THE IMPAIRMENT AND DISABILITY OF PATIENTS WITH SEVERE MOTOR AND INTELLECTUAL DISORDERS.

严重运动和智力障碍患者的损伤和残疾。

• 批准号: 08670931
• 负责人: TOMITA Yutaka
• 金额: $ 1.02万
• 依托单位: HIROSHIMA PREFECTURAL COLLAGE OF HEALTH AND WELFARE
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1996
• 资助国家: 日本
• 起止时间: 1996 至 1997
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-08670931/
• 关键词: Severe motor and intellectual disorders; Impairment; Disability; ADL; Rehabilitation; Childern; リハビリテーション医学; 障害児; 長期ゴール; 重症心身障害児

For the patients with severe motor and intellectual disorders, we investigated the principles of rahabilitation programs for a long term. According to the impairment and disability model of WHO (1980), the impairments and ADLs and its relationship to other clinical factors of 92 institutionalized patients were examined.Results based on the impairment level showed that, firstly, the teen-age group revealed more severe impairment and suffered more frequently from pre-and peri-natal disturbances than the other older-age groups. These findings may reflect the recent noticeable advance in perinatal medicine. Secondly, deformity of skeletons began at age of 20s in some patients, and the significant correlations between each impairment component decreased in elder groups. Thirdly the multiple variable analysis between the sitting ability and the impairment elements revealed that the level of motor and cognition abilities in a teen-age group still reflect their individual developmental history … More during the early life, but little in elder groups.Results based on the disability level revealed that, firstly, abilities of ADL in most patients of the teen-age group were severely disturbed. Secondly, we founded that in the age-groups older than 20s patients with high ADL level decreased and patients with very low ADL level increased, and also noticed that the number of significant correlations between each ADL component decreased in elder groups. And lastly the multiple variable analysis of the sitting ADL ability revealed to be composed either of the congenital motor and intellectual ability, or of the acquired learning one.Therefore, in most patients with severe motor and intellectual disorders, we should aim to help them to maximize their internal ability till 20s, and thereafter it may be reasonable that we should change the strategy of the long term rehabilitation program both to maintain their acquired ADL and to protect against the progress of secondary and age-related impairment. Less

对严重运动和智力障碍患者，长期探讨康复训练的原则。根据WHO（1980）的损伤和残疾模型，对92例住院患者的损伤和日常生活能力（ADL）及其与其他临床因素的关系进行了研究，结果表明：（1）青少年组的损伤程度较其他老年组严重，产前和围产期的生活障碍发生率较高;这些发现可能反映了围产期医学最近的显著进步。第二，部分患者骨骼畸形开始于20多岁，随着年龄的增长，各损伤成分之间的显著相关性降低。第三，对坐能力与障碍因素之间的多变量分析表明，青少年的运动和认知能力水平仍然反映了他们的个体发展历史 ...更多信息 结果表明：（1）青少年组患者的ADL能力普遍受到严重影响;其次，我们发现在20岁以上的年龄组中，ADL水平高的患者减少，ADL水平极低的患者增加，并且注意到ADL各成分之间的显著相关性在老年组中减少。最后，对坐位ADL能力的多因素分析表明，其主要由先天性运动和智力能力以及后天学习能力组成，因此，对于大多数严重运动和智力障碍患者，我们应致力于帮助他们最大限度地发挥其内在能力，直到20岁。因此，我们应该改变长期康复计划的策略，以保持他们获得的ADL，并防止继发性和年龄的进展，这可能是合理的。相关损害。少

项目成果

冨田 豊: "重症心身障害児・者の機能障害とADL-I.機能レベルと相関する諸要因" リハビリテーション医学. 35(印刷中). (1998)

Yutaka Tomita：“患有严重精神和身体残疾的儿童和个人的功能障碍和 ADL-I。与功能水平相关的因素”35（出版中）。

冨田 豊: "重症心身障害児・者のADLの特徴-リハの長期目標を考えるにあたり" リハビリテーション医学. 34. 781 (1997)

Yutaka Tomita：“患有严重精神和身体残疾的儿童和个人的 ADL 特征 - 在考虑康复的长期目标时”《康复医学》34. 781 (1997)。