アブストラクト
| Title | 半側空間無視 |
|---|---|
| Subtitle | 特集 失語, 失行, 失認のリハビリテーション |
| Authors | 水野勝広1) |
| Authors (kana) | |
| Organization | 1)東海大学医学部 専門診療学系 リハビリテーション科学 |
| Journal | JOURNAL OF CLINICAL REHABILITATION |
| Volume | 33 |
| Number | 3 |
| Page | 231-237 |
| Year/Month | 2024 / 3 |
| Article | 報告 |
| Publisher | 医歯薬出版 |
| Abstract | 「内容のポイントQ&A」「Q1 半側空間無視の病態, 責任病巣は?」半側空間無視は脳損傷により, 損傷半球と反対側の空間に対する反応や運動が困難となる症候であり, 右半球損傷に多いが, 左半球損傷でも起こり得る. 机上検査だけでなく日常生活のさまざまな場面で問題となり, リハビリテーション治療のアウトカムを不良とする. 近年では個別の責任病巣よりも広範なネットワークの障害としてとらえられ, 半球間バランスの不均衡が要因の1つと考えられている. 「Q2 半側空間無視の評価法は?」半側空間無視のスクリーニング法として線分二等分試験, 抹消試験, 図形模写等があるが, 1つの検査のみでは不十分であり, 行動性無視検査(BIT)のように組み合わせて用いることが望ましい. 行動評価としてはCatherine Bergego Scale(CBS)があり, 評価基準を明確にしたKessler Foundation Neglect Assessment Process(KF-NAP(R))も使用される. |
| Practice | 臨床医学：外科系 |
| Keywords | 右半側空間無視, プリズム適応療法, ニューロモデュレーション, 脳機能結合, 半球間抑制 |
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