Clinical Pictures and Developmental Processes of Movements in Children with Cerebral Palsy : Based on the Extent of Model Pattern Movements Obtained

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  • モデルパターン動作の獲得度を指標とした脳性まひ児の臨床像と動作発達経過の分析
  • モデル パターン ドウサ ノ カクトクド オ シヒョウ ト シタ ノウセイマヒジ ノ リンショウゾウ ト ドウサ ハッタツ ケイカ ノ ブンセキ

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Abstract

The purposes of the present study were to classify children with cerebral palsy in terms of the degree to which model pattern movements of the DOHSA method could be obtained, and to examine the developmental processes of movement corresponding to the respective clinical picture of each category identified. Factor analysis of data on the degree to which model pattern movements could be obtained in 171 children and youth with cerebral palsy, 4 to 18 years old, led to the development of a 5-movement disability rating scale. Cluster analysis using the index of scale scores led to classification of the children into 8 clusters. On the basis of data on the scale score profile, morbidity type, locomotion patterns, and secondary disturbances by cluster and data on movement modifications from a 5-year follow-up of 76 of the original children, developmental processes of movements and problems in movement learning were identified that corresponded to (1) a clinical picture such as hemiplegia, showing a good prognosis for walking, (2) a clinical picture showing a movement disability peculiar to deplegia and quadriplegia, (3) a clinical picture showing a typical posture associated with a general flexion pattern, and (4) a clinical picture showing a hypotensive inclination.

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