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[Severely mentally and physically disabled in Gunma Prefecture]

Y Machida1, Y Yano, H Suzuki

  • 1Kibo-no-Yiye Ryoiku Hospital, Gunma.

No to Hattatsu = Brain and Development
|September 1, 1993
PubMed
Summary

This study surveyed 133 severely disabled children in Gunma prefecture, finding institutionalized children had more feeding and complication issues. Causes varied between home- and institution-cared disabled youth.

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Area of Science:

  • Pediatrics
  • Neurology
  • Public Health

Context:

  • Focuses on severely disabled children (IQ ≤ 35) aged 6-15.
  • Examines children unable to stand or walk, even with support.
  • Data collected from Gunma prefecture, Japan, as of September 1, 1991.

Purpose:

  • To investigate the severity, causes, complications, and past medical histories of severely disabled children.
  • To compare characteristics between children institutionalized and those cared for at home.

Summary:

  • Identified birth asphyxia and unknown congenital etiology as primary causes for institutionalized children.
  • Cerebral palsy of unknown origin and "no information" were frequent causes for home-cared children.
  • Institutionalized children exhibited more severe intellectual disability, palsies, and daily living impairments, with significantly higher rates of gastric tube feeding, blended diets, epilepsy, and constipation.

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  • Past histories revealed high incidences of infectious diseases like measles, varicella, and mumps, with higher frequency in institutionalized cases.

    • Impact:

    • Highlights differences in care needs and complications between institutionalized and home-cared severely disabled children.
    • Informs public health strategies for managing disabilities and associated health issues.
    • Underscores the importance of comprehensive medical history and timely interventions for disabled children.