성인 뇌성마비 장애인의 운동장애분류가 하지근력 및 균형능력에 미치는 영향

Abstract

The purpose of this study is to measure the lower extremity muscle strength and balance ability of adults with Cerebral Palsy (CP) and to analyze the effects and characteristics of the classification of exercise disorder on the lower extremity muscle strength and balance ability which provides basic data for developing exercise programs that can effectively improve strength and balance. Total of 15 CP who could walk without assistive devices were recruited, but only the 11 CP who were suitable for this study were measured. Their lower extremity muscle strength (knee and hip joint) and static balance ability were measured to analyze the effect on classification by motor disorder. As a result, there was no significant difference in lower extremity muscle strength (knee and hip joint) between the Spastic group and Athetoid group, and there was no significant difference between the two groups in static balance ability. In addition, there were no significant differences in muscle strength (knee and hip joint) and static balance ability between the other two groups; Monoplegia and Hemiplegia, classified by the paralytic region. In conclusion, the classification of motor disorders and paralysis status did not show significant difference in muscle strength and static balance ability in walking-type adult CP. It is thought that the internal kinematic problems such as abnormal muscle tension, abnormal reflexes, and abnormal exercise patterns of CP have a greater influence than the externally recognized exercise ability of lower extremity muscle strength and static ability. Therefore, further research is needed to develop an exercise program suitable for each CP status by investigating and analyzing the relationship between classification by exercise disorder and external athletic ability by increasing the number of subjects for CP with inability to walk.