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https://doi.org/10.24546/00391933
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2024-03-28
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00391933 (fulltext)
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メタデータID
00391933
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open access
出版タイプ
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タイトル
Secondary Functional Deterioration in Adults with Cerebral Palsy : Analysis of Developing Physiological Burnout
著者
著者名
Furui, Toru
所属機関名
神戸大学医学部保健学科
著者名
Shimada, Tomoaki
所属機関名
神戸大学大学院医学系研究科保健学専攻
収録物名
Bulletin of health sciences Kobe
巻(号)
19
ページ
47-62
出版者
Graduate School of Health Sciences, Kobe University
刊行日
2004-03-25
公開日
2006-09-11
注記
本文ファイルは、国立情報学研究所CiNiiより提供されたものです。
抄録
The purpose of this study is to investigate the development of secondary functional deterioration in middle aged adults with cerebral palsy (CP). The goal of the current study was to show that secondary disabilities are not inevitable for persons with CP. Subjects included 25 community dwelling adults with CP aged 41-69, and were classified into four groups of subjects by the change in the Barthel index (BI) score from 18 years of age (18 BI). Ambulatory (Type A) subjects did not deteriorate from a perfect BI score. Self-Cautious Type (Type S) subjects attained a perfect 18 BI score, and then slightly deteriorated. Non-ambula-tory Bottoming out in Childhood Type (Type N) subjects experienced deterioration prior to the age of 18. Physiological Burn-out Type (Type PB) subjects deteriorated below 50% in the percentage ratio of the present score to the 18 BI score. In-depth investigation into the individual life history from childhood identified the key characteristics of subjects in each group responsible for their functional status. All subjects in the Type A group used a powered wheelchair from their adolescence. All Type PB subjects had exhausted their functional capacity by excess physical and mental exertion. It is suggested that over emphasis of the ability to independently walk from childhood possibly caused . A delay in the use of wheelchairs in this group. It is concluded that to avoid possible physiological burnout, assistive technology and avoidance of excessive physical labor are recommended in persons with CP.
キーワード
Adult cerebral palsy
Middle age
Physiological burnout
Secondary disability
Barthel Index
カテゴリ
Bulletin of health sciences Kobe
>
19号(2004-03-25)
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資源タイプ
departmental bulletin paper
言語
English (英語)
ISSN
1346-8707
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AA11316362
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関連情報
NAID
110004599699
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