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8주 동안의 머리 조절과 병행된 시-지각 훈련이 경직형 양하지 마비 아동의 신체 기능에 미치는 영향 : 증례연구
강전완,김수정,김한울 한국신경근육물리치료학회(구 한국신경근육재활학회) 2016 한국신경근육재활학회지 Vol.6 No.2
In spastic diplegia, the unstable control of head and trunk becomes one of major factors to make optimal posture and balance during daily activities, thereby leading to the lack of postural adjustment in sustainedly changing environmental conditions. This study aimed to illustrate the detailed procedure of visiuoperceptual training with head control, and report its outcomes. A subject was 8-year old female who was diagnosed as cerebral palsy of spastic diplegia, associated with periventricular leukomalacia. Specific protocol for visuopercetual training with head control was used to improve her physical function for a period of 8 week, which consisted of an elongation of tense neck muscles, scapular mobilization, co-contraction of trunk muscles, and visuoperceptual training exploring numbers and putting puzzles. Outcome measures included a Gross Motor Function Measure (GMFM) and Jebsen Hand Function Test (JHFT), and measurements were performed at baseline and after the intervention. After the 8-week intervention, Sub-items of the GMFM improved by a range of 0-20%, with an increase of 5% in total score. in addition, sub-scales of the JHFT improved by a range of 1-158 sec for nondominant hand and by a range of 2-9 sec for dominant hand. these findings suggest that visiuoperceptual training with head control might be beneficially used to enhance physical function of children with spastic diplegia.
이경무,한수환,강전완 대한스포츠의학회 2000 대한스포츠의학회지 Vol.18 No.2
The purpose of this study was to determine the difference of hip girdle strength according to the location of hand-held dynamometer and posture of the subjects. Thirty-nine healthy subjects(19 males, 20 females) between the ages of 20 and 70 years were tested for hip girdle strength by using Nicholas Manual Muscle Tester. Data was analyzed by using the SPSS software package. Significant differences between hip girdle strength or each location of the hand-help dynamometer or the postures of subjects were found in both males and females. But the differences between dominant and nondominant side for hip girdle strengths were not significant except for those that resulted form a few testing methods. The above results would be helpful to determine the proper posture of the subject for measuring the hip girdle strength by using the hand-held dynamometer.