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1 Japanese Guidelinesfor Rehabilitation of Cerebral PalsyThe 2nd EditionSupervised byThe Japanese Association of Rehabilitation Medicine 2014 All rights reservedKANEHARA & CO., Ltd., TokyoPrinted in Japan2005 9 4 2009 6 1 2 2009 8 2 2009 GMFM PEDI CI research question RQ 15 RQ 83 RQ RQ 35 1 4 2

2 4 2013 11 2 2 4 / I 5 /

3 6 10 1 1 1 14 1 1 1 15 2 2 1 20 2 1 1 21 2 1 2 GMs 23 2 1 3 Brazelton NBAS 26 2 1 4 Dubowitz 28 2 2 30 2 2 1 key months 4 7 10 18 36 ATNR 31 2 2 2 32 2 2 3 US 33 2 2 4 MRI 38 2 2 5 US MRI 41 2 2 6 HIE 45 3 3 1 50 3 1 1 GMFCS 57 3 1 2 GMFM 59 3 1 3 PEDI

4 62 7 3 1 4 MACS 64 3 1 5 COPM 65 3 1 6 JASPER 66 3 1 7 Wee-FIM 68 3 1 8 69 4 4 1 72 4 1 1 minimal handling NIDCAP 73 4 1 2 NICU 75 4 1 3 77 4 1 4 NICU 79 4 1 5 NICU 81 5 5 1 84 5 1 1 85 5 1 2 89 5 1 3 91 5 1 4 family-centered approach 93 6 96 6 1 97 6 1 1 NDT Bobath 98 6 1 2 Vojta 100 6 1 3 102 6 1 4 Conductive education 104 6 1 5 106 6 1 6 6 1 6 1 108 6 1 6 2 112 6 1 7 CI 121 6 1 8 123 6 1 9 125 6 1 10 PBWSTT 127 6 1 11 FES 129 6 1 12 1318 6 1 13 133 6 1 14 135 6 1 15 137 6 2 139 6 2 1 140 6 2 2 142 6 2 3

5 146 6 2 4 148 6 2 5 150 6 3 152 6 3 1 153 6 3 2 156 6 3 3 158 6 3 4 161 6 3 5 ITB 167 6 3 6 SDR 169 6 4 171 6 4 1 172 6 4 2 175 6 4 3 178 6 4 4 180 6 4 5 183 6 4 6 186 6 4 7 188 6 5 192 7 7 1 194 7 1 1 196 7 1 2 203 7 1 3 207 7 1 4 209 7 1 5 AAC 212 7 1 6 214 7 1 7 215 9 7 1 8 7 1 8 1 217 7 1 8 2 218 7 1 9 220 7 1 10 7 1 10 1 222 7 1 10 2 D 224 7 1 11 227 7 1 12 230 8 8 1 236 8 1 1 237 8 1 2 239 8 1 3 242 8 1 4 243 9 9 1 248

6 9 1 1 249 9 1 2 254 9 1 3 256 25910 research question RQ 1 2009 6 2009 8 2 15 RQ 1 RQ 2010 12 2 RQ 2011 1 50 PubMed Cochrane PEDro 2012 8 2012 12 2009 1 2 2012 12 26 2013 1 30 11 Ia randomized controlled trial RCT RCT meta-analysis overview systematic review collaborativeIbRCTIIa controlled clinical trial IIb IIb Cohort study prospective cohort follow-up Case control study retrospective case-control III

7 Case-control cross-sectional study IV : 2009 2009 A 1 I B 1 II C1 C2 D : 2009 2009 1 2 131 1 1 14 1 1 1 cerebral palsy CP activities of daily living ADL 151 1 1. C1 2. C1 1968 Workshop in Bethesda 2004 1968 cerebral palsy CP 1 IV 2004 Maryland Bethesda 2 IV 3 IV Bethesda 1 2 1998

8 Surveillance of cerebral palsy in Europe SCPE 12 5 4 IV 3 1 1 1 4 2 1 1 1968 16 1 2 2 1 cerebral palsy CP palsy 1 CP CP 2 CP / CP CP CP 3 CP CP CP CP CP CP CP 18 CP 4 5 1 CP