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KMID : 1151720230120010005
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Journal of Korean Society of Cognitive Rehabilitation
2023 Volume.12 No. 1 p.5 ~ p.23
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The Effect of Occupational Therapy Intervention on Methylmalonic Acidemia in Inborn Error Metabolism: Case Reports
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Yoon In-Jin
Lee Eui-Kyun
Lee Hae-Na
Seo Ji-Won
Kim Da-Yeong
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Abstract
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Purpose: This report was investigated the effect of occupational therapy for infant with metylmalonic acidemia.
Method: He was diagnosed with methylmalonic acidemia at 2 months. At 6 months, he was evaluated the Denver Developmental Screening TestⅡ(DDST Ⅱ). He was delayed in all areas. We set the goal on ‘reach to the toy and
then bring it to the mouth in a sitting position with moderate assist’. We applied the reach, regard small objects, bring to the mouth and trunk balance training. At 7 months, he was performed fundoplication and gastrotomy. At 8 months, he was re-evaluated the DDSTⅡ. The number of items with ‘Pass’ increased, but delayed in all areas based on the age line. We re-set the goal on ‘pass the toy from one hand to the other and hold the toy in both hands in a sitting position with minimal assist’. We applied the pass, hold, rake a small objects, and trunk balance training. His overall condition was improved,
he was discharged.
Conclusion: We were able to identify that occupational therapy has s positive effect to the infant with metylmalonic acidemia. This report will be supportive evidence when applying developmental tests and occupational therapy to children
with metylmalonic acidemia.
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KEYWORD
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Denver Developmental Screening TestⅡ, Inborn Error Metabolism, Metylmalonic acidemia, Occupational therapy
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