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Integrated Rehabilitation for Children with Cerebral palsy: A Prospective Observational Study

  • Lee, Hye-Yoon (School of Korean medicine, Pusan National University) ;
  • Yun, Young-Ju (Department of Integrative Medicine, School of Korean Medicine, Pusan National University) ;
  • Shin, Yong-Beom (Department of Rehabilitation Medicine, Pusan National University School of Medicine and Biomedical Research Institute, Pusan National University Hospital) ;
  • Kim, Soo-Yeon (Department of Rehabilitation Medicine, Pusan National University School of Medicine, Research Institute of Convergence for Biomedical Science and Technology, Pusan National University Yangsan Hospital) ;
  • Han, Jun-hee (Department of Statistics & Institute of Statistics, Hallym University) ;
  • Yu, Sun-ae (Department of Pediatrics, College of Oriental Medicine, Dong-Eui University)
  • Received : 2021.06.06
  • Accepted : 2021.11.05
  • Published : 2021.12.01

Abstract

Objectives: This study aimed to analyse: 1) the clinical effectiveness and safety of traditional Korean Medicine (TKM) and frequency of TKM therapies used and their relationship with conventional treatments. Methods: This prospective observational study enrolled children with cerebral palsy (CP) aged 6-78 months (n=126). The children who used herbal medication for >30 days or acupuncture treatment >12 sessions within 6 months were defined as the integrated rehabilitation (IR) group; the remaining participants were included in the conventional rehabilitation (CR) group. Results: Changes in the Gross Motor Function Measure-66 (GMFM-66) were greater in the IR group (6.4±6.1) than in the CR group (4.6±5.8). The reduction in the number of other health problems was greater in the IR group than in the CR group. The GMFM-66 improvement was greatest in gross motor function classification system level 1. There was no between-group difference in the frequency of rehabilitation therapy (10.9±6.6 and 12.0±9.9 in the IR and CR groups, respectively). Conclusion: TKM may offer additional benefits in terms of the GMFM-66 score and other health problems. However, there is a need for further randomized controlled trials involving a restricted CP type and a controlled treatment type and intensity to confirm these findings.

Keywords

Acknowledgement

This study was supported by the Convergence of Conventional Medicine and Traditional Korean Medicine R&D program funded by the Ministry of Health & Welfare through the Korea Health Industry Development Institute (KHIDI); grant number, HI14C0704.

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