• The Journal of Korean Physical Therapy
• /
• v.14 no.4
• /
• pp.367-384
• /
• 2002

Cerebral palsy refers to the neuromuscular deficit caused by nonprogressive defect or lesion in single or multiple locations in the immature brain resulting in Impaired motor function and sensory integrity. The pathophysiological events may occur during the prenatal intrapartum, perinatal, or early postnatal period. Cerebral palsy is the most common condition and it poses a challenge to practitioners due to the large variation in prognosis for motor function of children with this diagnosis. The objectives of this article are review to pathological and psychological factors of cerebral palsy and upper extremity function. Upper extremity and hand function are most important in activity of daily living in cerebral palsy This article hope to give the information for application in many therapists.

• The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
• /
• v.28 no.4
• /
• pp.130-141
• /
• 2015

Objectives : The aim of this study is to report the effect of Korean medicine treatment on ocular motility disorders (ptosis, bilateral upward gaze palsy, adduction impairment, and strabismus) caused by thalamus, midbrain and pontine infarctions.Methods : The patient was treated by using acupuncture, hominis placenta pharmacoacupuncture, and electroacupuncture treatment. The change of ptosis was evaluated by measurement of palpebral fissure width. The change of gaze palsy and strabismus were evaluated by comparison the photographs of the extraocular movements of patient. Strabismus also was evaluated by corneal reflex test.Results : Gaze palsy and strabismus were improved. Ptosis disappeared after Korean medicine treatment.Conclusions : Korean medicine treatment should be effective for the ocular motility disorders caused by thalamus, midbrain and pontine infarctions.

• Speech Sciences
• /
• v.8 no.3
• /
• pp.209-224
• /
• 2001

The purpose of this study was to identify the acoustic properties of 9 word initial Korean plosives in the speech of adults with cerebral palsy. Normal adults and two groups of adults with cerebral palsy (athetoid group and spastic group) participated in this study. Speech material included monosyllabic CVC real word pairs. Among the various acoustic properties of plosives, the aspiration duration was measured. Adults with cerebral palsy exhibited different patterns of aspiration duration for triplets of Korean plosives compared to normal adults. In addition, the plosive production of spastic group was distinguished from that of athetoid group. Such acoustic characteristics of plosives of adults with cerebral palsy may negatively affect the intelligibility of their speech.

• The Korean Journal of Pain
• /
• v.25 no.2
• /
• pp.112-115
• /
• 2012

Intracranial hypotension is characterized by a postural headache which is relieved in a supine position and worsened in a sitting or standing position. Although less commonly reported than postural headache, sixth nerve palsy has also been observed in intracranial hypotension. The epidural blood patch (EBP) has been performed for postdural puncture headache, but little is known about the proper timing of EBP in the treatment of sixth nerve palsy due to intracranial hypotension. This article reports a case of sixth nerve palsy due to spontaneous intracranial hypotension which was treated by EBP 10 days after the onset of palsy.

• Journal of the Korean Society of Physical Medicine
• /
• v.4 no.2
• /
• 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.

• Annals of Clinical Neurophysiology
• /
• v.23 no.2
• /
• pp.121-125
• /
• 2021

Bell's palsy is an acute peripheral facial paralysis with no detectable cause. Although the prognosis of Bell's palsy is generally good, some patients experience poor recoveries and there is no established treatment for those that do not recover even after receiving the conventional treatment. Here we present two cases of refractory Bell's palsy with facial nerve enhancement in magnetic resonance imaging who showed symptomatic improvement after the late administration of high-dose intravenous methylprednisolone.

• Journal of Acupuncture Research
• /
• v.28 no.1
• /
• pp.117-124
• /
• 2011

Objectives : Bell's palsy is the most common acute facial paralysis but its causes still unclear. At present, one of the most widely accepted cause is viral infections, and generally socioeconomic factors influence the viral infections. The purpose of this study is to investigate the relationship of incidence of facial palsy with socioeconomic factors. Methods : Seventeen patients with a acute facial palsy, who volunteered and completed all of the assessment measures participated. Using data on 17 participants, we examined the independent contribution of education, income, and occupation to a risk factor of severe facial palsy. Severity of global facial impairment was assessed by the facial disability index (FDI), the house-brackmann facial nerve grading system, WHO quality of life - bref (WHOQOL-BREF) and visual analogue scale (VAS) about discomfort of life. Results : There was no correlation between severity of facial palsy and gender, marriage, education, or occupation. Age greater than 60 years (p<0.05), and low monthly income(p<0.05), poor self-rated health was associated with greater severity of idiopathic facial paralysis. Conclusions : The number of subjects with facial palsy in our study (n-17) was small, and therefore generalization to larger patient populations might be unwarranted. But according to the outcome, we suggest that socioeconomic factors, especially low monthly income influence severity of bell's palsy.

• Journal of Acupuncture Research
• /
• v.23 no.6
• /
• pp.9-18
• /
• 2006

Objectives : This study was designed to evaluate the influence of postauricular pain on Bell's palsy patients. Methods : We investigated 71 cases of patients with Bell's palsy and classified them as existence of Postauricural pain, 71 patients were sequentially interviewed and examined. We evaluated the treatment effect of each group by using Gross Grading System of House-Brackmann(H-B grade) before treatment and after final treatment and we researched differences of sequelae of Bell's palsy, period of treatment, changing point -period from onset of Bell's palsy to the day which the change begins to be seen at the face- and improvement -period which Bell's palsy is improved from onset to H-B gradeII. Results : 1. In age, sex, lesion, duration of disease, we found that two groups have no significant differences. 2. In improvement and period of treatment, we found that two groups have significant differences. In changing-point, we found that two groups had the difference of the average, but they were not statistically significant. 3. As a result of evaluation by using H-B grade, treatment score after final treatment was marked higher than that before treatment within each group. 4. After final treatment, Non-postauricular pain group had significant difference(result) on H-B grade compared with Postauricular pain group. 5. In frequency of sequelae symptoms of Bell's palsy, Postauricular pain group had more higher compared with Non-postauricular pain group. Conclusion : These results suggested that Non postauricular pain group should be get better than Postauricular pain group.

• Journal of Acupuncture Research
• /
• v.31 no.4
• /
• pp.99-108
• /
• 2014

Objectives : This study was performed to review articles referring to facial palsy sequelae evaluating scale and propose how to assess facial palsy sequelae. Methods : We searched for the medical literature to find out method of evaluating facial palsy sequelae. Then, we researched strengths and weaknesses of the scale and considered the way to appraise the facial palsy sequelae. Results : There were subjective and objective scale for evaluating facial palsy sequelae. Subjective scale could offer detailed assessment but had low objectivity and reproducibility. Objective scale had consistency and detachment but needed for specific equipments with time for measuring and calculating. Conclusions : We should evaluate the facial palsy sequelae with the strengths of subjective and objective scale and assess facial nerve function, symptoms of facial palsy sequelae and quality of life entirely. Moreover, the scale has to contain the reliability with static and dynamic assessment.

• Journal of The Korean Society of Integrative Medicine
• /
• v.3 no.1
• /
• pp.11-21
• /
• 2015

Purpose: This study intends to investigate if visual perception training program has influence on writing intelligibility and visual perception ability of the children who have spastic cerebral palsy. Methods: The subjects were 12 children of 4-8 years old. Classifying them into 2 groups - cerebral palsy children group(6) and normal children group(6), visual perception training program was conducted to the cerebral palsy children group twice a week for 4 weeks. Korean alphabet writing test and Korean-version development test on visual perception(DTVP-2) were used for the test. Result: First, the cerebral palsy children group had significantly lower scores on visual perception than the normal children group. Second, Two groups didn't show significantly difference between before and after the visual perception training program. Third, The normal children group significantly increased at three parts without the visual perception training program. Forth, The cerebral palsy children group significantly increased at the only a part after the visual perception training program Conclusion: For the visual perception ability improvement of cerebral palsy children, it is necessary to systematic and continued intervention. And the study about the effect of the visual perception training program application according to by type characteristic of the cerebral palsy child wishes to proceed.