PEDIATRICS Vol. 22 No. 2 August 1958, pp. 329-335
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A NURSERY SCHOOL FOR CHILDREN WITH CEREBRAL PALSY

Five-year Follow-up Study of Thirteen Children

Fremont P. Koch M.D.1

1 Cerebral Palsy Clinic, Los Angeles Children's Hospital, and Department of Pediatrics, University of Southern California Medical School

Obviously 13 cases is too small a number on which to base firm conclusions, particularly when we consider the different types of cerebral palsy, variations in degree, mental abilities, emotional status, economic background, social status and type of follow-up program. A few tentative conclusions could be made, realizing the above mentioned limitations:

Intelligence is a major factor in determining the physical progress that can be anticipated in a child with cerebral palsy.

Intelligence can be determined quite accurately in a child with cerebral palsy as young as 18 months of age.

A cerebral palsy nursery school should have facilities for emotional guidance of children and parents. Lacking this, some children may fail to make the expected physical progress.

Because consistent follow-up therapy and programming is very important, a skilled social service department can be very helpful.

In general, parents and staff members felt that this cerebral palsy nursery school was very worthwhile when considered in retrospect 5 years later.

Submitted on December 23, 1957
Accepted on February 18, 1958