This study was examined muscle fatigue recovery effect of a stretching after intense exercise of short time.The subject is 4 healthy adult men age were 20 years old. The subject did 2 sets of bicycle ergometer operating of 30 seconds of all power and rest of 10 minutes. During this rest period, the subject implemented 6 minutes of each muscle fatigue recovery strategies of rest, stretching and light exercise. An examination particular of a muscle fatigue recovery adopted a muscle flexibility, blood lactate, work capacity and questionnaire. The recovery rate of muscle flexibility of a Rectus femoris had the lowest stretching by 97. 5 %. The recovery rate of muscle flexibility of hamstrings had the lowest rest by 91. 9%. The recovery of blood lactate tended to have a lower stretching than other strategy, but the tendency wasn't able to admit difference. The recovery rate of work capacity had the most expensive light exercise, and it had the lowest stretching. Thus a fatigue recovery effect of a stretching into a muscle fatigue after intense exercise didn't admit difference in all index compared with rest. The result of this time denied an effect of the stretching which is generally recognized in viewpoint of a prompt recovery of muscle fatigue after exercise. But the result of this time doesn't deny all effect of a stretching. We consider that an appropriate formula to muscle fatigue recovery of a stretching is defined by study of future.

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This time, we administered RCPM to elderly people with dementia. RCPM is easy to understand by examinees and doesn't require a lot of time. RCPM has established itself as non-verbal intelligence based on both space perception and analogical ability among various intelligent functions. The examinees were users of day-care service provided by hospitals and out patients both with slight dementia. We examined the results by comparing them with ADL-20 and with the nature of activities respectively. As a result, it was proved that IADL and Set B correlated in the comparison of ADL-20 with RCPM. It was also indicated that the examinees tended to act based on the immediate situation because significant deterioration and many direct errors were seen in Set B. The similar tendency was seen in the activities as well. Therefore, RCPM can assist in designing activities.

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Rehabilitation by going to a day-care center is done for resident care takers to recover and keep their mental/physical functions in good condition, and to help them become independent in daily life. In Vol.1 of the institute Bulletin, studied and reported on the evaluation of dementia grades made for outpatients of our hospital and users of day-care centers both with senile dementia grades varing from light to intermediate. Also, I researched their Activities in Daily Life (hereinafter called ADL) at home. As a result, it was indicated that elderly people with dementia grades from light to intermediate further deteriorate their mental functions, because they have no roles at home and withdraw from social life due to trouble in relations with other people. Therefore, I concluded that occupational therapy should offer occasions in which olderly people with dementia can participate with joy, and that we should design proper environments for them inculuding care givers. This time, for Vol. 2 of the Institute Bulletin, I researched and compared the dementia grades as well as ADL of today with those of 1 year ago. Here is my report on the study of OT approach through the results and cases.

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In Sakaide, Kagawa Prefecture, “counseling for children aged 2 years”has been provided by public health nurses and speech therapists (ST) since 1999. This service has been aimed to follow up development states of children whom problems were detected in health examination for children aged 18 months. However, there were some problems to work out such as short inquiry time and no parameters to evaluate speech development. Therefore, the purposes of this present study are (a) to research the states of vocabulary in two years old and (b) to produce a vocabulary checklist to be used for screening of speech development retardation in the counseling. Informants of this research were 161 parents whose children were 23-35 months and belonged to 12 nursery schools in Sakaide. In the survey, a checklist of 452 words including nouns, pronouns, abstract words, verbs, adjectives, adjective verbs, adverbs, and interjections was used as a questionnaire. This study focused on quantity of the vocabulary in 23-35 months. According to the results of this survey, the mean of vocabulary in 24 months is 183.9 words, and the mean in 30 months is 288. 7 words. Furthermore, the mean in 33-35 months were over 350 words, and the increase of vocabulary stopped. This stop increasing is considered to be influenced by the ceiling effect of the vocabulary checklist. Finally, we discussed this vocabulary checklist can be applied to screening of children before 33 months.

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The authors participate the “counseling service of infants aged 24 months”in Sakaide, Kagawa prefecture, and follow up the speech and language development of them who were detected some developmental problems in health examination for children aged 18 months. However, we have no parameters in Japanese to evaluate the speech and language development of infants in 24 months. Therefore, we needed to produce a checklist to be used for screening in counseling. This present study is one of analyses of a trial survey to produce the vocabulary checklist, and focuses on a structure and increase of nominals according to classification of Nelson (1973). The purpose of this questionnaire survey is to research the quantity and qualitative structure of vocabulary of infants between 23 and 35 months, and 161 parents participated in this research, whose children belonged to 12 nursery schools in Sakaide. The results of the survey show as follows.And we discussed the necessity to pay attention to“evaluate”children's speech and language development in these three points. 1. Eighty-six nominals were expressed by 60% of children aged 24 months and 137 nominals by one aged 30 months. 2.The normal ranges of nominals in 24 months were between 80 and 100 words. 3.There were marked changes in words classified as“Objects”and “abstractions”in“general nominals (Nelson, 1973)”between the age of 24 and 30 months.

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To follow up children who required attention in health examination when they were 18 months, the authors provide developmental counseling services for parents who have children aged 24 months in Sakaide, Kagawa Prefecture. The purpose of this present study is to produce a vocabulary checklist that can be used for screening in counseling. Therefore, we carried out a questionnaire survey to clarify the vocabulary development in 2 years old. The subjects of the survey were 161 parents who have children were 23-35 months and belong to 12 nursery schools in Sakaide. In the survey, we used a checklist as a questionnaire including 452 words; nouns, pronouns, abstract words, verbs, adjectives, adjective verbs, adverbs, and interjections. This present study focused on abstract words and pronouns. In discussion, we discussed about abstract words and pronouns that children tended to have been acquired between 24 and 30 months. At first, the abstract words were“simple concepts about number, color, space, and time”, “concepts allowing visual comprehension”, and “cenesthetic abstract concepts”. Second, the pronouns were“demonstrative pronouns associated with [ko] ”, and“demonstrative pronouns associated with [a]”; [ko] is the Japanese that means [this] and these indicate objects in the domain of the self and parents, and [a] which indicate objects in the domain of the third person is [that] . Next, the words that had been acquired only by less than 60% of children aged even 34-35 months were“abstract words associated with invisible phenomena and psychological states”and“highly abstract concepts about position and direction”, “demonstrative pronouns associated with [so] that indicate objects present between the self and parents”, and“sets of persons including the self”. These are difficult for 2-year-old children to understand.

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To produce a vocabulary checklist for the accurate evaluation of speech development and the early detection・treatment of children with speech development disorder and those who require attention in counseling for children aged 2 years, we carried out a survey of expressed vocabulary in children aged about 2 years who attend nursery school prior to this counseling. A vocabulary checklist questionnaire was made to research a quantity and variation of vocabulary that infants between 23 and 35 months without speech and language retardation, and 161 parents participated in this research, whose child belonged to a kindergarten in Sakaide. This study focused on verbs in the vocabulary. The items used in the survey were decided using a vocabulary checklist for children aged 2 years produced by Okubo (1984) and“Japanese Illustrated Dictionary for Little Children”(Sanseido) as references. Of all 452 words surveyed, 123 verbs were analyzed in this study. And of the 123 verbs, 12% had been acquired in children aged 24 month, and 60% had been acquired in children aged 30 months. These results suggest marked acquisition of verbs between the age of 24 and 30 months.

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The purpose of this present study is to produce a vocabulary checklist for the early detection and therapy of children with speech development retardation in“counseling projects for 2-years-old children”in Sakaide, Kagawa Prefecture. Therefore, we carried out a questionnaire survey of the vocabulary in 2 years old. In this study, words were classified according to grammar categories, and adjectives, adjective verbs, and adverbs as modifiers were evaluated and discussed. Comparison of the number of the vocabulary between children aged 24 months and those aged 30 months showed a rapid increase with age. When the contents of modifiers were classified according to Nelson's grammar categories (1973) , the number of adjectives associated with“attributes”and“states”were also increased in 30 months. Concerning antonymous adjectives that mean properties, the children in 30 months had acquired both of the pair of antonyms (such as large-small) while those in 24 months had acquired only one of the antonyms. Therefore, when a vocabulary checklist of adjectives, adjective verbs, and adverbs is produced, (1) the variety of modifiers should be increased, and (2) antonyms in adjectives should be evaluated.

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Mutational voice disorder is characterized by development in males aged 12 years, vocal cord congestion・edema as laryngeal findings and voice break as voice quality. We encountered a patient with findings that slightly differ from these characteristics (age, 15years old; laryngeal findings, glottic gap; voice quality, strong breathy hoarseness) and performed assessment·training. Close examinations such as inquiry confirmed that he developed this disorder manifested by falsetto-like phonation at the age of 12 years. A diagnosis of mutational voice disorder could be made, and the symptoms improved after training for a short period.In mutational voice disorder, it is important to make a diagnosis based on the time of its onset and the course of symptoms clarified by adequate examinations such as inquiry, and perform training.

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In a patient in whom learning disability (LD) is suspected (CA8 : 5), WISC—Ⅲ,K—ABC, and ITPA were performed.The results of these tests confirmed learning disability.For more detailed analysis of verbal ability, standard and structural tests of aphasia were performed. The standard test of aphasia showed difficulty in the comprehension of long sentences in both auditory and reading comprehension. There appeared to be problems in not only auditory short-term memory but also grammar processing ability. The structural test of aphasia revealed a meaning strategy as the comprehension method and difficulty in the comprehension of postpositional particles. In addition to WISC-Ⅲ,K-ABC, and ITPA, standard and structural tests of aphasia may be useful for evaluating more detailed symptoms of verbal LD.

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In each field of education and research, the“integration”are considered to be important in the same way as“internationalization”and“informationalization”.In the information processing education spot, the integrated educational methods begin to be carried out under the various ideas. In such conditions, for the purpose of building up the more effective class contens which has a feeling of the achievement, we studied about the class goal and the methodology of Information Engineering. It is obvious that the motivation to the student in the class is important. We did various ideas in the class. The more integrated information education became possible by making a connection between two classes. With the intention of investigating about on-going curricula of Information Engineering classes, we asked the students to fill out a questionnaire. The results of the survey show as follows: Integrated information education and a connection between two classes become motivations in the student's learning process, develop their independence and work effectively in the training of their information use ability.

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The Purpose of senile dementia wards is twofold. First, it is to hospitalize elderly people with dementia who are not bedridden but difficult to treat at home or in other facilities because of their mental problem and troublesome behaviors. Second, it is to provide them with mental healing and care. The patients of our ward are those with serious dementia who are hard to care for at home, those who have slight bodily problems but suffer from heavy mental conditions, and those bedridden suffering from both serious mental and bodily conditions. Many of these patients tend to have mental disease as well. In our ward, we evaluate conditions of dementia such as perception, memory and behavior which are observed during activities. Then in order to carry out activities smoothly, we design the content of activities or set up environments including countermeasures to be taken by the staff. This time, I am going to study the role of occupational therapy through case and activities of coloring pictures, collage (paper-pasting pictures) and seaing qustercloths.

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In September 2000 we joined a 9-day study tour to the Netherlands, organized by our colleague lecturer Peter Bontje. In the Netherlands, so-called occupational therapists (OT consultant) assess and advise facilities for the home environment. We met one such OT consultant, Mr. Alex de Veld, and were able to learn about this role. Furthermore, we had the opportunity to study wheelchair seating in nursing home‘het Zonnehuis’. Differences between Dutch and Japanese social welfare systems are considered in relation to the activities of the Kochi Prefecture Home Advise Committee and the role of occupational therapy.

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