Kenji Kihara^1,2, Mariko Yagi³, Yoko Kawasaki³, Yoko Matsumoto³, Mio Nishimura³, Satoshi Takada² (1.Nikoniko-house medical welfare center, Kobe, Japan, 2.Kobe university graduate school of health science, Kobe, Japan, 3.Nikoniko-house medical welfare center, Kobe, Japan)

Naoyuki Tanuma¹, SO ATSUMI¹, KEIKO TOMINAGA² (1.Department of Pediatrics, Tokyo Metropolitan Fuchu Medical Center for the Disabled, Tokyo, Japan, 2.Department of Internal Medicine, Tokyo Metropolitan Fuchu Medical Center for the Disabled, Tokyo, Japan)

Yuri Dowa, Mio Watanabe, Kyoko Hazama, Takashi Shiihara (Department of Neurology, Gunma Children's Medical Center, Shibukawa, Japan)

Yoshimichi Hirayama (Deparatment of Pediatrics Naha city hospital,Okinawa,Japan)

Nahoko Katayama—ueda, RYOSUKE URABE, TETSUHARU KAMIOKA, YU KAKIMOTO, GO TAKEI, HIROSHI TERASHIMA, MASAYA KUBOTA (Division of Neurology, National Center for Child Health and Development, Tokyo, Japan)

Takanori Ezoe, HARUMI SAIJOU, KATSUHITO ARAKI, SUI SONE (Tokyo Metropolitan Medical Center for severly Disabled and Handicapped)