アブストラクト
Japanese
| Title | 脳卒中後左片麻痺と左半側空間無視を伴う全般的認知障害を呈した事例に対する病態に応じた工夫を施した複合的アプローチの試み |
|---|---|
| Subtitle | 実践報告 |
| Authors | 田中卓*1, 竹林崇*2, 花田恵介*2,*3 |
| Authors (kana) | |
| Organization | *1医療法人養和会養和病院, *2大阪府立大学大学院総合リハビリテーション学研究科, *3医療法人錦秀会阪和記念病院リハビリテーション部 |
| Journal | 作業療法 |
| Volume | 41 |
| Number | 1 |
| Page | 86-93 |
| Year/Month | 2022 / 2 |
| Article | 報告 |
| Publisher | 日本作業療法士協会 |
| Abstract | 「要旨:」今回, 脳卒中後左片麻痺と左半側空間無視を伴う全般的認知機能障害を呈した事例に対して, 病態に応じた工夫を施した麻痺手に対する複合的なアプローチ(病棟スタッフ主体のTransfer Packageや課題指向型アプローチ, 電気・振動刺激)を実施した. 結果, 予後不良と考えられた事例において, 臨床上意味のある最小変化量を超えた上肢機能の改善と, 意味のある作業の達成が可能となった. さらに, 半側空間無視も中等度の障害から軽度の障害への変化が見られた. 回復期の介入のため, 自然回復の影響は否めないが, 本介入は認知機能低下を呈した事例に対する上肢機能アプローチにおける工夫として有用な可能性があると考えられた. |
| Practice | 医療技術 |
| Keywords | 認知障害, 脳血管障害, 半側空間無視, 上肢機能, 回復期, Cognitive impairment, Cerebrovascular accident, Unilateral spatial neglect, Upper limb function, Recovery period |
English
| Title | The combined approach for post-stroke patients with left arm hemiplegia and general cognitive disorder leading to left unilateral spatial neglect |
|---|---|
| Subtitle | PRACTICAL REPORTS |
| Authors | Suguru Tanaka*1, Takashi Takebayashi*2, Keisuke Hanada*2,*3 |
| Authors (kana) | |
| Organization | *1Medical corporation Yowakai, Yowa Hospital, *2Graduate School of Comprehensive Rehabilitation, Osaka Prefecture University, *3Department of Rehabilitation, Kinshukai Hanwa Memorial Hospital |
| Journal | JAPANESE OCCUPATIONAL THERAPY RESEARCH |
| Volume | 41 |
| Number | 1 |
| Page | 86-93 |
| Year/Month | 2022 / 2 |
| Article | Report |
| Publisher | JAPANESE ASSOCIATION OF OCCUPATIONAL THERAPISTS |
| Abstract | This study utilized the combined approach which included the transfer package by the ward staff, task-oriented training, and electrical stimulation/vibration of the affected arm for sub-acute stroke patients with left hemiplegia and general cognitive disorder leading to left unilateral spatial neglect. Consequently, there was improvement in affected upper extremity function beyond the minimal clinically important difference and achievement of meaningful occupation in patients with poor prognosis. In addition, unilateral spatial neglect improved from severe to mild impairment after the intervention. Although the improvements indicate spontaneous recovery, this intervention might be useful for devising solutions to the arm functional approaches for sub-acute stroke patients with cognitive disorders. |
| Practice | Medical technology |
| Keywords | Cognitive impairment, Cerebrovascular accident, Unilateral spatial neglect, Upper limb function, Recovery period |
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