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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
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
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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参考文献

  • 1) Wolf SL, Winstein CJ, Miller JP, Taub E, Uswatte G, et al: Effect of constraint-induced movement thera-py on upper extremity function 3 to 9 month after stroke: The EXCITE randomized clinical trial. JAMA 296(17): 2095-2104, 2006.
  • 2) Wu CY, Chen YA, Chen HC, Lin KC, Yeh IL : Pilot trial of distributed constraint-induced therapy with trunk restraint to improve poststroke reach to grasp and trunk kinematics. Neurorehabil Neural Repair 26(3): 247-255, 2012.
  • 3) Lin KC, Huang YH, Hsieh YW, Wu CY : Potential predictor of motor and functional outcomes after distributed constraint-induced therapy for patient with stroke. Neurorehabil Neural Repair 23(4): 336-342, 2009.
  • 4) Taub E, Uswatte G, King DK, Morris D, Crago JE, et al: A placebo-controlled trial of constraint-in-duced movement therapy for upper extremity after stroke. Stroke 37(4): 1045-1049, 2006.
  • 5) Dromerick AW, Lang CE, Birkenmeier RL, Wagner JM, Miller JP, et al: Very Early Constraint-Induced Movement during Stroke Rehabilitation (VEC-TORS): A single-center RCT. Neurology 73(3): 195-201, 2009.
残りの15件を表示する
  • 6) El-Helow MR, Zamzam ML, Fathalla MM, El-Badawy MA, El Nahhas N, et al: Efficacy of modified con-straint induced movement therapy in acute stroke. Eur J Phys Rehabil Med 51(4): 371-379, [Epub ahead of print] 2014.
  • 7) Barzel A, Ketels G, Stark A, Tetzlaff B, Daubmann A, et al: Home-based constraint-induced movement therapy for patients with upper limb dysfunction after stroke (HOMECIMT): A cluster-randomised, controlled trial. Lancet Neurol 14(9): 893-902, 2015.
  • 8) 西村翔太, 梅田 顕, 谷村睦美, 延東浩輝, 竹林 崇 : 回復期リハビリテーション病棟入院中の脳卒中患者に対する病棟実施型CI療法の試み-ケースシリーズスタディ-. 作業療法 37(1): 96-103, 2018.
  • 9) Morris DM, Taub E, Mark VW : Constraint-induced movement therapy: Characterizing the intervention protocol. Eura Medicophys 42(3): 257-268, 2006.
  • 10) Takebayashi T, Koyama T, Amano S, Hanada K, Tabusadani M, et al: A 6-month follow-up after constraint-induced movement therapy with and without transfer package for patients with hemipa-resis after stroke: A pilot quasi-randomized con-trolled trial. Clin Rehabil 27(5): 418-426, 2013.
  • 11) Fugl-Meyer AR, Jaasko L, Leyman I, Olssons S, Steglind S : The post-stroke hemiplegic patient: 1. A method for evaluation of physical performance. Scand J Rehabil Med 7(1): 13-31, 1975.
  • 12) 高橋香代子, 道免和久, 佐野恭子, 竹林 崇, 蜂須賀研二, 他 : 新しい上肢運動機能評価法・日本語版Mo-tor Activity Logの信頼性と妥当性の検討. 作業療法 28(6): 628-636, 2009.
  • 13) 水本 篤, 竹内 理 : 研究論文における効果量の報告のために-基礎的概念と注意点-. 英語教育研究 31 : 57-66, 2008.
  • 14) Koizumi R, Katagiri K : Change in speaking perfor-mance of Japanese high school students: The case of an English course at a SELHi. ARELE 18 : 81-90, 2007.
  • 15) Feys HM, De Weerdt WJ, Selz BE, Cox Steck GA, Spichiger R, et al: Effect of therapeutic intervention for the hemiplegic upper limb in acute phase after stroke: A single-blind, randomized controlled mul-ticenter trial. Stroke 29(4): 785-792, 1998.
  • 16) Lang CE, Edwards DF, Brikenmeier RL, Dromerick AW : Estimating minimal clinically important differ-ences of upper-extremity measures early after stroke. Arch Phys Med Rehabil 89(9): 1693-1700, 2008.
  • 17) Kelly KM, Borstad AL, Kline D, Gauthier LV : Im-proved quality of life following constraint-induced movement therapy is associated with gains in arm use, but not motor improvement. Top Stroke Reha-bil 25(7): 467-474, 2018.
  • 18) Murphy MA, Andersson S, Danielsson A, Wipenmyr J, Ohlsson F : Comparison of accelerometer-based arm, leg and trunk activity at weekdays and week-ends during subacute inpatient rehabilitation after stroke. J Rehabil Med 51(6): 426-433, 2019.
  • 19) Rostami HR, Malamiri RA : Effect of treatment envi-ronment on modified constraint-induced movement therapy results in children with spastic hemiplegic cerebral palsy: A randomized controlled trial. Disabil Rehabil 34(1): 40-44, 2012.
  • 20) Taub E, Uswatte G, Mark VW, Morris DM : The learned nonuse phenomenon: Implications for reha-bilitation. Eur Medicophys 42(3): 241-256, 2006.