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Japanese

Title 脳卒中後に生じた自己認識障害に起因した麻痺手の使用行動の低下に対するTransfer packageを用いた実践 - 症例報告 -
Subtitle 実践報告
Authors 森屋崇史*1, 花田恵介*2, 永谷典子*1, 竹林崇*3
Authors (kana)
Organization *1医療法人社団六心会恒生病院リハビリテーション課, *2医療法人錦秀会阪和記念病院リハビリテーション部, *3大阪府立大学大学院総合リハビリテーション学研究科
Journal 作業療法
Volume 40
Number 6
Page 827-834
Year/Month 2021 / 12
Article 報告
Publisher 日本作業療法士協会
Abstract 要旨:軽度の運動麻痺と感覚障害に加え, 左半側空間無視や麻痺手の使用低下, 自己認識障害を認めた右前頭葉の脳梗塞患者に対し, 上肢機能練習に併せ, CI療法のTransfer packageを実施した. その結果Motor Activity LogのAmount of Use, Quality of Movementともに臨床的に意味のある最小変化量を超える改善が見られた. また, 自己認識障害を評価するAwareness Questionnaireにおいても良好な得点が得られた. 本対象者は, Transfer packageが自己認識機能を促進させ, 実生活における麻痺手の不使用に対する認識を改善した可能性がある.
Practice 医療技術
Keywords CI療法, 自己認識, 脳卒中, 上肢機能, 高次脳機能, Constraint induced movement therapy, Self awareness, Stroke, Upper extremity, Higher brain function

English

Title Occupational therapy using the transfer package for behavioral disorders of the paralyzed hand caused by self-awareness impairment after stroke : A case study
Subtitle PRACTICAL REPORTS
Authors Takashi Moriya*1, Keisuke Hanada*2, Noriko Nagatani*1, Takashi Takebayashi*3
Authors (kana)
Organization *1Department of Rehabilitation, Kosei Hospital, Medical Corporation Rokushinkai, *2Department of Rehabilitation, Hanwa Memorial Hospital, Medical Kinshukai, *3Graduate School of Comprehensive Rehabilitation, Osaka Prefecture University
Journal JAPANESE OCCUPATIONAL THERAPY RESEARCH
Volume 40
Number 6
Page 827-834
Year/Month 2021 / 12
Article Report
Publisher JAPANESE ASSOCIATION OF OCCUPATIONAL THERAPISTS
Abstract A right frontal lobe stroke patient with mild motor and sensory deficits, left hemisphere neglect, decreased use of the affected upper extremity, and self-awareness disorder received constraint-induced movement therapy combined with the transfer package (TP) for the upper extremity. Consequently, the Amount of Use and Quality of Movement Scales in the motor activity log were improved beyond the minimal important difference, and the Awareness Questionnaire, which assesses a client's self-awareness disorder of one's situation, showed improvement as well. The results of this case study indicate that the TP might improve self-awareness functioning and awareness of affected upper extremity use in the real-world.
Practice Medical technology
Keywords Constraint induced movement therapy, Self awareness, Stroke, Upper extremity, Higher brain function
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