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수중운동이 듀센 근이영양증 아동의 기능적 활동에 미치는 영향: 사례보고
예나연,이은주 대한물리의학회 2024 대한물리의학회지 Vol.19 No.3
PURPOSE: This study examined the effects of aquatic exercise on the functional activities of patients with Duchenne muscular dystrophy. METHODS: This study was a single-group experimental ABA design in three children with Duchenne muscular dystrophy. The study period was 20 weeks, consisting of 4 weeks of baseline, 12 weeks of intervention, and 4 weeks of maintenance, with 40 minutes of aquatic exercise once a week in the intervention. The Duchenne muscular dystrophy upper extremity patient-reported outcome scale and the expanded version of the Hammersmith Functional Motor Scale version of the Hammersmith Functional Movement Scale were used to determine the effects of aquatic exercise on the patient’s functional activity. The measurements were taken five times: once at baseline, three times at intervention, and once at maintenance. The data collected in this study were analyzed using SPSS version 25.0, with a statistical significance level of α of .05, and the Friedman test, a non-parametric method was conducted. RESULTS: The functional activity scores improved significantly after 12 weeks of the intervention compared to the baseline and were maintained for up to 4 weeks after the intervention was complete. CONCLUSION: Aquatic exercise is an effective intervention for improving the functional activity of children with Duchenne muscular dystrophy and should be utilized in clinical practice.
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경직형 뇌성마비 아동의 신체기능과 하지 촉각의 상관관계 연구
윤혜령,예나연,이은주 대한고유수용성신경근촉진법학회 2023 PNF and Movement Vol.21 No.2
Purpose: The purpose of this study was to investigate tactile sense perception of the lower extremities according to physical function in children with spastic cerebral palsy. Methods: This study was conducted on 15 children diagnosed with spastic cerebral palsy. Physical function measurement items included dynamic balance ability, gross motor function level, and lower extremity ankle spasticity. The lower extremity tactile sensation uses a monofilament to measure the sole of the first metatarsal head, the sole of the fifth metatarsal head, the heel, the anterior part of the shin midway between the patella and the ankle joint, the kneecap, the upper anterior iliac spine, and the knee. A total of six measurements were taken in the mid-femoral region of the bone. Spearman correlation analysis was performed to determine the degree of body function and lower extremity tactile perception. Results: As the physical function of children with spastic cerebral palsy deteriorated, there was a decrease in tactile sensation in the thigh area corresponding to the proximal lower extremity. (p <.05). Conclusion: Children with spastic cerebral palsy and poor physical function have sensory loss not only in the distal part but also in the proximal part, so a treatment approach that recognizes and improves it is necessary.
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