earticle

영어

This study aimed to enhance the gross motor function, gait, balance, and quality of life of school-aged children using task-oriented approach based on the school function assessment (SFA). Total of three school-aged children who were diagnosed with genetic developmental disabilities (GDD) participated in the experiment. In a pre-test, the gross motor function measure (GMFM), pediatric evaluation of disability inventory (PEDI), pediatric balance scale (PBS), and GaitRite was evaluated. Then, 12 weeks of task-oriented approach based on SFA was performed. The treatment consisted of ‘traveling’, ‘maintaining and changing positions’, ‘manipulation with movement’, ‘using materials’, ‘recreational movement’, ‘hygiene’, ‘clothing management’, ‘up/down stairs’. After the treatment, a post-test followed. Gait analysis revealed increased symmetry in both time and distance of a single step. Furthermore, GMFM and PBS measures increased for every participant. Finally, daily life dependence in PEDI decreased for every participant. We demonstrated effect of task-oriented approach in three children with GDD. The proposed treatment effectively enhanced overall GMFM, ratio between swing and stance phases, and PBS. Especially, the ratio between swing and stance phases shifted close to 4:6, which is the presumed normal ratio. Also, daily life dependence in PEDI decreased for every participant, which indicates that it has a significant effect on physical function and participation. Increasing number of participants and applying the suggested protocol to patients with GDD could be future topics.