アブストラクト
Japanese
Title | 脳卒中急性期上肢麻痺患者に対する病棟実施型CI療法の効果 |
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Subtitle | 原著論文 |
Authors | 山本勝仁*1, 竹林崇*2, 高井京子*1, 徳田和宏*3, 細見雅史*4 |
Authors (kana) | |
Organization | *1北播磨総合医療センターリハビリテーション室, *2大阪府立大学地域保健学域総合リハビリテーション学類作業療法学専攻, *3阪和記念病院リハビリテーション部, *4北播磨総合医療センターリハビリテーション科 |
Journal | 作業療法 |
Volume | 39 |
Number | 4 |
Page | 478-485 |
Year/Month | 2020 / 8 |
Article | 原著 |
Publisher | 日本作業療法士協会 |
Abstract | 「要旨」 : 本試験は, 脳卒中急性期脳卒中患者に対し, 病棟での自主練習を含むmodified CI療法 (以下, 病棟実施型CI療法) が麻痺手の機能・行動に与える影響を調べることを目的に実施した. 方法は, 急性期脳卒中患者に対し, 訓練室で行われる通常のmodified CI療法 (以下, mCI療法) と病棟実施型CI療法が麻痺手の機能と使用行動に与える影響について, 後ろ向きコホート試験で探索的に比較した. その結果, 両群とも麻痺手の機能・行動は介入前後に有意に改善した. しかし, 群間比較では, 麻痺手の使用行動のみ, 病棟実施型CI療法が, 通常のmCI療法に比べ, 有意に改善した. 病棟実施型CI療法は, 実生活の麻痺手の使用行動に影響を与える可能性がある. |
Practice | 医療技術 |
Keywords | 上肢機能, 脳卒中, 急性期, CI療法, 片麻痺, Upper-extremity function, Stroke, Acute phase, CI therapy, Hemiplegia |
English
Title | Effects of ward-operated CI therapy for stroke patients with acute upper limb paralysis |
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Subtitle | ORIGINAL ARTICLES |
Authors | Katsuhito Yamamoto*1, Takashi Takebayashi*2, Kyoko Takai*1, Kazuhiro Tokuda*3, Masashi Hosomi*4 |
Authors (kana) | |
Organization | *1Division of Rehabilitation, Kita Harima Medical Center, *2Department of Occupational Therapy, School of Comprehensive Rehabilitation, Osaka Prefecture University, *3Department of Rehabilitation, Hanwa Memorial Hospital, *4Department of Rehabilitation, Kita Harima Medical Center |
Journal | JAPANESE OCCUPATIONAL THERAPY RESEARCH |
Volume | 39 |
Number | 4 |
Page | 478-485 |
Year/Month | 2020 / 8 |
Article | Original article |
Publisher | JAPANESE ASSOCIATION OF OCCUPATIONAL THERAPISTS |
Abstract | [Purpose :] This trial aimed to determine the efficacy of standard modified CI therapy (mCI therapy) with self-training in hospital wards (ward-based mCI therapy) on upper-extremity function and behavior. [Method :] Through comparing the standard mCI therapy, which focuses on one extremity, with the ward-based mCI therapy using retrospective cohort design for acute stroke patients, we investigated upper-extremity motor function and behavior. [Results :] Post hoc analysis revealed that both groups significantly exhibited improved upper-extremity function and behavior. However, comparison between groups revealed that the ward-based mCI therapy significantly improved the affected upper-extremity behavior more than the standard mCI therapy. [Conclusion :] The ward-based CI therapy might have a greater effect on the behavior of the affected upper-extremity in real life. |
Practice | Medical technology |
Keywords | Upper-extremity function, Stroke, Acute phase, CI therapy, Hemiplegia |
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