• The Journal of Korean Physical Therapy
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• 제1권1호
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• pp.27-45
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• 1989

This study aims at helping cerebrally palsied children to overcome and minimize their sufferings, inducing them to perform ordinary activities of daily living for themselves by coducting ADL Tests which are fundamental activities in daily life and presenting treatment plan for their overall rehabilitation and basic data for achieving the training objective. For that purpose, 173 cerebrally palsied children were selected and given ADL performance Tests from Dec. 1987 to Oct. 1988 and the following results were obtained. 1. Correlation coefficients for each ADL category indicated significant statistical value at .01 level. 2. Correlation coefficient between school-year variable and ADL category variable was significant at .01 level. 3. Correlation between age variable and ADL variable category proved significant at .01 level as well. 4. Correlation coefficients between each category in terms of functional state of extremities were significant at .01 level. 5. The difference in ADL achievements between each category by school year were as follows ; 1) In the category of meeting nature's tall, the age span of more than 4 school years showed statistical significance. 2) In the category of putting off and on clothing, the age span of 3 school years indicated statistical significance. 3) In taking meals statistical significance was found in the age span of 4 school years. 4) In finger movements the age span of more the 4 school years indicated statistical significance. 5) In walking activities statistical significance was noticed in the age span of 2 or 3 school years. Besides, in category by school year, and exceptional case was noticed that the 6th graders were lower than the 5th graders in self-reliance rate. 6. the difference in ADL achievements by type of palsy, children of triplegia were the lowest, while those of monoplegia were the highest. 7. The difference in ADL achievements by kind of palsy, patients of athetosis showed lower rate of self-reliance than those of spasticity, and particularly the latter showed a high rate of self-reliance in taking meals$(83.5\%)$. The former were relatively low in self-reliance and lowerst in meeting nature's call $(59.8\%)$.

• 한국전문물리치료학회지
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• 제3권3호
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• pp.44-58
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• 1996

The purpose of this study was to compare and evaluate various hand functions in the most common position (chair sitting, standing, floor sitting) used by cerebral palsied children with spastic diplegia. The results, analysed statistically, could be useful in suggesting treatment strategy for the improvement of hand function in such patient. For this study, 27 children mild or moderate spastic diplegia were chosen. They were patients of the Rehabilitation Hospital, Yonsei University Medical Center. Both dominant and nondominant hands were tested by the Box and Block Test. Bilateral hand function was tested by bead striding and card sorting activities. Collected data was analysed using univariate correlation analysis and MANOVA. Results were as follows: 1) In chair sitting there was a significant positive correlation between dominant hand scores in the Bloc and Box Test and chronological age, gestation period, and time of treatment initiation. In bilateral hand function, card sorting scores correlated positively with time of treatment initiation. 2) In standing, there was a significantly positive correlation between dominant hand scores in the Block and Box Test and time of treatment initiation. 3) In floor sitting, there was a significantly positive correlation between the dominance hand scores in the Block and Box Test and the tine of treatment initiation. Bead stringing, a bilateral hand activity, correlated positively with gestation period and birth weight but negatively with the postnatal incubation period. 4) That score of children who walked showed no significant difference in any of the three postures. 5) Highest test scores in children who could nat walk were in the Box and Block Test for nondominant hand in bead stringing for bilateral hand function. There scores occurred with the children in thee chair sitting posture. The results showed that, in order to improve hand function in children with spastic diplegia, it is necessary to maintain a well supported upright trunk posture with variations allowed for relevance to the chosen position of thee improvements hand activity being performed.

• 한국산학기술학회논문지
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• 제21권4호
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• pp.1-8
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• 2020

본 연구는 장애 아동을 전문으로 보육하는 2개 장애아 전문 어린이집을 대상으로 피난 훈련을 통해 피난 행태를 분석함으로서, 건축 및 피난 환경 개선 방안을 제시하는데 있다. 연구 결과 다음과 같은 결론을 도출하였다. 첫째, 장애아 전문 어린이집의 입지여건은 소방서 및 119 안전센터로부터 반경 1Km 또는 5분 이내 위치하고 있으나, 건축 및 피난 환경은 시설 여건에 따라 매우 상이하게 나타나고 있다. 둘째, 장애 아동의 피난 행태는 장애 유형에 따라, 안고 피난하는 경우, 안고 걸리고 피난하는 경우, 휠체어 피난, 그리고 매트로 피난하는 경우 등 다양한 피난 행태를 보이고 있다. 셋째, 피난 거리 및 피난 속도 분석결과, 장애 아동을 안고 피난하는 경우, 안고 걸리면서 피난하는 경우, 그리고 휠체어 피난의 경우 등으로 속도 차이를 보이고 있다. 특히 수직 피난이 어려운 장애 아동의 경우, 소방관이 구난할 때까지 기다릴 수 있는 임시 피난구역을 각 층별로 설치하는 것이 바람직해 보인다.