뇌성마비아동의 이동능력과 가동성 수행력에 관한 실태조사

Field Research on Locomotion Capability and Performance of Mobility Children with Cerebral Palsy

본 연구는 뇌성마비아동의 이동능력과 가동성수행력을 알아보기 위해 수행되었다. 6~14세의 뇌성마비아동 205명(시설에 거주하는 아동 100명과 재가아동 105명)을 대상으로 실시하였다. 연구도구는 GMFCS와 가동성 방법에 관한 질문지를 사용하여 뇌성마비아동의 이동능력과 가동성 수행력을 검사하였다. 자료처리는 뇌성마비아동의 이동능력과 생활환경에 따른 가동성 수행력에 대한 연구는 기술통계학을 사용하였으며, 이동능력과 가동성 수행력과의 관계는 Cochran Q 검정을 실시하였다. 본 연구의 결과를 통하여 얻은 결론은 다음과 같다. 첫째, 뇌성마비아동의 대근육 운동능력의 특징은 마비유형, 장애분류에 따라 다양하게 나타났다. 둘째, 뇌성마비아동의 가동성 수행력은 집, 학교, 집밖/지역사회에 따라 다양하게 나타났다. 셋째, 재가아동 가운데 잡고 걷는 아동을 제외한 나머지 모든 아동은 대근육 운동능력과 가동성 수행력 사이에 유의한 차이를 보였다.

The purpose of this study is to find out the locomotion capability and performance(of mobility) in children with cerebral palsy(CP). Mobility is needed to perform the activity of daily living and to participate in society, but most of the children with CP have difficulty in mobility and limitation of activity. Therefore, not only the child himself but also the parents and therapist have a big concern in improvement of mobility. But clinically, as the medical treatment and assessment are performed in a well controlled environment, there could be differences between motor capability and mobility or activities of daily living in every day settings. The subjects of this study were 205 children with CP, ages 6~14. GMFCS, questionnaire on children s usual mobility methods were used to measure the children s gross motor capability and performance of mobility. Cochran Q test was used for the study of relation between gross motor capability and performance of mobility across the everyday settings. Differences in mobility methods across the everyday settings of children in GMFCS level Ⅱ, Ⅲ, Ⅳ institution and at home were observed in the study about the effect of environment on the mobility method of children with CP children used lower ranked mobility methods at school than at home. The lowest ranked mobility methods were used in outdoors/community. Therefore, this study suggests that the evaluation of the children with CP should be conducted both in locomotion capability and performance(of mobility), and the evaluation should be conducted by their environmental settings. The purpose of this study is to find out the locomotion capability and performance(of mobility) in children with cerebral palsy(CP). Mobility is needed to perform the activity of daily living and to participate in society, but most of the children with CP have difficulty in mobility and limitation of activity. Therefore, not only the child himself but also the parents and therapist have a big concern in improvement of mobility. But clinically, as the medical treatment and assessment are performed in a well controlled environment, there could be differences between motor capability and mobility or activities of daily living in every day settings. The subjects of this study were 205 children with CP, ages 6~14. GMFCS, questionnaire on children s usual mobility methods were used to measure the children s gross motor capability and performance of mobility. Cochran Q test was used for the study of relation between gross motor capability and performance of mobility across the everyday settings. Differences in mobility methods across the everyday settings of children in GMFCS level Ⅱ, Ⅲ, Ⅳ institution and at home were observed in the study about the effect of environment on the mobility method of children with CP children used lower ranked mobility methods at school than at home. The lowest ranked mobility methods were used in outdoors/community. Therefore, this study suggests that the evaluation of the children with CP should be conducted both in locomotion capability and performance(of mobility), and the evaluation should be conducted by their environmental settings.