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지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
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Background & Purpose : The purpose of this study is to evaluate the impairment of SVMC(selective voluntary motor control) of the lower extremity by assessing each joints of lower limb and to analyze the motional relationship between each joints of lower limb using SCALE(Selective Control Assessment of the Lower Extremity) during the swing phase of gait cycle in children with spastic diplegia. Method : 11 children with spastic diplegia CP who could walk independently and 10 normal developing children were participated. SCALE(Selective Control Assessment of the Lower Extremity) assessments were conducted for 11 children with CP. Gait analysis were accomplished in all participants. Qualisys motion analysis was used as a statistical tool to assess the motional relationship between hip joint, knee joint and ankle joint in each limb. We used descriptive statistics, cross-tabulation, independent t-test, linear regression to analysis motional relationship between each joints of lower limb using by SPSS ver.17.0. Result : Firstly, there were significant differences in SCALE scores between the cerebal palsy group and the control group in knee joint(p<0.05), but no significant difference in hip and ankle joints during the swing phase of gait cycle. Secondly, the difference of SCALE scores showed no statistical motional difference in knee and ankle joints during the swing phase, and showed significant motional difference in hip joints during the swing phase(p<0.05). Thirdly, there was a liner relationship between the motion of hip and ankle joints during the swing phase. Conclusion : The nature of SVMC(selective voluntary motor control) in each joints of the lower limb may reflect the ability of gait, thus SCALE may be used for assessing and for treating the cerebal palsy patients who are able to walk independently. Also we knew that the impairment of SVMC(selective voluntary motor control) increases from the proximal to the distal joints.
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참고문헌 (12)
참고문헌 신청
Aicardi J / 1992 / Diseases of the Nervous System in Childhood / Mac keith press
Brunnstrom S / 1966 / Motor tesring procedures in hemiplegia: Based on sequential recovery stages / Phys Ther 46(4):357~375
Fowler EG / 2009 / Selective control assessment of lower extremity(SCLE): development validation, and interrater reliability of a clinical tool for patients with cerebral palsy / Dev Med Child Neurol 51(8):607~614
Fowler EG / 2009 / The effect of lower extremity selective voluntary motor control on interjoint coordination during gait in chilllldren with spastic diplegic cerebral palsy / Gait Posture 29(1):102~107
Greenberg MB / 2006 / The UCLA voluntary selective motor control assessment / Dev Med Child Neurol 48(9):14
Brunnstrom S / 1966 / Motor tesring procedures in hemiplegia: Based on sequential recovery stages / Phys Ther 46(4):357~375
Fowler EG / 2009 / Selective control assessment of lower extremity(SCLE): development validation, and interrater reliability of a clinical tool for patients with cerebral palsy / Dev Med Child Neurol 51(8):607~614
Fowler EG / 2009 / The effect of lower extremity selective voluntary motor control on interjoint coordination during gait in chilllldren with spastic diplegic cerebral palsy / Gait Posture 29(1):102~107
Greenberg MB / 2006 / The UCLA voluntary selective motor control assessment / Dev Med Child Neurol 48(9):14
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