Abstract. In this study, subjective well-being of 81 adult cerebral palsy (CP) patients who had been discharged from our hospital was evaluated using the Philadelphia Geriatric Center Morale Scale. They were questioned about their life and physical condition. The results were as follows: 1) The subjective wellbeing of CP patients in their late 30 years to early 40 years was lower than that of these in their early 30 years.2) The subjective well-being of CP patients whose physical health was deteriorating, due to falling stamina, appearance of pains and gait disturbance, was lower. 3) Subjective well-being was determined by the convenience of social environment and job integration. These results suggest that age and progression of disability are important factors for life satisfaction in middle-aged and elderly out-patients with CP.

Abstract. Children with spastic cerebral palsy (CP) have a strictly individual gait with numerous variations, which is also characterized by increased tonus and hyperreflexion of the muscles. These factors lead to a gait pattern that is inefficient in terms of consumption of energy. The purpose of this study was to clarify the major factor of the deterioration of walking ability on patients with cerebral palsy. Eighteen children (ten boys, eight girls, average age 12.7 years) with CP participated in the study. The children were divided into groups: the independent walking group and the walking aid group (walking with crutches and wheeled walkers); and the diplegia group and the hemiplegia group. The physiological cost index (PCI) for a 3 minute walk at comfortable speed was measured. PCI was compared to the reaction of the cardio-pulmonary system in basic motions (standing up from a table and 10 m walking). Through this test, the whole heart rate and 10 m walking time were measured. PCI and 10 m walking time in the independent walking group and the hemiplegia group were significantly lower than in the walking aid group and the diplegia group, but there was no difference in the endurance index between them. PCI had a significantly positive correlation with the 10 m walking time. However, PCI did not correlate with repetitions and difference in heart rate between before and after standing ups. From these results, it was concluded that the contracture, muscles weakness in the lower limbs, had a strong influence on ambulation level and energy expenditure in spastic CP.