The effect of treatment on children with cerebral palsy
Masuo SENDA (Okayama Univ. Okayama, Japan), H. NAGASHIMA, H. INOUE, S. EGUCHI, G. TAKAHASHI
Effect of physiotherapy for cerebral palsy was compared between two groups ; 18 patients with spastic diplegia born between 1972 and 1976 (group I) and 23 patients with spastic diplegia born between 1977 and 1981 (group II). The year 1997 marked the full-scale commencement of early diagnosis and neurophysiological approach for cerebral palsy at our institution. The patients in group I were treated by conventional technique and the patients in group II were treated by neurophysiological approach. The patients were assessed at 5 and 10 years old by determining the gross motor age and the age at commencement of walking. The average chronological age at commencement of physiotherapy was 15.5 months in group I and 11.0 months in group II. Gross motor age at the commencement of physiotherapy was 6.4 months in group I and 4.4 months in group II. Group II commenced physiotherapy earlier and at a lower gross motor age than group I.
At the age of 5 years, 10 of the subjects in group I (55.6%) and 12 from group II (52.2%) were able to walk independently. The average age at which independent walking commenced was 42.1 months in group I and 35.7 months in group II. Among those who were unable to walk independently, the average gross motor age at 5 years old was 10.8 months in group I and 10.1 months in group II. At 10 years old, the gross motor age of 5 patients in group I had decreased and 2 patients who were previously able to walk independently had lost the ability to do so. In group II, none of the patients had a lower gross motor age at 10 years old than ak 5 years old. Group II patients exhibited better maintenance of gross motor skills than those in group I and independent walking was achieved earlier than in group I.
A study on the subjective well-being in adult patients with cerebral palsy
Atsushi Furukawa, Eiji Nii (Kusanomi Gakuen Hospital for handicapped children, Mie, Japan), Hiroyasu Iwatsuki (Nagoya Univ. Coll. Med. Tech.)
We investigated to evaluate subjective well-being in adult patients with cerebral palsy (CP). It is reported that in general life satisfaction depends on the state of health, the economic condition, life environment, etc. In CP patients, they have a special background, which they are congenital disease and their senility will come earlier than health person. So it is supposed that they have alse special psychological characteristics. In this study, a survey was made for 81 adult CP patients who had been out our hospital. Subjects were evaluated their subjective well-being using the Philadelphia Geriatric Center Morale Scale and interviewed about their life and physical condition. The results were as follows; 1) The subjective well-being was lower in the latter half of 30 years and over 40 years subjects than in the first half of 30 years one. 2) The subjective well-being was lower in subjects who feel physical depression (stamina falling, appearance of pains, and disease of gait). 3) Other correlates of subjective well-being were convenience of social environment and job.
These results suggests that age and progression of disability are important factors which determine life satisfaction in elderly out-patients with CP.