Conductive Education이 뇌성마비아동의 운동발달 및 일상생활동작에 미치는 효과 = Effects of Conductive Education for Motor Development and Functional ADL in Children with Cerebral Palsy

국문 초록 (Abstract)

본 연구는 교육환경 내에서 뇌성마비아동의 정상 운동발달 및 움직임을 강조하는 CE 프로그램을 뇌성마비아동에게 적용하여 운동발달과 기능적 일상생활동작에 미치는 중재 효과를 알아보기 위해 S 특수학교 초등부 2-3학년에 재학 중인 뇌성마비아동 14명을 대상으로 12주간 주 2회 매회 40분씩 CE 중재 프로그램을 적용하였으며 그 주요 결과에 따른 결론은 다음과 같다. 첫째, CE 중재 프로그램이 중증 뇌성마비아동의 전체적인 운동발달에 영향을 미쳤다. 운동발달의 하위영역을 살펴보면, 눕기와 뒤집기, 앉기, 네발기기와 무릎서기는 훈련 전보다 훈련 후 유의하게 증가하였으며, 서기와 걷기, 달리기, 뛰기 영역에서는 전ㆍ후 변화량의 증가를 보였으나 유의한 차이는 없었다. 둘째, CE 중재 프로그램이 중증 뇌성마비아동의 기능적 일상생활동작에 영향을 미쳤다. 기능적 일상생활동작의 하위 영역을 살펴보면, 대소변조절, 장소 옮기기, 사회적 인지는 중재 후 유의하게 증가하였으나 자조활동, 이동하기, 대화하기 항목은 평균의 향상은 보였으나 통계적으로 유의하지 않았다.

다국어 초록 (Multilingual Abstract)

The purpose of this study was to evaluate and compare the effectiveness of Conductive Education for Gross Motor, Functional ADL in Children with Severe Cerebral Palsy. Subjects of the study were chosen based on predetermined selection criteria among the cerebral palsy children who were treated at S rehabilitation school in Kyunggi-do. fourteen children with cerebral palsy were included. This group had a structured training program by a physical therapists for 40 minutes, two times a week for twelve-week period. Measurements of GMFM and WeeFIM were evaluated at initial presentation(pretest) and after completion of the training program(posttest). Wilcoxon Matched-Pairs Signed-Ranks test was utilized to detect the mean difference between the groups. The results of this study were presented as follows: Firstly, the result of GMFM showed that gross motor development was significantly increased after the completion of Conductive Education programs(p<.001), especially the improvement in sub items as Lying & Rolling, Sitting, Crawling & kneeling of GMFM was meaningfully higher than that in other sub items as Standing, Walking, Running & Jumping. Secondly, functional ADL based functional training approach was significantly increased after intervention. The meaningfully improvement in Self Care, Sphincter Control, Locomotion, and Social Cognition. In conclusion, according to these findings, it was concluded that Conductive Education was effective on motor development as Gross Motor function and functional ADL in Children with Severe Cerebral Palsy. And this study suggests that further studies employed by longer and deeper experiments are strongly recommended.

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