[Rehabilitation approach to children with sequelae of hypoxic encephalopathy].
We studied the rehabilitation approach to children with acquired hypoxic encephalopathy. The subjects were 13 children with sequelae of hypoxic encephalopathy. The onset ranged from 1 month to 15 years of age. Recovery was good in no case, moderate in 3, poor in 3, and absent in 7 cases. We evaluated the following factors: condition at the onset, present status, degree of improvement of the functional independence measure (FIM). In the moderate recovery group, resuscitation was performed within 5 minutes, and consciousness loss disappeared within 3 days. Some patients had no physical disability, whereas others had ataxia. In the no recovery group, consciousness loss was severe and continued more than 5 days. Most of them had spastic quadriplegia. The improvement of FIM was 52.8 +/- 23.9 in the moderate recovery group, 12.0 +/- 8.2 in the poor recovery group, and 0 in the no recovery group. Pediatricians as well as rehabilitation doctors should use FIM to evaluate the effect of rehabilitation.
Kurihara
M
M
Department of Pediatrics, Kanagawa Rehabilitation Center, Atsugi.
Kumagai
K
K
Nakae
Y
Y
Noda
Y
Y
D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D002534:Hypoxia, Brain / Q000534:rehabilitation*; D007223:Infant; D008297:Male; D012151:Resuscitation; D014474:Unconsciousness