aaa Re s|4] ATA aN ‘The Journal of Korean Society of Physical Therapy Vol. 17, No.4 pp 575~588, 2005. Bus) geal gol DSS Subs OFS 2) £5715 Alo wae Bat aasjad e2ajnd oa aad Mjpaeaae geyzbaaeets aau adie Bela) gap aed The Effects of Parent’ s Participation and Satisfaction Degree on Physical Therapy for the Improvement of Motor Function in Cerebral Palsy Patients Lee, So-young Dept. of Physical Therapy, Won Kwang University Hospital Kang, Jeong-il Dept. of Herbal Medicine Resources Development, Professional Graduate School of Oriental Medicine, Won Kwang University Kim, Yong-nam Dept. of Physical Therapy, Chunnam Techno College Family and parents which serve as a primary group for the children’ s development also play important role in their cerebral palsy children’ s treatment. This study wants to know how the parents’ participation in their children’ s physical therapy and satisfaction degree have an impact on their children’ s improvement of the eat: Cette Vea Eee ee} 7i ets} e-mail: koreainasia@empal.com -S15-motor function. For that purpose, a home made self filling survey was conducted of 156 cerebral palsy children’ s parents whose children were treated in 4 university general hospitals and 3 welfare centers from the Ist of April 2004 to the 31th of march 2005. The gross motor function was employed to evaluate the cerebral palsy children’ s motor function improvement. In this study, those questioned were divided into two groups according to the time of treatment. “Group A” is consist of the patients whose parents attended to the treatment more than one hour at home. The patients who belonged to "Group B” were treated less than one hour at home. The general features of the cerebral palsy children and their pacents and the characteristics of their physical disability, the parents’ participation and their satisfaction degree were examined by survey. Evaluating the difference between two groups’ motor function according to their parents participation degree in the physical therapy leads to the following results. First, “Group A” was better than “Group B” in their satisfaction degree with the physical therapy and participation degree. Statistically “Group A" was superior to “Group B” in the requirements of the information and education for the children with cerebral palsy. Second, after two months of treatment , “Group A" showed more statistically significant improvement than “Group B” in every items as like lying in item 1, sitting in item2, crawling and kneeling in item 3, standing in item 4, walking ,running, jumping in item 5. Third, parents’ participation in physical therapy and satisfaction degree have some relevance to their children’ motor function improvement. The satisfaction degree is related to the motor function like crawling and kneeling in item 3, walking ,running, jumping in item 5. It is showed that the parents’ participation degree and information about handicapped children. Key words : Moter function, Cerebral palsy 2844 ago Be Ses UIE Fes ew ol. leith Saleh SG + a7 Sette alas) & SSS Ite} MHD LASS aAAl 71 FG + ISS da, HES) ASS Ae Aa @ B99] 71 ABAES ate Rol, He] 20} F oH obSS) ABQ AM ARS Mee 2 ago] ¥ Ashe obsolete aah be} cba) 712 4, Ab 3) BA4 old, APH Ae Sol ae aes © SUA welelcloy Veh. 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SAH] OFF] Z7]ate} HS lac Ae 24, THNMAAAI7] 1998; 3(2) BMS, TBE. Ssoploys) laters. Hea sel es A) 1997: 21(6) BAT, 18, 1a, PH, As, Hala, eb blo} #29] B22} Gea gt} 82) 2000: 24(6) BA. Saehy obs ojos] Haz Walden Yt Av HE, 2001 FOS, BAG. We Fs ofp] 49] 7441 Bo} =, Wehela]ze}s}2] 1995; 2(2) pda], Pas obs ofplys) 7A) Bo] de AE a ot Haale G7, Seleltia Ab = =, 2002 Had, Aas, HOS, laa, dee. Mee go} B) ZAG AAAS BA} Ase Bay | Atay 7+). oes} e8}2] 1991; 15: 160- 170 AAA, Yas), ee sabeb) 74] Bo] che HS 34 R Fro] ae SAh easel Asya) 1988; 13: 204-210 Pee, Was), olga, aaa. saehls) 7a B £71A)Rol FHS vlale= velo} BE ZA a ‘WARS FIA) 1987; 11(2) : 140-146 eee, vas] 4. dolls} aes BH. Waa ~587-1986 184. Sashiloh Fee] ab et ise] Ve ‘OF, abate APs] Ek, 2000 LBS, SHU, Balzale} lps} Heats} A143 A, ARs BE AF, Seidsal 1995: 22(2): 80-96 BEV. AAG Fs HY 9} AEA A TES bso} WAAR SF SESS) HA, Slat AY} SE, 1984 ae. Maoh AelzHe AT AS] 2} Usp 2 8A, 1987 $49), Soh AS: aes} (F), 1999. Bobath B. The very early yreatment of cerebral palsy. Develop Med child Neurol. 1967:.9: 373-390 Bobath K : The Motor Deficit in Patients with cerebral palsy. (Clinics in Developmental Medicine Series No. 2 and 3), Lippincott, 1966 Beckman PJ. characterics on stress in families of handicapped infants. Am J Mental Deficiency 1983; 88(2): 150-156 Dabney KW, Lipton GE, Miller F : Cerebral palsy. Curr Opin Pediatr 1997: 9: 81 Finnie NR. Handling the young cerebral palsied child at home. 1974 Klaus MH, Kennell JH : Maternal Infant Bonding. St Louis Mo Mosby, 1976 Law M, Cadman D, Rosenbaum P, Walters, Russell D, DeMatteo C : Neurodevelopmental therapy and upper~extremity inhibitive casting for children with cerebral palsy. Dev Med child Neurol, 1991; 33: 379-387 Lowry, M. A. & Whitman, T. L.(1989) Generalization of parenting skill ; An early intervention program. Child and Family Behavior Therapy, 11. Mayo NE. The effect of a home visit on parental Influence of selected child compliance with a home. Phys Ther. 1981: 61: 27-32 Okawa A, kajiura I, Hiroshima K : physical therapeutic and surgical management in spastic diplegia. A Japanese experience Clin Orthop 1990; 253: 38-44 Palmer FB, Shapiro BK, Allen MC, Mosher BS, Bilker SA, Harryman SE, Meinert CL, Capute AJ : Infant stimulation curriculem for infants with cerebral palsy temperament, parent-infant interaction and home environment, Pediatrics 1990; 85: 411- 415 Ross K, Thomson D., An evaluation of parent s effects on infant involvement in the management of their cerebral palsy children. physiotherapy 199: 79(8): 561-565 Spellacy W(Ed) : Management of the High Risk Pregnancy. Baltimore University Park Press 1976 Shere ES, Kastenbaum R : Mother-child interaction in cerebral palsy environmental and psychosocial obstacles to cognitive development. Gen Psychol Monogr 73: 255, 1966 Sloper, P. & Turner, $. (1993), Risk and resistance factors in the adaptation of parents of children with severe physical disability Journal of Child Psychology Psychiatry, 34(2), 167-188 Vojta V : Early diognosis and treatment of cerebral palsy in the development of movement. Zeitschrift fur Orthopaedie und Ihre Grenzgebiete 1972: 4: 450-476 Wendt LV. Ekenberg L, Dagis D et al. A Parent- centred approach to physiotherapy for their handicapped children. Dev Med Child Neurol 1985; 26: 445-8 ~ 588 -