Journal of the Korean Society of Physical Medicine (대한물리의학회지)

The Korean Society of Physical Medicine (대한물리의학회)
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The Effects of Physical Function Level and Intensity of Treatment for Rehabilitation on Improvement of Physical Function in Children with Cerebral Palsy: Follow-up Study for 6 Months

뇌성마비 아동의 신체 기능수준과 재활 목적 치료 강도가 신체 기능향상에 미치는 영향: 6개월간 추적연구

  • Kim, Bu-Young (Dept. of Physical Therapy, Graduate School, Silla University) ;
  • Yun, Young-Ju (Dept. of Integrative Medicine, School of Korean Medicine, Pusan National University) ;
  • Shin, Yong-Beom (Dept. of Rehabilitation Medicine, School of Medicine, Pusan National University, Biomedical Research Institute, Pusan National University Hospital) ;
  • Kim, Soo-Yeon (Dept. of Rehabilitation Medicine and Research Institute for Convergence of Biomedical Science and Technology, Pusan National University, Yangsan Hospital) ;
  • Oh, Tae-Young (Dept. of Physical Therapy, College of Health and Welfare, Silla University)
  • 김부영 (신라대학교 대학원 물리치료학 전공) ;
  • 윤영주 (부산대학교 한의학전문대학원 동서협진의학) ;
  • 신용범 (부산대학교 의과대학 재활의학과) ;
  • 김수연 (양산부산대학교병원 재활의학과) ;
  • 오태영 (신라대학교 보건복지대학 물리치료학과)
  • Received : 2017.09.24
  • Accepted : 2017.11.15
  • Published : 2018.02.28
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Abstract

PURPOSE: The purpose of this study was to find out the treatment patterns of Children with cerebral palsy, and to analyze the effect of physical function level and treatment intensity on improvement of physical function in children with cerebral palsy for six months. METHODS: Participants were 126 children (boys 83, girls 43) diagnosed cerebral palsy that the mean age was at 33months, ranged from 8 months to 77 months. We collected data related on demography and disable characteristic, treatment pattern using by questionnaire constructed ourselves for six months on caregivers. The treatment pattern includes, type, frequency, and institute of treatment. We performed the evaluation of Gross Motor Function Measurement (GMFM) and Pediatric Evaluation of Disability Inventory (PEDI) between pre and post for six months in order to find out improvement of physical function. We analyzed the effect of physical functional level measured by Gross Motor Functional Classification system, age, treatment intensity on physical function using by repeated measures ANOVA for SPSS PC ver. 22.0. RESULTS: The average of treatment frequency for physical therapy was 5.74 times per week, occupational therapy was 3.96 times, speech therapy was 2.96 times, treatment for accompanying disability was 3.12 times. Physical function level and age was significantly factors affecting improvement of physical function, there was no significant difference according to treatment intensity. CONCLUSION: We suggest that physical function and age might be important factors on improvement of physical function and professional rehabilitation team must consider the appropriate treatment type customized to each children.

Keywords

References

  1. Choi MS. Medical rehabilitation services for the disabled and how to Improve the services-With focus on welfare centers for the disabled. Master's Degree, Yonsei University. 2002.
  2. Chung JY, Wang GC, Bang MS, et al. Introduction to cerebral palsy. Seoul: Gunja Publishing co. 2013.
  3. Damiano DL, Abel MF. Functional outcomes of strength training in spastic cerebral palsy. Arch Phys Med Rehab. 1998;79:119-25. https://doi.org/10.1016/S0003-9993(98)90287-8
  4. Duncan B, Shen K, Zou LP, et al. Evaluating intense rehabilitative therapies with and without acupuncture for children with cerebral palsy: A randomized controlled trial. Arch Phys Med Rehabil. 2012; 93:808-15. https://doi.org/10.1016/j.apmr.2011.12.009
  5. Haley SM, Coster WJ, Ludlow LH, et al. Pediatric Evaluation of Disability Inventory: Development, standardization, and administration manual. Version 1.0. Boston. MA, New England Medical Center Hospital. PEDI Research Group, 1992.
  6. Hong JS. A study on health care utilization of children with cerebral palsy. Master's Degree. Seoul National University. 2004.
  7. Kim JH, Choi YE. The effect of task-oriented training n mobility function, postural stability in children with cerebral palsy. J Korean Soc Phys Med. 2017; 12(3):79-84. https://doi.org/10.13066/kspm.2017.12.3.79
  8. Kim KJ, Song BB. The effect of intensive treatment program on motor function for children with cerebral palsy according to the inpatient pattern. The Korean Journal of Early Childhood Special Education. 2015;15(2): 151-66.
  9. Kim SJ, Lee MH. Clinical features of cerebral palsy. J Korean Acad Rehab Med. 1997;21(06):1053-9.
  10. Koo YA, Choi DS, Choi SJ, et al. Clinical characteristics of cerebral palsy following preterm or term birth; 10 years' experience. Obstetrics & Gynecology Science, 2006;49(12):2544-50.
  11. Lee JH, Lee TY. The Treatment effect of motor development of developmental disability children. The Journal of Korean Society of Occupational Therapy. 2003:11(2): 113-23.
  12. Novak I. Evidence-based diagnosis, health care, and rehabilitation for children with cerebral palsy.Journal of Child Neurology. 2014;29(8):1141-56. https://doi.org/10.1177/0883073814535503
  13. Ohrall A, Eliasson AC, Lowing K, et al. Self-care and mobility skills in children with cerebral palsy. Related to their manual ability and gross motor function classifications. Dev Med Child Neurol. 2010;52(11): 1048-55. https://doi.org/10.1111/j.1469-8749.2010.03764.x
  14. Oskoui M, Coutinho F, Dykeman J, et al. An update on the prevalence of cerebral palsy: a systematic review and meta-analysis. Dev Med Child Neurol. 2013; 55:509-19.
  15. Palisano RJ, Hanna SE, Rosenbaum PL, et al. Validation of a model of gross motor function for children with cerebral palsy. Phys Ther. 2000:80(10):974-85.
  16. Park CI, Park ES, Shin JC, et al. Early treatment effect in children with cerebral palsy and delayed development. J Korean Acad Rehab Med. 1999;23(8):1155-61.
  17. Park EY. Utility of function classification system in children with cerebral palsy. Journal of the Korea Academia-Industrial Cooperation Society. 2011;12(12):5709-14. https://doi.org/10.5762/KAIS.2011.12.12.5709
  18. Park MO. The relationship between sensory processing abilities and gross and fine motor capabilities of children with cerebral palsy. J Korean Soc Phys Med. 2017; 12(2):67-74. https://doi.org/10.13066/kspm.2017.12.2.67
  19. Park MS, Kim SJ, Chung CY, et al.. Prevalence and lifetime healthcare cost of cerebral palsy in south korea. Health Policy. 2011;100(2-3):234-8. https://doi.org/10.1016/j.healthpol.2010.09.010
  20. Rosenbaum P, Paneth N, Leviton A, et al. A report: the definition and classification of cerebral palsy April 2006. Dev Med Child Neurol Suppl. 2007;109:8-14.
  21. Russell D, Palisano R, Walter S, et al. Evaluating motor function in children with Down syndrome: validity of the GMFM. Dev Med Child Neurol. 1998;40(10): 693-701. https://doi.org/10.1111/j.1469-8749.1998.tb12330.x
  22. Voorman JM, Dallmeijer AJ, Knol DL, et al. Prospective longitudinal study of gross motor function in children with cerebral palsy. Arch Phys Med Rehabil. 2007; 88:871-6. https://doi.org/10.1016/j.apmr.2007.04.002
  23. Weindling AM, Cunningham CC, Glenn SM, et al. Additional therapy for young children with spastic cerebral palsy: a randomized controlled trial. Health Technol Assess. 2007;11(40):71-7.