• Title/Summary/Keyword: Cerebral palsy

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A STATISTICAL STUDY ON THE DENTAL CARIES INCIDENCE AND PLAQUE INDEX IN CEREBRAL PALSY PERSON (뇌성마비인의 우식경험도와 치태지수에 관한 역학조사연구)

  • Song, Jung-Woo;Lee, Keung-Ho
    • Journal of the korean academy of Pediatric Dentistry
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    • v.29 no.3
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    • pp.318-327
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    • 2002
  • The purpose of this study was to make a comprehensive study and to provide information about the dental caries and plaque index of cerebral person, and to aid improvement of their oral health. The author examined intraorally 1180 deciduous teeth, 5626 permanent teeth of 264 (male:153 female:111) cerebral palsy person and 1526 deciduous teeth, 4140 permanent teeth of 220 (male:125 female:95) non cerebral palsy person as the control group. The results were as follows : 1. Cerebral palsy persons Had higher dft rate than non-cerebral palsy persons. 2. Dental caries incidence between males and females in cerebral palsy persons showed no difference, and dental caries incidence of types in cerebral palsy person showed no difference, either. 3. Mental, motor, speech handicap degrees were negatively related to DMFT rate and DMFT index, and institutionalized cerebral palsy persons and cerebral palsy persons of which parent's occupation is private business were found low DMFT rate and DMFT index. 4. Cerebral palsy persons were found to have higher plaque index than non-cerebral palsy persons, and non institutionalized cerebral palsy persons and self-supported cerebral palsy persons were found high plaque index. 5. Plaque index of male and female in cerebral palsy person showed no difference, and Plaque index of types in cerebral palsy person showed no difference, either Plaque index of handicap degrees(mental, motor, speech) showed no difference.

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Effects of Aquatic Rehabilitation Program on Gross Motor Function and Balance in Children with Cerebral Palsy (수중재활프로그램이 뇌성마비아동의 대동작 운동기능과 균형에 미치는 영향)

  • Kim, Byoungook;Lee, Hyojeong
    • Journal of The Korean Society of Integrative Medicine
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    • v.3 no.3
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    • pp.35-42
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    • 2015
  • Purpose : The purpose of this study was to analyze the effects of aquatic rehabilitation program on gross motor function measure and balance in children with cerebral palsy. Methods : Subjects of this study, among the children who received the diagnosis cerebral palsy, for children total of 14 people have agreed to research. Cerebral palsy of 14 chilidren were applied to aquatic rehabilitation program. The training courses 30 minutes 3 times weekly, examined the changes in gross motor function ability to examine a total of 4-week course effectively. Result : The results of this study is First, 14 cerebral palsy appeared a significant difference in GMFM-C, GMFM-D and GMFM-E(p<.01). Secondly, 14 cerebral palsy appeared a significant difference appeared in the balance capability after the experiment(p<.01). Conclusion : It is possible that the application of aquatic rehabilitation program is to effective in improvement of gross motor function measure and balance ability to children with cerebral palsy.

Prognosis after treatment with multiple dental implants under general anesthesia and sedation in a cerebral palsy patient with mental retardation: A case report

  • Hong, Young-Joon;Dan, Jung-Bae;Kim, Myung-Jin;Kim, Hyun Jeong;Seo, Kwang-Suk
    • Journal of Dental Anesthesia and Pain Medicine
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    • v.17 no.2
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    • pp.149-155
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    • 2017
  • Cerebral palsy is a non-progressive disorder resulting from central nervous system damage caused by multiple factors. Almost all cerebral palsy patients have a movement disorder that makes dental treatment difficult. Oral hygiene management is difficult and the risks for periodontitis, dental caries and loss of multiple teeth are high. Placement of dental implants for multiple missing teeth in cerebral palsy patients needs multiple rounds of general anesthesia, and the prognosis is poor despite the expense. Therefore, making the decision to perform multiple dental implant treatments on cerebral palsy patients is difficult. A 33-year-old female patient with cerebral palsy and mental retardation was scheduled for multiple implant treatments. She underwent computed tomography (CT) under sedation and the operation of nine dental implants under general anesthesia. Implant-supported fixed prosthesis treatment was completed. During follow-up, she had the anterior incisors extracted and underwent the surgery of 3 additional dental implants, completing the prosthetic treatment. Although oral parafunctions existed due to cerebral palsy, no implant failure was observed 9 years after the first implant surgery.

Clinical Features of Children with Cerebral Palsy (뇌성마비아의 임상적 양상)

  • Kim, Sun-Young;Kim, Jae-Hyun;Kim, Chan-Mun
    • Journal of Korean Physical Therapy Science
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    • v.5 no.3
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    • pp.651-658
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    • 1998
  • Cerebral palsy is a neurodevelopmental impairment caused by a nonprogressive defect or lesion in single or multiple locations in the immature brain. The defect or lesion can occur in utero or during or shortly after birth and produces sensory-motor impairment that are usually evident in early infancy. The causes of cerebral palsy are not completely understood, certain prenatal, perinatal, and postnatal factors have been associated with cerebral palsy. This study was analysed the clinical features of 50 children with cerebral palsy (29 males and 21 females) in National Rehabilitation Hospital from March 17 to June 27, 1998. The time of initial visit was over than 12 months in 74%, and their cheif complains were delayed developments (78%). The preterm infants were 40% and the infants with low birth weight were 36%. The maternal age at childbirth was over than 30 years old in 52%. The most common type of cerebral palsy was spastic (54%), mixed (22%), athetosis and hypotonia (10% each), ataxia (4%). The cerebral palsy with preterm infants and low birth weight were more likely to have spastic type (P=0.002, P=0.023 each). The most preterm infants were born between 30 and 35 years old of maternal age, and there were statistical significance in difference (P=0.031).

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Effect of digital therapies on balance and gait in children with cerebral palsy: A systematic review (디지털 치료제가 뇌성마비 아동의 균형 및 보행에 미치는 효과: 체계적 고찰)

  • Jung-Hyun Kim
    • Journal of Korean Physical Therapy Science
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    • v.30 no.4
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    • pp.92-110
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    • 2023
  • Background: Digital therapeutics are software medical devices that provide evidence-based treatments to prevent, manage, and treat disease. Digital therapies have recently been shown to be effective in motivating children with cerebral palsy as a tool in neuropsychological therapy. Digital therapies improve postural control, balance and gait in children with cerebral palsy. Therefore, this study aims to investigate the effects of digital therapies on balance and gait in children with cerebral palsy and to provide guidelines for prescribing digital therapies for children with cerebral palsy. Design: A Systematic Review Methods: This study searched for English-language articles published in medical journals from January 2000 to July 2023 using PubMed and MEDLINE based on the year of initiation of the digital therapy. The search terms used in the study were 'digital technology' OR 'digital therapeutic' OR 'mobile application' OR 'mobile health' OR 'virtual reality' OR 'game' AND 'cerebral palsy', 'balance' 'gait' as the main keywords. The final article was assigned an evidence level and a Physiotherapy Evidence Database (PEDro) score to assess the quality of clinical trials studies. Results: The digital therapies applied to improve balance and gait in children with cerebral palsy are game-based virtual reality training and the Nintendo Wii Fit program. Both digital therapy interventions had a significant effect on improving balance in children with cerebral palsy, and virtual reality training significantly improved balance and gait. However, there were no significant improvements in balance and gait within two weeks of treatment, regardless of the type of digital intervention. Conclusion: The study suggests that this data will be important in building the evidence base for the effectiveness of digital therapies on balance and gait in children with cerebral palsy and in advancing clinical protocols.

Specifics of Speech Development of Children with Cerebral Palsy

  • Zavitrenko, Dolores;Rizhniak, Renat;Snisarenko, Iryna;Pasichnyk, Natalia;Babenko, Tetyana;Berezenko, Natalia
    • International Journal of Computer Science & Network Security
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    • v.22 no.11
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    • pp.157-162
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    • 2022
  • Cerebral palsy is one of the most serious forms of disorders of the psychophysical development of children, which manifests itself in disturbances of motor functions, which are often combined with speech disorders, other complications of the formation of higher mental functions, and often with a decrease in intelligence. The article will discuss the speech disorder in children with cerebral palsy. Emphasis is placed on some important aspects, which should bear in mind, investigating the problem of specifics of speech development of children with cerebral palsy. In particular at the heart of speech disorders in the cerebral palsy is not only damage to certain structures of the brain, but also the later formation or underdevelopment of those parts of the cerebral cortex, which are of major importance in linguistic and mental activity. This is an ontogenetically young region of the cerebral cortex, which is most rapidly developing after birth (premotor, frontal, temmono-temporal). It is important to take into account, that children with cerebral palsy have disturbances of phonemic perception. Often, children do not distinguish between hearing sounds, cannot repeat component rows, allocate sounds in words. At dysarthria, there are violations of pronunciation of vowel and consonant sounds, tempo of speech, modulation of voice, breathing, phonation, as well as asynchronous breathing, alignment and articulation. As a result, we identified the main features and specifics of the speech development of children with cerebral palsy and described the conditions necessary for the full development of language. Language disturbances in children's cerebral palsy depend on the localization and severity of brain damage. Great importance in the mechanism of speech disorders has a pathology that limits the ability of movement and knowledge of the world.

Prosodic Properties in the Speech of Adults with Cerebral Palsy (뇌성마비 성인 발화의 운율특성)

  • Lee, Sook-Hyang;Ko, Hyun-Ju;Kim, Soo-Jin
    • MALSORI
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    • no.64
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    • pp.39-51
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    • 2007
  • The purpose of this study is to investigate prosodic characteristics in the speech of adults with cerebral palsy through a comparison with the speech of normal speakers. Ten speakers with cerebral palsy (6 males, 4 females) and 6 normal speakers (3 males, 3 females) served as subjects. The results revealed that, compared to normal speakers, speakers with cerebral palsy showed a slower speech rate, a larger number of intonational phrases(IPs) and pauses, a larger number of accentual phrases(APs) per IP, a longer duration of pauses, and more gradual slopes of [L +H] in APs. However, the two groups showed similar tone patterns in their APs. The results also showed mild to moderate correlations between speech intelligibility and the prosodic properties which showed significant differences between the two groups, suggesting that they could be important prosodic factors to predict speech intelligibility in the speech of adults with cerebral palsy.

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Comparison of the Onset Times of Antigravity Flexor Muscle Activity During Head Lift in Supine Position between Children with Cerebral Palsy and Healthy Children (누운자세에서 머리들기 시 정상아동과 뇌성마비아동 간의 항굴근 수축 개시 시간 비교)

  • Hwang Seon-Gwan;Hwang Byong-Yong
    • The Journal of Korean Physical Therapy
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    • v.15 no.4
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    • pp.488-497
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    • 2003
  • The purpose of this study was to compare the muscle onset time of sternocleidomastoid (SCM) and rectus abdominalis (RA) muscle activity during head lift in supine position between cerebral palsy and healthy children. Ten cerebral palsy children and 10 age, sex-matched healthy children were recruited for this study. Muscle activity of the SCM and RA were collected by surface electromyography (MP100SWS). Results demonstrated that the muscle onset time order was not significantly different between cerebral palsy children and healthy children. However, the DMHT and ST between SCM and RA during head lift in supine position were significantly shorter in healthy children than in cerebral palsy children. Further studies are needed to clarify the mechanism of differences in muscle activation patterns during head lift in supine position in cerebral palsy children compared with healthy children.

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A review about upper extremity function and pathological and psychological factors of cerebral palsy (뇌성마비아의 병리$\cdot$심리적인 요인과 상지기능과의 연구)

  • Lee Sun-Myung
    • The Journal of Korean Physical Therapy
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    • v.14 no.4
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    • pp.367-384
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    • 2002
  • Cerebral palsy refers to the neuromuscular deficit caused by nonprogressive defect or lesion in single or multiple locations in the immature brain resulting in Impaired motor function and sensory integrity. The pathophysiological events may occur during the prenatal intrapartum, perinatal, or early postnatal period. Cerebral palsy is the most common condition and it poses a challenge to practitioners due to the large variation in prognosis for motor function of children with this diagnosis. The objectives of this article are review to pathological and psychological factors of cerebral palsy and upper extremity function. Upper extremity and hand function are most important in activity of daily living in cerebral palsy This article hope to give the information for application in many therapists.

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Acoustic Properties Associated with the Plosive Production of Adults with Cerebral Palsy (경직형과 불수의운동형 뇌성마비 성인의 파열음 산출의 음향음성학적 특성)

  • Kim, Jung-Yeon;Hwang, Min-A;Park, Chang-Il;Zhi, Min-Je
    • Speech Sciences
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    • v.8 no.3
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    • pp.209-224
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    • 2001
  • The purpose of this study was to identify the acoustic properties of 9 word initial Korean plosives in the speech of adults with cerebral palsy. Normal adults and two groups of adults with cerebral palsy (athetoid group and spastic group) participated in this study. Speech material included monosyllabic CVC real word pairs. Among the various acoustic properties of plosives, the aspiration duration was measured. Adults with cerebral palsy exhibited different patterns of aspiration duration for triplets of Korean plosives compared to normal adults. In addition, the plosive production of spastic group was distinguished from that of athetoid group. Such acoustic characteristics of plosives of adults with cerebral palsy may negatively affect the intelligibility of their speech.

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