脳性麻痺児の発達(第1報) : 障害度とADLについて

フォーマット:

論文

責任表示:

染矢, 富士子 ; 西村, 吉行 ; 野村, 忠雄

言語:

日本語

出版情報:

日本リハビリテーション医学会, 1988-05-18

著者名:

• 染矢, 富士子
• 西村, 吉行
• 野村, 忠雄

掲載情報:

リハビリテーション医学

ISSN:

0034-351x      

巻:

25

通号:

3

開始ページ:

149

終了ページ:

153

バージョン:

publisher

概要:

金沢大学大学院医学系研究科機能障害学<br />肢体不自由児施設に入園または通園している脳性麻痺児(者)で, 11歳以上23歳までの60名についてADLの自立がどこまで到達しているか, その障害度に対応させて検討した.その結果, 食事, 排泄, 更衣動作は, 上肢運動年齢が約30ヵ月で自立, 入浴動作は約58ヵ月で自立するものが多く見られた.移動動作は, 独歩の場合は下肢運動年齢が約20ヵ月, 車いすのッ場合では10ヵ月が自立に必要であった.全例について, 新版K … 式発達検査の認知・適応領域のDQも測定しており, ADLの各動作にわたりDQの値が15以上でないと完全に自立をはかることが困難であった. Children with cerebral palsy (CP) exhibit physical disabilities with abnormal patterns of movement and perceptual-motor disorders. Some researchers have reported that independence in activities of daily living (ADL) of CP children is related to these factors.Examination of sixty such clients in our Children's Orthopedic Centers was carried out, with ages ranging from 11 to 23 years, using the motor age tests of both the upper and lower limbs and the revised K's Developmental Tests for cognitive-adaptive abilities. Independence in ADL was assessed on self-care activities, such as transfers, feeding, toileting, dressing and bathing. Also examined were fifteen 9- and 10-year-old CP children who had the possible ability to achieve independece in ADL. The motor age of the lower limb was higher than 20 months for them to be able to ambulate without support and was higher than 10 months to enable them to become independent with wheelchairs, walking frames, crutches or sticks. It was however difficult to distiguish borderlines of the motor age for the various ambulatory aids. CP child, whose developmental quotient in cognitive-adaptive abilities was below 15,required supervision to walk to a destination, even though he possesed a functional gait. The motor age of upper limb in most of the children was higher than 30 months to enable them to become independent in self-care activities and their developmental quotient was above 15,so that notification of micturition was possible. Bathing required more than 58 months in motor age of the upper limb and was tha last activity to achieve independence. 続きを見る

URL:

http://hdl.handle.net/2297/3687