• The Journal of Korean Physical Therapy
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• 제22권3호
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• pp.37-44
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• 2010

Purpose: The purpose of this study was to describe the functional (mobility, self-care, social ability) and health-related quality of life in children with cerebral palsy (CP). Methods: A cross- sectional survey of 202 children with CP, mean age $5.91{\pm}1.57$ years, was carried out using the Gross Motor Function Classification System (GMFCS), Gross Motor Function Measure (GMFM), Pediatric Evaluation of Disability Inventory (PEDI), and Child Health Questionnaire (CHQ). Results: The functional assessment of children with CP showed that a more severe GMFCS level was associated with lower functional abilities (p<0.05). The health-related quality of life assessment showed that psychosocial well-being was less impaired than physical well-being. The internal consistency of the three instruments was satisfactory (cronbach's ${\alpha}$>0.80). The three different scales were correlated from moderate to strong (r=0.44 to 0.92). It was also found that mobility, tone distribution, and the parents' education level exerted a significant effect on the quality of life of children with CP (p<0.05). Conclusion: These findings suggest that children with CP have reduced function and quality of life and these are influenced by various factors. However, planning and application of various task-oriented functional interventions to childhood CP may be useful.

• 대한의용생체공학회:의공학회지
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• 제24권5호
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• pp.443-446
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• 2003

다축 하지 보조기의 설계는 정확한 내$.$외전력의 측정이 필요하다. 내$.$외전력 측정을 위해 정상아동과 장애아동들의 실험을 통해 내$.$외전력을 측정하였다. 내$.$외전력의 측정은 정지상태와 보행상태에서 측정되었으며, 다축하지 보조기의 측방지주에 장착된 변형률 게이지를 이용하여 측정하였다. 정지상태에서 경직성 뇌성마비 아동은 0.11 kgf부터 0.26 kgf까지 내전력만 나타났으나 보행상태에서 1.56 kgf의 내전력과 1.52 kgf의 외전력이 작용됨을 알 수 있었다.

• 한국전문물리치료학회지
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• 제30권4호
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• pp.253-260
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• 2023

Cerebral palsy (CP) is a prevalent neurodevelopmental disorder characterized by motor and postural impairments caused by central nervous system dysfunction. It significantly impacts children's daily functioning and quality of life. Physical therapy is a crucial intervention for children with CP that aims to improve motor skills and functional abilities. This study aimed to provide a comprehensive overview of holistic physical therapy approaches methods specifically designed for children with CP and examine recent research trends and their implications for optimizing outcomes in this population. This study employed a narrative review approach, conducting a comprehensive examination of the current literature pertaining to physical therapy methods for children with CP. The review encompassed studies exploring assessment techniques, evidence-based interventions, and innovative approaches in the field. It was discerned that encompassing physical therapy strategies, which encompass individualized treatment plans, evidence-based interventions, and the integration of innovative techniques, yield a favorable influence on the motor skills and functional capacities of children with CP. This review synthesizes the current knowledge on effective physical therapeutic strategies for children with CP. Furthermore, this review highlights the need for continued research and innovation in the field of pediatric physical therapy for CP.

• 대한물리치료과학회지
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• 제3권4호
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• pp.147-152
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• 1996

Therapeuticre rehabilitation of young children has often included the use of walker as mobility aids. Traditional walkers have four vertical legs, a horizontal bar in front of child, and horizontal bars on either side which also serve as hand grip. Child pushes it. It is called 'anterior walker'. 'Posterior walker' have been introduced which the child pull along behind himself during ambulation. The purpose of this investigation was to compare specific gait characteristics of children with developmental disability, while they ambulated with anterior and posterior walker. Using the posterior walker, specific gait characteristics improve than using anterior walker.

• 한국임상보건과학회지
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• 제4권1호
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• pp.542-549
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• 2016

Purpose. The purpose of this study was to determine the effect of massage program on muscle strength (MMT), range of motion (ROM) and activities of daily living (ADL) in children with spastic cerebral palsy. Methods. The child welfare center of J city were measurement goniometer by range of motion and evaluation of activities of daily living scale and muscle strength scale. The massage program was applicated with 40 min, 2 times per a week and total 8 weeks. Massage program constituted surface of effleurage, petrisage, deep part of effleurage, friction in regular sequence. Result. For muscle strengths were significantly differenced after 8 weeks. For range of motion were dose dependent increased different two groups. And activities of daily living scale were significantly difference between massage group and non-massage group. Conclusion. In this study, the therapeutic massage program showed a positive effect for muscle strength, range of motion and activities of daily living in spastic cerebral palsy.

• 재활복지
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• 제16권2호
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• pp.287-309
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• 2012

본 연구는 맞춤형 착석장치를 통한 자세지지가 뇌성마비 아동의 상지 마우스 사용 능력에 미치는 영향을 알아보고자 실시하였다. 단일대상 연구방법의 하나인 ABAB 설계를 실시하였고, 경직성 사지마비로 진단받은 13세 뇌성마비 남아가 참여하였다. 대상자의 중재 전 휠체어 앉기 자세와 자세지지를 통한 중재 자세에서 마우스 클릭을 위한 반응시간과 정확도를 비교하였다. 중재 자세는 현행 임상지침과 상지 운동을 촉진하는 것으로 밝혀진 연구결과를 참고하였고, 대상자의 전형적인 휠체어 앉기 자세에서 도수 평가 후 맞춤형 착석장치를 통해 교정하였다. 연구 결과는 기초선 자세보다 중재 자세에서 마우스 클릭을 위한 반응시간이 감소한 것으로 나타났다. 마우스클릭의 정확도는 모든 단계에서 높게 나타나 분석을 실시하지 않았다. 이는 맞춤형 착석장치를 통한 기능적인 앉기 자세가 뇌성마비 아동의 상지 마우스 사용 능력에 긍정적인 영향을 미친다는 경험적 증거를 제공한다. 향후에는 다른 장애 유형과 더 많은 대상자를 상대로 맞춤형 착석장치가 사용자의 컴퓨터 접근성 향상 등 상지 기능에 효과적이라는 결과를 일반화할 수 있는 연구가 필요하다.

• 셀메드
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• 제13권14호
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• pp.16.1-16.14
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• 2023

Objective: Cerebral palsy (CP) is a neurodevelopment disorder attributed to an insult or injury to the developing brain with abnormalities in muscular tone, movement and motor skill. Improvement in quality of life and ameliorating symptoms can be achieved. Therefore, this case report details a distinctive approach to treating a 5-year-old male child with quadriplegic spastic cerebral palsy utilizing Unani treatment modalities. Methods: The treatment regimen commenced with 'Habb Ayarij for constipation followed by Sharbat Ustukhuddus administered orally. Notably, Sharbat Ustukhuddus was combined with Melia Azedarach L. leaves vapour bath. Subsequently, Roghan Babunna douche was performed followed by Dalk Layyin andcontinued until symptomatic improvement was observed. Majun Falasfa, Khamira Marwareed and Khameera Gauzaban were administered for 30 days. The therapeutic outcome included anthropometrical measurements, developmental milestones, spasm/reflex scale, and muscle power grading. Results and conclusion: Over the course of a 2-year follow-up, several clinical findings emerged. These included notable improvements in anthropometric measurements, developmental milestones such as improved head control and sitting ability, and a reduction in spasticity of the upper limbs, along with decreased muscle spasms. The therapeutic outcome of this individualized and holistic approach is potentially due to the multifaceted properties of medicinal plants (Musakkin wa Muharrik wa Muqawwi-i- A'sab wa Dimāgh, Munawwim, Dafi-i-Tashannuj, Muqawwi-i-Qalb-i-Ruh). Furthermore, the use of Dalk and Naṭūl was instrumental in providing nourishment to musculoskeletal cells and initiating intracellular signaling cascades. While these findings are encouraging, further research in the form of case series andrandomized controlled trials is warranted to validate the efficacy of this unique holistic approach.

• 한국전문물리치료학회지
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• 제10권3호
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• pp.127-140
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• 2003

The purpose of this study was to determine the factors affecting on the home treatment stress in the CP (cerebral palsy) children's mothers. Direct interviews were conducted from March 17 with April 4, 2003 with 97 mothers of CP children. The average level of stress from home treatment felt by mothers with CP children was $16.97{\pm}4.04$. Stress-levels were especially high in mothers who were not satisfied with the treatment outcome (p<.05) and whose acceptance of disability was low (p<.01). Stress felt by mothers was low when their health status was high (p<.05). A physical burden was shown to have a significant correlation with the stress of the mothers during the home treatment (p<.01). Mothers with a child of Level 2 disability had lower levels of stress than those with a child of Level 4 or 5 disability (p<.01). The level of stress was higher in mothers who lagged in acquiring technical sufficiency (p<.05). Multiple regression analysis showed that one factor affecting the stress felt by mothers with CP children was the degree of acceptance of the disability (p<.01). Programs that can reduce the stress levels of mothers with CP children through home treatment and secure social systems such as professional help and economic compensation, need to be developed. Active policies should be established and executed for these mothers since stress felt by mothers significantly affects the consistency and effectiveness of treatment provided at home.

• The Journal of Korean Physical Therapy
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• 제29권3호
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• pp.115-121
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• 2017

Purpose: The aim of this study was to investigate applicability of the GMFM-88 in planning intervention for CP children. Specifically, this study assessed functional improvement after a four-week GMFM-88 item-based training in CP children divided into three age groups (${\leq}24$ months, 25-48 months, and >48 months) and five levels of the gross motor function classification system (GMFCS). Methods: Subjects were 264 children with CP (mean age 32.90 months) recruited from one CP clinic. The GMFM-88 item-based training was planned for each child, after an interview with its caregiver. To investigate functional improvement after the intervention, minimum important difference (MID) and MID proportion for the change in scores of GMFM-88 were calculated. Results: The GMFM-88 scores increased after the interventions in all three age groups (p<0.05). In particular, children with CP aged ${\leq}24$ months and at the GMFCS level II showed greater functional improvement after training. Conclusion: This study found that the GMFM-88 item-based training would be used to plan activity-oriented intervention both in clinic and home in each CP child.

• 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.