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KMID : 1123620180160020064
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Journal of Korean Society of Sensory Integration Therapists
2018 Volume.16 No. 2 p.64 ~ p.74
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Effects of Therapeutic Interventions on Upper Extremity Function Among Children With Cerebral Palsy in Domestic: A Systematic Review
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Park Young-Ju
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Abstract
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Objective : The purpose of this study is to improve the effect of therapeutic intervention on upper extremity function of children among cerebral palsy using systematic review methods and suggest treatment trends used in Korea.
Methods : The subjects of the study were the researches published in the Korean Journal since 2008. Total 12 studies were selected through Korean research database engine such as DBpia, Scholar, KSDC, KISS and RISS for the systematic review in this study. Key words were ‘cerebral palsy’, ‘upper extremity function’ and ‘hand function’. The results of this study were analyzed by qualitative level and methodological quality level of evidence, and the results of each study were analyzed according to the PICO approach, that is Patient, Intervention, Comparison and Outcome.
Results : For the level of evidence, Grade Ⅳ and Ⅴ were most, and in terms of Methodological quality, majority of the studies showed ‘Fare’ level. The subjects were the subjects with hemiplegic children, and the experimental design was high in single-subjects and case studies. Constraint-induced movement therapy (CIMT) was used frequently in intervention, and Jebsen-Taylor Hand Function Test was used frequently for evaluation. In eleven studies showed that the upper limb function of children with cerebral palsy significantly improved or had a positive effect.
Conclusion : Various intervention methods have been implemented to improve the upper limb function of children with cerebral palsy. In the future, studies on intervention methods based on the type of paralysis and studies with high quality of evidence should be continued in Korea.
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KEYWORD
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bral palsy, hand function, intervention, systematic review , upper extremity function
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