Background: The International Classification of Functioning, Disability, and Health-Child and Youth version (ICF-CY) is designed to record the characteristics of developing children and examine the influence of a child’s environment on their health. Objects: This study was designed to determine the relationship between the clinically extracted ICF-CY items and The Pediatric Evaluation of Disability Inventory (PEDI) and Gross Motor Function Measure (GMFM) items. Methods: Thirty patients (17 males and 13 females) who were hospitalized in a pediatric and youth patient unit of a rehabilitation hospital were included in the study. Four health professionals (two physical therapists and two occupational therapists) working independently linked the PEDI and GMFM-66 items to the activity and participation domains of the ICF-CY. Results: There were strong negative correlations between the ICF-CY subdomains and the PEDI subdomains (r = 0.76–0.95; p < 0.05). There were positive strong correlations between the ICF-CY subdomains and the GMFM-66 (r = 0.76–0.95; p < 0.05). Conclusion: The extracted ICF codes were a valid tool for evaluating the mobility and selfcare conditions of cerebral palsy in the pediatric rehabilitation area.

지적장애아동은 낮은 지적능력으로 인해 주의집중력의 지속시간이 짧으며 정상적인 언어습득과 발달이 어렵다. 그러므로 사회성이 떨어지고 사람과의 유대감을 형성하는 것이 어려울 수 있다. 지적장애아동의 특성을 효과적으로 개선하는 방법에는 동물을 통한 매개 활동이 있다. 동물은 아동과의 상호작용을 통하여 언어능력을 향상 시키고, 인지발달을 촉진시킨다. 그리고 의사소통이나 상호작용이 미숙한 아동에게 동물매개활동은 의사소통 및 자기표현 기술을 습득하는 데 유용하게 작용할 수 있다. 본 연구는 동물매개활동 프로그 램이 지적장애아동의 주의집중력과 언어능력에 미치는 효과를 알아보기 위해 J도 I시 특수 장애 학교에 다니고 있는 만 14세에서 16세인 지적장애아동 3명을 대상자로 선정하였다. 연구는 주 1회, 8주간, 총 16회기 동안 진행하였다. 사전ㆍ사후 검사 도구로는 Harris & Harris(1984)의 집중력 격자판 검사와 수용·표현 어휘력 검사(Receptive and Expressive Vocabulary Test: REVT)를 이용하여 연구 대상자들의 주의집중력과 수용·표현 어휘력의 비교분석을 하였다. 이 연구를 통해 동물매개활동 프로그램이 지적장애아동의 주의집중력과 수용·표현 어휘력을 유의미한 수준으로 향상시켜 주었음을 관찰할 수 있었다.

이 연구의 목적은 자기연민의 적용과 효과를 알아보기 위해서 장애아동 부모들의 자기연민과 양육효능감 간의 관계에서 장애수용이 매개효과를 갖는가를 분석하는 데 있다. 연구 참여자는 충청북도를 중심으로 장애 관련 기관에서 재활 혹은 교육 서비스를 받는 장애아동 부모 280명이다. 수집된 자료는 SPSS를 활용하여 중다회귀분석을 실시하여 통계처리하였다. 분석결과를 보면, 장애아동 부모의 자기연민과 양육효능감의 관계에서 장애수용은 완전히 매개하는 효과를 갖는 것으로 분석되었다. 이러한 결과를 통해서 얻을 수 있는 의의는 장애아동 부모가 장애아동을 위하여 보다 잘 양육시키기 위한 양육효능감을 잘 형성하기 위해서는 장애아동 부모의 자기연민뿐만 아니라 장애수용도 중요하게 영향력을 미치는 요인으로 작용하고 있음을 발견한 것이다. 이러한 결과를 토대로 장애아동 부모의 양육효능감을 향상시키는 방법으로 자기연민을 높이는 방법을 강구하고 장애수용도 높여서 양육효능감을 향상시키는 방법도 논의하였다. 후속적인 연구에서는 본 연구의 결과를 반영하여 장애아동 부모를 위한 프로그램을 개발하는 것이 필요하다고 제안하였다.

The purposes of this study were to examine the reliability and validity of Korean translation of Pediatric Evaluation of Disability Inventory (PEDI-K) in school-aged children with cerebral palsy (CP). The PEDI-K, Functional Independence Measure for Children (WeeFIM) and Gross Motor Function Classification System (GMIFCS) were completed in 104 school-aged children with CP by therapists. The internal consistency of the PEDI-K was calculated by Cronbach's alpha () for assessing reliability. Concurrent validity was evaluated by correlation with the subsets of WeeFIM. Discriminant validity was assessed by comparing GMFCS levels with tests of the PEDI-K. The results showed that internal consistency was good (Cronbach's ranged from .97~.98). Concurrent validity was demonstrated. The correlation with WeeFIM was high in the Functional Skills (self-care, r=.74~.94; mobility, r=.59~.91; social function, r=.65~.93) and in the Caregiver Assistance (self-care, r=.75~.94; mobility, r=.63~.90; social function, r=.78~.96). Discriminant validity was demonstrated on significant decreases in domain scores with increasing GMFCS levels. Reliability and validity have been demonstrated on the PEDI-K. This study extends usage of PEDI-K in clinical activities and research.

The study was intended to compare typically developing children with autism or PDD (Pervasive Developmental Disability) children in sensory processing skills. To accomplish this goal, was translate and change of Short Sensory Profile(Dunn, 1999). The first step was perform factor analysis, items-total raw score relations and reliability of the scales. Then, the sensory processing skills of typically developing children and autism or PDD children was compared. Also, each two age groups of typically developing children and autism or PDD children were compared. Finally, gender of each typically developing children and autism or PDD children were compared. The subjects of the research were 186 typically developing children and 95 autism or PDD children aged 3 to 10 years. The result of the study have shown as follows: 1. There were significant differences between groups in total score and sub factor score. This results yielded significant differences between groups suggest that autism or PDD children had sensory processing difficulties. 2. There were no significant differences between two age groups differences of autism or PDD children but there were significant differences between two age groups of typically developing children on fore sub-factor score and total score. 3. There were no significant differences between each gender groups of typically developing children and autism or PDD children. In conclusion, this research proves the fact that differences between typical children and autistic PDD children in sensory processing skills. The scales utilized this study can be used to screening the autism or PDD children with sensory processing difficulties. It is expected that development of screening test tool for various disabilities children with sensory processing difficulties.

The purpose of this study was to investigate factors influencing on the early treatment of children with developmental disability. Data was collected from 102 mothers of children with developmental disability who were treated at 4 rehabilitation facilities in Kyunggi-Do and Kangwon-Do. The results were as follows: 1) Of a total of 102, 63 children began to receive rehabilitation therapy during the period 0~12 months (early treatment group), 38 children after 1 year of age (delayed early treatment group). 2) There were statistically significant differences between the early treatment group and delayed early treatment group for prematurity, low birth weight, the time to discover developmental abnormalities, the time of first diagnosis, and first treatment (p<0.05). 3) There were no statistically significant differences in the two groups for level of education, economic status, risk factors (except prematurity and birth weight), home care, family's cooperation and commuting time (p>0.05). Based on this study, the important factors for early treatment were early detection, early diagnosis and constant follow-up for high-risk babies.

The purpose of this study was to examine the effects of forest activities on the movement skills, fine muscle functions and prosocial behaviors of children with a developmental disability. 12 children, aged 8 to 10, participated in this study; all of whom were either autistic or had an intellectual disability. The participants were divided in half and designated to either the experimental group or to the control group. The Forest Activity program was carried out once a week (from 10 a.m. to 12 p.m) for 10 weeks in a forest near D school in Seoul. Gross Motor Skill (MSTB-B), Fine Motor Skill, and prosocial behavior (PBSYC) was used as measuring tools to test the effects of the Forest Activity program on the participants. The application of the Forest Activity program showed improvements in flexibility and equivalence areas of Gross Motor Skill; as well as improved fine motor skills in accuracy and stability areas of small muscle function; and finally, there was an increase of prosocial behavior in 5 areas out of a total 7 areas (leadership, providing assistance, communication, empathy, proximity seeking). This study supports previous research in demonstrating the effectiveness of programs applying forest activities, such as the forest healing program, to enhance physical and mental stability.

본 연구의 요가 운동이 취학 전 발달장애 아동의 정서적 행동에 어떠한 영향을 미치는지 분석하기 위해 서울특별시 J재활원 취학 전 발달장애 아동 16명(실험집단 8명, 통제집단 8명)을 연구대상(집단 간 동질성을 분석하기 위하여 t-test를 통한 Leven's 등분산의 동질성 분석 결과, 실험집단과 통제집단은 동질집단)으로 실험집단은 12주간 주 2회(1회: 40분) 요가 운동은 학습 후 집단×시기별 분석을 위해 이원변량 분석(two-way Repeated Measure ANOVA) 및 시기별 집단 간 유의차를 검증하기 위해 사후검증(Turkey's HSD)을 실시하여 다음과 결론을 얻었다. 첫째, 요가 운동 학습은 취학 전 발달장애 아동의 정서적 행동변화에 긍정적인 영향을 미치는 것으로 나타났다. 둘째, 측정 시기별 정서적 행동변화는 6주 이후부터 실험집단은 통제집단에 비해 정서적 행동변화에 긍정적 영향을 미치는 것으로 나타나 통계적으로 유의한 차이가 있는 것으로 나타났다. 결론적으로 요가 운동은 취학 전 발달장애 아동의 정서적 행동 모든 하위요인의 긍정적 변화에 효과적인 프로그램임이 증명되었다.