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KMID : 1211620180130020075
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Journal of the Korean Society of Physical Medicine
2018 Volume.13 No. 2 p.75 ~ p.87
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A Content Analysis of Physical Therapy for Postural Control and Mobility in Children with Spastic Diplegia: A Cross-sectional Study
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Yoo Sung-Ho
Oh Duck-Won
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Abstract
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PURPOSE: The purpose of this study was to describe and analyze the components of physical therapy interventions to enhance postural control and mobility in children with spastic diplegia.
METHODS: Thirsty-eight physical therapists working in rehabilitation settings volunteered to record the components of physical therapy interventions used during 894 treatment sessions for 179 children with spastic diplegia presenting with difficulties in postural control and mobility. Descriptive statistics were used to analyze the general characteristics of the therapists, the patients, and the frequency of the interventions. A one-way analysis of variance (ANOVA) and chi-square test were used to describe the components of the interventions and the goals of treatment.
RESULTS: In clinical practice, physical therapists primarily used methods including “Hands-on: facilitation” (n=1990, 36.47%) and “Hands-off: practice” (n=1355, 24.83%). Only 13.96% (n=762) of the interventions allowed patients to be independent or active outside of the treatment sessions. Interventions reflecting the therapeutic aims were performed for sitting (17.53%), standing (18.25%), and walking (27.39%).
CONCLUSION: Physical therapists mostly used “therapist-led” interventions to treat impaired postural control and mobility in children with spastic diplegia. Interventions to facilitate independent activity or practice outside the treatment sessions are infrequently used. These types of interventions were used regardless of the aims of treatment.
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KEYWORD
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Mobility, Physical therapy, Postural control, Spastic diplegia
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