Abstract. [Purpose] This study aimed to examine problematic behaviors of mentally handicapped children receiving pediatric physical therapy, through applying the Japanese version of the Aberrant Behavior Checklist(ABC-J) to persons receiving pediatric physical therapy.[Subjects] Subjects were 26 handicapped children who had received pediatric physical therapy (18 males and 8 females, aged from 1 year and 4 months to 19 years and 10 months). The raters were 5 physical therapists and 1 occupational therapist.[Methods] The subjects were rated using ABC-J.[Results] Twenty-four of 26 subjects showed "Irritability", 23 subjects showed "Lethargy", 13 subjects showed "Stereotypy", 23 subjects showed "Hyperactivity", 12 subjects showed "Inappropriate speech". [Conclusion] "Irritability" "Lethargy" and "Hyperactivity" showed comparatively a stronger tendencies. However, all items were graded high in comparison with reports for Down syndrome. The results of this study suggest that the subjects of pediatric physical therapy show problem in problematic behaviors.
[Purpose] To clarify rotator cuff muscular activity in the raised position of the closed
kinetic chain (CKC) exercise. [Subjects] Twenty-nine cases were studied, 19 men and 10
women (average age 21.5 ±4.7 years old, average body weight 60.1 kg ±11.4). [Methods] To
determine the effects of the closed kinetic chain exercise on the upper limb, we measured
the surface EMG of the infraspinatus muscle, the trapezius (upper fiber) and the deltoid
(middle fiber) with the arm elevated. [Results] Our results show that at an elevation
angle of 150° in the scapular plane of the upper limb, with 5% body weight load, the EMG
activities of the infraspinatus muscle are approximately 30% of maximum voluntary
contraction (MVC). [Conclusion] The raised position of the CKC exercise is effective in
physical therapy for functional recovery of the infraspinatus muscle.
Purpose] The purpose of the present study was to investigate the reliability of Japanese manuals for the Aberrant Behavior Checklist (ABC-J) in daycare centers for handicapped children.[Subjects] Nine handicapped children with mental retardation, cerebral paralysis, etc were the subjects.[Methods] Four raters (one physical therapist: PT, one occupational therapist: OT, and two nursery teachers) individually used the ABC-J in an inter-rater reliability to determine the reliability of the result between different raters. Intra-rater and inter-rater reliability were examined using the Intraclass Correlation Coefficient (ICC).[Results] Inter-rater reliability ICC (2.1) were 0.582, 0.144, 0, 0.494 and 0.467 for "Irritability", "Lethargy", "Stereotypy", "Hyperactivity", and "Inappropriate speech" respectively. In intra-rater reliability ICC (1.1), the ICCs of the PT were 0.720, 0.991, 0.996, 0.902, and 0.261 for each item, and those of the OT were 0.578, 0, 0.636, 0.288, and 1.[Conclusion] Some items had inter-rater reliability. In the intra-rater reliability, the score was 0.7 or more, excluding the item of Inappropriate speech for the PT and were 0.57 or more, excluding the items of Lethargy and Hyperactivity for the OT.
[Purpose] We compared problematic behaviors of children according to the severity of
their mental retardation (MR) of intellect as categorized by the Ryouiku
Techou in this study, to investigate the influence of MR of intellect on
children's problematic behaviors. [Subjects] The subjects were 86 mentally retarded
children undergoing physical therapy at hospitals and other facilities. [Methods] The
examiners were 13 physical therapists and 8 occupational therapists who worked at the
hospital and knew the children well. The examiners individually assessed the subjects
using the Japanese version of the Aberrant Behavior Checklist. The subjects were divided
into two groups (A and non-A) according to the Ryouiku Techou standard.
[Results] No significant differences were observed between the groups except in the items
of stereotypy and lethargy. [Conclusion] Problematic behaviors other than stereotypy and
lethargy were not influenced by the Ryouiku Techou standard.
The purpose of this study was to clarify the satisfaction of family caregivers with home services to improve the quality of the services. [Subjects] Data were collected from 33 main family caregivers of home-bound elderly disabled receiving home-care support services who were living at home in Kobe city, Hyogo. [Methods] We carried out a survey of family caregivers' satisfaction with and reasons for using home services. [Results] Satisfaction was high with outpatient rehabilitation, outpatient long-term day care, and assistive devices. Users' reasons for utilizing the services were to reduce their care burden and gain free time. However, there were criticisms of each service, indicating there are problems with them. [Conclusion] The use of home services is useful for reducing the burden of caregivers, but their criticisms suggest that the service offer should be improved.
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