title: Functional deterioration in adults with cerebral palsy.
abstract: OBJECTIVE
  To examine the problem of functional deterioration of patients with cerebral palsy.
  
  
  METHODS
  Adults with cerebral palsy who work at community workshops throughout Japan.
  
  
  METHODS
  Interviews combined with physical examinations. In the first part of the study a survey was conducted, to which 686 patients responded. In the second part, physicians conducted physical examinations on 163 patients. In the third part, the patients who had been examined in the second part were studied.
  
  
  RESULTS
  Functional deterioration was noted in approximately 35% of adult patients with cerebral palsy; it was higher among those with involuntary movements of the head and neck and abnormal movement patterns during locomotion. Deterioration was also noted among those who reported an inadequate work environment, such as poor posture during work and unsuitability of the desk, chairs and tools. Deterioration over a five-year period was noted in 8 of 122 patients.
  
  
  CONCLUSIONS
  Although the factors intrinsic to cerebral palsy are often responsible for the functional deterioration, environmental factors are not to be taken lightly if functional deterioration is to be prevented.
authors.affiliation: Department of Rehabilitation Medicine, Yokohama City University School of Medicine, Japan. norihiko-ykh@umin-u-tokyo.ac.jp
authors.forename: N
authors.initials: N
authors.lastname: Ando
authors.forename: S
authors.initials: S
authors.lastname: Ueda
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D002547:Cerebral Palsy / Q000150:complications* / Q000175:diagnosis / Q000534:rehabilitation*; D018450:Disease Progression; D005260:Female; D006306:Health Surveys; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D010291:Paresis / Q000145:classification* / Q000209:etiology*; D011379:Prognosis; D018570:Risk Assessment; D012720:Severity of Illness Index