Changes in the Movements of Children with Cerebral Palsy : Causal Factors

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  • 脳性まひ児の運動・動作の変化とその要因 : 4歳時と10歳時における比較から
  • ノウセイマヒジ ノ ウンドウ ドウサ ノ ヘンカ ト ソノ ヨウイン 4サイジ ト 10サイジ ニ オケル ヒカク カラ

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Abstract

The present study investigated changes in the movements of children with cerebral palsy, and possible causes of those changes. The children were observed during acquisition of the model pattern movements of Dohsa-Hou when they were 4 years old, and again when they were 10 years old. The findings were described in terms of degrees of acquisition and changes in locomotive movements. When model pattern movements of 75 children with cerebral palsy before and after the 6-year follow-up were examined by cluster analysis with degree of acquisition as an index, 8 clusters corresponding to those by Sato (1999) were obtained. Many of the children's movements changed over the 6-year interval. Specifically, the following results were obtained: (1) Although anti-gravity movements and crawling movements are known to be related to the acquisition of walking, these movements did not always constitute a necessary or sufficient condition for walking; (2) For the acquisition of a stable sitting position, it was necessary to learn anti-gravity movements in that position to some extent when the child was 4 years old; (3) The acquisition of locomotive movements cannot be sufficiently estimated only from the degree of acquisition of the model pattern movements; (4) No changes were detected through the present measurement method in the children with the most severe palsy who usually show clinical features in hypotension.

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