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September 17, 1960

Children with Severe Brain InjuriesNeurological Organization in Terms of Mobility

Author Affiliations

Philadelphia; Paris; Philadelphia

JAMA. 1960;174(3):257-262. doi:10.1001/jama.1960.03030030037007

A new system has been developed for the treatment of children with severe brain injuries. This concept, based on neurological organization, is aimed at the injured central nervous system rather than at the resultant peripheral symptoms. The authors devised a developmental mobility scale which described 13 levels of normal development as the criteria of progress during a two-year study of 76 children. The program consisted of permitting the child normal developmental opportunities in areas where the responsible brain level was undamaged, externally imposing the bodily patterns of activity which were the responsibility of damaged brain levels, establishment of hemispheric dominance and early unilaterality, respiratory improvement as measured by vital capacity, and sensory stimulation to improve bodily awareness and position sense. The results of this study are significantly better than those achieved by the authors with previous methods.