• Title/Summary/Keyword: cerebral palsied

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A Survey on Stress and Coping Style in Mothers of Cerebral Palsied Children (뇌성마비아동 어머니의 스트레스 및 대처방식 조사)

  • Lee, Hye-Young;Kim, Kyoung;Cha, Yong-Jun
    • The Journal of Korean Physical Therapy
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    • v.24 no.2
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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.

A Study on Cerebral palsied children's Visual Perception

  • Lee Hyo-Jeong
    • The Journal of Korean Physical Therapy
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    • v.15 no.3
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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.).

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The Effect of Symmetrical Standing Posture in Cerebral Palsied Children after Visual and Auditory Feedback Training (시각 및 청각 되먹임을 통한 뇌성마비 아동의 좌우 대칭척 서기 자세 훈련 효과)

  • Kim, You-Hyun;Park, Koan-Su;Cheon, Mee-Hye;Kim, Jong-Man
    • Physical Therapy Korea
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    • v.1 no.1
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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.

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The Relationship Between Self-Concept and Self-Care Activities of the Cerebral Palsied Adolescents (뇌성마비 청소년의 자아개념과 자가간호수행의 관계)

  • Hong, Hee-Sook;Lee, Myung-Hwa
    • The Korean Journal of Rehabilitation Nursing
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    • v.4 no.1
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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).

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A study on the fastening performance and finger function of the cerebral palsied (뇌성마비자의 의복여밈 수행능력과 수지기능)

  • 김순분;함옥상;서승록
    • Journal of the Ergonomics Society of Korea
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    • v.12 no.2
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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.

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THE DENTAL CARIES EXPERIENCE RATE IN THE CEREBRAL PALSIED CHILDREN (뇌성마비 환자의 치아우식 경험도에 관한 조사 보고)

  • Han, Chang-Kyu;Lee, Keung-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.21 no.2
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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 %)

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The Effects of 12 Weeks Aquatic Exercise Training on Shoulder Joint Isokinetic Muscle Function in Adolescent Spastic Cerebral Palsied (12주간의 수중운동이 경직성 뇌성마비 청소년의 어깨 관절 등속성 근기능에 미치는 영향)

  • Hong, Soungkyun
    • Journal of The Korean Society of Integrative Medicine
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    • v.7 no.3
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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.

A Study for Developing Music Therapy Activity Program for Development of Rudimentary Movement Phase of Spastic Cerebral Palsied Infant : Applying the techniques of Neurological Music Therapy (경직형 뇌성마비 유아의 초보운동단계 발달을 위한 음악치료활동 프로그램 개발 - 신경학적 음악치료의 기법을 활용하여)

  • Lee, Yoon Jin
    • Journal of Music and Human Behavior
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    • v.4 no.2
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    • pp.84-105
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    • 2007
  • Cerebral palsy is a collection of motor disorders resulting from damage to the central nervous system that arise in multiple handicaps including cognitive disorders, speech disorders, epilepsy, perception disorders, and emotion disorders. Today spastic cerebral palsy has become more prevalent because intensive care for newborns has resulted in higher survival rates for very small premature babies. Since the children grow the fastest in order for a development during one year after birth, the therapeutic intervention is provided as early as possible to the children with cerebral palsy. After seven year old, there is no effect of intervention. So, the necessity of early intervention to spastic cerebral palsied infants is increasing. The purpose of this study is to develop the music therapy activity program using the techniques of neurological music therapy(NMT), the therapeutic application of music to dysfunctions due to neurologic disease of the human nervous system, for rudimentary movement phase of spastic cerebral palsied infant. This music therapy activity program was developed on the basis of the major developmental tasks of the rudimentary movement phase, the period that children can acquire the most basic movement function at the 0 to 2. Then the developmental characteristics of spastic cerebral palsy were applied to this music therapy activity program. This music therapy activity program was classified to three domains, those are stability, locomotion, and manipulation. This study has been consisted of three steps, those are the development of the activities, the evaluation of the activities by th panels, and the adjustment and complement of the activities. Reviewing literatures and interviews were done for the development of the activities, and the evaluation the activities was done by seven music therapists. In the evaluation steps, the questionnaire was used for estimating the content validity and application efficiency. The adjustment and complement of the activities were evaluated by the panels who were participating in the music therapy for cerebral palsied children in the clinical setting, and the results of the adjustment and complement were confirmed by the panels. The evaluation was presented in a mean value with the comment of the panels. In conclusion, the music therapy activity program for the spastic cerebral palsied infants using the techniques of NMT was developed on the basis of the major developmental tasks of the rudimentary movement phase. The program is comprised of 38 activities, those are 14 activities for developing the stability, 10 activities for developing the locomotion, and 14 activities for developing the manipulation. The programed activities would bring out the answers in the affirmative for the conformance with infants' development phase, the harmony between the objective and the activity, the conformance with the cerebral palsied infants, the properness of the music and the instruments, and the utility in the clinic field. This results mean that this developed music activity program is appropriate to help spastic cerebral palsied infants progress their movement development by stages.

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A Study of Clinical Feature of Premature of Cerebral Palsied Children at Kyoung-Nam${\cdot}$Pusan (부산${\cdot}$경남 일부 뇌성마비아들의 임상특성 연구)

  • Cho, Hee-Sun;Kim, Chung-Sun
    • The Journal of Korean Physical Therapy
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    • v.14 no.1
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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).

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Assessment of Hand Function in Spastic and Athetoid Cerebral Palsied Children by Jebsen Hand Function Test (경련성과 무정위성 뇌성마비 아동의 Jebsen Hand Function Test에 의한 손기능 평가)

  • Lee, Cu-Rie;Lee, Mi-Ja
    • Journal of Korean Physical Therapy Science
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    • v.3 no.2
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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.

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