일정표

주제: Comprehensive Approaches to Cerebral Palsy: Diagnosis, Treatment, and Rehabilitation

시간 제목 연자/좌장
13:00-13:05 Opening Remarks 대한소아재활·발달의학회장 김성우
  좌장: 부산의대 신용범
충남의대 양신승
13:05-13:35 Understanding CP: Definition and Diagnostic Framework학습목표 부산의대 김수연

1. Understanding Cerebral Palsy: Definition and Diagnostic Framework

Session Objectives:
  • To define cerebral palsy (CP) and understand its core characteristics and classification criteria.
  • To introduce a structured framework for diagnosing CP, including timing, type, and distribution of motor impairments.
Key Topics:
  • Definition and epidemiology of CP
  • CP classification by motor type (spastic, dyskinetic, ataxic/ primary and secondary Tone abnormality) and topography
  • Diagnostic Framework and Latest Criteria: diagnosing CP, including the optimal timing for diagnosis and the application of the latest diagnostic criteria, such as those from the Surveillance of Cerebral Palsy in Europe (SCPE)
닫기
13:35-14:00 Differential Diagnosis and Genetic Evaluation in CP학습목표 가톨릭의대 장대현

2. Differential Diagnosis and Genetic Evaluation in children with CP

Session Objectives:
  • To recognize conditions that mimic cerebral palsy and understand the importance of accurate differential diagnosis.
  • To explore the role of genetic and metabolic testing in children with CP-like presentations.
  • To provide a practical approach to identifying candidates for genetic evaluation.
Key Topics:
  • “CP mimics”: leukodystrophies, genetic syndromes, neuromuscular disorders
  • When to suspect non-CP etiologies
  • Indications for genetic testing (e.g., whole exome sequencing)
  • Case-based discussions on diagnostic pitfalls
닫기
14:00-14:25 Brain MRI Patterns and Clinical Correlates in CP학습목표 충남의대 최자영

3. Brain MRI Patterns and Clinical Correlates in CP

Session Objectives:
  • To understand the MRI-based classification system (MRICS) and its clinical relevance in cerebral palsy.
  • To explore how specific patterns of brain injury correlate with motor function, comorbidities, and long-term outcomes.
  • To enhance clinical reasoning by linking neuroimaging findings to prognosis and care planning.
Key Topics:
  • Overview of MRICS: classification categories and lesion timing
  • Common brain MRI findings in CP (PVL, basal ganglia injury, malformations, etc.)
  • Correlation with functional classifications (GMFCS, MACS, etc.)
  • Prognostic implications for motor function, cognition, epilepsy
닫기
14:25-14:45 Functional Classification System in CP학습목표 이화의대 이유경　

4. Functional Classification System in CP

Session Objectives:
  • To introduce the major functional classification systems used in cerebral palsy.
  • To understand how these systems support clinical communication, research, and individualized care planning.
  • To apply classification tools appropriately across domains.
Key Topics:
  • Gross Motor Function Classification System (GMFCS)
  • Manual Ability Classification System (MACS) & mini-MACS, Bimanual Fine Motor Function (BFMF)
  • Communication Function Classification System (CFCS)/ VSS
  • Eating and Drinking Ability Classification System (EDACS) & mini-EDACS
  • Visual Function Classification System (VFCS)
  • Practical use in prognosis, goal setting, and outcome monitoring
닫기
14:45-15:00 Q&A 　
15:00-15:10 Break  
  좌장: 국민건강보험일산병원 김성우
성균관의대 권정이
15:10-15:35 Early Upper Limb Rehabilitation in Infants with CP: Strategies Before 24 Months학습목표 성균관의대 의학연구소 황영섭

5. Early Upper Limb Rehabilitation in Infants with Cerebral Palsy: Strategies Before 24 Months

Session Objectives:
  • To introduce evidence-based approaches to upper limb rehabilitation in infants with cerebral palsy (especially hemiplegia) under 24 months of age.
  • To emphasize the importance of early motor learning and neuroplasticity in upper limb function.
  • To present practical therapeutic strategies tailored for early developmental stages.
Key Topics:
  • Principles of neuroplasticity and critical periods for upper limb development
  • Early assessment tools for upper limb motor function (e.g., Hand Assessment for Infants)
  • Goal-directed therapy and constraint-induced movement therapy (baby-CIMT)
  • Bimanual therapy in the first two years
  • Parental coaching and home-based programs
닫기
15:35-16:00 Early Lower Limb Intervention in Infants with CP: Promoting Motor Development Before 24 Months학습목표 푸르메재단 넥슨어린이재활병원
소아물리치료실 신정민

6. Early Lower Limb Intervention in Infants with Cerebral Palsy: Promoting Motor Development Before 24 Months

Session Objectives:
  • To explore lower limb rehabilitation strategies targeting infants with cerebral palsy under 24 months.
  • To promote early upright posture, balance, and gait-related development.
Key Topics:
  • Early postural control and weight-bearing activities
  • Rehab. principles in lower limb use
  • Gait training with assistive devices: push toys, standers, walkers
  • Engaging families in early movement opportunities
닫기
16:00-16:25 Clinical Gait Assessment and Prescription of Lower Limb Orthoses for CP학습목표 연세의대 홍준택

7. Clinical Gait Assessment and Prescription of Lower Limb Orthoses

Session Objectives:
  • To provide a structured approach to clinical gait assessment in children with cerebral palsy.
  • To review the indications and selection criteria for prescribing lower limb orthoses.
  • To promote decision-making that integrates gait findings with functional goals and orthotic design.
Key Topics:
  • Components of observational gait analysis in CP (e.g., sagittal plane kinematics)
  • Use of standardized gait classification systems (e.g., Winters’ Types, Rodda & Graham classification)
  • Types of AFOs (solid, hinged, ground-reaction, dynamic), FO and their functional implications.
  • Timing of orthosis prescription in developmental context
  • Case-based application: matching orthosis type to gait pattern and function.
닫기
16:25-16:40 Q&A