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[Disabilities in 830 severely retarded children].
1Division of Child Neurology, National Center Hospital for Mental, Nervous, and Muscular Disorders, Tokyo.
No to Hattatsu = Brain and Development
|January 1, 1990
Summary
This study analyzed disabilities in severely intellectually disabled children in Tokyo. Findings indicate a rise in severe cases, highlighting the growing need for home-based day care services.
Area of Science:
- Pediatrics
- Developmental Disabilities
- Public Health
Context:
- Prevalence study of 830 severely intellectually disabled children (aged 6-14) in Tokyo.
- Severely intellectually disabled children defined by inability to walk and IQs < 35.
- Classification based on Ooshima's system, with a focus on severe intellectual disability.
Purpose:
- To analyze patterns of disabilities and complications in severely intellectually disabled children.
- To understand the current prevalence and characteristics of severe intellectual disability.
- To inform future service provision and support for this population.
Summary:
- 64% of children were bedridden with IQs < 20 (Ooshima's Class 1).
- Common complications include epilepsy (84%), feeding difficulties (46%), visual disturbances (40%), and respiratory distress (30%).
- 16% of children were institutionalized, suggesting significant care needs.
Impact:
- Suggests an increasing proportion of the most severe intellectual disabilities.
- Emphasizes the critical importance of developing and expanding home-based day care services.
- Informs public health policy and resource allocation for children with severe intellectual disabilities.