• The Journal of Korean Physical Therapy
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• 제24권2호
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• pp.98-106
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• 2012

Purpose: The goal of this study was to analyze the degree of stress and methods of coping with stress in mothers of cerebral palsied children and to provide a basic resource for the development of policies to improve the mental health of mothers with cerebral palsied children. Methods: 85 mothers with cerebral palsied children and 77 mothers of normal children completed a self-administered questionnaire that evaluated the degree of stress and methods of coping with stress. Cronbach's ${\alpha}$ score was used to determine the internal consistency of the acquired data and the discriminated validity was estimated by Pearson's correlation coefficient. Independent t-tests were conducted to compare the degree of stress and method of coping with stress between mothers of cerebral palsied children and mothers of normal children and one-way ANOVA was performed to analyze the effect of generalized characteristics on stress in mothers of cerebral palsied children. Results: The degree of stress in terms of anxiety response and roles as mother for mothers with cerebral palsied children was higher than mothers with normal children. However, there was no significant difference between two group in regards to the methods of coping with stress during a stressful episode. The degree of stress for mothers with cerebral palsied children was greater when the child was younger. Conclusion: Mothers of cerebral palsied children had higher stress than that of mothers with normal children and felt more stress when their child was younger. Therefore, these results suggest that health-based policies should be developed to improve the mental health of mothers with cerebral palsied children.

• The Journal of Korean Physical Therapy
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• 제15권3호
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• pp.265-276
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• 2003

This study was to investigate the dffects of a color reversal visual perceptual training program on spastic cerebral palsied children's figure-ground discrimination disabilities and to investigate the difference between the control group and experimental group. Subjects of the study were composed of children with spastic cerebral palsy whose age varied from five to seven years old, whose I.Q. was over 70 and whose P.Q. was over 70. Implication of this study can be summarized as follows; First, Perceptual training and speech training programs should be emphasized to improve the preparative ability of spastic cerebral palsied children. Problems of perception cerebral palsied children are concerned with figure-ground discrimination disability. Second, Though it was demonstrated that color reversal visual perceptual training program can be effective through the prestudies and this study, more researches should be made to apply this kind of theory in real education environments. More interest in different color forms for training of cerebral palsied children should be taken. Third, Reprecations of the study should be considered with modified group identities(age, I.Q., P.Q.).

• 한국전문물리치료학회지
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• 제1권1호
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• pp.17-24
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• 1994

Biofeedback devices have been used successfully to improve head control and symmetrical walking in cerebral palsied children. Biofeedback of postural sway was investigated as a therapeutic technique to reduce postural abnormality in 24 selected children with cerebral palsy. Subjects were evaluated their weight distribution of both sides during their standing before and after the visual and auditory feedback training. The effectiveness of biofeedback was compared to conventional physical therapy practices in reestabilishing symmetrical standing in cerebral palsied children. Our study found biofeedback was effective in training symmetrical standing posture.

• 재활간호학회지
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• 제4권1호
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• pp.31-45
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• 2001

The purpose of this study was to investigate the relationship between self-concept and self-care activities of the cerebral palsied adolescents and to gain the baseline data for development of effective rehabilitation nursing intervention program of the cerebral palsied adolescents. The design of this study was a descriptive correlational study. The subjects of the study were 160 cerebral palsied adolescents attending at special schools located in Seoul and Kyonggi and rehabilitation centers located in Seoul, Kyonggi and Kyongnam province. The data was collected from May 20 to July 20, 2000. The instrument used for this study were the self-concept scale(50items 4point scale) and self-care activities scale(29items 4point scale). Self-Concept Scale had developed by Fitt(1965), which was standardized by Chung(1968) and modified by Kim(1984). Self-Care Activities Scale developed by the researcher through out the consulting of expert and pilot study on the basis of ADL check list developed by Kang(1984) and LDSQ-3(Lambeth Disability Screening Questionnair-3) developed by Na et al. (1995). The data was analyzed by the SPSS/PC+program using frequency, percentage, mean, standard deviation, t-test, ANOVA & Scheffe test and Pearson's correlation coefficient. The results of this study were as follows; 1. The mean score of self-concept was $138.55{\pm}17.20$(range: 50-100), which the item mean score was $2.77{\pm}0.34$(range: 1-4). The score of subarea of the self-concept was the highest score in family self ($3.01{\pm}0.54$) and the lowest score in physical self ($2.52{\pm}0.42$). 2. The mean score of self-care activities was $95.25{\pm}21.69$ (range: 29-116), which the item mean score was $3.28{\pm}0.75$ (range: 1-4). The score of subarea of the self-care activities was the highest score in feeding($3.75{\pm}0.59$) and the lowest score in walking($2.64{\pm}1.21$). 3. There were statistically significant difference in the score of self-concept according to the age (F=3.24, P=.04), the grads (F=4.36, P=.01), and types of cerebral palsy (F=2.42, P=.03). 4. There were statistically significant difference in the score of self-care activities according to the age (F=8.29, P=.00), the grads (F=16.05, P=.00), types of living place (F=6.46, P=.00), types of cerebral palsy (F=48.92, P=.00), whether or not receiving a rehabilitation therapy (t=-3.64, P=.00), whether or not receiving a vocational training (t=2.14, P=.03), and whether or not using a device (t=-7.42, P=.00). 5. There was not significant correlation between self-concept and self-care activities (r=.081, P=.311).

• 대한인간공학회지
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• 제12권2호
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• pp.45-62
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• 1993

This study was aimed to obtain the available information for the clothing constru- ction according to the traits of the cerebral palsied. For this purpose, their abilities of eleven methods seven of fastening performance and seven finger functions were tested and their correlationships were clarified. The results are as follows : 1. The length of time needed to perform each fastening method in descending order is as follows : small button > small snap > culumn button > large button > middle button > large snap > separating zipper > velcro. As the spastic has better function than the athetoid in the performance of all fastening methods, there was a significant difference between the types of handicap and between the handi- capped and the normal, except for velcro fastening style in which there was no significant differ- ence between the types of handicap. 2. In finger functions of the cerebral palsied, according to the types of handicap there was no significant difference among grip, palm fixation and hands coordination, howefer there were significant differences among pulp pinching, lateral pinching, finger rolling and lifting control. As to the correlation between the ability of fastening performance and finger function, there was a high significant correlation between the length of time needed to perform each fastenting and finger function of hands co ordination, and that of finger rolling; and there was a significant correlation between the length of time and pulp pinching, and laternal pinching.

• 대한소아치과학회지
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• 제21권2호
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• pp.463-468
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• 1994

The purpose of this study was evaluation of the oral health of cerebral palsied children by considering the DMFT index. The 31 cerebral palsied children(Male 20, Female 11) participated in the study, and mean age was 11.3 years. All patient were examined for determination of decayed tooth, missing tooth, filled tooth. For children with only deciduous dentition, the dmf system was used; for children with only permanent dentition, the DMF system was used; for children with mixed dentition, a combination of two systems(dmf and DMF) was used. The results were as follows: 1. In the deciduous dentition, dmft index was 11.60.(dt rate ; 83.62%, mt rate ; 12.07%, ft rate ; 4.31 %) 2. In the mixed dentition, DMFT index was 12.25 and dmft index was 10.75.(DT rate ; 90.00 %, MT rate ; 0 %, FT rate ; 10.00 %, dt rate ; 60.53 %, mt rate ; 28.95 %, ft rate ; 10.52 % ) 3. In the permanent dentition, DMFT index was 8.16.(DT rate ; 87.77 %, MT rate ; 11.51 %, FT rate ; 0.72 %)

• 대한통합의학회지
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• 제7권3호
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• pp.141-148
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• 2019

Purpose: The present study investigated the effects of 12-week aquatic exercise training on isokinetic muscle function of the shoulder in adolescents with cerebral palsy. Methods: The study included four male and four female adolescents with cerebral palsy. Isokinetic muscle function was measured at an angular velocity of $60^{\circ}/s$, using Biodex System VI Pro. The peak torques of internal rotation and external rotation were measured before and after training. Aquatic exercise training was performed once a day for 120 min, 4 times a week for 12 weeks. Results: The peak torque of external rotation according to body weight and mean power of internal rotation were significantly higher after training (p < 0.05). Conclusion: Our findings suggest that 12-week aquatic training for adolescents with cerebral palsy can improve isokinetic muscle function of the shoulder. Future studies should analyze the changes in isokinetic muscle function of the shoulder in more detail using various aquatic exercise programs to investigate their effects on individuals with cerebral palsy.

• 인간행동과 음악연구
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• 제4권2호
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• pp.84-105
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• 2007

뇌성마비는 중추신경계의 손상으로 인하여 운동장애 뿐 아니라 지능장애, 언어장애, 경련, 감각장애, 지각장애, 그리고 정서장애와 같은 중복적인 장애를 수반하는 장애이다. 최근 의학의 발달로 인하여 미숙아들의 생존율이 높아지면서 경직형 뇌성마비의 출현율도 높아지고 있음이 보고되고 있다. 뇌성마비 유아들에게는 생후 1년 사이의 치료적 중재가 특별히 중요하며, 7세 이후의 치료효과는 거의 나타나지 않는다. 그러므로 뇌성마비를 대상으로 하는 조기 중재의 필요성이 증가하고 있다. 따라서 본 연구에서는 신체 운동 영역에 장애를 가진 사람들의 신체재활을 목적으로 접근하는 음악치료 영역인 신경학적 음악치료(NMT)의 기법들을 활용하여 경직형 뇌성마비 유아들의 운동발달을 위한 음악치료활동 프로그램을 구성하여 제시하는 것을 목적으로 한다. 이를 위하여 본 연구에서는 일반 유아들이 0~2세에 가장 기본적인 운동 기능들을 습득하는 단계인 초보운동단계의 주요 발달과제들을 바탕으로 하고, 여기에 경직형 뇌성마비 유아의 발달적 특성을 적용하여 프로그램을 구성하였다. 본 음악치료활동 프로그램은 크게 안정성, 이동성, 그리고 조작기능의 세 가지 하위 범주로 나누어 구성되었다. 이렇게 구성된 음악치료활동 프로그램은 임상 현장에서 경직형 뇌성마비 유아를 대상으로 치료를 진행하고 있는 음악치료사들을 통하여 시행된 후 활동에 대한 타당성과 적용의 효율성을 평가받았다. 경직형 뇌성마비 유아의 운동 발달을 위한 음악치료활동 프로그램의 개발은 치료활동의 개발, 전문가의 검증, 치료활동의 수정 및 보완 세 단계로 진행되었다. 치료활동의 개발을 위하여 문헌조사와 인터뷰를 시행하였고, 전문가의 검증은 실제 임상 현장에서 경직형 뇌성마비 유아 혹은 아동을 대상으로 음악치료를 시행하고 있는 음악치료사 6명을 통하여 이루어졌다. 전문가들을 통한 음악치료활동 프로그램 검증에서는 활동의 내용상 타당도 및 실제 현장에서의 활용도를 살펴보았고, 이를 위하여 설문지를 사용하였다. 전문가들의 평가를 바탕으로 치료활동의 수정 및 보완작업이 진행되었으며 수정 및 보완의 결과에 대해서는 검증집단을 통하여 재확인과정을 거쳤다. 음악치료활동 프로그램의 평가 결과는 각 평가 항목별로 평가 값의 평균과 표준편차로 제시하였고, 활동별로 전문가들의 조언과 함께 수정 보완한 내용을 함께 제시하였다. 전문가들의 조언을 바탕으로 수정 및 보완된 음악치료활동 프로그램은 부록으로 첨부하였다. 본 연구의 결과를 요약하면 다음과 같다. 초보운동단계에서의 발달과제인 안정성, 이동성, 조작기능을 바탕으로 경직형 뇌성마비 유아의 운동 발달 특성을 적용한 음악치료활동 프로그램은 총 38개의 활동으로 구성되었다. 안정성 발달을 위한 음악치료활동이 14개, 이동성 발달을 위한 음악치료활동이 10개, 그리고 조작기능 발달을 위한 음악치료활동이 14개이다. 전체 음악치료활동 프로그램은 운동발달단계 적합성, 목표-내용 일치도, 적용 대상 적합성, 음악의 적절성, 악기사용의 적절성, 그리고 실제 활용의 유용성이라는 여섯 가지 평가에서 긍정적인 평가를 받았다. 이것은 본 연구의 결과가 경직형 뇌성마비 유아의 조기 중재 필요성이 증가하고 있으나 발달 단계별 음악치료활동 프로그램이 부족한 국내의 현실적 요구에 맞게 유용하게 활용될 수 있음을 시사한다.

• The Journal of Korean Physical Therapy
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• 제14권1호
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• pp.99-108
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• 2002

The purpose of this study was to research the clinical of cerebral palsy taking physical therapy at the department of physical therapy of various clinics at Kyungnam${\cdot}$Pusan. Among the subjects that was born from January, 1985 to June, 2000, 226 parents was answered to questionary of this study. The results of the study were as follows: 1) During the embryonic period, the cerebral palsied children above 37weeks were 114 subjects(50.9%) and there was 51 subjects(22.8%) between 28weeks to 31weeks and 32weeks to 36weeks. The children below 28weeks were 8 subjects(3.6%) and showed the lowest rate. As compared to the delievery methods, the normal delievery, cesserian section delievery, and forceps delievery was 124 subjects(55.1%), 81(36.0%), 16(7.1%), nad 4(1.8%). Among them the mormal delievery indicated the highest percentage. 2) Compared to the weight during birth time, the above 2500g of 121 subjects(55.3%) showed the highest rate and the 28 subjects(12.8%) had the birth weight of 1000to 1499g. There was 4 subjects(1.8%) below the 1000g. 3) Compared to the birth weight of the pregnancy period, the weight of the cerebral palsied children below 28weeks were 1000g to 1499g and showed the highest rate of 4 subjects(50%). The children between 28weeks to 31weeks and 32weeks to 36weeks were 1500 to 2499g, each 23(47.9%), and 28(54.9%) subject. The weight of the children of the above 37weeks were above 2500g and 94 subjects(87.4%). Therefore, if the period of pregnancy is short, the weight birth would indicate the lower weight than the weight of the other times(p<0.05). 4) The spastic type of the pregnant period had the highest rate and the period was the below 28weeks to 31weeks. The cerebral palsied children of athetoid and mixed type were 6 subjects(13.3%) and 5 subjects(31.9%) between 28 and 31weeks. The mixed type of them was each 15 (31.9%) and 33 (30.6%) subjects between 32 to 36 weeks and the above 37weeks. The mixed type showed a slightly high rate (p<0.05). 5) The spastic type indicated the highest rate in the weight of birth time and especially showed the high rate in the case of 1000 to 1499g. The mixed type indicated a slightly high rate of 17 subjects (25.8%) and 32 subjects (29.1%) in case of 1500 to 2499g and the above 2500g (p<0.05).

• 대한물리치료과학회지
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• 제3권2호
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• pp.981-987
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• 1996

Hand function evaluations are an important element of the assessment process in physical rehabilitation settings. The purpose of this study was to investigate hand function evaluation. Subjects consisted of 20 with spastic cerebral palsy(mean age = 9.8, SD = 1.6) and 20 with athetoid cerebral palsy(mean age = 9.6, SD = 2.3). Two groups of subjects were tested twice(pretest and posttest) by the JHFT to measure evaluations of hand function. These findings suggest that on four subtests - writing, card turning, large heavy objects and Stacking Checker-the spastic cerebral palsy perform significantly faster than athetoid cerebral palsy. But there were no significant differences between the pretest and posttest in spastic and athetoid cerebral palsy. To see the statistical differences in the experimental results was done using origin V. 3.0.