The purpose of this study was to compare and evaluate various hand functions in the most common position (chair sitting, standing, floor sitting) used by cerebral palsied children with spastic diplegia. The results, analysed statistically, could be useful in suggesting treatment strategy for the improvement of hand function in such patient. For this study, 27 children mild or moderate spastic diplegia were chosen. They were patients of the Rehabilitation Hospital, Yonsei University Medical Center. Both dominant and nondominant hands were tested by the Box and Block Test. Bilateral hand function was tested by bead striding and card sorting activities. Collected data was analysed using univariate correlation analysis and MANOVA. Results were as follows: 1) In chair sitting there was a significant positive correlation between dominant hand scores in the Bloc and Box Test and chronological age, gestation period, and time of treatment initiation. In bilateral hand function, card sorting scores correlated positively with time of treatment initiation. 2) In standing, there was a significantly positive correlation between dominant hand scores in the Block and Box Test and time of treatment initiation. 3) In floor sitting, there was a significantly positive correlation between the dominance hand scores in the Block and Box Test and the tine of treatment initiation. Bead stringing, a bilateral hand activity, correlated positively with gestation period and birth weight but negatively with the postnatal incubation period. 4) That score of children who walked showed no significant difference in any of the three postures. 5) Highest test scores in children who could nat walk were in the Box and Block Test for nondominant hand in bead stringing for bilateral hand function. There scores occurred with the children in thee chair sitting posture. The results showed that, in order to improve hand function in children with spastic diplegia, it is necessary to maintain a well supported upright trunk posture with variations allowed for relevance to the chosen position of thee improvements hand activity being performed.

The purpose of this study was to investigate whether the function of the non-affected hand of hemiplegic children is comparable to the hand function with both normal hands. The subjects of the study were 19 hemiplegic children and 20 normal children, all six years of age. The hemiplegic children were treated at one of three facili- ties: Yonsei University Rehabilitation Hospital, Seoul Community Rehabilitation Center and Inchon Severance Hospital during in period March to April, 1996. The normal children were randomly selected from a kindergarten in Inchon City. All hand function was measured by Jebsen Hand Function Test. Subtest was analysed statistically using the basic statistic analysis, Mam-Whitney test and Pearson correlation test . The results were as follows: The normal children had faster right hand function than herniplegic children whose nonaffected hand was their right hand, for the small objects, simulated feeding, checkers subtests. Normal children had faster left hand function than hemiplegic children whose nonaffected hand was their left hand, for the small objects, checkers, large light objects and large heavy objects. The unaffected hand function of the hemiplegic children had a negative correlation with time of diagnosis, and treatment durat ion. These results showed that the nonaffected hand function of hemiplegic children dif- fered from the respective hand of normal children. Therefore, when hemiplegic children are treated, both the affected and unaffected hand must be treated as this will affect the treatment result.

The purpose of this study was to compare and evaluate various hand functions in the most common positions (chair sitting, standing, floor sitting) used by cerebral palsied children with spastic diplegia. The results, analysed statistically, could be useful in suggesting treatment strategy for the improvement of hand function in such patients. For this study, 27 children with mild or moderate spastic diplegia were chosen. They were patients of the Rehabilitation Hospital, Yonsei University Medical Center. Both dominant and nondominant hands were tested by the Box and Block Test. Bilateral hand function was tested by bead stringing and card sorting activities. Collected data was analysed using univariate, and MANOVA. Results were as follows: 1. The scores of children who walked showed no significant difference in any of the three postures. 2. The highest test scores in children who walked with assistance (aid /other person) were in the Box and Block Test for the nondominant hand, and in bead stringing for bilateral hand function. These scores occurred with the children in the chair sitting posture(p(0.05). The results showed that, in order to improve hand function in children with spastic diplegia, it is necessary to maintain a well supported upright trunk posture with varia- tions allowed for relevance to the chosen position of the hand activity being performed.

The purpose of this study was to investigate effect of robot-assisted hand rehabilitation(AmadeoⓇ) on hand motor function in chronic stroke patients. This study used a single-subject experimental design with multiple baselines across individuals. Three chronic stroke survivors with mild to sever motor impairment took part in study. Each participants had 2 weeks interval of starting intervention. Participants received robot-assisted therapy(45min/session. 3session/wk for 6wks). Finger active range of motion(AROM) was assessed by Range of Assessment program in AmadeoⓇ, and test-retest reliability was verified using Pearson correlation analysis. To investigate effect of AmadeoⓇ, finger AROM was measured immediately after each sessions and Fugl-Meyer Assessment of Upper extremity, Motor Activity Log, Nine hole peg board test and Jebsen-Taylor hand motor function test were assessed at pre-post intervention. Results were analyzed by visual analysis and comparison of pre-post tests. The test-retest reliability of Range of Assessment was good(r=.99). After robot-assisted therapy, finger AROM of participant 1, 2, and 3 was respectively improved by 18%, 3.6%, and 6% each. Hand motor function of participant 1, 3 was improved on all four tests, but not effect in participant 2. Robot-assisted hand rehabilitation could improve finger AROM and effect on hand motor function in chronic stroke patients.

본 연구는 원예치료프로그램이 시설에 거주하는 치매노인의 일상생활수행능력과 손기능에 미치는 효과를 알아보고자 하였다. 2008년 3월 13일부터 5월 24일까지 3개월간 실험군을 대상으로 원예치료프로그램을 회당 2시간씩 주 2회, 총 22회 실시하였다. 원예치료프로그램은 치매노인의 일상생활수행능력과 손기능 향상을 위해 친근하고 쉬우며 다양한 손동작을 필요로 하는 작업으로 구성하였다. 일상생활수행능력 경우 대조군은 원예치료 실시 전 14.7점에서 실시 후 13.7점으로 감소하였으나 유의성은 없었다(p=0.294).실험군은 실시 전 14.1점에서 실시 후 15.7점으로 1.6점 높아졌으며 p=0.05 수준에서 유의하게 향상되었다. 악력은 대조군의 경우 원예치료실시 전 5.75kg에서 실시 후 5.43kg으로 감소하였으나 유의차는 없었다(p=0.657).실험군의 경우 실시 전 4.83kg에서 실시 후 8.38kg으로 고도로 유의하게 (p<0.01)증가하였다. 손가락 근력은 대조군의 경우 원예치료실시 전 4.01kg에서 실시 후 4.11kg으로 0.1kg 증가하였으니 유의한 차이는 없었다(p=0.811).실험군은 원예치료 실시 전 4.83kg에서 실시 후 8.38kg으로 3.55kg 증가하였으며 고도로 유의한 차이(p<0.01)를 나타내었다. 이상의 결과로부터 치매노인에게 친숙하고 쉬우며 손기능에 적절한 원예치료의 적용은 시설에 거주하는 치매노인의 일상생활수행능력의 향상뿐만 아니라 손기능의 유지와 강화에 효과적인 것으로 나타났다.

본 연구는 원예치료 프로그램이 지체장애인의 자아존중감과 사회·심리·정서적 행동특성, 및 손 기능에 미치는 영향을 알아보고자 하였다. 목포 종합사회복지관을 이용하는 지체장애인 13명을 선정하여 10월 23일부터 12월 11일까지 매주 2회 1시간씩 총 15회에 걸쳐 원예치료 프로그램을 실시하였다. 원예치료 프로그램의 효과를 알아보기 위해 프로그램 전과 후에 자아존중감과 사회·심리·정서적 행동특성 검사지를 이용하여 측정하였고, 손 기능은 Purdue pegboard 도구를 사용하여 평가하였다. 또한 원예활동은 프로그램 전과 후에 원예활동평가표를 이용하여 평가하였다. 자아존중감은 프로그램 실시 전 26.0점에서 실시 후 31.3점으로 높아졌고, 통계적으로도 유의하게 나타나 원예치료 프로그램이 지체장애인의 자아존중감 향상에 효과적임을 알 수 있었다. 또한 사회․심리적 행동특성도 프로그램 실시 전 65.3점에서 실시 후 74.1점으로 증가하였으며, 정서적 행동특성의 경우에는 프로그램 실시 전 34.0점에서 실시 후 30.3점으로 낮아졌고 통계적으로 유의성이 있었다. 따라서 원예치료 프로그램은 지체장애인의 사회․ 심리․정서적 행동 특성의 변화에 효과적이었다. Purdue Pegboard 검사를 통해 평가한 결과, 원예치료 프로그램 실시 전보다 실시 후 오른손, 왼손, 양손, 및 조립 점수가 높아져 지체장애인의 손 기능이 향상되었다. 원예활동 평가에 있어서 참여성, 관심 및 조력성, 언어소통 능력, 자아개념 및 주체성, 욕구 충동적 적응력, 대인관계능력, 인지 및 문제해결능력, 운동지각능력, 숙련도와 직업적응력 등 9개 세부영역에서 실시 전보다 실시 후 향상되었고, 통계적으로도 유의성을 나타냈다.

본 연구는 원예치료가 지적장애인의 손 기능과 정서행동에 미치는 효과에 대하여 알아보고자 경상북도 P지적장애 생활시설 에 거주하는 지적장애인을 대상으로 2007년 3월부터 2007년 12월까지 매주 1회 금요일 총 38회 실시하였다. 손기능 평가 결과 악력의 경우 원예치료 실시 후 왼손이 유의수준 P<0.05에서 유의한 차이를 나타내었다. 손목 테스트의 경우 유의수준 P<0.01에서 유의한 차이를 나타내었다. 정서행동 척도 평가 결과 원예치료 실시 후 유의수준 P<0.01에서 유의한 차이를 나타내었다. 하위항목 충동, 우울, 불안, 그리고 현실감 부재에서 유의한 향상을 나타내었다. 이상의 결과로부터 원예치료 프로그램이 지적장애인의 손기능과 정서행동에 효과적이라고 할 수 있다.