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AFD児・SFD児の新生児行動と1歳までの発達


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Title: AFD児・SFD児の新生児行動と1歳までの発達
Other Titles: Neonatal Behavioral Assessment of AFD, SFD Infants and Longitudinal Study of Their Development : During One Postnatal Year
Authors: 大城, 昌平 / 穐山, 富太郎 / 後藤, ヨシ / 草野, 美根子 / 横山, 茂樹
Authors (alternative): Ogi, Shohei / Akiyama, Tomitaro / Goto, Yoshiko / Kusano, Mineko / Yokoyama, Shigeki
Issue Date: 1-Aug-1992
Publisher: 社団法人日本理学療法士協会
Citation: 理学療法学. 19(5), p.452-456: 1992
Abstract: 正常発達を遂げた成熟児を対照に, 重篤な合併症がなく正常発達の見込まれたAFD児, SFD児についてブラゼルトン新生児行動評価を用いて新生児行動の発達評価を行い, 加えて, ベイリー乳幼児発達検査による6ヵ月, 12ヵ月時の精神・運動発達について追跡調査を行った。その結果, SFD児では成熟児やAFD児に比べ新生児期の行動発達及び, 6ヵ月・12ヵ月時の精神・運動発達に遅滞傾向が認められた。SFD児は, より未成熟な要因に加え, 外環境からの刺激に対し, 意識状態の調整や注意集中, 運動調整系のストレス徴候を示しやすく, 環境との適応障害を起こしやすいものと考えられた。また, 結果的に乳児期の精神・運動発達にも影響を及ぼすものと考えられた。 / It has constantly been observed that cerebral palsy or mental retardation develops among premature and high risk infants. In order to improve the security of the early assessment and habituation of handicapped children, we assessed 21 AFD and 18 SFD infants whose normal development was anticipated and 21 mature infants using Brazelton Neonatal Behavioral Assessment Scale (B-NBAS) during the neonatal period, and longitudinal study on development was performed during one postnatal year at 6, 12 months using the Bayley Scale. The results were as follows: 1) SFD infants, in 40, 44, 48 weeks, showed lower score and poor recovery curve on Orientation, Motor and State regulation clusters when compared with mature and AFD infants. 2) Their neonatal behavior had individualities of hypersensitivity to stimuli, less responsiveness, rapid state change, depressed reflexes and hypotonus. Their individuality was understood as stressed sign dependent on unadaptability to the environment. 3) Moreover, infollow-up using Bayley scale, SFD infants had a tendency to be retarded mentally and to have poor psychomotor development at six and twelve months postnatal when compared with mature and AFD infants. This result is related to neonatal behavioral development.
Keywords: ブラゼルトン新生児行動評価 / ベイリー乳幼児発達検査 / SFD児
URI: http://hdl.handle.net/10069/20986
ISSN: 02893770
Relational Links: http://ci.nii.ac.jp/naid/110003995381/
Rights: 社団法人日本理学療法士協会 / 本文データは学協会の許諾に基づきCiNiiから複製したものである
Type: Journal Article
Text Version: publisher
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/20986

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