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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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PURPOSE: The purpose of this study was to describe and analyze the components of physical therapy interventions to enhance postural control and mobility in children with spastic diplegia. METHODS: Thirsty-eight physical therapists working in rehabilitation settings volunteered to record the components of physical therapy interventions used during 894 treatment sessions for 179 children with spastic diplegia presenting with difficulties in postural control and mobility. Descriptive statistics were used to analyze the general characteristics of the therapists, the patients, and the frequency of the interventions. A one-way analysis of variance (ANOVA) and chi-square test were used to describe the components of the interventions and the goals of treatment. RESULTS: In clinical practice, physical therapists primarily used methods including "Hands-on: facilitation" (n=1990, 36.47%) and "Hands-off: practice" (n=1355, 24.83 %). Only 13.96% (n=762) of the interventions allowed patients to be independent or active outside of the treatment sessions. Interventions reflecting the therapeutic aims were performed for sitting (17.53%), standing (18.25%), and walking (27.39%). CONCLUSION: Physical therapists mostly used "therapistled" interventions to treat impaired postural control and mobility in children with spastic diplegia. Interventions to facilitate independent activity or practice outside the treatment sessions are infrequently used. These types of interventions were used regardless of the aims of treatment.
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참고문헌 (30)
참고문헌 신청
Barbeau H / 2001 / The role of rehabilitation in the recovery of walking in the neurological population / Curr Opin Neurol 14(6):735~740
Butler C / 2001 / Effects of neurodevelopmental treatment (NDT) for cerebral palsy: an AACPDM evidence report / Dev Med Child Neurol 43(11):778~790
Carr JH / 2003 / Neurological rehabilitation: Optimizing motor performance / Butterworth-Heinemann
Damiano D / 2006 / Activity, activity, activity: Rethinking our physical therapy approach to cerebral palsy / Phys Ther 86(11):1534~1540
Flores-Mateo G / 2007 / Evidence based practice in postgraduate healthcare education: A systematic review / BMC Health Services Research 7(1):119
Butler C / 2001 / Effects of neurodevelopmental treatment (NDT) for cerebral palsy: an AACPDM evidence report / Dev Med Child Neurol 43(11):778~790
Carr JH / 2003 / Neurological rehabilitation: Optimizing motor performance / Butterworth-Heinemann
Damiano D / 2006 / Activity, activity, activity: Rethinking our physical therapy approach to cerebral palsy / Phys Ther 86(11):1534~1540
Flores-Mateo G / 2007 / Evidence based practice in postgraduate healthcare education: A systematic review / BMC Health Services Research 7(1):119
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