てんかん児と水泳

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タイトル別名
  • Epileptic Children and Swimming

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This study was undertaken whether or not swimming is a precipitating factor for epileptic seizures, and how this type of exercise affects the basic rythms and seizure discharges of EEG in epileptic children.<BR>The subjects in this study were 30 epileptic children of normal intelligence (16 males and 14 females) who were seizure-free for more than a year. They ranged in age from 7 to 12 years. The seizure types were: tonic-clonic seizures in 14 children, absence seizures in 4, and partial seizures in 12. EEG records of thecentral and occipital areas were taken using a 4-channel telemetry system in an indoor pool at a water temperature of 30-31°C and a room temperature of 31-32°C<BR>Recording of EEG was carried out before, during and after the two swimming and was performed to hyperventilate twice. The mean number of spike discharges was 9.2% at rest, 10.5% at rest following the 1st hyperventilation, 4.1% during the 1st swimming, 2.4% during the 2nd swimming and 9.4% at rest following the 2nd hyperventilation, respectively. It was clear that spike discharges in EEG decreased during swimming (t< 0.01). Statiscally, there was no significant difference between the numbers of spike discharges before and after the swimming.<BR>Also, no marked changes in the EEG were found in the basic rythms before and after the swimming.<BR>These results suggest that swimming does not make the epileptic discharges worse. We conclude that swimming is not a risk factor for epileptic children, if patients are well controlled with anticonvulsants and have normal intelligence.

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  • 脳と発達

    脳と発達 15 (4), 301-309, 1983

    THE JAPANESE SOCIETY OF CHILD NEUROLOGY

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