• Physical Therapy Korea
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• v.16 no.2
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• pp.16-23
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• 2009

The purpose of this study was to investigate the effects postural changes on respiratory muscles and acoustic parameters of the children with spastic cerebral palsy. Nine children with spastic cerebral palsy who required assistance when walking were selected. The ages of the children ranged from 6 to 9 years old. The phonation of the sustained vowel /a/ and the voice qualities of each child such as fundamental frequency($F_0$; Hz), pitch variation (Jitter; %), amplitude variation (Shimmer; %) and noise to harmonic ratio (NHR) were analyzed by Multi-Dimensional Voice Program (MDVP). The muscle activity of three major respiratory muscles: pectoralis major muscle, upper trapezius muscle and rectus abdorminalis muscle, were measured by examining the root mean square (RMS) of the surface EMG to investigate the impact of changes in the adjusted sitting posture of each subject. However, the RMS of pectoralis major muscle showed a significant differences (p<.05). Secondly, there were no significant differences in $F_0$, Jitter and Shimmer between pre and post posture change, but there was a significant difference in NHR (p<.05). The data were collected in each individual; once prior and once after the sitting posture change. The data were analyzed by Wilcoxon signed ranks-test using SPSS version 14.0 for Windows. The findings of this study were as follows; Firstly, the RMS of upper trapezius and rectus abdorminalis muscle were not significant different between pre and post sitting posture changes. From the result, it is concluded that changes in the adjusted sitting posture decreases the abnormal respiratory patterns in the children with spastic cerebral palsy which is characterized by the hyperactivity of the respiratory muscles in breathing. Also, there is increased on the voice qualities in children with spastic cerebral palsy.

• Journal of The Korean Society of Integrative Medicine
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• v.5 no.1
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• pp.85-92
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• 2017

Purpose : The purpose of this study was to investigate the effect of posture difference on respiratory function in cerebral palsy patients. Methods : Twenty-two cerebral palsy childrens were recruited this study. Respiratory Function test was measured with Cardio Touch 3000 and Micro Respiratory Pressure Meter. Cardio Touch 3000 was used to assess cerebral palsy childrens' forced vital capacity and forced expiratory volume at one second. Micro Respiratory Pressure Meter was to assess Maximum inspiratory pressure and Maximum expiratory pressure. Subjects had four respiratory functions measured in supine, slouched sitting, and elected sitting postures. Statistical analysis was used Paired t-test for within-group comparisons and Independent t-test for between-group comparisons. SPSS statistics Ver 20.0 was used for statistical anlysis and statistical significance was defined as a p-value less than 0.05. Result : The subjects' respiratory function according to posture showed significant difference in Forced Vital Capacity(FVC), Maximum Expiratory Pressure(MEP) and Maximum inspiratory pressure(MIP)(p<.05). Elected sitting posture had a positive effect on respiratory function than slouched sitting, supine. Conclusion : In conclusion, We could see that change of posture in children with cerebral palsy affects respiratory function and Elected sitting can be a positive help for the respiratory function of children with cerebral palsy.

• The Journal of Korean Physical Therapy
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• v.25 no.3
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• pp.155-159
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• 2013

Purpose: Circumference of the chest and waist can be one of clinical indicator to reflect respiratory function in children with cerebral palsy. In this study, we compared to differences in the chest/waist circumference and maximal phonation time between children with spastic diplegia and hemiplegia. Methods: Seventeen children with spastic diplegic and hemiplegic cerebral palsy were recruited, who were matched to gender, age, height, weight, and body mass index for control of the known factors affected to respiratory function. The chest/waist circumference and were measured in each group, when children took a breath at rest and at maximal voluntary inspiration/expiration. Results: No significant differences were found in the chest and waist circumference and expansion between the two groups. However, only in the waist expansion, children with diplegic CP were significantly lower extensibility of lung, compared to the other group. In comparison of the maximal phonation time, a significant lower score was shown in children with spastic diplegic CP, compared to children with hemiplegic CP. Conclusion: Our results indicated that children with spastic diplegic CP had smaller chest wall and waist, compared to children with spastic hemiplegic CP. In addition, they showed a shorter time for sustaining phonation than spastic hemiplegic CP did. Therefore, spastic diplegic CP will be required for careful monitor regarding respiratory function in rehabilitation settings.

• Physical Therapy Korea
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• v.7 no.3
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• pp.62-71
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• 2000

The purpose of this study was to find a more effective balance training method. The subjects of this study were 14 children with cerebral palsy (7 males, 7 females) being treated at Seran Pediatric Developmental Research Center in Taegu. Two groups of children with cerebral palsy (everyday trained group, every-other-day trained group) were evaluated with visual & auditory feedback. Evaluation and training device was Balance Performance Monitor (BPM) Dataprint Software Version 5.3. There was statistically significant difference of the balance score between the pre-and the post-training in both group (p<.05), but there was no difference of the balance score between two groups (p<.05). In conclusion, it is likely that the visual and auditory feedback in children with cerebral palsy was effective in improving standing balance, but there was no difference between everyday trained group and every-other-day trained group.

• Journal of the Korean Society of Physical Medicine
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• v.12 no.3
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• pp.79-84
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• 2017

PURPOSE: The purpose of this study is to examine how task-oriented training focused on lower extremity strengthening can affect mobility function and postural stability. METHODS: The study's subjects included 10 children with cerebral palsy: 7 girls and 3 boys between the ages of 4 and 9 whose Gross Motor Functional Classification System (GMFCS) level was I or II. Their functional mobility was gauged using the Gross Motor Function Measurement (GMFM), and their postural stability was evaluated using a force platform. Participants received task-oriented training focused on lower extremity strengthening for 5 weeks. The study used a paired t-test to investigate the difference in mobility function and postural stability of children with cerebral palsy before and after the lower extremity strengthening exercise. RESULTS: The GMFM dimensions D (standing) (p<.02) and E (walking) (p<.001) improved significantly between the pre-test and post-test. A significant increase in the posturographic center of pressure (CoP) shift and surface area of the CoP were found overall between the pre-test and post-test (p<.001). CONCLUSION: The present study provides evidence that an 8-week task-oriented training focused on strengthening the lower extremities is an effective and feasible strategy for improving the mobility function and postural stability of children with cerebral palsy.

• Journal of Korean Academy of Nursing
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• v.47 no.2
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• pp.233-241
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• 2017

Purpose: The purpose of this study was to examine the effects of parental stress, social support, and coping behavior on burnout among mothers caring for children with cerebral palsy. Methods: Participants in this cross-sectional, descriptive study were 185 mothers who completed a self-report structured questionnaire. The data were analyzed using descriptive statistics, t-test, one-way ANOVA, correlation and multiple linear regression analyses with IBM SPSS Win 22 program. Results: Parental stress and coping behavior were strong predictors of burnout among mothers of children with cerebral palsy. These variables explained 50.0% of the variance in burnout. Social support was not a predictor of burnout. A higher level of burnout was associated with higher levels of parental stress and lower levels of social support and coping behavior. Conclusion: Mothers of children with cerebral palsy are vulnerable to burnout. These results show that effective strategies for reducing parental stress and improving positive coping behavior are needed to reduce burnout in these mothers.

• The Journal of Korean Physical Therapy
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• v.26 no.5
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• pp.315-323
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• 2014

Purpose: This study was conducted in order to investigate the effect of motor ability on mastery motivation in children with cerebral palsy. Methods: Sixty children with cerebral palsy (5~12 years) and their parents participated in the study. Data on general characteristics and disability condition, Gross Motor Functional Classification System, Manual Ability Classification System, and The Dimensions of Mastery questionnaire were collected for this study. Independent t-test, and ANOVA were used for analysis of the effect of The Dimensions of Mastery questionnaire according to general and disability condition, Gross Motor Functional Classification System, and Manual Ability Classification System. Linear regression analysis was performed to determine the effects of Gross Motor Functional Classification System and Manual Ability Classification System on The Dimensions of Mastery questionnaire. SPSS win. 22.0 was used and Tukey was used for post hoc analysis, level of statistical significance was less than 0.05. Results: The Dimensions of Mastery questionnaire score showed statistically significant difference according to gender, region, type, disability rating, Gross Motor Functional Classification System, and Manual Ability Classification System (p<0.05). Gross Motor Functional Classification System and Manual Ability Classification System were the effect factor on The Dimensions of Mastery questionnaire significantly (p<0.05). Conclusion: These results suggest that motor ability of children with cerebral palsy was an important factor having an effect on The Dimensions of Mastery questionnaire.

• 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).

• Korean Journal of Applied Biomechanics
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• v.20 no.3
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• pp.285-292
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• 2010

The purpose of this study was to evaluate the influence of respiratory capacity(forced vital capacity), EMG of rectus abdominal muscle, phonation by respiratory muscle strengthening exercise in children with spasticity cerebral palsy. 24 children with spasticity cerebral palsy was randomized in 2 groups, respiratory muscle strengthening exercise and contro group. In the exprimentral groups, respiratory muscle strengthening exercise for 30minutes duration 3 time per week for 8weeks were respectively preformed, Control group was not performed. Before and after experiments, respiratory capacity(forced vital capacity), EMG of rectus abdominal muscle and phonation was measured in all children. In comparison of difference before and after experiment, the respiratory capacity(forced vital capacity) of respiratory muscle strengthening exercise group was significantly increased than the control group(P<.05), rectus abdominal muscle EMG of the respiratory muscle strengthening exercise group was significantly increased more than the control group(P<.05) and MPT of the respiratory muscle strengthening exercise group was significantly increased more than the control group(P<.05). We found that the respiratory muscle strengthening exercise is useful to improve the respiratory capacity and phonation in children with spasticity cerebral palsy.

• The Journal of Korean Physical Therapy
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• v.23 no.4
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• pp.7-13
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• 2011

Purpose: The purpose of this article is to identify whether the physical therapists perceive the important factors influencing the motor development in children with cerebral palsy differently. Methods: Study participants included 58 pediatric physical therapists. They were recruited from the internet communities for physical therapists. The data was collected through a web-based questionnaire using Google Documents tool. Questionnaire was focused on the importance (10-point scale) of each factor influencing the motor development in children with cerebral palsy. The mean scale of each factor was compared by itself and according to the participants' career characteristics. Results: The personality characteristics received the least importance rating (6.77) in comparison with other domains (healthcare service: 7.70, family ecology: 7.53, secondary impairment: 7.53, primary impairment: 7.45). In the detailed items, home exercise (8.33) received the highest mean importance rating, while sociability (6.03) received the lowest mean importance rating. Comparing the importance of factors by the type of work institution, subjects working in the welfare institutions perceived the contextual factors (personality characteristics, family ecology, healthcare service) as more important than those working in the medical institutions. Conclusion: The authorsuggests that pediatric physical therapists should try to have an identical approach by reaching a consensus. Also, the support for family-centered service to children with cerebral palsy should be strengthened.