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Journal of the Korean Academy of Rehabilitation Medicine 2000;24(2):200-207.
Current Physical Therapy Status for the Children with Cerebral Palsy in Korea.
Kim, Sei Joo , Lee, Chang Hyung , Na, Jin Kyung , Lee, Sang Heon , Sung, In Young , Park, Byung Kyu
1Department of Rehabilitation Medicine, College of Medicine, Korea University.
2Department of Rehabilitation Medicine, College of Medicine, Woolsan University.
3Department of Rehabilitation Medicine, College of Medicine, Pusan University.
치료사를 대상으로 조사한 뇌성마비아의 치료 현황
김세주, 이창형, 나진경, 이상헌, 성인영1, 박병규2
고려대학교 의과대학 재활의학교실, 1울산대학교 의과대학 재활의학교실 및 2부산대학교 의과대학 재활의학교실
Abstract

Objective
Treatment of children with cerebral palsy needs much time and effort, so it is very hard for many patients to get hospital based treatment. To develop the home treatment program with the parents, we tried to elucidate the current difficulties to which therapists were facing during the treatment of cerebral palsies.


Method
A cross-sectional study was performed to 250 physical therapists in 110 hospitals with a questionaire by mail. Sixty two universities and general hospitals, 37 rehabilitation centers and 31 community rehabilitation centers were involved in treatment for cerebral palsy, 51% of them are located in Seoul and Kyungi-do.


Results
1) The current treatment time was 33.7 minutes, but most therapists replied that 45 minutes would be optimal. 2) Fifty four therapists (86.1%) had reviewed on introduction or basic course of the Bobath or Vojta program; the duration of the course ranged from 5 days to 1 to 2 months. 3) Fifty five cerebral palsy patients (66.7%) continued treatment for 1 to 2 years and 25% received treatment for more than 2 years. 4) Twenty nine patients (35%) received home therapy from trained parents, 75% of the cases noted significant improvement.


Conclusion
Cerebral palsy treatment programs require more time than the actural duration of time given during therapy sessions. Thus, parent education for home therapy is considered to be an essential part of cerebral palsy management.

Key Words: Cerebral palsy, Home therapy, Physical therapist


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