256 cerebral palsied adults had been training for medical treatment and social adjustment in Osaka Rehabilitation Center from 1951 to 1970.
In retrospective study of 205 subjects suspected accidents of brain damage were distributed as follow: 64 abnormal delivery, 51 asphyxia, 11 abnormal neonatal jaundice and 27 convulsion in infancy and childhood. Only 4 had episodes of convulsion in preschool age.
Delayed onset of walking was found in 52 per cent of the subjects.
For the purpose of further estimation of ability in adult cerebral palsy, 38 young adults, a group who are in residenced in the center at present, was studied. The result of walking tests for the dis tance of 50 meters and one kilometer showed fairly well the endurance of locomotion under conditions affecting muscle tone and spastic deformities of lower extremities.
Hand skill and its related activities, such as postural control at sitting and standing jobs, fine grasp, holding tools, assembly and positioning objects, indicated low score in a series of job sample tests.
Communication disorder in adult subjects remained as it was in childhood.
The ability for independence of the subjects was investigated by two previous follow-up studies (1965 and 1968). Of 205 subjects between the age of 19 and 48 years old, 43 are working at the sheltered work shop in the center. In 133 follow-up cases of cerebral palsied adults who left the center, 60 per cent were completely independent among this population 50 per cent were in good and open employment, 9 per cent were in self-supporting work and 32 per cent were unemployed.
Length of time in job was one to 5 years duration in most of the cases. Only 3 were employed for 10 years or more.
Their occupations were varied. The highest distribution of the occupations was factory work and simple lador.
Married cerebral palsied were 18 (8%). The subjects who had children were 8. Their 12 children were living and well after normal delivery.
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