Objective：This study aimed to examine the effect of experiencing parent-child separation on the social adaptive skills of children with cerebral palsy.

Methods：The subjects were children with cerebral palsy who belonged to special schools. They were divided into two groups based on whether or not they would experience parent-child separation by participating in the camp activity. Asahide-shiki Social Adaptability (ASA) was used to evaluate their social adaptive skills. ASA consists of four specified sub-scales, namely “language,” “daily living,” “social life,” and “interpersonal relationship”．The data were analyzed using two-way repeated-measures ANOVA with the group and the time of evaluation as the independent variables. The simple main effect test was used, following the Bonferroni method.

Results：Interaction was observed at the total skills scores and “Social life” of the sub-scales items, while the time of evaluation was found to have a main effect on the subscale scores of social life and interpersonal relationship. As a result of the simple main effect, improvements in social life, interpersonal relationship and the total skills scores were recognized in the group experiencing parent-child separation.

Conclusion：Cerebral palsy children who experienced parent-child separation improved their social adaptive skills, particularly social life and interpersonal relationship skills. For children with cerebral palsy, who lack experience of social participation, extraordinary experiences are an opportunity to review their relationships with people in daily life, and it leads to improvement in their social adaptive skills.

Intracranial germ cell tumor is more common in Asian countries, including Japan, than in Western countries. The disease is characterized by juvenile onset with a mean age at diagnosis of 18 years. Most patients with intracranial germ cell tumors in the basal ganglia manifest paralytic symptoms, but few of these patients have been reported to have long-term progression of motor paralysis and rehabilitation interventions.

A young male patient was diagnosed as having right basal ganglia germinoma and left hemiplegia at the age of 10 years. He received intervention and long-term follow-up for upper limb function. He underwent hybrid assistive neuromuscular dynamic stimulation therapy at the age of 14 years and modified constraint-induced movement therapy (modified CI therapy) at the age of 20 years. With such a gradual neurorehabilitation intervention, the Fugl-Meyer assessment score for the upper limb improved from 41 to 58 points, and the frequency of use of the paralyzed hand also improved. We hope that this report will provide guidance when considering treatment options for similar diseases in the future.