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KMID : 0363620210420040060
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Journal of Korean Oriental Medicine
2021 Volume.42 No. 4 p.60 ~ p.74
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Integrated Rehabilitation for Children with Cerebral palsy: A Prospective Observational Study
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Lee Hye-Yoon
Yun Young-Ju
Shin Yong-Beom
Kim Soo-Yeon
Han Jun-Hee
Yu Sun-Ae
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Abstract
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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.
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KEYWORD
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acupuncture, cerebral palsy, herbal medicine, integrated rehabilitation, pediatric rehabilitation
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