脳性まひのリハビリテーション

Rehabilitation in Cerebral Palsy

　先天的に神経欠損症状を呈する子どもの治療その初期のアプローチは手を使用することと何等かの形での意志の疎通を強調すべきである，第1に考えられることが多いけれども歩行はそれほど重要でない．次に考慮する点は，日常生活において自分の身の廻りのことを行なう，何等かの形で動き，話し，歩くことに関しての子どもの能力そして終わりに考えるのがみかけと機能の正常への近づきである。

　治療を計画するにあたり，次のことを確率するのに必要な方法と器材を選ぶ，

　(1)十分な可動域，(2)随意的な動きを起こす，(3)十分な力，(4)十分な協調度，(5)十分なバランス

　The initial approach to therapy in the young child with a congenital neurological deficit should stress hand use and some form of communication. Walking is much less important, although it often is given prime consideration. Our next concern is the ability of the child to care for himself in his daily activities, to move about in some fashion, to be able to speak and to walk, and finally the appearance of normality and functional normality.

　In planning therapy, we should select the method and materials nesessary to establish (1)adequate range of motion, (2)voluntary control of initation of movement, (3)adequate strenght, (4)adequate coordination and (5)adequate balance.

　Since independent ambulation will be delayed and in some instances may not be possible, we should begin early to prescribe proper chairs for the home and a wheelchair if indicated.

Unfortunately, no commercially available solid chairs and none of the wheelchairs available support of the handicapped child.