This case was hypoxia caused by opisthotonic hypertonus and week respiration. In supine position, arterial blood gas pressure was very poor. But I found that breathing assist technique made the gas pressure improve from PaO₂ 43.8 mmrlg, PaCO₂ 45.4mmHg to PaO₂ 83.9 mmHg, PaCO₂ 39.5 mmHg. The therapy was given to this case in relaxed sitting position. This pre-operative trial made the operation possible with immediately post chest physical therapy.
Intensive chest physical therapy was designed right after post-operation. The physical therapy contained relaxation, breathing assist with specific technique such as spring action technique and facilitation technique to diaphragm.
As a result, the patient did not fall into respiratory failure after operation and 40 days later he was trasferred to rehabilitation center hospital.

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Hemiplegic children whose Brunnstrom Recovery Stage of the Hand is 3 or 4 can not perform practical pinch movements. So they are apt to pinch objects such as marbles, glass beads and othes by the unaffected hand only and to disregard the functional capacity of the affected hand. And then they will have troubles in activities of school living and in playing with other children.
We conducted the pinch training by using an opponens splint for three hemipleqic. children They showed betterment of pinch movements by wearing the splint and were motivated to the functional training of the affected upper limb. This training with splint should be applied to the case whose Brunnstrom Recovery Stage of the Hand has attained 3 at least and that has no joint contractures of hand and fingers without too much hypertonicity. The main effect of this training with splint is to enhance the child's interest on activities performed by the affected hand through pinch movements.
Two-hand activity training is important in the movement therapy of hemiplegic child. It is considered useful as a preparatory training to two-hand activity to facilitate fine movements of the affected hand by using this type of splint.

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