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NTIS 바로가기대한물리의학회지 = Journal of the korean society of physical medicine, v.13 no.3, 2018년, pp.39 - 47
허성경 (성남시장애인종합복지관) , 이한숙 (을지대학교 물리치료학과) , 박선욱 (삼성서울병원)
PURPOSE: The purpose of this investigation was to conduct a systemic review of studies that examine the effects of strengthening exercise on gait ability and GMFM in children with cerebral palsy and propose a standard for cerebral palsy therapy based on a meta-analysis of the studies. METHODS: An ex...
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핵심어 | 질문 | 논문에서 추출한 답변 |
---|---|---|
시공간적 변수 중 속도, 분속수,보폭은 서로 연관성을 가지기 때문에 근력 강화를 통해 기대할수 있는 효과는 무엇인가? | 또한 대동작기능과 보행에도 많은 영향을 미치게 되는데(Eek 등, 2011),대동작기능과 보행의 시공간적 변수 중 속도, 분속수,보폭은 서로 연관성을 가진다(Park 등, 2004). 이러한 변수들은 근력 강화를 통해 대동작기능과 보행의 향상을 기대할 수 있다(Damiano과 Abel, 1998). | |
뇌성마비란? | 뇌성마비는 뇌에 발생하는 비진행적 손상으로 운동능력 및 자세조절 능력에 영구적인 장애를 유발하고(Rosenbaum 등, 2007), 비정상적인 근 긴장도와 자세조절 장애, 감각입력에 대한 통합의 오류로 비대칭적 신체정렬 및 흔들리는 자세 등 신체적 문제를야기한다(Krigger, 2006). 뇌성마비 아동은 발달이 왕성하게 이루어져야 할 시기에 문제가 발생하여 결국 신체발육이 지연되고 원시반사가 사라지지 않으며 정상 발달을 경험하지 못하게 된다(Jahnsen 등, 2004). | |
뇌성마비 아동들이 체간의 안정성 및 운동기능이 떨어지게 되는 이유는? | 뇌성마비 아동들은 척추측만증과 같은 신체정렬의 장애, 연하곤란, 인지, 언어장애 등 많은 질환을 가지고 평생을 살아가게 되며(Rosenbaum 등, 2007), 지체된 운동발달로 인해 항중력자세(antigravity posture)를 유지하는데 어려움을 보이며 이로 인해 체간의 안정성 및 운동기능이 떨어지게 된다(Gudjonsdottir과 Mercer,1997). 특히 운동기능 손상의 결과로 균형능력, 운동조절능력 감소 등의 문제를 야기하며 근육약화로 생체역학적 문제를 야기한다(Eek 등, 2008). |
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