[The comparison of motor developmental processes between spastic diplegic children and athetotic children who have been treated since infancy].
We studied the correlation between motor developmental processes and prognosis of locomotion at the age of 4 years, among 15 spastic diplegic children (S) and 21 athetotic children (A), who started treatment under 1 year of age. The children of each type were divided into two groups according to the ability of locomotion at the age of 4 years; S- I: 6 walkers, S- II: 9 crawler, A- I: 11 walkers and A- II: 10 crawler. We compared the average corrected ages when the subjects attained the abilities to roll over, creep, sit with hands, crawl, sit up, cruise with support, stand up, and walk alone, and made a statistical analysis by t test among 4 groups. Also we compared the cumulative frequency percentages for the ages about the locomotion mentioned above. The S- I group attained all of the abilities of locomotion significantly earlier than the S- II group. The A- I group could crawl and sit up significantly earlier than the S- II group. The A- I group could crawl and sit up significantly earlier than the A- II group. The S- I group began to creep and sit with hands significantly earlier than the A- I group. We found no significant differences between the S- II group and the A- II group in motor developmental processes. These studies revealed that it would be possible to expect the prognosis of ambulation at the age of 4 years according to the early motor developmental processes among the spastic diplegic children.(ABSTRACT TRUNCATED AT 250 WORDS)
Yuge
M
M
Department of Pediatrics, St. Joseph Hospital for Handicapped Children, Kyoto.
Kanda
T
T
Yamori
Y
Y
Fukase
H
H
D001264:Athetosis / Q000503:physiopathology* / Q000628:therapy; D002547:Cerebral Palsy / Q000503:physiopathology* / Q000628:therapy; D002657:Child Development / Q000502:physiology*; D002675:Child, Preschool; D006801:Humans; D007223:Infant; D009043:Motor Activity / Q000502:physiology*; D011379:Prognosis; D013035:Spasm / Q000503:physiopathology; D014853:Walkers