• 대한물리치료과학회지
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• 제19권3호
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• pp.23-30
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• 2012

The purpose of this study was to apply treadmill training through motor learning to cerebral palsy children and examine its effects on their Gross Motor Functions. The subjects of this study were 13 spastic diplegia children who had difficulty in independent gait, and GMFCS level III, IV. We performed treadmill gait training using the principle of weight bearing, based on 4times a week for 30 minutes before and after each session physical therapy we gave weight bearing treadmill training 5 to 10 minutes, during 7 weeks(April 9, 2012~May 26, 2012) fittingly for the children's gait characteristics. In order to test how the weight bearing treadmill training affects spastic diplegia children's gross motor functions, we measured body mobility with Gross Motor Function Measure (GMFM). These data were collected before and after the experiment and analyzed through comparison. Data collected from the 13 spastic diplegia children the results were as follows. For evaluating with regard to change in body mobility, significant difference was observed between before and after the experiment in measured gross motor functions, which were crawling, kneeling, standing, walking, jumping and running(p<0.05). According to the results of this study, when gait training through motor learning was applied to spastic cerebral palsy children, it made significant changes in their body mobility. Accordingly, for the effective application of gait training through motor learning to cerebral palsy children, it is considered necessary to make research from different angle on how such training affects children's mobility, activity of muscles in the lower limbs, and gait characteristics.

• 대한물리의학회지
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• 제14권4호
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• pp.45-53
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• 2019

PURPOSE: This study examined the differences in the trunk impairment scores according to the levels of the gross motor classification system by evaluating trunk control in children with spastic cerebral palsy using the index of trunk impairment. In addition, the characteristics of trunk control disabilities were investigated according to the cerebral palsy type. METHODS: The subjects were 49 children (mean age 8.57±1.83 years, 11 with hemiplegia, 26 with diplegia, and 12 with quadriplegia) with spastic cerebral palsy levels I to IV under the gross motor function classification system (GMFCS). The coordination and balance of the children with cerebral palsy were evaluated using the index for trunk impairment. Statistical analyses were performed using a Kruskal-Wallis test, and Bonferroni analyses were used as a post-hoc comparison for any significant results. RESULTS: The median of the total scores of trunk impairment was 13 (range, 9-17), which was 56% of the maximum score. The total score of trunk impairment and subscales differed significantly according to the disease severity and type of motor disability. The scores for children with quadriplegia were the lowest compared to children with hemiplegia and diplegia. CONCLUSION: Trunk control function in children with spastic cerebral palsy was reduced, and varied according to the disease severity and types of motor disabilities. The degree of trunk impairment differed from the trunk control ability according to the degree of motor disability of children with cerebral palsy.

• 대한감각통합치료학회지
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• 제10권1호
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• pp.11-20
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• 2012

목적 : 본 연구는 뇌성마비아동을 대상으로 일상생활활동수행 능력을 평가하기 위한 측정 도구인 수정바델지수(Modified Barthel Index: MBI)와 사물조작 기능 분류체계(Manual Ability Classification System: MACS)와 대동작 기능 분류체계(Gross Motor Function Classification System: GMFCS)와의 상관관계를 통하여 장애판정 지표인 MBI를 유용하게 활용할 수 있는 정보를 제공하고자 한다. 연구 방법 : 연구대상자는 전문재활병원에서 작업치료와 물리치료를 받고 있는 뇌성마비 아동 82명을 대상으로 MBI, MACS, GMFCS를 사용하여 평가하였으며, 일상생활활동 수행능력과 사물조작기능, 그리고 대동작기능과의 관계를 알아보기 위하여 상관분석을 사용하여 분석하였다. 결과 : 본 연구 결과는 MBI와 MACS간의 상관계수가 -.765(p<0.001)로 높은 음의 상관을 나타냈고, MBI와 GMFCS 는 상관계수가 -.851(p<0.001)로 높은 음의 상관관계가 있었다. MACS와 GMFCS의 상관계수 또한 .615(p<0.001)로 높은 상관관계를 보였다. 결론 : 뇌성마비 유형에 따른 MBI의 각 항목과 MACS, GMFCS와의 상관관계에 대한 결과는 모든 뇌성마비 유형과 관련하여 MBI의 항목과 MACS와 GMFCS은 유의미한 상관관계를 나타냈다. 뇌병변 장애등급 판정 기준으로 사용하는 MBI와 MACS, GMFCS와의 높은 상관관계는 장애판정 지표인 MBI를 뇌성마비 장애 아동들을 대상으로 유용하게 활용할 수 있을 것이다.

• 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.

• 대한물리의학회지
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• 제18권4호
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• pp.29-35
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• 2023

PURPOSE: High-intensity physical therapy may help improve some gross motor developmental delays through an increased treatment frequency. This study describes an increase in physical therapy frequency and intensity over an eight-week time frame for a child with a rare genetic neurodevelopmental disorder. METHODS: A single-subject research was performed. The subject was a nine-year-old boy with MECP2 Duplication Syndrome. The outcome measure consisted of one time before and after the intervention. An intensive physical therapy program was applied to this subject. The treatments included reciprocal crawling, high kneeling, tailor sitting, weight-bearing and shifting training to facilitate ankle balance strategies and training to walk without assistance. RESULTS: After the eight-week follow-up, the child achieved a gradual improvement in the gross motor function measures, and the mother reported that the child frequently engaged in tailor sitting and independently walking. CONCLUSION: This case study highlights that intensive physical therapy improved the overall motor function of a child with MECP2 duplication syndrome.

• 대한통합의학회지
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• 제7권3호
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• pp.51-59
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• 2019

Purpose : To evaluate the effect of comprehensive art therapy on physical function and activities of daily living in children with cerebral palsy (CP). Methods : Ten ambulant children with diplegic (n=8) or hemiplegic (n=2) CP participated in this study. All were randomly assigned to either the art therapy group (n=5) or the control group (n=5). Both groups received physical therapy based on neurodevelopmental techniques for 20 minutes a day, 1 day a week, for a period of 12 weeks. Children in the art therapy group received additional comprehensive art therapy for 70 minutes once a week for 3 months. Tests for various measurements-Motricity Index (MI) for strength, Trunk Control Test (TCT) for trunk ability, Gross Motor Function Measure (GMFM) and Gross Motor Function Classification System (GMFCS) for gross motor function, Denver Developmental Screening Test-II (DDST-II) for developmental milestones, Functional Independence Measure of Children (WeeFIM) for abilities to complete daily activities, Leg and Hand Ability Test (LHAT) for limb function-were performed before and after treatments. Results : The upper extremity and whole extremity strengths of MI, self-care and total scores of WeeFIM, and leg and arm functions of LHAT improved significantly only for individuals in the art therapy group after the art therapy (p<.05). The value of MI after treatment was at the upper extremity and whole extremity strengths the leg function of LHAT was also significantly improved compared to the control group (p<.05). Conclusion : This study revealed that comprehensive art therapy along with physiotherapy was effective in increasing upper extremity strength and leg ability in children with CP. This suggests that comprehensive art therapy may be a useful adjunctive therapy for children with CP.

• 대한물리치료과학회지
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• 제6권2호
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• pp.989-995
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• 1999

Musclee spasticity of Cerebral Palsy children brings abnormal posture and becomes delayed for Normal Motor Development. The objective of this study is to discover the effects of physical therapy on subject paitient' s posture and Normal Motor Development after Selective Posterior rhizotomy. The subject patients were 280 children who had physical therapy for about 4 to 6 months after Selective Posterior Rhizotomy. The sum of points both pre and post operation by using Locomotion stage of Vojta and Arens's grading of Gross Motor Function were compared and evaluated. Among total of 280 Cerebral Palsy children who had 4 to 6 months of physical therapy ; total of 206 children(197 by grade 1, 9 by grade 2) has increased out of 218 spasticity type children, and totoal of 42 has increased (by gradel) out of 48 Athetoid type, and total of 8 jas increased (by grade 1) out of 14 Mixed type Physical therapy for Cerebral Palsy children after Selective Posterior Rhizotomy has enhanced Normal Motor Development and their posture. The therapy also has shown the results of shortening the therapy period and better treatment results.

• 한국전문물리치료학회지
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• 제12권4호
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• pp.20-25
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• 2005

The Gross Motor Function Measure (GMFM) is an internationally widely used outcome measure. The aim of this study was to evaluate the structural properties of the Korean version of GMFM using the Rasch Model, with regard to scoring within rehabilitation centers in Korea. GMFM data for 206 children with cerebral palsy were collected from 11 outpatient rehabilitation facilities by 29 pediatric therapists. The Winsteps software was used to refine the rating scale. This study suggests that the scoring categories of the Korean version of the GMFM should be collapsed from 0 (subject does not initiate task), 1 (subject initiates task), 2 (subject partially completes task), 3 (subject completes task) to 0 (subject does not initiate task), 1 (subject initiates or partially completes task), 2 (subject completes task) for better accuracy in estimating the gross motor function of children with cerebral palsy.

• 대한한방소아과학회지
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• 제25권2호
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• pp.39-54
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• 2011

Objectives: The purpose of this study is to report clinical effect of herbal medicine on developmental disorder Methods: The patients were treated with herbal medicine and evaluated by gross motor function measure(GMFM), and pediatric evaluation of disability inventory(PEDI). Results: The patient's gross motor function measure, and pediatric evaluation of disability inventory were significantly improved after six months to nine months of herbal medicine treatment. Conclusions: This study shows that herbal medicine is effective on developmental disorder induced. However, further clinical studies are needed.

• 대한물리의학회지
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• 제12권3호
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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.