• 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).

• The Journal of Korean Society for Neurotherapy
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• v.22 no.3
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• pp.43-48
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• 2018

Purpose The purpose of this study is to identify the prevalence, risk factors, characteristics, and interventions of hip joint problems in children with cerebral palsy, and to be able to serve as leverage for early detection, prevention, and function recovery. Method The electronic journal site was searched by the search terms "cerebral palsy", "hip joint", "hip joint dislocation", we analyzed and descript the cited articles from domestic and foreign papers in Pubmed 9, Science Direct 7, and K RISS analysis and analysis. Results Children with cerebral palsy showed the different prevalence according to their disability type, severity, and functional level, and we knew that abnormal neuromuscular control, stiffness, and biomechanical changes could be risk factors. Migration Index, Acetabolum Index, Neck shaft angle using by radiography and passive ROM test, special tests were available for the diagnosis and evaluation of the hip joint. Combination of physical therapy and orthopedic surgery was very important intervention, and complementary alternative therapy, orthosis, and postural assistant are effective. Conclusion We suggested that early detection and prevention is the most important periodic examination and that a multidisciplinary approach is a major factor in intervention.

• Journal of Korean Physical Therapy Science
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• v.29 no.2
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• pp.48-56
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• 2022

Background: This study was to identify the effects of blood flow restriction on gluteus muscles thickness, density, and white area index for children with cerebral palsy. Design: Randomized controlled trial. Methods: Twenty children with cerebral palsy were assigned randomly to an experimental (n=10) or control (n=10) group. The experimental group performed a bicycle exercise after blood flow restriction. The control group performed a bicycle exercise. The study used an ultrasonic instrument to measure gluteus muscles thickness, density, and WAI. Wilcoxon signed ranks test was used for determination of differences before and after treatment, and a Mannn-whitney U test was used for determination of differences between treatment groups. Results: As a result of comparison within groups, the experimental and control group showed significant difference for gluteus muscles thickness, density, and WAI after the experiment (p<0.05). In comparison between two groups, the experimental group showed more significant difference in gluteus muscles thickness, density, and WAI than the control group (p<0.05). Conclusion: Based on these results, a bicycle exercise after blood flow restriction effectively improved the gluteus muscles thickness, density, and WAI of children with cerebral palsy.

• PNF and Movement
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• v.20 no.1
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• pp.31-39
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• 2022

Purpose: The purpose of this study was to identify the effects of general exercise after blood flow restriction on trunk muscles thickness in children with spastic cerebral palsy. Methods: Twenty children with cerebral palsy were assigned randomly to an experimental (n = 10) or a control (n = 10) group. The experimental group performed general exercise after blood flow restriction, while the control group performed general exercise alone. The study used an ultrasonic instrument to measure trunk muscles thickness. The Wilcoxon signed-rank test was used to determine differences before and after treatment, and the Mann-Whitney U test was used to determine differences between treatment groups. Results: From a comparison within the groups, the experimental and control groups showed significant difference in trunk muscle thickness after the experiment (p < 0.05). In a comparison between the two groups, the experimental group showed more significant difference in trunk muscle thickness than the control group (p < 0.05). Conclusion: Based on these results, general exercise after blood flow restriction effectively improves trunk muscle thickness in children with 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.22 no.1
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• pp.47-51
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• 2010

Purpose: The purpose of this study was to determine whether there are any differences, with and without a toe spreader (TS), in dynamic foot pressure distribution in children with spastic diplegic cerebral palsy. Methods: Dynamic foot pressure recording using the RSscan system were obtained during walking in 12 participants (male=7, female=5) with and without TS. Mean force was measured for four different plantar regions; great toe, forefoot, midfoot, hindfoot. Displacement of center of pressure (COP), velocity of COP displacement and stance time were also measured during gait. Results: TS walking exhibited statistically significant decrease of mean force under great toe and forefoot (p<0.05), compared with a barefoot walking. Also, TS walking exhibited statistically significant increase of antero-posterior displacement of COP (p>0.05). Conclusion: These findings indicate the potential clinical utility of toe spreader to correct dynamic foot pressure during stance phase in children with spastic diplegic cerebral palsy.

• 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.

• Journal of Nutrition and Health
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• v.15 no.2
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• pp.98-106
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• 1982

This study was carried out to investigate the nutritional status of physically handicapped children with cerebral palsy in order to contribute to their welfare by studying their healthy status, nutrient intake, daily energy expenditure, and living environment. The survey was conducted at two rehabilitation institutions from May 25 to June 30, 1981. A special questionnaire was designed to investigate the living environment. The 24 hr. recall method was used in evaluation the nutrient intake of 67 children. Anthropometric measurement was made of height, weight, chestgirth, upper-arm circumference, and triceps skinfold thickness. The biochemical status of the children with cerebral palsy was assessed with measurement of hemoglobin and hematocrit. The results may be summarized as follows : 1. The children with cerebral palsy, the intakes of all nutrients except vitamin A, thiamin, and ascorbic acid were lower than Korean recommend dietary allowances (1980). They had significantly higher intakes of vitamin A and calcium than the normal children, but the calcium intake was low as 62% of the Korea RDA. 2. All the children with cerebral palsy were very short and low weight in comparison with the accepted standards, but chestgirth was above the accepted standards for Korean school children. 3. The average hemoglobin value was 12.2gm%, hematocrit 39.3%, and mean corpuscular hemoglobin concentration (MCHC) 31.1%. 4. The possible etiological factors of cerebral palsy were, prenatal factors 16%, natal 44.9%, postnatal 27.5%, and unknown 11.6%. Eighty four percent of the children showed their first symptoms within the first year after birth. 5. Thirty percent of the parents said that the handicapped children lead to marital problems, and 84.1% of the parents mentioned that medical expenses for the children influenced their family finances.

• Journal of Korean Physical Therapy Science
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• v.10 no.2
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• pp.42-52
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• 2003

An assessment of the subtalar joint in cerebral palsies can contribute to predict the function of ambulation in CP children. Ambulation is one of the most important function to guarantee the CP children independent life. This paper is to investigate some relationships between the function of standing and walling and the assessment of the subtalar joint in children with Cerebral palsy. And also to present the correlation between the ambulation and the Gross Motor Function Measures in children with cerebral palsy. Sixty-eight children with cerebral palsy were participated in this study. Evaluations of the subtalar pint parameters were performed by the goniometer and the angle finder, and the GMFM scores were measured by their teacher and researcher trained technically. A regression analysis was applied to figure out the relationship between the subtalar pint parameters(ROM and RCSP) and the function of standing and walking. A correlation analysis was employed to see how much the subtalar pint parameters could be predicted from GMFM scores in walling and standing. The results were as follows: 1) The significant differences were not observed between the total ROM, RCSP and the function of standing(F=8.065, p<.001) and walking(F=6.511, p<.001) in CP children. 2) The subtalar pint parameters(total ROM, RCSP) have the lower relevance to the function of standing and walling in CP children.(p>.05) 3) The total ROM and RCSP in both feet have the significant differences between the CP children and the normal children.(p<.001) 4) The GMFM scores were significantly correlated with the function of walling and standing in CP children.(r=247, p<.05) In this research, it is found that the significant relevance between the quantitative analysis of subtalar pint in children with cerebral palsy and the gross motor function of ambulation in standing and walling. However, it is difficult to predict the direct relationship of subtalar pint parameters and the function of ambulation, because subtalar pint scores and GMFM are only measured as quantities not qualities. Therefore, it is more reasonable to investigate the influence of subtalar pint parameters on ambulation in children with cerebral palsies, adding to the multifocal assessment of the children, rather than vice versa.