Kim Byeong-Jo, Kim Soo-Min, Kwon Hae-Yeon
Department of Physical Therapy, Dong-eui University, Republic of Korea.
Department of Physical Therapy, Ulsan College: 101 Bongsu-ro, Dong-gu, Ulsan 46252, Republic of Korea.
J Phys Ther Sci. 2017 Dec;29(12):2184-2189. doi: 10.1589/jpts.29.2184. Epub 2017 Dec 13.
[Purpose] This study was carried out to examine the effect of the application of group exercise program composed to induce interests and assertive participation of adults with cerebral palsy on the self-efficacy and activities of daily living, as well as to provide basic clinical data that are effective and trustworthy in enhancing the physical and emotional interaction in the future. [Subjects and Methods] Those among the 23 adult with cerebral palsy who are the subjects of research and able to participate only in the evaluation of measurement tools prior to and after the experiment were allocated to the control group while only those who can participate in the group exercise program implemented over 12 sessions were allocated to the experimental group. For the control group, a range of motion of joint exercise and stretching exercise were executed on the arms, legs and trunk, while for the experimental group, group exercise that is implemented with participation of several subjects simultaneously was executed 2 times a week with 40 minutes for each session over a period of 6 weeks for the total of 12 sessions. [Results] In both the experimental group and the control group, there were statistically significant changes in the average scores of self-efficacy and activities of daily living after the exercise in comparison to that prior to the exercise. Moreover, there were statistically significant differences in self-efficacy and activities of daily living in terms of quantity of change prior to and after the exercise between the two groups. [Conclusion] Therefore, group exercise program composed to induce physical and emotional interaction, and active participation of adults with cerebral palsy can be considered as an effective intervention method in improving their self-efficacy and activities of daily living.
[目的] 本研究旨在探讨由诱导脑瘫成年人产生兴趣并积极参与的团体运动项目，对其自我效能感和日常生活活动能力的影响，同时提供在未来增强身心互动方面有效且可靠的基础临床数据。[对象与方法] 23名成年脑瘫患者中，那些仅能参与实验前后测量工具评估的研究对象被分配至对照组，而只有那些能够参与为期12节的团体运动项目的患者被分配至实验组。对照组进行手臂、腿部和躯干的关节活动度练习及伸展运动，而实验组在6周内每周进行2次团体运动，每次40分钟，共12节，该团体运动由多名受试者同时参与进行。[结果] 与运动前相比，实验组和对照组运动后自我效能感和日常生活活动能力的平均得分均有统计学意义上的显著变化。此外，两组运动前后自我效能感和日常生活活动能力变化量在统计学上存在显著差异。[结论] 因此，由诱导身心互动且脑瘫成年人积极参与的团体运动项目可被视为提高其自我效能感和日常生活活动能力的有效干预方法。
