Abstract
The Metropolitan Jonan Branch Hospital and Day Center for Handicapped was started in 1969. The aim of this center is the habilitation of handicapped children for the preschool-aged. Now there are 9 day centers, 4 crippled children's hospitals and 4 institutes for severely handicapped in Tokyo. In the last one year, 120 handicapped children visited the Jonan Day Center and only 20 of them have attended the day nursery every day. This was relatively small numbers of visitors than the expected, and its reason seemed to be depend on the following three factors, the first was inconvenience of transportation, the second was too short time for training and nursing in a day, and the third was too close standing of the same kind centers.
The cerebral palsied (CP) group occupied 53.3%, and the non-CP group occupied 46.7%. In CP group, 51.6% were spastic paraplegic and 32.8% were athetotic tetraplegic. Most of the handicapped children were dependent in ADL, and severely handicapped children were 21.9% in CP group and 41.0% in non-CP group. Associated handicaps in these children were high percentages of visual disturbances in CP group (64.3%) and dental disorders in both groups (26.8-37.5%). EEG showed abnormalities of basic activities in 51.7-62.5% of the children. Minor anomalies were more frequently observed in non-CP group, especially in the group of prenatal and unknown cause, than in CP group.
