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ÀÛ¼ºÀÏ : 22-12-06 01:08
³ú¼º¸¶ºñ(Cerebral Palsy) Á¤ÀÇ
 ±Û¾´ÀÌ : Á¶È«Áß (220.¢½.213.195)
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³ú¼º¸¶ºñ(Cerebral Palsy)

 

³ú¼º¸¶ºñ(cerebral palsy)´Â ¹ß´Þ Áß¿¡ ÀÖ´Â ÅÂ¾Æ È¤Àº ¿µ¾ÆÀÇ ³ú¿¡ ¹ß»ýÇÑ ºñÁøÇ༺ ¼Õ»ó¿¡ µû¸¥ ¿òÁ÷ÀÓ°ú ÀÚ¼¼¹ß´Þ ÀÌ»óÀ¸·Î, ¿îµ¿Àå¾Ö¿Í ´õºÒ¾î °¨°¢, ÀÎÁö, ÀÇ»ç¼ÒÅëÀå¾Ö, ÇൿÀå¾Ö ¶Ç´Â °æ·Ã µîÀ» µ¿¹ÝÇÑ´Ù(Bax et al., 2005). Áï, ³ú¼º¸¶ºñ´Â ¹Ì¼º¼÷ÇÑ ³úÀÇ º´º¯À¸·Î ÀÎÇÑ ¿òÁ÷ÀÓ°ú ÀÚ¼¼ÀÇ ÀÌ»óÀ» ÁÖ Áõ¼¼·Î ³ªÅ¸³»¸ç, ¿îµ¿Àå¾Ö¿Í ÇÔ²² °¨°¢, ÀÎÁöÀå¾Ö, °æ·Ã µîÀ» µ¿¹ÝÇÏ´Â °æ¿ì°¡ ¸¹°í ½ÅüÀû ±â´É°ú °Ç°­ ¼öÁØÀÌ ºñÀå¾Ö¾Æµ¿¿¡ ºñÇØ ¶³¾îÁø´Ù(Krigger, 2006).

³ú¼º¸¶ºñ´Â ¿µ±¹ÀÇ Little(1862)ÀÌ ³­»ê¿¡ ÀÇÇÑ ½Å°æÇÐÀû ÀÌ»óÀ» ÀÏÀ¸Å² ¾Æµ¿¿¡ ´ëÇÑ »ç·Ê¸¦ º¸°íÇϸ鼭 °ü½ÉÀ» °®±â ½ÃÀÛÇÏ¿´À¸¸ç, ³ú¼º¸¶ºñ(cerebral palsy)¶ó´Â ¿ë¾î´Â 1889³â ¿µ±¹ÀÇ ÀÇÇÐÀÚÀÎ Àª¸®¾Ï ¿À½½·¯(William Osler)¿¡ ÀÇÇØ Ã³À½ »ç¿ëµÇ±â ½ÃÀÛÇÑ ÀÌÈÄ·Î(Osler, 1889), ÀÇÇÐÀÇ ¹ß´Þ¿¡ µû¶ó ±× ÀÇ¹Ì¿Í Á¤ÀÇ°¡ º¯È­µÇ¾î ¿Ô´Ù(O¡¯Shea, 2008; Pakula, Van Naarden Braun, & Yeargin-Allsopp, 2009).

³ú¼º¸¶ºñ´Â ÀÚ¼¼ ±äÀåµµ¿Í »óÈ£½Å°æÁö¹è¿¡ µû¶ó °æÁ÷Çü(spastictype), ºÒ¼öÀÇ ¿îµ¿Çü(athetoidtype), ÆòÇü°¨°¢°ú °¨°¢´É·ÂÀÇ ºÎÁ·À» Ư¡À¸·Î ÇÏ´Â ¿îµ¿ ½ÇÁ¶Çü(ataxictype), Àú±äÀåÇü(hypotonic)À¸·Î ºÐ·ùÇÒ ¼ö ÀÖÀ¸¸ç(Hagberg, Hagberg, & Olow, 1993), ÀÌ Áß °æÁ÷Çü ¸¶ºñ´Â ³ú¼º¸¶ºñÀÇ °¡Àå ÀϹÝÀûÀÎ ÇüÅÂÀÌ´Ù(Himmelmann et al., 2005).

³ú¼º¸¶ºñ¾Æµ¿ÀÇ ÀÚ¼¼Á¶ÀýÀÇ ¼Õ»óÀº °úÁ¦¿Í ȯ°æÀû ¿ä±¸»çÇ×µéÀÇ º¯È­¿¡ ´ëÇÑ °¨°¢¿îµ¿ÀÇ ÀûÀÀ´É·ÂÀÇ °¨¼Ò¸¦ º¸ÀÌ°Ô µÇ¸ç(Shumway-cook et al., 2003), ÀÌ·¯ÇÑ ³ú¼º¸¶ºñÀÇ ¿îµ¿Àå¾ÖÀÇ Æ¯Â¡Àº ½ÅüȰµ¿ÀÇ Á¦¾à°ú ¿îµ¿°æÇèÀÇ ºÎÁ·À¸·Î À̾îÁö°Ô µÇ¾î °¨°¢°ú Áö°¢ÀÇ ¹ß´Þ, ¿òÁ÷ÀÓÀÇ °³³äÇü¼º, »çȸ¼º µîÀÇ ¹ß´Þ¿¡ Áöü¸¦ ¾ß±âÇÏ°Ô µÈ´Ù(¿ÀÀÌÇ¥, ±è³²ÀÍ, 2004).

³ú¼º¸¶ºñ¿Í °°ÀÌ ³úÀÇ ¼Õ»óÀÌ ÀÖÀ» °æ¿ì ºñÁ¤»óÀûÀÎ ±ÙÀ°ÀÇ ±äÀåµµ¿Í ºñÁ¤»óÀû ¹Ý»ç, ºñÁ¤»óÀû ¿îµ¿ ¾ç»ó µî ¿îµ¿ÇÐÀû ¹®Á¦Á¡À¸·Î(Knox & Evans. 2002) ±ÙÀ°ÀÇ ¹ß´ÞÀÌ ÀÌ·ç¾îÁöÁö ¾Ê¾Æ ±Ù·Â ¾àÈ­¿Í ºÒ±ÕÇüÀÌ ¿À¸ç °á±¹ ÃÊ±â ½Å°æ ¿îµ¿Àå¾ÖÀÇ ¾ç»ó°ú ±Ù°ñ°Ý°èÀÇ Àå¾Ö´Â ½Ã°£ÀÌ Áö³ª¸é¼­ º¯È­¸¦ º¸ÀÌ°Ô µÈ´Ù.

Çзɱ⠳ú¼º¸¶ºñ¾Æµ¿µéÀÇ Ã¼·ÂÀº ¶Ç·¡¿¡ ºñÇØ 50% ¼öÁØ¿¡ ¸Ó¹°±â ¶§¹®¿¡ ¶Ç·¡ ¾Æµ¿µé°úÀÇ ¾î¿ï¸²¿¡¼­µµ Á¦¾àÀÌ ¹ß»ýÇÑ´Ù(Law et al., 2006). Àå¾Ö¾Æµ¿µµ ºñÀå¾Ö¾Æµ¿Ã³·³ »îÀÇ ÁúÀ» ¿µÀ§ÇÏ°í ÁÖ¾îÁø »çȸÀû ¿ªÇÒÀ» ¼öÇàÇØ¾ß ÇÑ´Ù(Attermeier, 2000). ¾Æµ¿ÀÇ ½Åü ¿òÁ÷ÀÓÀÇ ¼öÁØÀº »çȸÂü¿© ¹× È°µ¿ÀÇ Á¦¾à »Ó ¾Æ´Ï¶ó, »îÀÇ ÁúÀÇ ¼öÁØ¿¡ ¿µÇâÀ» ¹ÌÄ¡´Â Áß¿äÇÑ ÀÎÀÚ·Î ÀÛ¿ëÀ» Çϸç(Davis et al., 2006), »îÀÇ Áú¿¡ ´ëÇÑ Æò°¡´Â Ä¡·áÀÇ Áß¿äÇÑ Æò°¡¿µ¿ªÀ¸·Î Àνĵǰí ÀÖ´Ù(O'Boyle et al., 1992). »îÀÇ ÁúÀº ½ÅüÀûÀÎ ¸é, »çȸÀûÀÎ ¸é, °¨Á¤ÀûÀÎ ¸é, Çб³»ýÈ°, ¼­ºñ½ºÀÇ Á¢±Ù¼º, ŸÀο¡ ´ëÇÑ ¼ö¿ë¼º µîÀÇ ¿µ¿ªµéÀ» Æ÷ÇÔÇÏ´Â ´ÙÂ÷¿øÀûÀÎ °ÍÀ̸ç, °³ÀÎÀû »îÀÇ ¸¸Á·°ú °ü·ÃµÇ´Â »îÀÇ ¿©·¯ ¿µ¿ªÀ» Æ÷°ýÇÏ°í ÀÖÀ¸¸ç, ±× »çȸÀÇ ¹®È­³ª »ýÈ°¼öÁØÀ» ³ªÅ¸³»´Â ôµµ¿Í ȯÀÚÀÇ ÀϹÝÀûÀÎ »óŸ¦ ½ÅüÀû, ½É¸®Àû, °¨Á¤Àû, »çȸÀûÀÎ Ãø¸é¿¡¼­ ÁúÀûÀ¸·Î »çÁ¤ÇÏ´Â ±Ù°Å°¡ µÉ ¼ö ÀÖ´Ù(Waters et al., 2005).

³ú¼º¸¶ºñÀÇ ¹ß»ý·üÀº ÀÇÇбâ¼úÀÇ ¹ß´Þ¿¡µµ ºÒ±¸ÇÏ°í °ú°Å¿¡ ºñÇØ ¿ÀÈ÷·Á Áõ°¡µÇ´Â Ãß¼¼¿¡ ÀÖ´Ù. ÀÌ´Â Á¶»ê¾Æ¿Í ÀúüÁ߾ƿ¡ ´ëÇÑ ÁýÁß°ü¸®°¡ ¹ß´ÞÇϸ鼭 ¹Ì¼÷¾ÆÀÇ »ýÁ¸À²ÀÌ Áõ°¡ÇÔ¿¡ µû¶ó À̵éÀÌ ³ú¼º¸¶ºñ·Î ÁøÇàµÉ °¡´É¼ºÀÌ ³ô¾ÆÁ³±â ¶§¹®ÀÌ´Ù(Missiuna, Smits, Rosenbaum, Woodside, & Law, 2001). ÀÌ·¸µí ³ú¼º¸¶ºñ ¾Æµ¿Àº ¹Ì±¹¿¡¼­´Â 100¸í´ç 2¢¦2.5¸í¿¡ ´ÞÇϸç, ¿µ±¹ÀÇ °æ¿ì´Â 100¸í ´ç 4¸íÀ¸·Î º¸°í µÇ°í ÀÖÀ¸¸ç, ±¹³»¿¡¼­´Â 1000¸í´ç ¾à 2¸íÀÇ ¹ß»ý·üÀ» º¸¿´´Ù(ȫâÀÇ 1999). ±×·¯³ª ÃÖ±Ù¿¡´Â 2.7¸íÀ¸·Î Áõ°¡µÈ °ÍÀ¸·Î º¸°íµÇ°í ÀÖ´Ù(Á¤´ë¿µ, °ø³²È£, 2007; ±èÁö¿µ, 2011 ÀçÀοë).

³ú¼º¸¶ºñ¾Æµ¿ÀÇ °Ç°­°ü·Ã »îÀÇ ÁúÀº ºñÀå¾Ö¾Æµ¿¿¡ ºñÇØ ¶³¾îÁö¸ç(Vargus-Adams, 2005), ƯÈ÷ »çȸ¡¤½É¸®Àû »îÀÇ Áúº¸´Ù ½ÅüÀû »îÀÇ ÁúÀÌ ¶³¾îÁø´Ù°í º¸°íµÇ°í ÀÖ´Ù(Bjornson & McLaughlin, 2001; °íÁÖ¿¬, À̺´Èñ, ±è¹Î¿µ, 2009). ³ú¼º¸¶ºñ¾Æµ¿ÀÇ Áö´É°ú ´ëµ¿ÀÛ ±â´É ¼öÇàÀÌ ³ôÀ»¼ö·Ï Àüü »îÀÇ Áú Á¡¼ö°¡ ´õ ³ô°Ô ³ªÅ¸³µÀ¸¸ç(Á¶¼º¹Ì µî, 2010), ¾Æµ¿ÀÇ ÁßÁõµµ¿¡ ºñ·ÊÇÏ¿© ½ÅüÀû »îÀÇ ÁúÀÌ ¶³¾îÁø´Ù´Â º¸°íµµ ÀÖ´Ù(°íÁÖ¿¬ µî, 2009). ¿Ü±¹ÀÇ °æ¿ì 2000³â´ë¿¡ µé¾î¼­¸é¼­ ³ú¼º¸¶ºñ¾Æµ¿ÀÇ »îÀÇ Áú°ú °ü·ÃÇÑ ¿¬±¸µéÀÌ È°¹ßÈ÷ ÁøÇàµÇ°í Àִµ¥ ¹ÝÇØ(Cooper et al., 2007; Shelly et al., 2008; Danielle et al., 2011), ¿ì¸®³ª¶ó¿¡¼­´Â ¾ÆÁ÷ ³ú¼º¸¶ºñ¾Æµ¿ÀÇ »îÀÇ Áú¿¡ ´ëÇÑ ¿¬±¸´Â ¹ÌºñÇÑ ½ÇÁ¤À̸ç, ÃÖ±Ù¿¡ ³ú¼º¸¶ºñ¾Æµ¿¿¡ ´ëÇÑ »îÀÇ Áú¿¡ ´ëÇÑ ¿¬±¸°¡ ½ÃÀ۵ǰí ÀÖ´Â Ãß¼¼ÀÌ´Ù(°íÁÖ¿¬ µî, 2009; Á¶¼º¹Ì µî, 2010).

 

Âü°í¹®Çå

 

°íÁÖ¿¬, À̺´Èñ, ±è¹Î¿µ(2009). ÁßÁõ³ú¼º¸¶ºñ¾Æµ¿ÀÇ °Ç°­°ü·Ã »îÀÇ Áú. ´ëÇÑÀçÈ°ÀÇÇÐȸÁö, 33(4), 415-422.

±èÁö¿µ(2011). ´ëµ¿ÀÛ ±â´É°ú »ç¹°Á¶ÀÛ ´É·ÂºÐ·ù ü°è¸¦ ÅëÇÑ ³ú¼º¸¶ºñ ¾Æµ¿ÀÇ È°µ¿ Á¦ÇÑ°ú Âü¿© »çÀÌÀÇ »ó°ü°ü°è. ÀÎÁ¦´ëÇб³ ´ëÇпø ¼®»çÇÐÀ§ ³í¹®.

¿ÀÀÌÇ¥, ±è³²ÀÍ(2004). ³ú¼º¸¶ºñ Àå¾ÖÀÎÀÇ Ã´Ã߿ ÀçÈ°¿ä¹ýÀÌ ¿îµ¿±â´É ¹× ±ÙÀüµµ¿¡ ¹ÌÄ¡´Â ¿µÇâ. Çѱ¹Ã¼À°ÇÐȸÁö, 43(3), 927-936.

Á¤´ë¿µ, °ø³²È£.(2007). ÀÚ¼¼¿òÁ÷ÀÓ Á¤»óÈ­ ÇÁ·Î±×·¥ÀÌ ³ú¼º¸¶ºñ¾Æµ¿ÀÇ ´ë±ÙÀ° ¾Æµ¿´É·Â°ú ¾È±¸ ¿îµ¿´É·Â¿¡ ¹ÌÄ¡´Â È¿°ú. Çѱ¹ÁöüºÎÀÚÀ¯¾Æ±³À°ÇÐȸÁö. 50(4),115-142.

Á¶¼º¹Ì, ¿À´ö¿ø, ±è¼±¿±, ÃÖÁ¾´ö(2010). Çзɱ⠳ú¼º¸¶ºñ¾Æµ¿ÀÇ »îÀÇ Áú°ú ÀÏ»óÂü¿©µµ¿¡ °üÇÑ ¿¬±¸. ´ëÇÑÀÛ¾÷Ä¡·áÇÐȸÁö, 18(2), 95-106.

ȫâÀÇ(1999). ¼Ò¾Æ°úÇÐ.¼­¿ï:´ëÇÑ ±³°ú¼­ ÁÖ½Äȸ»ç.

Attermeier, S. M. (2000). Functional mobility, social role fulfillment, and quality of life in 5-year-old children with severe cerebral palsy. Unpublished Doctoral dissertation. University of North Carolina.

Bax, M., Goldstein, M., Rosenbaum, P. L., Leviton, A., Paneth, N., & Dan, B. (2005). Proposed definition and classification of cerebral palsy. Dev Med and Child Neurol, 47, 571-576.

Cooper, J., Majnemer, A., Rosenblatt, B., & Birnbaum, R. (1995). The determination of sensory deficits in children with hemiplegic cerebral palsy. J Child Neurol, 10(4), 300-309.

Danielle, E., Sandella, Louise, M., O¡¯Brien, Laura, K., Shank, Seth, A., & Warschausk. (2011). Sleep and Quality of Life in Children with Cerebral Palsy. Sleep Med, 12(3), 252256.

Davis, E., Waters, E., & Mackinnon, A. (2006). Paediatric quality of life instrument: A review of the impact of the conceptual framework on outcomes. Dev Med Child Neurol, 48, 311-318.

Hagberg, B., Hagberg, G., & Olow, I. (1993). The changing panorama of cerebral palsy in Sweden. ¥µ. Prevalence and origin during the birth year period 1983-1986. Acta paediatr, 82(4), 387-393.

Himmelmann, K., Hagberg, B., Beckung, E., Hagberg, G., & Uvebrant, P. (2005). The changing panorama of cerebral palsy in sweden IX. prevalance and origin in the birth year period 1995-1998. Acta paediatr, 94, 287-294.

Knox, V., & Evans, A. L.(2002). Evaluation of the functional effects of acourse of Bobath therapy in children with cerebral palsy: A preliminary study. Dev Med Child Neurol, 44(7), 447-460.

Law, M., King, G., King, S., Kertoy, M., Hurley, P., Rosenbaum, P., Young, N, & Hanna, S. (2006). Patterns of participation in recreational and leisure activities among children with complex physical disabilities. Dev Med Child Neurol, 48(5), 337-342.

Little, W. (1862). On the influence of abnormal parturition, difficulty labors, prematurebirth, and asphyxia neonatorum on the mental and physical condition at the child, especially in relation to deformities. Trans Obstetrics Social London,3, 293.

Missiuna, C., Smits, C., Rosenbaum, P. L., Woodside, J., & Law, M. (2001). Report to the ministry of health on the incidence and prevalence of childhood disability. Hamilton: Canchild.

O'Boyle, C. A., McGee, H., Hickey, A., O'Malley, K., & Joyce, C. R. (1992). Individual quality of life inpatients undergoing hip replacement. The lacet, 339(8801), 1088-1091.

Osler, W. (1889). A clinical study from the informary for nervous disease. Blakiston, P., The cerebral palsies of Children (1,709). Lanset: Philadepphia.

Pakula, A. T., Van Naarden Braun, K., & YearginAllsopp, M. (2009). Cerebral palsy: Classification and epidemiology. Physical medicine and rehabilitation clinics of North America, 20(3), 425-452.

Shelly, A., Davis, E., Waters, E., Mackinnon, A., Reddihough, D., Boyd, R., Reid, S., & Graham, H. K. (2008). The relationship between quality of life and functioning for children with cerebral palsy. Dev Med Child Neurol, 50(3), 199-203.

 


 
 

Total 149
¹øÈ£ Á¦   ¸ñ ±Û¾´ÀÌ ³¯Â¥ Á¶È¸ Ãßõ
149 ³ú¼º¸¶ºñ(Cerebral Palsy) Á¤ÀÇ Á¶È«Áß 12-06 1295 0
148 ÁÖ¸®¹Ýµæ°ú Á¦¹Ù´Þ´Ù Á¶È«Áß 07-24 8011 0
147 4¸¸³â ÀηùÀÇ ÁöÇý ¹Ì¼ú Á¶È«Áß 06-17 7720 0
146 ¿ì°øÀÌ»ê(é×Íëì¹ß£)-Öªí­ÀÇ ÷·Ùýø¹ Á¶È«Áß 01-09 7875 15
145 Á×Áö¾ÊÀº°ÍÀº»ì¾ÆÀÖÁö¾Ê´Ù(Jankélévitc¡¦ Á¶È«Áß 01-06 8121 26
144 ´ç ÅÂÁ¾ÀÇ »ï°¨(ß²Êý: ÔÞÊý,ÞÈÊý,ìÑÊý) Á¶È«Áß 01-06 7996 24
143 ðàãáÀ̾߱â(ß²ÏÐë¶ÞÀ Ïéð¯ß² ÷²ßÀ ð¯ÞÌ) Á¶È«Áß 07-10 11786 419
142 µ¿Áß¼­(ÔÝñêà¢)ÀÇ Ä¡°¢¼³(öÍÊÇàã) Á¶È«Áß 06-11 12208 432
141 ¹«ÀçÄ¥º¸½Ã(Ùíî¯öÒÜÃã¿) Á¶È«Áß 10-09 13991 607
140 Ư¼ö¾Æµ¿ÀÇ ÀÌÇØ ¿¬½À¹®Á¦(ÁöüÀå¾Ö) Á¶È«Áß 05-12 17106 781
139 ±³¼öÀûÇÕÈ­((instructional adaptation) Á¶È«Áß 08-13 16195 725
138 °Ç°­Àå¾Ö(Health Impairment) Á¶È«Áß 09-21 13581 646
137 ³»ºÎÀå¾Ö Á¶È«Áß 06-02 13930 607
136 ÁöüÀå¾ÖÇб³ ½ÇÅ Á¶È«Áß 05-09 14402 687
135 ÁöüÀå¾ÖÀÎÀÇ µî±Þ Á¶È«Áß 04-12 14321 605
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