뇌성마비환자에 있어서 각종 병적반사에 대한 임상적 연구
Clinical Study of the Pathologic Reflexes in Cerebral Palsy
신동원, 김진웅, 이병일,
소속 상세정보
신동원 ( )
연세대학교 의과대학 정형외과학교실
김진웅 ( )
연세대학교 의과대학 정형외과학교실
이병일 ( )
연세대학교 의과대학 정형외과학교실
KMID : 0361619770120040627
Abstract
The relative incidence of cerebral palsy has increased recently over that of poliomyelitis, due to the improvement in the social, medical, and economic status of our country.
It is important to check the pathologic reflexes for diagnosis, treatment and prognosis of cerebral palsy. We studied 84 cerebral palsied patients, between 1 to 13 years old, who were treated at our Crippled
Children´s Rehabilitation Center. The motor age and pathologic :reflexes were checked, and pathologic reflexes were checked, and the relationship between pathologic reflexes and walking was compared. The follopving results were obtained.
1) With increasing of chronological age, there was a tendency to increasing of motor age, but the mean motor age did not increase after 8 years in chronological age, and no more than to about 20 months.
2) With increasing of mote~r age, a tendency to decreasing of frequency of pathologic reflexes was shown.
3) The followings were the most important pathologic reflexes in non walking group.:
a) positive supporting reaction
b) supine lying
c) prone lying
d) Moro reflex
e) asymetrical tonic neck
f) protective extensor thrust
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