A Questionnaire Survey on Thermoregulation Disorders of Children with Severe Multiple Disabilities

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  • 重度・重複障害児の体温調節障害に関するアンケート調査
  • ジュウド チョウフク ショウガイジ ノ タイオン チョウセツ ショウガイ ニ カンスル アンケート チョウサ

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Abstract

In order to assess thermoregulation disorders of children with severe multiple disabilities, a questionnaire survey was conducted of 206 severely disabled children enrolled at all 5 schools for disabled children in Yokohama City, Kanagawa Prefecture (valid responses, 182). The main findings were as follows. 1) Among the 182 children, 67 (36.9%) had some form of problem with body temperature condition (heat retention, hypothermia, both). 2) Among the 46 lower grade elementary school children, 24 (52.2%) had some problems with body temperature condition, a significantly higher proportion than that of other grades. 3) The principle causes of heat retention and hypothermia might be excessive thermogenesis due to intense muscle tension and reduced thermogenesis due to disuse atrophy of skeletal muscle, respectively. 4) 64.3% of the students with both heat retention and hypothermia (9 out of 14) were lower grade elementary school children. Young children might be more easily influenced by the thermal environment because of reduced heat dissipation due to dyshidrosis and reduced thermogenesis due to lethargic movement or low nutrition.

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