뇌성마비, 다운증후군, 일반아동의 균형과 보행분석
A Comparison of the Balance and Gait among Cerebral Palsy, Down Syndrome and Typically Developing Children
0
조회
0
다운로드
1
인용
0
참고문헌
키워드
초록
본 연구의 목적은 뇌성마비, 다운증후군, 일반 아동의 균형과 보행을 측정하여 세 집단 간의 차이를 비교 분석하고자 실시하였다. 4~12세의 뇌성마비, 다운증후군 아동, 일반 아동을대상으로 정적 균형능력인 한발 서기 검사, 롬버그 검사, 샤픈드 롬버그 검사, 동적 균형능력인 기능적 팔 뻗기 검사를 측정하였고, 보행분석기를 통하여 시간적 보행변수와 공간적 보행변수를 측정하였다. 그 결과 한발서기검사, 룸버그 검사, 눈 뜬 상태에서 샤픈드 룸버그 검사에서 일반아동, 뇌성마비, 다운증후군 아동 순으로 세 그룹 간의 유의한 차이가 있었고, 눈감은 상태에서의 샤픈드 룸버그 검사와 기능적 팔 뻗기 검사에서 뇌성마비 아동과 다운증후군아동이 일반아동과 유의한 차이를 보였다. 보행변수에서는 속도, 유각기, 입각기, 한 발 지지기, 양하지 지지기, 분속수, 보폭, 보하지비율, 활보장, 보간에서 모두 유의한 차이가 있었다. 이상의 결과로 볼 때, 균형과 보행은 세 그룹간의 유의한 차이가 있었고, 치료사, 뇌성마비 및 다운증후군 아동, 부모에게 유용한 자료로 제공될 것이라 생각된다.
Abstract
The purpose of this study was to compare the balance and gait of cerebral palsy, Down syndrome children and typically developing children. The subjects were 20 children with cerebral palsy, 16 children with down syndrome, 20 children with typically developing, 56 children participated in studies. One Leg Test, Romberg’s test(eye open/eye close), Sharpened Romberg’s test(eye open/eye close), Functional reaching test, and GAIRTRite were used for this study in order to measure children’s balance ability and gait ability. One leg standing, Romberg’s test, sharpened Romberg’s test of static balance showed significant differences among three groups(p<.05). functional reaching test of dynamic balance showed significant differences among three groups(p<.05). Velocity, cadence of temporal gait parameters and step length, stride length, step width of spatial gait parameters showed significant differences among three groups(p<.05). The results showed that there were a significant difference in balance and gait among the three groups, and higher balance and gait function in order of typically developing children, cerebral palsy, Down syndrome children.
참고문헌 (27)
- Adolph, K. E., "What changes in infant walking and why", Child Dev, 74(2), pp.475~497 (2003)
- Agiovlasitis, S., "Effects of Down syndrome on three-dimensional motion during walking at different speeds", Gait Posture, 30(3), pp.345~350 (2009)
- Bandini, L. G., "Body composition and energy expenditure in adolescents with cerebral palsy or myelodysplasia", Pediatr RES, 29(1), pp.70~77 (1991)
- Bax, M., "Proposed definition and classification of cerebral palsy", Dev Med Child Neurol, 47(8), pp.571~576 (2005)
- Bleck, E. E., "Management of the lower extremities in children who have cerebral palsy", J Bone Joint Surg Am, 72(1), pp.140~144 (1990)
- Day, S. M., "Mortality and causes of death in persons with Down syndrome in California", Dev Med Child Neurol, 47(3), pp.171~176 (2005)
- Donoghue, E. C., "Some factors affecting age of walking in a mentally retarded population", Dev Med Child Neurol, 12(6), pp.781~792 (1970)
- Duffy, C. M., "Energy consumption in children with spina bifida and cerebral palsy : a comparative study", Dev Med Child Neurol, 38(2), pp.238~243 (1996)
- Duncan, P. W., "Functional reach: a new clinical measure of balance", J Gerontol, 45(6), pp.M192~197 (1990)
- Ferdjallah, M., "Analysis of postural control synergies during quiet standing in healthy children and children with cerebral palsy", Clin Biomech (Bristol, Avon), 17(3), pp.203~210 (2002)
- Franchignoni, F., "Reliability of four simple, quantitative tests of balance and mobility in healthy elderly females", Aging(Milano), 10(1), pp.26~31 (1998)
- Galli, M., "Joint stiffness and gait pattern evaluation in children with Down syndrome", Gait Posture, 28(3), pp.502~506 (2008)
- Glasson, E. J., "The changing survival profile of people with Down's syndrome : implications for genetic counselling", Clin Genet, 62(5), pp.390~393 (2002)
- Kubo, M., "Coordination of pelvis-HAT(head, arms and trunk)in anterior-posterior and medio-lateral directions during treadmill gait in preadolescents with", without Down syndrome, 2006, pp.23(4), 512~518
- McDonough, A. L., "The validity and reliability of the GAITRite system's measurements : A preliminary evaluation", Arch Phys Med Rehabil, 82(3), pp.419~425 (2001)
- Nichols, D. S., "Changes in the mean center of balance during balance testing in young adults", Phys Ther, 75(8), pp.699~706 (1995)
- Perry, J., "Gait Analysis. normal and pathological function" (1992), Mc Graw-Hill Inc
- Shinkai, S., "Older people and physical activity", Nihon Rinsho, 58(Suppl), pp.302~306 (2000)
- Shumway-Cook, A., "Dynamics of postural control in the child with Down syndrome", Phys Ther, 65(9), pp.1315~1322 (1985)
- Smith, B. A., "Early onset of stabilizing strategies for gait and obstacles : older adults with Down syndrome", Gait Posture, 28(3), pp.448~455 (2008)
- Ulrich, D. A., "Treadmill training of infants with Down syndrome: evidence-based developmental outcomes", Pediatrics, 108(5), pp.E84~ (2001)
- Wallard, L., "Balance control in gait children with cerebral palsy", Gait Posture, 40(1), pp.43~47 (2014)
- Williams, L. O., "Energy cost of walking and of wheelchair propulsion by children with myelodysplasia : comparison with normal children", Dev Med Child Neurol, 25(5), pp.617~624 (1983)
- Wilson, "Effect on gait of motor task learning acquired in a sitting position", Phys Ther, 67(7), pp.1089~1094 (1987)
- Wondra, V. C., "Gait parameters in children with motor disabilities using an electronic walkway system : assessment of reliability", Pediatr Phys Ther, 19(4), pp.326~331 (2007)
- Woollacott, M. H., "Aging and posture control : changes in sensory organization and muscular coordination", Int J Aging Hum Dev, 23(2), pp.97~114 (1986)
- Zaino, C. A., "Reliability and comparison of electromyographic and kinetic measurements during a standing reach task in children with and without cerebral palsy", Gait Posture, 27(1), pp.128~137 (2008)