• The Journal of Korean Physical Therapy
• /
• 제28권1호
• /
• pp.22-26
• /
• 2016

Purpose: The purpose of this study was to evaluate the relation between PBS scores and GMFCS levels and to examine whether pediatric balance scale (PBS) scores were useful for predicting gross motor functional classification system (GMFCS) levels in children with cerebral palsy. Methods: This cross-sectional study was performed conducted for to evaluatione of PBS and GMFCS using in 26 children with cerebral palsy (16 males and 10 females with GMFCS level I to III). PBS total and item scores at different levels of GMFCS were measured. Results: The hHigh PBS item average scores obtained from standing and postural change dimensions except sitting dimension were observed at the low levels of GMFCS and these results were statistically significant (p<0.05). The relation between PBS (standing and postural change dimensions) and GMFCS levels were was significantly different, except the relation between PBS sitting dimension and GMFCS levels showing a ceiling effect. Conclusion: GMFCS is designed to for classificationy of gross motor functions emphasizing on walking movement and PBS is was developed to for evaluatione of functional balance. Based on the results of this study showing high relation between GMFCS levels and PBS scores, PBS scores can be used for predicting GMFCS levels.

• The Journal of Korean Physical Therapy
• /
• 제20권1호
• /
• pp.49-56
• /
• 2008

Purpose: Lack of a valid prognosis of gross motor development in children with cerebral palsy (CP) and the absence of longitudinal data on which to base an opinion in Korea have made it difficult to plan treatment and counsel prognosis issues accurately. The purposes of this study were to examine whether the Gross Motor Function Classification System (GMFCS) is valuable to prognostication about gross motor progress in children with CP in Korea. Methods: Medical records of 61 patients were retrospectively reviewed that visited outpatient department and were diagnosed as CP. Various information was surveyed including CP type, visual acuity, cognitive function, motor acquisition age, ambulatory status, development curves of Gross Motor Function Measure (GMFM) according to each of the 5 level of GMFCS. All of them were compared with other studies. Also the gross motor development curves and the maximum GMFM score derived from this study were compared with the Palisano's report and the Rosenbaum's report. Results: Based on a total of 494 GMFM assessments provided by this study, the 5 distinct motor development curves and the maximum GMFM score were created. These observations is corresponding with the Palisano's and the Rosenbaum`s Development curves. Conclusion: The 5 distinct motor development curves (GMFCS) that were created by Palisano's and Rosenbaum's study is useful in Korea, providing parents and clinicians with a means to plan interventions and to judge progress over time.

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

• 대한물리의학회지
• /
• 제12권2호
• /
• pp.67-74
• /
• 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.

• 동의신경정신과학회지
• /
• 제21권1호
• /
• pp.13-42
• /
• 2010

Objectives: This study is to investigate the method for assesment of cerebral palsy(CP), especislly focusing on function assesment Methods: We searched the recent date of the publication and paper in Cerebral Palsy Results: Measuring the function of children with cerebral palsy is mobility, self-care and social ability. Early adequate evaluation of motor development and prognosis of degree of long-term motor disability is very important not only for parents, but also for correct management of goal oriented rehabilitation treatment and for planning of preventive measures. 1. Gross Motor Function Classification System(GMFCS) is valuable to prognostication about gross motor progress in children with CP, using longitudinal observation. 2. Gross Motor Function Measure(GMFM) is the instrument most commonly used to measure gross motor function in children with cerebral palsy(CP). 3. Pediatric Evaluation of Disability Inventory(PEDI) is one of the most commonly used assessments for children with a disability. Conclusions: The functional Assesment of children with CP are used GMFCS, GMFM and PEDI.

• 한국콘텐츠학회논문지
• /
• 제14권5호
• /
• pp.262-271
• /
• 2014

본 연구에서는 뇌성마비아동의 대동작기능이 재활 낮병동 프로그램을 통한 효과를 알아보고자 실시하였다. 연구대상자는 경직성 뇌성마비아동 57명으로 최근 6개월 사이에 보톨리눔 독소나 수술적 병력이 없는 아동을 대상으로 하였다. 대동작기능 측정(GMFM)와 대동작기능 분류체계(GMFCS)를 기능적 변화와 기능적 수순에 대한 평가를 실시하였으며, 낮병동 프로그램은 8주로 이루어졌다. 연구결과는 다음과 같다. 첫째, 낮병동 프로그램 적용을 통한 치료 전 후 대동작기능의 유의한 차이를 보였다(p<.001). 둘째, 연령별 운동발달은 1-2세, 3-4세 뇌성마비아동이 5-6세 뇌성마비아동보다 사후검정 결과 더 높은 것으로 나타났다. 마지막으로, 대동작기능 분류체계(GMFCS) 수준l에 따른 대동작기능 측정(GMFM)의 유의한 차이를 보였는데(p<.05), 특히 경도와 중등도 뇌성마비아동이 중증도 뇌성마비아동보다 유의한 차이를 보였다. 낮병동 프로그램은 뇌성마비아동의 대동작기능의 운동발달에 효과적이며, 경도, 중등도와 4세 이하의 뇌성마비아동에게 조기 중재가 필요할 것으로 생각된다.

• 대한물리의학회지
• /
• 제4권2호
• /
• pp.101-106
• /
• 2009

Purpose：The purpose of this study was to find the effect of intensive therapy on gross motor function measure(GMFM) score in cerebral palsy. Methods：Twenty eight cerebral palsy children were recruited in this study. Gross motor Function Measure(GMFM) score and Gross motor Function Classification System(GMFCS) were used to evaluate as functional change and functional level. Intensive therapy period for cerebral palsy children was 3, 4, and 5 weeks. Statistical analysis was used paired T test and one way ANOVA to know change between pre and post therapy was used. Results：GMFM Score of pre- and post- intensive therapy showed the statistically significant difference. Intensive therapy period indicated the statistically significant difference in GMFM score. GMFCS level did not reveal statistically significant difference in GMFM score. Conclusion：Intensive therapy was effective on gross motor function measure(GMFM) score in cerebral palsy.

• The Journal of Korean Physical Therapy
• /
• 제30권3호
• /
• pp.90-95
• /
• 2018

Purpose: To investigate the relationship between gross motor capacity and neuromuscular function in children with cerebral palsy (CP) through a short-term intensive intervention. Methods: Twenty-four children younger than 6 years of age (17 boys, 7 girls, mean $age{\pm}standard$ deviation, $42.71{\pm}14.43months$) who were diagnosed with CP underwent short-term intensive treatment for 8 weeks. An evaluation of gross motor function capacity using the gross motor function measure (GMFM-66 and GMFM-88) was performed to measure muscle strength, selective motor control (SMC), and spasticity, factors related to neuromusculoskeletal function. Changes in spasticity, strength, range of motion, selective motor function, and exercise intensity scores were evaluated in terms of the gross motor function classification system (GMFCS) and ages. Results: The GMFM-88 and GMFM-66 scores significantly increased, by $4.32{\pm}4.04$ and $2.41{\pm}1.51%$, respectively, following the 8-week intervention. The change in the GMFM-66 score did not reflect a statistically significant difference in the GMFCS level. However, there was a statistically significant difference in the GMFM-88 score change in individuals at GMFCS Level III, the strength and spasticity of subjects at GMFCS Levels I-II did not significantly differ (p<0.05). The changes in the GMFM-66 scores for strength, SMC, range of motion (ROM), and spasticity significantly differed according to age (p<0.05) in children aged 36 months and older. Overall, there was a statistically significant difference in strength, SMC, and spasticity (p<0.05) before and after intensive short-term treatment. Conclusion: The 8-week short-term intensive care intervention improved the motor function score of study participants, emphasizing the need for early intervention and additional research in this area.

• 한국산학기술학회논문지
• /
• 제12권12호
• /
• pp.5709-5714
• /
• 2011

이 연구는 뇌성마비 아동의 기능적 수준 분류 체계의 유용성을 알아보기 위해 실시되었다. 이를 위해 2008년 9월부터 2010년 8월까지의 기간 동안 뇌성마비 아동 217명을 대상으로 대동작 기능 분류체계(GMFCS), 손 기능 분류 체계(MACS), 일상생활 활동을 측정하고 도구 간의 관계를 알아보았다. 그 결과, 대동작 기능 분류체계와 일상 생활 활동은 모든 하위 영역 및 총점과 유의한 상관이 있는 것으로 나타났다(p<.05). 손 기능 분류체계와 일상생활 활동은 이상운동형 아동에서 일상생활 하위 영역 중 의사소통과 상관이 유의하지 않은 것을 제외하고 모든 하위 영역 및 총점과 유의한 상관이 있는 것으로 나타났다(p<.05). GMFCS와 MACS의 관계를 알아본 결과, 가장 많은 분포를 나타낸 것은 GMFCS의 경우 1수준(20.3%)과 5수준(40.6%)이었고, MACS의 경우는 2수준(48.8%)과 5수준(16.6%)이었다. 결론적으로, 뇌성마비 아동의 기능적 수준 분류 체계인 GMFCS와 MACS는 임상적으로 유용한 평가 체계로 사용될 수 있을 것으로 생각된다.

• 한국전문물리치료학회지
• /
• 제21권3호
• /
• pp.55-62
• /
• 2014

This study investigated the relationship between function classification systems and the Pediatric Evaluation of Disability Inventory (PEDI) functional skills in children with cerebral palsy (CP). Two hundred and eleven children with CP participated in this study. The Korean-Gross Motor Function Classification System (K-GMFCS), Korean-Manual Ability Classification System (K-MACS), Korean-Communication Function Classification System (K-CFCS), and self-care, mobility, and social function domains of the Korean-Pediatric Evaluation of Disability Inventory (K-PEDI) functional skills were measured by physical therapists or occupational therapists. All of the function classification systems were significantly correlated with PEDI functional skills ($r_s$=-.549 to -.826) (p<.05). Especially, K-GMFCS, K-MACS, and K-CFCS were correlated significantly with mobility, self-care, and social function, respectively. Using stepwise multiple regression analysis, we established that K-GMFCS, K-MACS, and K-CFCS were predictors of self-care skills (74.3%) and mobility skills (79.5%) of the K-PEDI (p<.05). In addition, K-CFCS and K-MACS were predictors of social function (65.9%) of the K-PEDI (p<.05). The information gathered in this study using the levels measured in the function classification systems may be useful to clinicians for estimating the PEDI functional skills in children with CP.