• 제목/요약/키워드: Children with Cerebral Palsy

검색결과 342건 처리시간 0.023초

맞춤형 착석장치를 통한 생체역학적 중재가 뇌성마비 아동의 마우스 클릭 동작에 미치는 영향 (Effect of Biomechanical Intervention based on Custom Seating System on Activities of Mouse Click for Children with Cerebral Palsy)

  • 정동훈
    • The Journal of Korean Physical Therapy
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    • 제24권2호
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    • pp.57-65
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    • 2012
  • Purpose: This study was to investigate the effect of biomechanical intervention, based on the custom seating system on the activities of a mouse click for children with cerebral palsy. Methods: Thirteen children with cerebral palsy participated in this study. We compared reaction time and frequency for proper mouse click in the subject's typical position, in addition to an intervention position. The intervention position conformed to the principle and practice of research on promoting the upper-extremity movement and postural control. The intervention position was achieved through an external postural support, which was based on the custom seating system. Results: Reaction time and frequency for proper mouse click were moderately improved in the intervention position, compared with that of the typical position. There was a statistically significant difference between the typical position and that of the intervention position (p<0.05). Conclusion: Results provide evidence of the positive effects of functional seating on the activities of a mouse click for children with cerebral palsy.

뇌성마비 아동 어머니의 양육스트레스 영향요인 (Factors Influencing Parenting Stress in Mothers of Children with Cerebral Palsy)

  • 김수현;강현숙
    • 재활간호학회지
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    • 제13권2호
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    • pp.123-131
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    • 2010
  • Purpose: This study was aimed at identifying the levels of parenting stress among mothers of children with cerebral palsy and factors influencing parenting stress. Method: The research design was cross-sectional survey. Data were collected from 122 mothers of hospitalized children (under 15 years of age) with cerebral palsy at the Y medical center using the questionnaires. The data were analyzed using one way analysis of variance with Scheffe test for post-hoc analysis or t-test, Pearson correlation, and stepwise multiple regression. Results: The mean score of parenting stress was 2.52 (SD=0.79; range: 1~4). The father's participation, mother's parenting hours, self-esteem and social support were significant predictors of parenting stress, significantly accounting for the 33.3% variance (F=16.118, p<.001). Conclusion: It is essential for health professionals to consider the aforementioned four factors when developing interventions to reduce parenting stress for mothers of children with cerebral palsy.

뇌성마비아 어머니의 양육 스트레스, 우울 및 양생과의 관계 (Relationship Between Parenting Stress, Depression, and Yangsaeng in Mothers with Cerebral Palsy Children)

  • 문진하
    • 동서간호학연구지
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    • 제15권2호
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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.

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

  • 김숙희;김현기
    • 말소리와 음성과학
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    • 제5권2호
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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.

보행의 정상발달 및 요소와 경직형 뇌성마비 아동의 보행 특성의 비교 연구 (The Comparison of Different of Normal Development Walking and Walking Characteristics of Children with Spastic Cerebral Palsy)

  • 오태영
    • The Journal of Korean Physical Therapy
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    • 제9권1호
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    • pp.195-204
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    • 1997
  • The Purpose of this study was to compare the different of normal development and walking characteristics of children with spastic cerebral palsy, and to guide theraputic approach for improve on walking. Key contributions from normal development of standing and walking, abnormol walking pattern of children with spastic cerebral palsy are studies. Spastic cerebral palsy includes an increased factors of problem in standing, walking : These are deformity of lowerextremities, arm used for balancing, asymmetic walking, abnormal walking patterns, build .up Treatment goal is to normal walking patterns. and to prevent secondary deformity. In this study, normal walking is very important factors in daily activities, then to recovery function of children with cerebral palsy, its need more adapted several method.

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핵황달에 의한 무정위형 뇌성마비 아동의 하부체간 근력강화 운동 효과 사례보고 (Case report for the effects of lower trunk strengthening exercise on athetosis children with cerebral palsy due to kernicterus)

  • 김미경;구봉오
    • PNF and Movement
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    • 제7권4호
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    • pp.25-30
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    • 2009
  • Purpose : The purpose of this study was to examine the effects of lower trunk muscles strengthening in athetosis children with cerebral palsy. Methods : One children with cerebral palsy participated in the case study. The age was 6 year. GMFM (gross motor function measure) was used to measure the functional movement ability. Lower trunk strengthening exercise were performed 3 times a week for 12 months. The measurements were taken before and after the exercise program. Results : In this study, the lower trunk strengthening exercise program was effective for gross motor functions. The children with athetosis type showed improvement in the Walking, Running & Jumping in GMFM. Conclusion : Therefore, the lower trunk strengthening exercise program was effective for the gross motor in athetosis type of cerebral palsy.

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섭식 유형에 따른 경직형 뇌성마비 아동과 정상 아동 간의 조음기관 수행력 비교 (Differences on Articulators' Function according to Feeding Subtypes between Children with Spastic Cerebral Palsy and Normal Children)

  • 김선희;안종복;이옥분;권도하
    • 말소리와 음성과학
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    • 제2권2호
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    • pp.93-100
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    • 2010
  • The purpose of this study was to investigate the differences of feeding ability and articulatory function in the children with spastic cerebral palsy and typically developing children according to feeding subtypes. The feeding subtypes were limited by chewing, cup drinking and spoon feeding. 14 children with spastic cerebral palsy and 14 typically developing children were participated in this study. The results were following as; First, there were significant differences in overall articulatory function between two groups Second, all scores of articulators' function according to feeding subtypes in children with cerebral palsy was significantly higher than typically developing children Third, chewing mode in feeding subtypes was highly correlated with lip and tongue movement. compared to another Finally, the correlation between spoon feeding and mobility of lip and tongue was high in both groups. These results suggested that These results suggest that the effort to find out the differences feeding ability and appliances for articulatory function in CP children are meaningful in catching their speech ability indirectly. Moreover, the more organized feeding skills should be discussed in the relationship with verbal and nonverbal development.

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머리-목 굽힘 운동이 편측 뇌성마비 환자의 깊은 목 굽힘근의 두께와 보행에 미치는 영향 (The Effects of Craniocervical Flexion Exercise on Deep Cervical Flexor Muscle Thickness and Gait for Children with Hemiplegic Cerebral Palsy)

  • 윤창교;김현성
    • 대한통합의학회지
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    • 제6권1호
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    • pp.99-105
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    • 2018
  • Purpose : The purpose of this study was to evaluate the effect of craniocervical flexion exercise on deep cervical flexor thickness and gait in children with hemiplegic cerebral palsy. Methods : Twelve children with hemiplegic cerebral palsy were recruited for this study. All subjects performed active craniocervical flexion exercise 3times a week over the course of 6weeks. using a pressure bio feedback unit. Ultrasonography was used to assess deep cervical flexor thickness, and a 10m walking test was used to assess gait function. For the statistical analysis, a paired t-test was used to compare the differences pre- and post-value. SPSS Statistics version 20.0 was used for statistical analysis, and statistical significance was defined as a p-value less than 0.05. Result : The results of this study indicate that children with hemiplegic cerebral palsy experienced statistically significant positive changes in both deep cervical flexor thickness (p<.05). and gait(p<.05) following the intervention. Conclusion : In conclusion, craniocervical flexion exercise can positively affect deep cervical flexor thickness in children with hemiplegic cerebral palsy, which in turn positively affects gait.

The Relationship between Sensory Processing Abilities and Gross and Fine Motor Capabilities of Children with Cerebral Palsy

  • Park, Myoung-Ok
    • 대한물리의학회지
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    • 제12권2호
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    • pp.67-74
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    • 2017
  • PURPOSE: The purpose of this study was to investigate the difference and relationship between sensory processing abilities, gross motor and fine motor capabilities in children with cerebral palsy. METHODS: 104 children with cerebral palsy participated in the study. Sensory processing abilities of the subjects were measured by Short Sensory Profile (SSP). Gross and fine motor abilities were each measured using the Gross Motor Function Classification System (GMFCS) and Manual Ability Classification System (MACS), respectively. RESULTS: There were significant correlations between SSP level and GMFCS (R=.72, p<.00) or MACS (R=.77, p<.00) levels. Significant differences were showed each gross motor (p=.01) and fine motor level (p=.00) among sensory processing level of children. In addition, sub-items of sensory processing as Tactile sensitivity, Movement sensitivity, Auditory filtering and Low energy/Weak were significantly were showed significant correlations gross motor and fine motor level (p=.01). Also, multiple regression result was showed that as MACS level and GMFCS level were higher, the SSP total score was higher all of participants (adjusted $R^2=.62$). CONCLUSION: Sensory processing abilities of children with cerebral palsy were related with gross motor and fine motor capabilities. Also gross motor and fine motor capabilities are as higher, the sensory processing skill was well of cerebral palsy.

Effect of Vibration Exercise Application on the Trunk Muscle Thickness in Children with Spastic Cerebral Palsy

  • Mun, Dal-Ju;Park, Jae-Chul;Oh, Hyun-Ju
    • The Journal of Korean Physical Therapy
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    • 제34권2호
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    • pp.68-72
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    • 2022
  • Purpose: This study examined the effect of vibration exercise on the thickness of the oblique extrinsic, oblique abdominal, and biceps muscles, which are trunk muscles, targeting children with spastic cerebral palsy. Methods: The participants in this study were 20 children (8 male and 12 female) with cerebral palsy aged 5-10 years. They were classified into two groups using a randomized allocation method, and the trunk muscle thickness was measured using an ultrasound-imaging device before and six weeks after the experiment. A paired t-test was used for the within-group changes, and an independent t-test was used for the inter-group changes. The significance level was set to α=0.05. Results: There was a significant increase in the inter-group change in the experimental group and control group in the intra-group change in the external oblique muscle and internal oblique muscle. After six weeks, there was a significant increase in the experimental group compared to the control group. Conclusion: Vibration exercise had a positive effect on the trunk muscle thickness of children with cerebral palsy. Vibration exercise produced a significant difference in the changes in the trunk muscle thickness in children with cerebral palsy compared to no vibration exercise. These results may provide basic data for future research and as a training method for strengthening the trunk muscles in clinical trials.