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The Usability Study for Gross Motor Function Classification System as Motor Development Prognosis in Children With Cerebral Palsy (뇌성마비 아동 운동발달 예후 지표로 대동작 기능 분류법 활용에 관한 연구)

  • Song, Jin-Yeop;Choi, Jin-Suk
    • The Journal of Korean Physical Therapy
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    • v.20 no.1
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    • pp.49-56
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    • 2008
  • Purpose: Lack of a valid prognosis of gross motor development in children with cerebral palsy (CP) and the absence of longitudinal data on which to base an opinion in Korea have made it difficult to plan treatment and counsel prognosis issues accurately. The purposes of this study were to examine whether the Gross Motor Function Classification System (GMFCS) is valuable to prognostication about gross motor progress in children with CP in Korea. Methods: Medical records of 61 patients were retrospectively reviewed that visited outpatient department and were diagnosed as CP. Various information was surveyed including CP type, visual acuity, cognitive function, motor acquisition age, ambulatory status, development curves of Gross Motor Function Measure (GMFM) according to each of the 5 level of GMFCS. All of them were compared with other studies. Also the gross motor development curves and the maximum GMFM score derived from this study were compared with the Palisano's report and the Rosenbaum's report. Results: Based on a total of 494 GMFM assessments provided by this study, the 5 distinct motor development curves and the maximum GMFM score were created. These observations is corresponding with the Palisano's and the Rosenbaum`s Development curves. Conclusion: The 5 distinct motor development curves (GMFCS) that were created by Palisano's and Rosenbaum's study is useful in Korea, providing parents and clinicians with a means to plan interventions and to judge progress over time.

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Effects of Spinal Stabilization Exercises Using Visual Feedback on Gross Motor Function and Balance in Children with Cerebral Palsy

  • Kim, So Hee;Kim, Tae Ho;Hwang, Hyun Chul
    • The Journal of Korean Physical Therapy
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    • v.31 no.5
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    • pp.279-285
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    • 2019
  • Purpose: This study examined the effects of spinal stabilization exercises using visual feedback on the gross motor function and balance of the sitting posture in children with cerebral palsy. Methods: The subjects were 18 children with cerebral palsy aged 8-15 years in the I-III stages of the Gross Motor Function Classification System. The subjects were divided into an experimental group (n=9) and control group (n=9). The experimental group was treated with 30 minutes of neurodevelopmental treatment and 20 minutes of spinal stabilization exercises using visual feedback. The control group was treated with 30 minutes of neurodevelopmental treatment and 20 minutes of spinal stabilization exercises without visual feedback. Both groups participated in the experiment twice a week for eight weeks. The Gross Motor Function Measurement was performed to evaluate the changes between pre- and the post-intervention in gross motor function. The Seated Limit of Stability Surface Area was measured to evaluate the changes in trunk balance. Results: Both experimental and control groups showed a significant increase in the gross motor function and trunk balance (p<0.05). The experimental group showed a significant increase in gross motor function compared to the control group (p<0.05). The experimental group showed a significant increase in the dynamic trunk balance in all directions when measuring the Seated Limit of Stability Surface Area (p<0.05). Conclusion: Spinal stabilization exercises using visual feedback for the neurodevelopmental treatment of children with cerebral palsy can improve their gross motor function and trunk balance when in a sitting posture more effectively.

The Effect of Intensive Therapy on Gross Motor Function Measure Score in Cerebral Palsy (집중치료가 뇌성 마비아의 대동작 기능 점수에 미치는 영향)

  • Oh, Jung-Lim;Kim, Chung-Sun
    • Journal of the Korean Society of Physical Medicine
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    • v.4 no.2
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    • pp.101-106
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    • 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.

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Classifying Alley Markets through Cluster Analysis Using Dynamic Time Warping and Analyzing Possibility of Opening New Stores

  • Kang, Hyun Mo;Lee, Sang-Kyeong
    • Journal of the Korean Society of Surveying, Geodesy, Photogrammetry and Cartography
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    • v.35 no.5
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    • pp.329-338
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    • 2017
  • This study attempts to classify 1008 alley markets in Seoul through cluster analysis using Dynamic Time Warping, one of the methods used to analyze the similarity of time series, and evaluate the possibility of opening new stores. The sequence of the gross sales of an alley market and that of gross sales per store stand for the potential of growth and profitability of the market, respectively and are used as variables for cluster analysis. Five clusters are obtained for the gross sales and four clusters for the gross sales per store. These two types of clusters are again classified as rising and falling trends, respectively, and the combination of these trends produces four categories. These categories are used to evaluate the possibility of opening new stores in alley markets. The results show that the southeast which is relatively wealthy inferior to other regions in opening new stores. Alley markets in the northeast and the southwest are better than other regions such that opening a new store is justified. In the northwest, there are many markets with trend of gross sales and that of gross sales per store moving in opposite directions, and new store openings in these markets should be postponed.

Effect of Sensory Integration Therapy on Gross Motor Development and respiratory Function of Cerebral Palsy Children (감각통합치료가 뇌성마비 아동의 대근육 운동발달 및 호흡기능에 미치는 영향)

  • Kwon, Hye-Jeoung
    • Journal of Korean Physical Therapy Science
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    • v.8 no.1
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    • pp.799-811
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    • 2001
  • The purpose of this study was to examine the effects of sensory integration therapy (SIT) on gross motor development and respiratory function of cerebral palsy children. The design of this study was one-group pre-and post-test design. Subjects of the study were arbitrarily chosen based on predetermined selection criteria among the cerebral palsy children who were treated as out-patients at one rehabilitation hospital in Kyunggi-do. The study was conducted between early April and late July in 2000. Twelve children were in the experimental group. A five-step SIT program was devised from a combination of SIT programs suggested by Ayres(1985) and Fink(1989), and an author-designed SIT program for cerebral palsy children. The experimental group was subjected to 20 to 30 minutes of SIT per session, two sessions a week for ten-week period. Collected data were statistically analyzed by SPSS PC for Wilcoxon signed rank test, and paired t-test. The results were as follows: 1. In gross motor development, post-experimental gross motor scores were higher compared to pre-experimental scores with statistical significance. 2. In respiratory function, post-experimental forced capacity vital scores were higher compared to pre-experimental scores with statistical significance. In conclusion, SIT was found to be effective in gross motor development and respiratory function. But, for the more effectiveness of SIT on gross motor development and respiratory function, further studies employing longer-time experiments are recommended.

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Measures of modal and gross controllability/observability for linear time-varying systems (선형 시변 시스템에 대한 모드 및 총가제어성/가관측성 척도)

  • Choe, Jae-Won;Lee, Ho-Chul;Lee, Dal-Ho
    • Journal of Institute of Control, Robotics and Systems
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    • v.5 no.6
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    • pp.647-655
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    • 1999
  • For linear time-varying systems described by the triple (A(t),B(t),C(t)) where A(t),B(t),C(t) are the system, the input, and the output matrices, respectively, we propose concepts for measures of modal and gross controllability /observability. We introduce a differential algebraic eigenbvalue theory for linear time-varying systems to calculate the PD-eigenvalues and left and right PD-eigenvectors of the system matrix A(t) which will be used to derive the concepts for the measures. The time-dependent angle between the left PD-eigenvectors of the system matrix A(t) and the columns of the input matrix B(t), and the magnitude of the each element of the input matrix B(t) are used to propose the modal controllability measure. Similarly, the time-dependent angle between the right PD-eigenvectors of the system matrix A(t) and the rows of the output matrix C(t) are used to propose the madal observability measure. Gross measure of controllability of a mode from all inputs and its gross measure of observability in all outputs for the linear time-varying systems are also proposed. Numerical examples are presented to illustrate the proposed concepts.

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Effects of Virtual Reality Based Exercise Program on Gross Motor Function and Balance of Children with Spastic Cerebral Palsy (가상현실 프로그램이 경직성 뇌성마비 아동의 대동작 기능 및 균형에 미치는 영향)

  • Lee, Hyojeong;Go, Jieun
    • Journal of The Korean Society of Integrative Medicine
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    • v.4 no.4
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    • pp.53-65
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    • 2016
  • Purpose : The purpose of this study is to evaluate the effects of virtual reality based exercise program on gross motor function and balance of children with spastic cerebral palsy. Method : Subjects of this study, among the children who received the diagnosis spastic cerebral palsy, for children total of 8 people have agreed to research. Experimental group 4 people, control group 4 people, was a total of 8 people. Group-specific arbitration method, was applied to Nintendo Wii Fit game (experimental group) and exercise program (control group). Each training courses 30 minutes for 4 weeks, examined the changes in Gross Motor Function Measure(GMFM) and Pediatrics Balance Scale(PBS) ability to examine a total of 4-week course effectively. The intervention were compared by measuring before and after. Result : There were significant improvements in the subscales of the gross motor function and balance test of those who practiced with the Nintendo Wii Fit game, while the control group showed no significant changes. Conclusion : Therefore, the virtual based on exercise is effective in improvement of to improve the gross motor function and balance in children with spastic cerebral palsy.

The Changes of Gross Motor Function and Balance Ability in Children with Spastic Diplegic Cerebral Palsy by Trunk Muscle Strengthening Exercise : Single Group Repeated Measure Study (체간근력 강화운동에 의한 경직성 양하지 뇌성마비 아동의 대단위 운동 및 균형 능력 변화: 단일그룹 반복측정 연구)

  • Lee, Eun-Jung;Kim, Jong-Soon
    • Journal of the Korean Society of Physical Medicine
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    • v.6 no.2
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    • pp.189-197
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    • 2011
  • Purpose: Trunk muscle weakness in the children with cerebral palsy can lead to postural and alignment problems, breathing difficulties, and so on. Therefore, children with cerebral palsy can benefit from exercises that strengthen the muscles in their trunks. The purpose of this study was to investigate the effects of trunk muscle strengthening exercise on functional gross movement and balance ability in children with spastic diplegic cerebral palsy. Methods: We used single group repeated measure design in 8 children(four males, four females; aged 6~12 years; mean 8.3 years) with diplegia. The functional gross motor outcome measured by using the GMFM and balance ability of all children was measured by pediatric balance scale. All participants were alternately received trunk strengthening exercise and neurodevelopment treatment for 40 minutes twice per week during 8 weeks. Results: Significant and clinical meaningful improvement in functional gross motor and balance ability were shown. Conclusion: The results indicate that trunk strengthening exercise has a positive effect on both functional gross motor and balance ability in children with spastic diaplegic cerebral palsy.

On the Accumulation of Radioactive Materials in Marine Organisms Along the Coast of Korea 1. Gross Alpha and Beta Activities in Several Edible Marine Algae

  • Yang, Kyung Rin;Pak, Chan Kirl;Lee, In Kyu
    • 한국해양학회지
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    • v.10 no.1
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    • pp.17-24
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    • 1975
  • In order to clarify the accumulation of radioactive materials in marine organisms of Korea, the present investigation is carried out with 54 samples of edible seaweeds collected from eight sampling sites along the coast of Korea during September, 1973 and April, 1974. In this paper, ash contents, gross alpha activities and gross beta activities are detected. The ash content is 7.53- 15.95% in the species investigated. Among the algal phyla it is about 13.13% in green algae, 12.77% in brown algae, and 10.77% in red algae on an average. On the other hand, gross alpha activities fluctuate from 180.0 pCi/Kg to 1082.6 pCi /Kg-fresh material experimented, and are 530.72 pCi/Kg on an average. They increase from green to red and brown algae, in turn. The activities in a single species collected at the same season increse from eastern to western and southern coasts of Korea, in turn. Gross beta activities, however, fluctuate from 2.40 nCi/Kg to 22.14 nCi/Kg-fresh material experimented, and 9.03 nCi/Kg on an average. They increase also from green to red nd brown algae, in turn. The gross beta activities are specially higher in Sargassum thunbergii, 22.14 nCi/Kg It is expected that this plant could be an indicator to detect the activities in the marine algae along the coast of Korea.

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Effects of Goal-Oriented Functional Tasks on Gross Motor Function and Activities of Daily Living in Children with Cerebral Palsy -A Single Case Study-

  • Lee, Eun-Jung;Kwon, Hae-Yeon
    • PNF and Movement
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    • v.18 no.2
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    • pp.159-172
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    • 2020
  • Purpose: The study sought to determine whether goal achievement, performance, satisfaction, activities of daily living, and gross motor function in children with spastic cerebral palsy are positive affected by goal-oriented functional task training. Methods: In a single case study, two 7-year-old girls diagnosed with spastic cerebral palsy were given functional task training based on individualized goals for 24 60-minute sessions over a period of 6 months. The individualized goals reflected the needs of both children and parents. The Canadian occupational performance measure (COPM) and the goal attainment scale (GAS) were used to measure goal performance and satisfaction before and after intervention. Independence of activities of daily living before and after intervention were assessed using the functional independence measure for children (Wee-FIM). And change of gross motor function were assessed using gross motor function measure (GMFM). Results: Clinically significant changes were observed in COPM and GAS, as well as positive changes in independence of gross motor function and activities of daily living. Conclusion: The findings indicate that goal-oriented functional task training addresses the needs of children with spastic cerebral palsy, which increases treatment satisfaction and has a positive effect on independent activities and participation in daily life.