower extremity. (p <.05). Conclusion: Children with spastic cerebral palsy and poor physical function have sensory loss not only in the distal part but also in the proximal part, so a treatment approach that recognizes and improves it is necessary.

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.

From reference, among 1980's through 1990's in Korea Cerebral Palsy Secular Trends Search (문헌을 통한 국내 뇌성마비의 80년대부터 90년대까지의 동향 연구)

  • Ro, Hyo-Lyun;Ahn, So-Youn
    • The Journal of Korean Physical Therapy
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    • v.13 no.2
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    • pp.459-465
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    • 2001
  • As the developing of the perinatal medicine, the survival rate of preterm infants are increasing. Viceversa the children with cercbral palsy is increasing also compare to the developing of the perinatal medicine The purpose of this study was to identify the relationship between the preterm infants and the children with cerebral palsy and their domestic circumstance in 1980 and 1990. And would like to introduce the way how to handle the children with cerebral palsy

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Acoustic Characteristics of Korean Alveolar Sibilant 's', 's'' according to Phonetic Contexts of Children with Cerebral Palsy (뇌성마비 아동의 음성 환경에 따른 치경마찰음 'ㅅ', 'ㅆ'의 음향학적 특성)

  • Kim, Sookhee;Kim, Hyungi
    • Phonetics and Speech Sciences
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    • v.5 no.2
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    • pp.3-10
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    • 2013
  • The purpose of this study is to analyze the acoustic characteristics of Korean alveolar sibilant sounds of children with cerebral palsy by acoustic analysis. Thirteen children with spastic cerebral palsy aging from 6 to 10 years old, were selected by an articulation test, and compared with a control group of thirty children. The meaningless monosyllable CV, disyllable VCV(/asa/) and frame sentence including target syllables CV were measured. C was from the /s, s'/, and V was from the set /a, i, u, ${\varepsilon}$, o, ɯ, ʌ/. Multi-Speech was used for data recording and analysis. As a result, the frication duration of lenis-glottalized alveolar sibilant of children with cerebral palsy was significantly shorter than that of the control group in CV, VCV and frame sentence. The vowel duration in the following lenis-glottalized alveolar sibilant of children with cerebral palsy was significantly longer than that of the control group in CV, VCV and frame sentence. The children with cerebral palsy showed frequency and intensity of friction intervals which were significantly lower than in the control group in CV, VCV and frame sentence. In the comparison of the lenis-glottalized alveolar sibilant by the children with cerebral palsy group's phonation types, the frication duration showed a significant difference between the phonation types in CV, VCV and between the phonetic contexts. The glottalized-sibilant was longer than the lenis-sibilant in all the phonetic contexts. The subsequent vowel duration showed a significant difference between the phonation types in VCV and between the phonetic contexts(p<.05). The vowel duration in the following glottalized-sibilant was longer than the vowel duration in the following lenis-sibilant in all the phonetic contexts. In the frequency there was a significant difference between the phonation types in CV, and in the intensity there was a significant difference between the phonation type in CV and VCV. The children with spastic cerebral palsy had difficulty in articulating the alveolar sibilant due to poor control ability in laryngeal, respiration and articulatory movements which require fine motor coordination. This study quantitatively analyzes the acoustic parameters of the alveolar sibilant in various phonetic contexts. Therefore, the results are expected to help provide fundamental data for an intervention of articulation treatment for children with cerebral palsy.

Effects of the Probody Massage on the Physical Characteristics, Gross Motor Function and ROM in Youth with Cerebral Palsy : Case study (프로바디마사지가 뇌병변 장애우의 신체적 특성과 대동작 기능 및 관절 가동범위에 미치는 영향 : 사례연구)

  • Kim, Eui-Suk;Yang, Jeong-Ok;Lee, Joong-Sook
    • Korean Journal of Applied Biomechanics
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    • v.25 no.4
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    • pp.453-463
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    • 2015
  • Objective : The purpose of this study was to investigate the effects of the Probody Massage Program on the physical characteristics, gross motor function and ROM (Range Of Motion) of children with cerebral palsy. Method : The subjects of this study were two children who have been diagnosed with first grade cerebral palsy that utilized T development support center located in B Metropolitan city for 8 weeks, twice a week, to carry out the Probody Massage Program for 30 minutes. Physiological reactions (height, weight, BMI, blood pressure (an index of inflammation), pulse rate) and large operating functions (sitting, crawling and the joints' range of motion as an angle of the shoulders' upper limb articulation) were measured pretest, after 4 weeks, and after 8 weeks. Results : The Probody Massage Program showed positive changes in physical characteristics (blood pressure, sitting, and crawling), gross motor function (upper limb shoulder movement), joint range of motion, height, body weight, metabolic activation and blood circulation of children with cerebral palsy. Conclusion : We believe making a practical impact on the growth and development, functional recovery of daily life, and improvement of quality of life of children with cerebral palsy by utilizing Probody Massage Program improves blood pressure (an index of inflammation), pulse, sitting, crawling, and the joints' range of motion as an angle of the shoulder joints' upper limb movement of children with cerebral palsy.

ORTHODONTIC APPROACH TO THE CEREBRAL PALSY PATIENT WITH MAXILLARY PROTRUSION IN THE MIXED DENTITION : A CASE (혼합치열기 뇌성마비환자의 상악전돌에 대한 교정치료 : 치험례)

  • Kim, Jongsoo;Jo, Anna;Kim, Jiyeon;Jeong, Taesung
    • The Journal of Korea Assosiation for Disability and Oral Health
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    • v.10 no.1
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    • pp.43-46
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    • 2014
  • Cerebral Palsy is a genetic term referring to abnormalities of motor control caused by damage to a child's brain early in the course of development. Due to the impairment of balanced perioral muscle development, the prevalence of malocclusions in patients with cerebral palsy such as maxillary protrusion is high. But most clinicians may feel uncomfortable to treatment of these problems. Here a case report about mitigation of maxillary anterior teeth protruded in patient with cerebral palsy. 8y 4m old boy who have cerebral palsy visited our dental hospital. He showed severely protrusive maxillary anterior teeth with mouth breathing and could not close his mouth. He and his mother wanted to improve dental and facial esthetic problem. Specially designed or modified intraoral fixed appliance and rubber elastic chain was used in the therapy. Treatment carried out for 8 months and we could observe maxillary incisor angle was improved and mouth breathing habit was stopped. In conclusion, modified fixed appliance therapy for the patients with cerebral palsy might be useful. Continuous rehabilitation training of lips should be followed after treatment to correct imbalance of muscle tone.

Effects of kinesio taping on the gait parameters of children with cerebral palsy: a pilot study

  • Jung, Sun-Hye;Song, Sun-Hae;Kim, Da-Rye;Kim, Seul-Gi;Park, Ye-Jin;Son, Yeon-Jung;Lee, GyuChang
    • Physical Therapy Rehabilitation Science
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    • v.5 no.4
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    • pp.205-209
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    • 2016
  • Objective: Children with spastic diplegic cerebral palsy show weakness especially in the lower-extremity rather than upper-extremity muscles and display characteristics such as asymmetric alignment, deficits in postural control or balance ability, and slow walking speed. Various therapeutic interventions are applied to children with cerebral palsy, of which taping is widely used in the field of rehabilitation, however, there are few studies of the effects of kinesio taping on gait patterns of children with cerebral palsy. The present study investigated the effects of kinesio taping on gait parameters of children with cerebral palsy. Design: Cross-sectional study. Methods: Four children with spastic diplegia participated in this study. The participants' gait parameters while walking 10 m with and without kinesio taping (tibialis anterior, quadriceps femoris, and gluteus maximus) were recorded. Gait parameters including gait velocity, cadence, step length, stride length, single support time, and double support time were evaluated using the GAITRite. Mean values were obtained after having the subjects walk three times in each condition with a 5-minute rest period between each condition. The order of each condition was assigned randomly. Results: There were significant improvements in gait velocity, step length, stride length, and single support time of the right leg with kinesio taping condition compared to the without kinesio taping condition taping (p<0.05). However, there were no significant differences in cadence, single support time of the left leg, or double support time. Conclusions: The results show that kinesio taping may have a positive effect for improving gait parameters of children with spastic diplegia. However, its usefulness in the rehabilitation of children with cerebral palsy needs to be further investigated.

Effects of Strengthening Exercise on Gait Ability and GMFM in Cerebral Palsy : A Systematic Review and Meta-Analysis (근력강화훈련이 뇌성마비 아동의 보행능력과 대동작 기능에 미치는 영향에 대한 체계적 고찰과 메타분석)

  • Heo, Seong-Gyeong;Lee, Han-Suk;Park, Sun-Wook
    • Journal of the Korean Society of Physical Medicine
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    • v.13 no.3
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    • pp.39-47
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    • 2018
  • PURPOSE: The purpose of this investigation was to conduct a systemic review of studies that examine the effects of strengthening exercise on gait ability and GMFM in children with cerebral palsy and propose a standard for cerebral palsy therapy based on a meta-analysis of the studies. METHODS: An extensive literature search was conducted using databases including the KISS (Korean studies Information Service System), RISS, DBpia, PubMed and ScienceDirect, with the following search terms: 'Strengthening Exercise,' 'Resistance Exercise,' 'Gait ability,' 'GMFM' or 'cerebral palsy'. RESULTS: Eleven studies were included in this review and the duration of the intervention varied from 5 to 24 weeks. The number of application per week was mostly 2-3 times, while 5 intervention per week was adopted in a few cases. The total number of intervention applied varied from 18 to 36 and the respective effect sizes of GMFM on crawling and sitting were very high (1.075 and .881) while those of GMFM on standing and walking were very low(.206 and .125). The effect size was for gait speed was only .221. CONCLUSION: Trunk exercise and lower limb exercise effectively improved GMFM in children with cerebral palsy, resulting in improved outcomes in sitting and crawling. The results of this study will be useful for designing evidencebased cerebral palsy therapy programs.

A Literary Review on Early Treatment of Cerebral Palsy - Centered on the Chinese Medical Journal - (뇌성마비의 조기치료에 관한 문헌적 고찰 - 최근 중의 잡지 중심으로 -)

  • Gok, Su-Yeong;Lee, Seung-Yeon;Lyu, Sun-Ae
    • The Journal of Pediatrics of Korean Medicine
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    • v.22 no.3
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    • pp.35-62
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    • 2008
  • Objectives : This study has been carried out to look into the methods of early treatment of cerebral palsy and the treatment effect by ages. Methods : The fifteen theses dealing with treatment effects by ages were analyzed, which were selected from the 121 theses retrieved out of the wu-ruan(五軟), wu-chi(五遲), wu-ying(五硬), naotan(腦癱), naoxing-tanhuan(腦性癱癱), during the period between the January 2004 to August 2008 by using the China Academic Journal(CAJ) of China National Knowledge Infrastructure(CNKI). Results : 1. Among the study objects in the 15 theses, it was identified that there were 1.97 times more boys with cerebral palsy than that of girls, and it appeared that there was no significant relationship between gender and the treatment. 2. The early treatment referred to the treatment which was carried out based on the early diagnosis within 6 months to one year after the birth. This is the time when the adaptability and plasticity of the brain are high, and it was found out that the treatment effective as babies are young. 3. For the treatment of cerebral palsy, the combination of Traditional Chinese and Western Medicine Therapy was more frequently used than the exclusive Chinese medical treatment method, and it was more effective. Especially in the case, the Chinese medical treatment was focused on the acupuncture and the Tuina Massage. Conclusions : 1. For the treatment of cerebral palsy, when the age between one and two years old was established as the standard. The younger the babies were, the higher treatment effects were obtained. 2. It appeared that the early treatment of oriental medicine had relatively excellent effects on cerebral palsy, but it turned out that we needed more studies for accurate results.

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Systematic Review on Occupational Therapy for Children with Cerebral Palsy (뇌성마비아동을 위한 작업치료에 대한 체계적 고찰)

  • Hong, Eun-Kyoung
    • The Journal of the Korea Contents Association
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    • v.13 no.6
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    • pp.318-330
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    • 2013
  • The purpose of this study was to present results and methods of occupational therapy for children with cerebral palsy using systematic review. This study was searched form papers published from Jan, 2003 to Dec, 2012 using PubMed E-Data base. Key words using on the search were 'occupational therapy' OR 'exercise therapy' OR 'activities of daily living' OR 'splints' OR 'self-help devices' OR 'early intervention(education)' OR 'parents/education' OR 'parents/psychology' OR 'professional family relations' OR 'play and playthings' OR 'upper extremity' AND 'cerebral palsy'. Eighteen studies were included in this review. Methods on occupational therapy for children with cerebral palsy were splint 26.2%, parent education 26.2%, environmental modification 9.6%, training of sensorimotor function 19.0%, activities of daily living 19.0%. Results on occupational therapy for children with cerebral palsy were significant difference on splint 40.0%, parent education 42.9%, environmental modification 40.0%. Results of this study will provide evidences based on occupational therapy.