{"id":8711,"date":"2026-09-22T09:18:50","date_gmt":"2026-09-22T09:18:50","guid":{"rendered":"https:\/\/neuropediatoolkit.org\/?p=8711"},"modified":"2026-09-24T15:36:46","modified_gmt":"2026-09-24T15:36:46","slug":"historia-natural-de-la-pci","status":"publish","type":"post","link":"https:\/\/neuropediatoolkit.org\/ja\/historia-natural-de-la-pci\/","title":{"rendered":"PCI\u306e\u81ea\u7136\u53f2"},"content":{"rendered":"<h2>\u91cd\u5ea6\u8133\u6027\u9ebb\u75fa\u5150\u306e\u5074\u5f2f\u75c7\u306e\u81ea\u7136\u53f2\uff1aNorCP \u7814\u7a76\u306e\u8a3c\u62e0\u306b\u57fa\u3065\u304f\u30ec\u30d3\u30e5\u30fc<\/h2>\n<p>\u4e2d\u7b49\u5ea6\u304b\u3089\u91cd\u5ea6\u306e\u8133\u6027\u9ebb\u75fa (CP) \u3092\u60a3\u3046\u5c0f\u5150\u306e\u5074\u5f2f\u75c7\u306f\u3001\u6700\u3082\u91cd\u5927\u306a\u5408\u4f75\u75c7\u306e 1 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\u6b73\u306e\u9593\u3067\u3001\u3088\u308a\u983b\u7e41\u306a\u8a55\u4fa1\u304c\u63a8\u5968\u3055\u308c\u307e\u3059\u3002\u30b9\u30b3\u30a2\u30b7\u30fc\u30c8 <strong>\u7dcf\u904b\u52d5\u6a5f\u80fd\u6e2c\u5b9a (GMFM)<\/strong> \u30b9\u30da\u30a4\u30f3\u8a9e\u7248 (\u30ea\u30f3\u30af\u5148\u3067\u5165\u624b\u53ef\u80fd) \u3067\u306f\u3001\u6a5f\u80fd\u72b6\u614b\u306e\u8a55\u4fa1\u304c\u3067\u304d\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u9593\u63a5\u7684\u306a\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0 \u30c4\u30fc\u30eb\u3068\u3057\u3066\u3082\u4f7f\u7528\u3067\u304d\u307e\u3059\u3002GMFM 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\u3084 Cotrel-Dubousset \u306a\u3069\u306e\u30b7\u30b9\u30c6\u30e0\uff09\u3092\u4f7f\u7528\u3057\u305f\u810a\u690e\u56fa\u5b9a\u624b\u8853\u306f\u3001\u7279\u306b\u9069\u5207\u306a\u5ea7\u4f4d\u59ff\u52e2\u3092\u7dad\u6301\u3067\u304d\u306a\u3044 GMFCS V \u306e\u60a3\u8005\u306b\u304a\u3044\u3066\u3001\u810a\u690e\u3092\u5b89\u5b9a\u3055\u305b\u3001\u751f\u6d3b\u306e\u8cea\u3092\u5927\u5e45\u306b\u6539\u5584\u3059\u308b\u306e\u306b\u975e\u5e38\u306b\u52b9\u679c\u7684\u3067\u3042\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u624b\u8853\u306e\u9069\u5fdc\u306f\u3001\u30b3\u30d6\u89d2\u5ea6\u3060\u3051\u3067\u306a\u304f\u3001\u60a3\u8005\u306e\u8010\u5bb9\u6027\u3001\u80ba\u6a5f\u80fd\u3001\u8eca\u6905\u5b50\u3067\u306e\u81ea\u7acb\u80fd\u529b\u3082\u8003\u616e\u3057\u3066\u3001\u5b66\u969b\u7684\u306a\u30c1\u30fc\u30e0\u3068\u5354\u529b\u3057\u3066\u6c7a\u5b9a\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u6700\u5f8c\u306b\u3001CP \u306b\u304a\u3051\u308b\u5074\u5f2f\u75c7\u306f\u6574\u5f62\u5916\u79d1\u7684\u306a\u554f\u984c\u3060\u3051\u3067\u306f\u306a\u304f\u3001\u5168\u8eab\u7684\u306a\u5f71\u97ff\u304c\u3042\u308b\u3053\u3068\u3092\u8a8d\u8b58\u3059\u308b\u3053\u3068\u304c\u4e0d\u53ef\u6b20\u3067\u3059\u3002\u91cd\u5ea6\u306e\u6e7e\u66f2\u306f\u80ba\u6a5f\u80fd\u3092\u640d\u306a\u3044\u3001\u8179\u90e8\u306e\u4f4d\u7f6e\u306e\u5909\u5316\u306b\u3088\u308a\u80c3\u8178\u6a5f\u80fd\u3092\u5909\u5316\u3055\u305b\u3001\u751f\u6d3b\u306e\u8cea\u3068\u6a5f\u80fd\u7684\u81ea\u5f8b\u6027\u306b\u60aa\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u3057\u305f\u304c\u3063\u3066\u3001\u7ba1\u7406\u306f\u5fc5\u8981\u306b\u5fdc\u3058\u3066\u795e\u7d4c\u5c0f\u5150\u79d1\u533b\u3001\u6574\u5f62\u5916\u79d1\u533b\u3001\u7406\u5b66\u7642\u6cd5\u58eb\u3001\u7de9\u548c\u30b1\u30a2\u30c1\u30fc\u30e0\u306e\u53c2\u52a0\u3092\u5f97\u3066\u5305\u62ec\u7684\u306b\u884c\u3046\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<figure class=\"wp-block-image size-full is-resized\"><img fetchpriority=\"high\" decoding=\"async\" width=\"967\" height=\"684\" src=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2026\/09\/586_2023_7868_Fig2_HTML.webp\" alt=\"Progresi\u00f3n de la escoliosis seg\u00fan el nivel GMFCS\" class=\"wp-image-8716\" style=\"width:824px;height:auto\" srcset=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2026\/09\/586_2023_7868_Fig2_HTML.webp 967w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2026\/09\/586_2023_7868_Fig2_HTML-300x212.webp 300w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2026\/09\/586_2023_7868_Fig2_HTML-17x12.webp 17w, https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2026\/09\/586_2023_7868_Fig2_HTML-768x543.webp 768w\" sizes=\"(max-width: 967px) 100vw, 967px\" \/><\/figure>\n<p><em>\u56f3 1. GMFCS \u30ec\u30d9\u30eb\u306b\u5fdc\u3058\u305f\u5074\u5f2f\u75c7\u306e\u5e74\u6b21\u9032\u884c (GMFCS IV: \u9752\u8272\u306e\u66f2\u7dda\u3001GMFCS V: \u8d64\u8272\u306e\u66f2\u7dda)\u3002 NorCP \u7814\u7a76\u306e\u30c7\u30fc\u30bf (2023 \u5e74)\u3002 GMFCS V \u60a3\u8005\u3067\u306f\u9032\u884c\u901f\u5ea6\u304c\u9752\u5e74\u671f\u521d\u671f\u306b\u6700\u3082\u52a0\u901f\u3057\u3066\u304a\u308a\u3001\u3053\u306e\u96c6\u56e3\u306b\u304a\u3051\u308b\u96c6\u4e2d\u7684\u306a\u8ffd\u8de1\u8abf\u67fb\u306e\u5fc5\u8981\u6027\u304c\u5f37\u8abf\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/em><\/p>\n<p>\u8981\u7d04\u3059\u308b\u3068\u3001\u91cd\u5ea6\u306eCP\u3092\u6301\u3064\u5c0f\u5150\u306e\u5074\u5f2f\u75c7\u306e\u81ea\u7136\u53f2\u306f\u3001\u5358\u306a\u308b\u795e\u7d4c\u5b66\u7684\u640d\u50b7\u306e\u7d50\u679c\u3067\u306f\u306a\u304f\u3001\u3080\u3057\u308d\u751f\u4f53\u529b\u5b66\u7684\u3001\u6a5f\u80fd\u7684\u3001\u9032\u5316\u7684\u8981\u56e0\u306e\u5f71\u97ff\u3092\u53d7\u3051\u308b\u6d3b\u767a\u306a\u30d7\u30ed\u30bb\u30b9\u3067\u3059\u3002 10\u6b73\u6642\u306e\u30b3\u30d6\u89d2\u226730\u00b0\u3084GMFCS V\u306a\u3069\u306e\u5371\u967a\u56e0\u5b50\u3092\u65e9\u671f\u306b\u7279\u5b9a\u3059\u308b\u3053\u3068\u3067\u3001\u30bf\u30a4\u30e0\u30ea\u30fc\u306a\u4ecb\u5165\u304c\u53ef\u80fd\u306b\u306a\u308a\u3001\u91cd\u7be4\u306a\u5408\u4f75\u75c7\u3092\u9632\u3050\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u3053\u306e\u79d1\u5b66\u7684\u6839\u62e0\u306b\u57fa\u3065\u3044\u305f\u30a2\u30d7\u30ed\u30fc\u30c1\u306f\u3001\u795e\u7d4c\u5c0f\u5150\u79d1\u306b\u304a\u3051\u308b\u81e8\u5e8a\u5b9f\u8df5\u306e\u57fa\u790e\u3068\u306a\u308b\u3079\u304d\u3067\u3042\u308a\u3001\u91cd\u5ea6\u306eCP\u3092\u6301\u3064\u5404\u5c0f\u5150\u304c\u3001\u305d\u306e\u6a5f\u80fd\u3068\u751f\u6d3b\u306e\u8cea\u3092\u6700\u5927\u5316\u3059\u308b\u500b\u5225\u5316\u3055\u308c\u305f\u5b66\u969b\u7684\u306a\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u3092\u53d7\u3051\u308b\u3053\u3068\u304c\u4fdd\u8a3c\u3055\u308c\u308b\u3079\u304d\u3067\u3042\u308b\u3002<\/p>\n<p><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00586-023-07868-1?utm_source=researchgate.net&amp;utm_medium=article\">\u91cd\u5ea6\u8133\u6027\u9ebb\u75fa\u5150\u306e\u5074\u5f2f\u75c7\uff1aGMFCS \u30ec\u30d9\u30eb III \uff5e V \u306e 206 \u4eba\u306e\u5b50\u4f9b\u3092\u5bfe\u8c61\u3068\u3057\u305f\u96c6\u56e3\u30d9\u30fc\u30b9\u306e\u7814\u7a76 |\u30e8\u30fc\u30ed\u30c3\u30d1\u810a\u690e\u30b8\u30e3\u30fc\u30ca\u30eb |\u30b7\u30e5\u30d7\u30ea\u30f3\u30ac\u30fc \u30cd\u30a4\u30c1\u30e3\u30fc<\/a><\/p>\n<p><a href=\"https:\/\/neuropediatoolkit.org\/wp-content\/uploads\/2026\/09\/GROSS_MOTOR_FUNCTION_MEASURE_HOJA_PUNTUACION_Version_espanola_1.pdf\">GMFM \u30b9\u30b3\u30a2\u30b7\u30fc\u30c8 (\u30b9\u30da\u30a4\u30f3\u8a9e\u7248)<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>\u91cd\u5ea6\u8133\u6027\u9ebb\u75fa\u306e\u5c0f\u5150\u306b\u304a\u3051\u308b\u5074\u5f2f\u75c7\u306e\u81ea\u7136\u53f2\uff1aNorCP \u7814\u7a76\u306e\u8a3c\u62e0\u306b\u57fa\u3065\u304f\u30ec\u30d3\u30e5\u30fc \u4e2d\u7b49\u5ea6\u304b\u3089\u91cd\u5ea6\u306e\u8133\u6027\u9ebb\u75fa\uff08CP\uff09\u3092\u6709\u3059\u308b\u5c0f\u5150\u306e\u5074\u5f2f\u75c7\u306f\u3001\u6700\u3082\u91cd\u5927\u306a\u5408\u4f75\u75c7\u306e 1 \u3064\u3067\u3042\u308a\u3001\u3053\u306e\u795e\u7d4c\u5b66\u7684\u72b6\u614b\u306e\u9032\u884c\u306b\u304a\u3044\u3066\u6a5f\u80fd\u7684\u306b\u6700\u3082\u5927\u304d\u306a\u5f71\u97ff\u3092\u53ca\u307c\u3057\u307e\u3059\u3002\u30d1\u30bd\u30b3\u30f3\u3067\u3059\u304c\u2026 <\/p>\n<p class=\"link-more\"><a href=\"https:\/\/neuropediatoolkit.org\/ja\/historia-natural-de-la-pci\/\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080<span class=\"screen-reader-text\"> \u226aPCI\u306e\u81ea\u7136\u53f2\u226b<\/span><\/a><\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-8711","post","type-post","status-publish","format-standard","hentry","category-uncategorized","entry"],"_links":{"self":[{"href":"https:\/\/neuropediatoolkit.org\/ja\/wp-json\/wp\/v2\/posts\/8711","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neuropediatoolkit.org\/ja\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neuropediatoolkit.org\/ja\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/ja\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/ja\/wp-json\/wp\/v2\/comments?post=8711"}],"version-history":[{"count":3,"href":"https:\/\/neuropediatoolkit.org\/ja\/wp-json\/wp\/v2\/posts\/8711\/revisions"}],"predecessor-version":[{"id":8730,"href":"https:\/\/neuropediatoolkit.org\/ja\/wp-json\/wp\/v2\/posts\/8711\/revisions\/8730"}],"wp:attachment":[{"href":"https:\/\/neuropediatoolkit.org\/ja\/wp-json\/wp\/v2\/media?parent=8711"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/ja\/wp-json\/wp\/v2\/categories?post=8711"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neuropediatoolkit.org\/ja\/wp-json\/wp\/v2\/tags?post=8711"}],"curies":[{"name":"\u3046\u30fc\u3093","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}