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KMID : 0361420120360010039
Journal of Korean Academy of Rehabilitation Medicine
2012 Volume.36 No. 1 p.39 ~ p.46
The Effect of Comprehensive Hand Repetitive Intensive Strength Training (CHRIST) Using Motion Analysis in Children with Cerebral Palsy
Kim Dong-A

Lee Jung-Ah
Hwang Pil-Woo
Lee Min-Jin
Kim Hyun-Kyung
Park Jeong-Joon
You Joshua H.
Lee Dong-Ryul
Lee Nam-Gi
Abstract
Objective: To investigate the eff ect of Comprehensive Hand Repetitive Intensive Strength Training (CHRIST) on upper limb function in children with cerebral palsy using motion analysis.

Method: Th e subjects in this study included 19 children (10 males, 9 females, mean age=8.8 years) with cerebral palsy. Th e experimental group (n=10) received CHRIST and general rehabilitation therapy. Th e control group (n=9) received a home program as well as general rehabilitation therapy. Both groups received30 sessions of CHRIST or home program training for 60 minutes per session 3 times a week during the 10-week period. The reaching movements were captured by a motion analysis system. Kinematic variables including movement time (MT), mean velocity (MV), normalized jerk score (NJS), mean angular velocity (MAV) and normalized jerk score of the shoulder, elbow and wrist joint with comfortable and fast speed were analyzed between groups and the pre-post training group.

Results: After pre- and post-training experimental group, MT, MV, NJS, MAV of shoulder, elbow, wrist and NJS of elbow and wrist improved significantlyin reaching movement of both comfortable and fast speed (p<0.05). However, After pre- and post-training control group, MV improved significantlyin reaching movement of only comfortable speed (p<0.05). Between two groups, MT and MAV of the elbow at comfortable speed and NJS of the elbow at fast speed were statisticallysignifi cant (p<0.05).

Conclusion: CHRIST proved to be an effective intervention for improving upper limb extremity function of reaching movement in children with cerebral palsy.
KEYWORD
Cerebral palsy, Muscle strength, Upper extremity, Motion
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