본 연구는 사례연구로서 뇌병변 장애우에게 프로바디마사지를 적용하여 생리적 반응, 대동작 기능 및 관절가동범위에 미치는 영향을 알아보고자 하였다. 연구대상은 B광역시 T발달지원센터를 이용하고 있는 장애아동 중 뇌병변 1급 장애 진단을 받은 남아 2명을 대상으로 하여 8주간 주 2회, 30분 동안 프로바디마사지를 실시하였다. 생리적 반응은 신장, 체중, BMI, 혈압, 염증지표, 맥박수이며, 대동작 기능은 앉기와 기기, 관절가동범위는 상지 견관절 운동각으로 실시 전, 4주 후, 8주 후 측정하였다. 연구결과는 다음과 같다.


(1) 신체조성
프로바디마사지 프로그램 실시 전후 신장의 변화를 알아본 결과, Subject 1은 실시 전 121.0cm에서 8주 후 127.2cm로 6.2cm 성장하였고, Subject 2는 실시 전 119.8cm에서 8주 후 130.4cm으로 10.6cm 성장하였다. 체중의 변화는 Subject 1의 경우 실시 전 20.5kg에서 8주 후 26.3kg으로 5.8kg 증가하였고, Subject 2는 실시 전 24.2kg에서 8주 후 29.7kg으로 5.5kg 증가하였다. BMI의 변화는 Subject 1의 경우 실시 전 14.0㎏/㎡ 에서 8주 후 16.25㎏/㎡ 으로 2.25㎏/㎡ 증가하였고, Subject 2는 실시 전 17.0㎏/㎡ 에서 8주 후 17.47㎏/㎡ 로 0.47㎏/㎡ 증가하였다.

(2) 혈압
프로바디마사지 프로그램 실시 전후 수축기 및 이완기 혈압을 알아본 결과, Subject 1은 실시 전 수축기 혈압 90mmHg, 이완기 혈압 60mmHg에서 4주 후 수축기혈압 85mmHg, 이완기 혈압 60mmHg, 8주 후 수축기 혈압 75mmHg, 이완기혈압 50mmHg로 혈압이 감소한 것으로 나타났다. Subject 2는 실시 전 수축기혈압 90mmHg, 이완기혈압 55mmHg에서 4주 후 수축기혈압 100mmHg, 이완기혈압 60mmHg, 8주 후 수축기혈압 110mmHg, 이완기혈압 70mmHg으로 혈압이 상승하였다.

(3) 염증지표(high-sensitivity C-reactive protein, hs-CRP)
프로바디마사지 프로그램 실시 전후 염증지표의 변화를 알아본 결과 Subject 1은 실시 전 0.008㎎/㎗에서 4주 후 0.142㎎/㎗로 증가하였다가 8주 후 0.008㎎/㎗으로 감소하였다. Subject 2는 실시 전 0.052㎎/㎗에서 4주 후 0.021㎎/㎗로 감소하였으며 8주 후 0.030㎎/㎗로 나타났다.

(4) 맥박
프로바디마사지 실시 전후 맥박수의 변화를 알아본 결과 Subject 1은 실시 전 104beats/min에서 4주 후 90beats/min, 8주 후 80beats/min으로 크게 감소하였다. Subject 2는 실시 전 108beats/min에서 4주 후 89beats/min으로 감소하였으며, 8주 후 105beats/min으로 나타났다.
2) 대동작 기능의 변화

(1) 앉기
Subject 1의 경우 앉기 척추각은 실시 전 112.5°에서 4주 후 137°, 8주 후 143.5°로 크게 증가하였다. Subject 2의 경우 실시 전 앉기 척추각은 106.5°, 4주 후 114°, 8주 후 132°이며 목을 들고 허리를 세워서 앉기가 가능하였으며 연구보조자의 도움 없이 스스로 앉을 수 있었다.


(2) 기기
Subject 1의 경우 실시 전 3.5m 거리에 대한 이동시간은 5.19sec에서 4주 후 4.82sec, 8주 후 4.03sec로 감소하였다. Subject 2의 경우 실시 전 3.5m 거리에 대한 이동시간은 45.75sec에서 4주 후 24.83sec, 8주 후에는 16.46sec로 크게 감소하였으며 오른쪽 다리를 움직여 이동하였다.

3) 관절가동범위의 변화
Subject 1의 경우 실시 전 109.2°에서 4주 후 129.0°, 8주 후 134.5°로 크게 증가하였다. Subject 2의 경우 실시 전 51.0°에서 4주 후 78.0°, 8주 후 95.0°로 크게 증가하였다.

프로바디마사지가 뇌병변 장애우의 생리적 반응, 대동작기능 및 관절가동범위에 긍정적인 변화를 보임에 따라 뇌병변 장애우들의 혈압, 염증지표, 맥박, 앉기, 기기, 상지 견관절 운동각을 개선하는 프로그램으로 활용함으로써 뇌병변 장애우의 성장 발달 및 질병예방은 물론 일상생활 기능회복에 매우 큰 영향을 미칠 것으로 사료되며 뇌병변 장애우의 삶의 전반에 긍정적 변화가 나타나게 되어 삶의 질 향상에도 매우 큰 영향을 미칠 것으로 사료된다.

The purpose of this study was to investigate the effects of the Probody Massage program on the physiological, gross motor function and ROM(Range Of Motion) of children with cerebral palsy.
The subjects of this study were three children who have been diagnosed with first grade of cerebral palsy that are utilized at T development support center located in B Metropolitan City for 8 weeks twice a week, was carried out the Probody Massage of 30 minutes. Physiological reactions are height, weight, BMI, blood pressure, an index of inflammation, a pulse rate, a large operating functions are sit and the crawl, the joint range of motion as an angle of the upper limbs of the shoulder articulation, was measured pretest, after 4 weeks, after 8 weeks. Research results are as follows.
1) Change the Physiological Variables

(1) Body composition
① Height
In the results of investigated body composition at before and after the Probody Massage program, Subject 1 was increased from 121.0㎝ in practice before to 127.2㎝ in practice after. Subject 2 was increased from 119.8㎝ in practice before to 130.4㎝ in practice after.

② Weight
In the results of investigated Weight at before and after the Probody Massage program, Subject 1 was increased from 20.5㎏ in practice before to 26.3㎏ in practice after. Subject 2 was increased from 24.2㎏ in practice before to 29.7㎏ in practice after.

③ BMI
In the results of investigated BMI at before and after the Probody Massage program, Subject 1 was increased from 14.0㎏/㎡ in practice before to 16.25㎏/㎡ in practice after. Subject 2 was increased from 17.0㎏/㎡ in practice before to 17.47㎏/㎡ in practice after.

(2) Blood pressure
In the results of investigated systolic and diastolic blood pressure at before and after the Probody Massage program, Subject 1 showed to be a decline from 90mmHg in systolic pressure and 50mmHg in diastolic blood pressure in before to 75mmHg in systolic pressure and 50mmHg in diastolic blood pressure in after. Subject 2 showed a slight rise from 90mmHg in systolic pressure and 55mmHg in diastolic blood pressure in before to 110mmHg in systolic pressure and 70mmHg in diastolic blood pressure in after, statistically significant difference hasn''t shown up.

(3) An indicator of inflammation
In the result of investigating changes in the inflammatory index at before and after the Probody Massage program, Subject 1 was increased from 0.008㎎/㎗ in practice before to 0.142㎎/㎗ in practice, it was decreased by 0.008㎎/㎗ in practice after. Subject 2 was decreased from 0.052㎎/㎗ in practice before to 0.210㎎ /㎗ in practice, it was showed by 0.030㎎/㎗ in practice after.

(4) Pulse
In the result of investigating changes in the pulse rate at before and after the Probody Massage program, Subject 1 was decreased from 104beats/min in practice before to 90beats/min in practice, it was significantly decreased at 80beats/min in practice after. Subject 2 was decreased from 108beats/min in practice before to 89beats/min in practice, it was showed by 105beats/min in practice after.

2) Changes in Gross Motor Function

(1) Sitting
In the result of investigating changes in sit at before and after the Probody Massage program, Subject 1 was increased from 112.5° in practice before to 137° in practice, it was significantly increased at 143.5° in practice after. Subject 2 was increased from 106.5° in practice before to 114° in practice, it was showed by 132° in practice after. He was sit possible in an upright position at the waist with a neck, and was sit on himself without the help of research assistants.


(2) Crawling
In the result of investigating changes in crawl at before and after the Probody Massage program, Subject 1 was decreased from 5.19sec in practice before to 4.03sec in practice after. Subject 2 was significantly decreased from 45.75sec in practice before to 16.46sec in practice after, He was traveled by moving the right leg.

3) Changes in joint range of motion

In the result of investigating changes in joint range of motion at before and after the Probody Massage program, Subject 1 was increased from 109.2° in practice before to 129.0° in practice, it was significantly increased at 134.5° in practice after. Subject 2 was increased from 51.0° in practice before to 78.0° in practice, it was showed by 95.0° in practice after.

As the Probody Massage program is showed a positive change in physiological reaction, gross motor function and joint range of motion of children with cerebral palsy, I believed to provide a practical effect on the growth and development, the functional recovery of daily life, the improvement of quality of life of children with cerebral palsy by utilizing a program to improve blood pressure, an indicator of inflammation, pulse, sit, crawl, the joint range of motion as an angle of the upper limb shoulder joint movement of children with cerebral palsy.