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KMID : 1101520190230010031
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Journal of Korean Society for Neurotherapy
2019 Volume.23 No. 1 p.31 ~ p.38
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Overview of Physical Therapy for Children with Cerebral Palsy
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Oh Tae-Young
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Abstract
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Purpose: This study was to find out proper concept and intervention to treat in physical therapist’ s perspective according to recognize the changing definition of cerebral palsy, and to investigate the several classification and intervention for children with cerebral palsy.
Methods: The electronic journal site was searched by terms "cerebral palsy", "intervention", physical therapy”. We analyzed and descript the total 24 cited articles from 9 articles in Science Direct, and 16 articles in K-RISS from 20 Oct. 2018 to 7 Jan. 2019.
Results: Later definition of cerebral palsy emphasized secondary musculoskeletal problem over time in children with cerebral palsy. In early definition emphasized person’s function or neurological disability. Prevalence rate of cerebral palsy were 6~8% from perinatal asphyxia, the overall prevalence of cerebral palsy has remained constant in recent years despite increased survival of at-risk preterm infants. Gross Motor Function Classification System (GMFCS) has been widely employed internationally to group individuals with cerebral palsy into one of five levels based on functional mobility or activity limitation. The treatment must be goal oriented, such as to assist with mobility, reduce or prevent contractures, improve positioning and hygiene, and provided comfort. Each member of the child’s multidisciplinary team, including the child and both parents, should participate in the serial evaluation and treatment planning.
Conclusion: We found that the definition of cerebral palsy is changing to focus on secondary problem over time and the children with cerebral palsy is best cared for with an individualized treatment plan that provides a combination of interventions.
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KEYWORD
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Cerebral Palsy, Definition, Classification, Intervention, Physical Therapy
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