Serial changes in independent sitting in adults with severe cerebral palsy
We investigated the natural course of independent sitting in 28 institutionalized patients with severe cerebral palsy (CP) and evaluated the factors associated with presence or absence of independent sitting during adulthood. Seventeen subjects (61%) who could not sit at the age of 10 years were nev...
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| Veröffentlicht in: | International journal of rehabilitation research 2004-09, Vol.27 (3), p.233-235 |
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| container_title | International journal of rehabilitation research |
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| creator | Miyazaki, Yasushi Iwai, Koichi Matumura, Shinji Miwa, Takashi Yanagisako, Yasuo Yanagi, Hisako Tomura, Shigeo |
| description | We investigated the natural course of independent sitting in 28 institutionalized patients with severe cerebral palsy (CP) and evaluated the factors associated with presence or absence of independent sitting during adulthood. Seventeen subjects (61%) who could not sit at the age of 10 years were never able to reach the milestone of independent sitting. Five (45%) of 11 subjects subsequently lost the ability to sit independently during the early stage of adult life. In adulthood, many of the dependent sitters had poor activities of daily living (ADL) scores and required medical care for respiration and eating/swallowing. Hip dislocation was not directly associated with the presence or absence of independent sitting. We conclude that it is important to prevent further deterioration of swallowing and respiratory functions, as well as the development of deformities or contractures from childhood and to maintain previously acquired motor function and ADL in adults with severe CP. |
| doi_str_mv | 10.1097/00004356-200409000-00009 |
| format | Article |
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Seventeen subjects (61%) who could not sit at the age of 10 years were never able to reach the milestone of independent sitting. Five (45%) of 11 subjects subsequently lost the ability to sit independently during the early stage of adult life. In adulthood, many of the dependent sitters had poor activities of daily living (ADL) scores and required medical care for respiration and eating/swallowing. Hip dislocation was not directly associated with the presence or absence of independent sitting. We conclude that it is important to prevent further deterioration of swallowing and respiratory functions, as well as the development of deformities or contractures from childhood and to maintain previously acquired motor function and ADL in adults with severe CP.</description><identifier>ISSN: 0342-5282</identifier><identifier>EISSN: 1473-5660</identifier><identifier>DOI: 10.1097/00004356-200409000-00009</identifier><identifier>PMID: 15319694</identifier><language>eng</language><publisher>England: Copyright Wolters Kluwer Health, Inc. All rights reserved</publisher><subject>Activities of Daily Living ; Adult ; Adults ; Cerebral palsy ; Cerebral Palsy - rehabilitation ; Deglutition ; Female ; Health Status ; Humans ; Locomotion ; Male ; Medical Services ; Rehabilitation ; Time Factors</subject><ispartof>International journal of rehabilitation research, 2004-09, Vol.27 (3), p.233-235</ispartof><rights>Copyright © 2004 Wolters Kluwer Health, Inc. All rights reserved.</rights><rights>Copyright Lippincott Williams & Wilkins Sep 2004</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3839-69098ce862846c02734e9dcb3a661c030249adfd02671cc6b3a9ebae09b5231e3</citedby><cites>FETCH-LOGICAL-c3839-69098ce862846c02734e9dcb3a661c030249adfd02671cc6b3a9ebae09b5231e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/15319694$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Miyazaki, Yasushi</creatorcontrib><creatorcontrib>Iwai, Koichi</creatorcontrib><creatorcontrib>Matumura, Shinji</creatorcontrib><creatorcontrib>Miwa, Takashi</creatorcontrib><creatorcontrib>Yanagisako, Yasuo</creatorcontrib><creatorcontrib>Yanagi, Hisako</creatorcontrib><creatorcontrib>Tomura, Shigeo</creatorcontrib><title>Serial changes in independent sitting in adults with severe cerebral palsy</title><title>International journal of rehabilitation research</title><addtitle>Int J Rehabil Res</addtitle><description>We investigated the natural course of independent sitting in 28 institutionalized patients with severe cerebral palsy (CP) and evaluated the factors associated with presence or absence of independent sitting during adulthood. Seventeen subjects (61%) who could not sit at the age of 10 years were never able to reach the milestone of independent sitting. Five (45%) of 11 subjects subsequently lost the ability to sit independently during the early stage of adult life. In adulthood, many of the dependent sitters had poor activities of daily living (ADL) scores and required medical care for respiration and eating/swallowing. Hip dislocation was not directly associated with the presence or absence of independent sitting. We conclude that it is important to prevent further deterioration of swallowing and respiratory functions, as well as the development of deformities or contractures from childhood and to maintain previously acquired motor function and ADL in adults with severe CP.</description><subject>Activities of Daily Living</subject><subject>Adult</subject><subject>Adults</subject><subject>Cerebral palsy</subject><subject>Cerebral Palsy - rehabilitation</subject><subject>Deglutition</subject><subject>Female</subject><subject>Health Status</subject><subject>Humans</subject><subject>Locomotion</subject><subject>Male</subject><subject>Medical Services</subject><subject>Rehabilitation</subject><subject>Time Factors</subject><issn>0342-5282</issn><issn>1473-5660</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2004</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1UV1LwzAUDaK4Of0LUnzwrXrz0bR5lOEngg_qc0jTu7Wza2vSOvbvzdxUEAzhHnJyzuXmhJCIwgUFlV5CWIInMmYBQYVTvKHUHhlTkfI4kRL2yRi4YHHCMjYiR94vABgwpg7JiCacKqnEmDw8o6tMHdnSNHP0UdWEXWCHoTR95Ku-r5r5hjbFUPc-WlV9GXn8QIeRDSV3wd2Z2q-PycEsIJ7scEJeb65fpnfx49Pt_fTqMbY84yqWClRmMZMsE9ICS7lAVdicGympBQ5MKFPMCmAypdbKcKEwNwgqTxinyCfkfNu3c-37gL7Xy8pbrGvTYDt4LWUWniloEJ79ES7awTVhNs0gyRKepGkQZVuRda33Dme6c9XSuLWmoDdh6--w9U_YX5QK1tNd_yFfYvFr3KUbBGIrWLV1j86_1cMKnS7R1H2p__tE_gl6c4hY</recordid><startdate>200409</startdate><enddate>200409</enddate><creator>Miyazaki, Yasushi</creator><creator>Iwai, Koichi</creator><creator>Matumura, Shinji</creator><creator>Miwa, Takashi</creator><creator>Yanagisako, Yasuo</creator><creator>Yanagi, Hisako</creator><creator>Tomura, Shigeo</creator><general>Copyright Wolters Kluwer Health, Inc. All rights reserved</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>200409</creationdate><title>Serial changes in independent sitting in adults with severe cerebral palsy</title><author>Miyazaki, Yasushi ; Iwai, Koichi ; Matumura, Shinji ; Miwa, Takashi ; Yanagisako, Yasuo ; Yanagi, Hisako ; Tomura, Shigeo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3839-69098ce862846c02734e9dcb3a661c030249adfd02671cc6b3a9ebae09b5231e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2004</creationdate><topic>Activities of Daily Living</topic><topic>Adult</topic><topic>Adults</topic><topic>Cerebral palsy</topic><topic>Cerebral Palsy - rehabilitation</topic><topic>Deglutition</topic><topic>Female</topic><topic>Health Status</topic><topic>Humans</topic><topic>Locomotion</topic><topic>Male</topic><topic>Medical Services</topic><topic>Rehabilitation</topic><topic>Time Factors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Miyazaki, Yasushi</creatorcontrib><creatorcontrib>Iwai, Koichi</creatorcontrib><creatorcontrib>Matumura, Shinji</creatorcontrib><creatorcontrib>Miwa, Takashi</creatorcontrib><creatorcontrib>Yanagisako, Yasuo</creatorcontrib><creatorcontrib>Yanagi, Hisako</creatorcontrib><creatorcontrib>Tomura, Shigeo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>International journal of rehabilitation research</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Miyazaki, Yasushi</au><au>Iwai, Koichi</au><au>Matumura, Shinji</au><au>Miwa, Takashi</au><au>Yanagisako, Yasuo</au><au>Yanagi, Hisako</au><au>Tomura, Shigeo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Serial changes in independent sitting in adults with severe cerebral palsy</atitle><jtitle>International journal of rehabilitation research</jtitle><addtitle>Int J Rehabil Res</addtitle><date>2004-09</date><risdate>2004</risdate><volume>27</volume><issue>3</issue><spage>233</spage><epage>235</epage><pages>233-235</pages><issn>0342-5282</issn><eissn>1473-5660</eissn><abstract>We investigated the natural course of independent sitting in 28 institutionalized patients with severe cerebral palsy (CP) and evaluated the factors associated with presence or absence of independent sitting during adulthood. Seventeen subjects (61%) who could not sit at the age of 10 years were never able to reach the milestone of independent sitting. Five (45%) of 11 subjects subsequently lost the ability to sit independently during the early stage of adult life. In adulthood, many of the dependent sitters had poor activities of daily living (ADL) scores and required medical care for respiration and eating/swallowing. Hip dislocation was not directly associated with the presence or absence of independent sitting. We conclude that it is important to prevent further deterioration of swallowing and respiratory functions, as well as the development of deformities or contractures from childhood and to maintain previously acquired motor function and ADL in adults with severe CP.</abstract><cop>England</cop><pub>Copyright Wolters Kluwer Health, Inc. All rights reserved</pub><pmid>15319694</pmid><doi>10.1097/00004356-200409000-00009</doi><tpages>3</tpages></addata></record> |
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| ispartof | International journal of rehabilitation research, 2004-09, Vol.27 (3), p.233-235 |
| issn | 0342-5282 1473-5660 |
| language | eng |
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| source | MEDLINE; Journals@Ovid Complete |
| subjects | Activities of Daily Living Adult Adults Cerebral palsy Cerebral Palsy - rehabilitation Deglutition Female Health Status Humans Locomotion Male Medical Services Rehabilitation Time Factors |
| title | Serial changes in independent sitting in adults with severe cerebral palsy |
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