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Functional deterioration in adults with cerebral palsy
1Department of Rehabilitation Medicine, Yokohama City University School of Medicine, Japan. norihiko-ykh@umin-u-tokyo.ac.jp
Clinical Rehabilitation
|June 27, 2000
Summary
Functional deterioration affects about 35% of adults with cerebral palsy, linked to movement issues and poor work environments. Addressing environmental factors is key to preventing decline in cerebral palsy patients.
Area of Science:
- Neurology
- Rehabilitation Medicine
- Occupational Health
Background:
- Cerebral palsy (CP) is a group of permanent disorders affecting movement and posture.
- Adults with CP often face challenges in maintaining functional abilities.
- Understanding factors contributing to functional decline is crucial for intervention.
Purpose of the Study:
- To investigate the prevalence and contributing factors of functional deterioration in adult patients with cerebral palsy.
- To identify intrinsic and environmental elements associated with functional decline in this population.
Main Methods:
- A multi-part study involving adults with cerebral palsy working in community workshops in Japan.
- Surveys completed by 686 patients, followed by physical examinations of 163 patients.
- Longitudinal assessment of functional changes over a five-year period for a subset of patients.
Main Results:
- Approximately 35% of adult CP patients exhibited functional deterioration.
- Higher rates of deterioration were observed in individuals with involuntary head/neck movements and abnormal locomotion.
- Inadequate work environments, including poor posture and unsuitable equipment, were associated with decline.
Conclusions:
- Intrinsic factors related to cerebral palsy contribute to functional deterioration.
- Environmental factors, particularly those in the workplace, play a significant role in functional decline.
- Preventative strategies should address both intrinsic and environmental aspects to mitigate functional deterioration in adults with CP.