제출일: 2008. 05. 08 과목명: 임상생체역학실습 지도 교수님: 황 성수 교수님 발표자: 김 진 사례보고서 제출일: 2008. 05. 08 과목명: 임상생체역학실습 지도 교수님: 황 성수 교수님 발표자: 김 진
General information Name: 조 o o Age: 7세 Sex: M General impression: OPD로 내원하던 환아로서, 유모차 타고 엄마와 함께 들어옴. Well adaptaion
Subjective information Dx: Lowel syndrome Delivery: early del. 36 weeks, C/sec Medical history: Bwt. 3.8kg brain MRI(02.7.9)상 frontal lobe atropy 소견.
Objective information Ability elbow support, rolling, come to sit sit alone without hand support, stand with hand support on furniture Inability creeping, crawling, pull to stand, independent walking
Objective information Postural tone: hypotonus Contracture & Deformity: Lt. club foot Associated problem speech: ‘엄마’, ‘맘마’ 정도의 단어 구사 vision: double blindness oromotor: drooling breathing: shallow auditory: deafness
Objective information Postural pattern Deafness, Blindness, MR Sensory deficit Decreased motivation Decreased experience of movement Hypotonus Delayed dvelopment Poor head control Inactivetrunk
Objective information Main problem poor general condition sensory deficit decreased experience of movement poor head control inactive trunk
Assesment Short term goal good head control maintainance of trunk good extension without support while 30 second Long term goal maintainance of trunk good extension without support increase of general condition
Treatment A : patient B : abdominal activation C : position – curl up D : 2~3min
Treatment A : patient B : experience of pevis movement C : position - bridging to buttom up D : 2~3min
Treatment A : patient B : trunk lateral part wt. bearing, elongation C : position - side lying D : 2~3min
Treatment A : patient B : trunk extension C : position - prone on hand support D : 2~3min
Treatment A : patient B : come to sit C : position - sitting D : 2~3min
Treatment A : patient B : head control through righting reaction C : position - sitting D : 2~3min
Treatment A : patient B : head control through righting reaction C : position - sitting D : 2~3min
Treatment A : patient B : trunk good extension C : position - sitting D : 2~3min