Purpose: To investigate the relationship between gross motor capacity and neuromuscular function in children with cerebral palsy (CP) through a short-term intensive intervention. Methods: Twenty-four children younger than 6 years of age (17 boys, 7 girls, mean age± standard deviation, 42.71±14.43 months) who were diagnosed with CP underwent short-term intensive treatment for 8 weeks. An evaluation of gross motor function capacity using the gross motor function measure (GMFM-66 and GMFM-88) was performed to measure muscle strength, selective motor control (SMC), and spasticity, factors related to neuromusculoskeletal function. Changes in spasticity, strength, range of motion, selective motor function, and exercise intensity scores were evaluated in terms of the gross motor function classification system (GMFCS) and ages. Results: The GMFM-88 and GMFM-66 scores significantly increased, by 4.32±4.04 and 2.41±1.51%, respectively, following the 8-week intervention. The change in the GMFM-66 score did not reflect a statistically significant difference in the GMFCS level. However, there was a statistically significant difference in the GMFM-88 score change in individuals at GMFCS Level III, the strength and spasticity of subjects at GMFCS Levels I-II did not significantly differ (p< 0.05). The changes in the GMFM-66 scores for strength, SMC, range of motion (ROM), and spasticity significantly differed according to age (p< 0.05) in children aged 36 months and older. Overall, there was a statistically significant difference in strength, SMC, and spasticity (p< 0.05) before and after intensive short-term treatment. Conclusion: The 8-week short-term intensive care intervention improved the motor function score of study participants, emphasizing the need for early intervention and additional research in this area. restricting free/voluntary coordinated movement. 5 Ballaz et al. 6 suggested that the ROM of the knee during bending, the bending motion, and the ankle joint motion are important kinematic factors This is an Open Access article distribute under the terms of the Creative Commons Attribution Non-commercial License (Http:// creativecommons.org/license/by-nc/4.0.) which permits unrestricted non-commercial use, distribution,and reproduction in any medium, provided the original work is properly cited. J Kor Phys Ther 2018:30(3):90-95
Th ep u r p o s eo ft h i ss t u d ywa st of i n dt h ee f f e c to fDa yHo s p i t a lRe h a b i l i t a t i o np r o g r a mso n g r o s smo t o rf u n c t i o ni nc h i l d r e nwi t hc e r e b r a l p a l s y . Th es u b j e c t swe r e5 7c h i l d r e nwi t hs p a s t i c c e r e b r a l p a l s ywi t hn op r e v i o u sb o t u l i n u m t o x i ni n j e c t i o no ro p e r a t i o nh i s t o r ywi t h i n6mo n t h s . Th eGr o s sMo t o rF u n c t i o n Me a s u r e ( GMF M)s c o r ea n dGr o s sMo t o rF u n c t i o n Cl a s s i f i c a t i o n S y s t e m( GMF CS ) we r e u s e d t o e v a l u a t e a s f u n c t i o n a lc h a n g e a n d f u n c t i o n a ll e v e l .Th e P r o g r a msf o rDa yHo s p i t a lRe h a b i l i t a t i o np e r i o df o rc e r e b r a lp a l s yc h i l d r e nwa s8we e k s . Th e r e s u l t so ft h es t u d ya r ea sf o l l o ws : 1 , GMF M S c o r eo fp r e -a n dp o s t -p r o g r a msf o rDa yHo s p i t a l Re h a b i l i t a t i o ns h o we dt h es t a t i s t i c a l l ys i g n i f i c a n td i f f e r e n c e ( p<. 0 0 1 ) .2 ,Th ea g eg r o u pi n1 -2 wa sh i g h e rt h a n a g e5 -6g r o u p ,3 -4wa sh i g h e rt h a n a g e5 -6g r o u pb y P o s t -h o ca n a l y s i s . L a s t l y , t h e r e wa s s i g n i f i c a n t l y d i f f e r e n t o f GMF M i n GMF CS l e v e l ( p <. 0 5 ) , e s p e c i a l l y mi l d ( GMF CS l e v e lⅠ)a n d mo d e r a t e ( GMF CS l e v e lⅡ, Ⅲ)o fCP s h o we d t h a tg r o s s mo t o r f u n c t i o nwa ss i g n i f i c a n t l yd i f f e r e n tt h a ns e v e r e ( GMF CS l e v e lⅣ, Ⅴ) . Th ep r o g r a msf o rDa y Ho s p i t a lRe h a b i l i t a t i o nwa se f f e c t i v eo ng r o s smo t o rf u n c t i o nf o rc h i l d r e nwi t hc e r e b r a lp a l s y , a n df o re a r l yi n t e r v e n t i o nn e e d st omi l d ,mo d e r a t eCP ,a n db e l o w a g e4g r o u p .
The Purpose of this study was to investigate the relationship between congenital muscular torticollis and maternal work activity. This study was conducted with a total of 89 outpatient pregnant women whose child presented congenital muscular torticollis at the Department of Rehabilitation of "C" Hospital in Suwon within the period from 2006 to April 30, 2011. The results were as followings: (1) The mean age at the time of giving birth was 30.09years; the proportion of pregnant women with college education or higher was high; the proportion of first delivery was 82.0%; the most common way of delivery was natural childbirth, followed by Cesarean section and vacuum extraction; the proportion of breech delivery was 20.2%; and in 82.0% of the women, the first child had congenital muscular torticollis. (2) 59.6% of the women had a career; 45.3% had engaged in professional practice or had a related job; 75.5% had worked until the third trimester of their pregnancy; 54.7% had worked for seven hours or more in a seated position; and the mean number of working hours was 8.75 (3) The level of work-related stress was a low 25% or less, and in the subdivisions of work-related stress, only the level of strained relations belonged to the upper 50% or higher. (4) For the correlation between the survey respondents' job stress and job features, stress (full score: 100 points) showed a strong positive correlation with job demand, strained relations, inadequate reward, and workplace culture. Workplace also showed a strong positive correlation with inadequate reward. Mean daily working hours showed a strong positive correlation with mean weekly working hours.■ keyword :|Congenital Muscular Torticollis|Maternal Work Activity|
Purpose: This paper sought to classify, analyze, and investigate domestic research papers on the physical rehabilitation of children with cerebral palsy, and to suggest a direction for rehabilitation after the coronavirus disease 2019 (COVID-19) pandemic. Methods: A literature search was conducted from June 1 to June 30, 2022, and only papers published in domestic journals during the past 10 years were searched. The main search term was "rehabilitation for children with cerebral palsy", and "rehabilitation" such as "exercise rehabilitation," "equestrian rehabilitation", and "aquatic rehabilitation" were reviewed when they appeared in the titles and abstracts. A total of 18 books were selected according to the exclusion criteria. Results: Rehabilitation by area was divided into exercise rehabilitation, Bobath rehabilitation, equestrian rehabilitation, and aquatic rehabilitation. Analysis was undertaken based on the period of rehabilitation, area wise from 2012 to 2017, except for aquatic rehabilitation, which was studied once in 2020. The intervention effects of exercise rehabilitation were summarized as PICO (Participants, Intervention, Comparison, Outcome), and most of the studies showed improvements in the subject's physical functions. Conclusion:Research on the physical rehabilitation of children with cerebral palsy is being conducted in multiple directions and through several methods. In addition to the Bobath and Vojta approaches, equestrian rehabilitation, aquatic rehabilitation using the buoyancy of water, and computer rehabilitation are conducted. For the physical rehabilitation of children with cerebral palsy in the context of COV-ID-19, programs that are linked with families and those that incorporate Information Communications Technology (ICT) could be developed.
The aim of this study was to compare dementia awareness among physiotherapists and occupational therapists who treat dementia patients and provide opportunities to increase dementia awareness as medical technicians, expand the scope of treatment, and enhance professionalism. Methods: An online survey was conducted from January 8th to 19th, 2021 for physical therapists who are members of the Korean Physical Therapist Association and Occupational therapists who are members of the Korean Occupational Therapists Association. The collected data were analyzed using the SPSS 21.0 program. To verify the difference in the awareness of dementia among medical technicians, a ttest was performed, and the chi-square test was used to analyze the difference in the responses for each question. Results: In this study, occupational therapists had a significantly higher average and standard deviation than physical therapists. Occupational therapists also had a significantly higher level of dementia awareness, including dementia symptom-related, dementia diseaserelated, and dementia therapy knowledge. Conclusion:The results of this study indicate that various educational initiatives and systems should be developed to help medical professionals increase their awareness and interest on dementia as a community, which can enable them to move in the same treatment direction with a common goal.
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