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Effect of Submerged Upper Limb Symmetrical Exercise on the Functionality of Upper Limb in Hemiplegic Cerebral Palsy

  • Korean Journal of Occupational Therapy
  • Abbr : Korean J of Occup Ther
  • 2008, 16(1), pp.67-76
  • Publisher : Korean Society Of Occupational Therapy
  • Research Area : Medicine and Pharmacy > Working Therapeutics

고명숙 1 한승원 1 유병규 2 정재훈 3 오덕원 4

1서울장애인종합복지관 치료교육부 물리치료실
2신구대학 물리치료과
3국립재활병원 운동부하검사실
4대전대학교

Accredited

ABSTRACT

Objective : The purpose of the study is to determine the effect of a submerged symmetrical exercise (SSE) on the functionality of the affected upper limb in a subject with hemiplegic cerebral palsy. Methods : An 8-year old female subject suffering from a left hemiplegia was selected, and a single-subject A-B-A design was used. 8 session-measurements were made in the baseline (A), intervention (B) and follow-up (A) phases. During the intervention period, the SSE was additionally performed after regular rehabilitation therapy, and in the follow-up phases, the SSE was withdrawn in order to investigate the carry-over effects of treatment. The outcome measures used were a Bruininks-Oseretsky motor proficiency test and a grooved pegboard test, which were collected during all phases of the study. Also, a motion analysis for a seated forward reach task was performed before and after the intervention phase. Results : During the intervention phase, there were visible improvements in the function of the upper extremity, and these improvements were maintained with a general trend of reduction during the follow-up phase. In reach task analysis, the findings revealed that trunk compensation was reduced, while shoulder and elbow mobilities were increased after the intervention period, and the reaching motion pattern became relatively stable. Conclusion : This study shows the therapeutic possibility and clinical advantage of SSE as a long-term rehabilitation method for children with hemiplegic CP.

Citation status

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