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KMID : 1143320230120020025
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Therapeutic Science for Neurorehabilitation
2023 Volume.12 No. 2 p.25 ~ p.42
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A Systematic Review of Occupational Therapy Interventions for Children With Cerebral Palsy:Focus on Single-Subject Research Design
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Shin Chae-Eun
Choi Yoo-Im
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Abstract
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Objective : The purpose of this study was to identify the characteristics of a single-subject research study and qualitative levels in which occupational therapy interventions were performed on children with cerebral palsy.
Methods : This study targeted papers, published in Research Information Sharing Service (RISS), National Digital Science Library (NDSL), Koreanstudies Information Service System (KISS), and E-article from May 20 to 29, 2022. The search terms were ‘cerebral palsy’ AND ‘single subject research design’ OR ‘individual subject study’. Eleven papers, were finally selected and analyzed.
Results : Most of the studies were medium in methodological quality, and the subjects were pre-school age and spastic hemiplegia. Among the single-subject designs, intervention-removal designs were the most common, and among them, ABA designs were the most common. Interventions included assistive devices, constraint-induced therapy, neurodevelopmental therapy, and sensory integration therapy were 2, and upper extremity exercise, interactive metronome, and CO-OP were 1. Dependent variables were measured with 2 to 4 measurement tools, Significant improvements were found in postural control ability, gait and balance, hand function, and upper extremity function.
Conclusion : This study confirmed that it is helpful to apply cerebral palsy occupational therapy by presenting the characteristics of cerebral palsy, intervention sessions and effects, measurement tools and methodological quality levels.
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KEYWORD
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Cerebral palsy, Evidence-based practice, Occupational therapy, Single-subject research design
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