Purpose: cerebral palsied people have various kinds of deficiency, such as physical, emotional or mental problems. It is understood that treatment and training in infancy are very effective in their development. In order to give them the early treatment and training, it is neccessary; 1) to discover their ailment while yet in their infancy, (2) to know the characteristics of the motor and mental developments of cerebral palsied children. Method: 50 cerebral palsied infants under four years old were evaluated by Enjoji's Analytic Developmental Test for the infants. The test consists of six spheres; locomotion, hand movement, speech, emotion, intelligence and sociality. The first two belong to motor and the other four, mental development. Results; at first all the data were surveyed. Here, average retardation of each sphere was compared with each other. Locomotion was retarded far more than any other sphere. It was nearly 12 months lower than the normal level, but other five spheres, nearly eight months below. Detailed analization was taken in each of four age groups, to show the difference clearly in the four age groups and also in the six spheres. Finally the following general tendencies were found; (1) The most serious retardation found in most of cerebral-palsied infants was in the sphere of locomotion. This tendency becomes more serious, as their age goes higher.(2) If the child can stand by himself, it makes a great difference as to his locomotion development. This looks like the forks of a road; One is the way of being able to catch up with the normal development of locomotion or another, to get far behind it. And most of those infants with cerebral palsy fail to overcome this stage which is to stand by themselves. This is one of the reasons for the just-mentioned result at (1) section. (3) Most of them were retarded over all spheres of development. (4) Any sphere of mental development was not too much retarded un-till two years old, compared with motor development. But those who came to the hospital after two years of age were very much retarded in all spheres. This is probably, due to the fact that those who are too seriously handicapped to find any educational or training facilities, come back to the hospital to get further medical care. (5) Emotional development was less retarded than speech, intelligence and sociality. (6) In many cases it is difficult to diagnose correctly the child under one year old and to figure his accurate picture of retardation out. It becomes almost clear at about two years old. (7) Overall development of cerebral palsied child is uneven and has much individual variation.
View full abstract