@article{oai:kanazawa-u.repo.nii.ac.jp:00013173, author = {染矢, 富士子 and 西村, 吉行 and 野村, 忠雄}, issue = {3}, journal = {リハビリテーション医学}, month = {May}, note = {肢体不自由児施設で, 上下肢の運動年齢を10年以上, 新版K式発達検査の認知・適応領域の評価を1年以上記録してある脳性麻痺児について, どのような経緯をたどって発達がみられたかを検討した.その結果, 運動年齢は上下肢とも15歳ぐらいまでは発達していくものが多いが, 一度獲得した四肢の機能がその前後より低下していく例も多かった.そこで機能的予後を幼児, 学童期に予測するには, ある程度の幅を持って考えていく必要があると同時に, 獲得した機能の維持に注意していくことが重要である.認知・適応領域のDQは10歳ぐらいまで徐々に低下していく傾向がみられた. A study was carried out retrospectively to find out the developmental sequenece of children with cerebral palsy. Data were collected from 70 CP children in our centers, whose motor age of upper and lower limbs had been recorded for over ten years and 24 CP children whose cognitive-adaptive abilities had been assessed for over one year using the revised K's Developmental Test. The functional development of all the limbs in terms of motor age continued until about 15 years of age, though these were many cases in which the limb function deteriorated thereafter. The motor age of lower limb was higher than 9 months at five or six years old for children to be able to ambulate without support until fifteen years old. There existed also exception that motor age was 14 months at six years old for one child who could not move at all in the center without help because of the poor co-ordination of balance with progressive joint contracture. The motor age of upper limb was higher than 18 months at five years old and higher than 25 monts at ten years old for CP children to be independent in the most of activities of daily living. The developmental quotient of their cognitive-adaptive abilities deteriorated gradially until about ten years of age. It was sometimes difficult to predict precisely their functional prognosis during early childhood from motor age tests and the revised K's Developmental Tests. It was however important to maintain the function that had already been gained., 金沢大学大学院医学系研究科機能障害学}, pages = {155--158}, title = {脳性麻痺時の発達(第2報) : 機能的長期予後に関する研究}, volume = {25}, year = {1988} }