アブストラクト
Japanese
Title | 集中作業療法は脊髄小脳変性症患者の上肢機能と認知機能を改善させる |
---|---|
Subtitle | 原著論文 |
Authors | 園田悠馬*1 |
Authors (kana) | |
Organization | *1びわこリハビリテーション専門職大学リハビリテーション学部作業療法学科 |
Journal | 作業療法 |
Volume | 41 |
Number | 5 |
Page | 568-576 |
Year/Month | 2022 / |
Article | 原著 |
Publisher | 日本作業療法士協会 |
Abstract | 「要旨」 : 脊髄小脳変性症 (SCD) の入院患者用に設計された集中作業療法 (OT) の有効性について, 症状の重複にかかわらず, 上肢機能および認知機能が改善するか, 後ろ向き研究で調査した. 純粋小脳型10名と多系統障害型14名において, 入院時と退院時に評価されたScale for the Assessment and Rating of Ataxia (SARA) の上肢項目とTrail Making Test (TMT) を前後比較した. OT後, 両障害型においてSARA上肢とTMTともに有意な改善を認めた. したがって我々のSCD用OTは, 多系統障害の有無にかかわらず, 上肢機能および認知機能に対する効果的な治療と推断する. |
Practice | 医療技術 |
Keywords | (脊髄小脳失調症), (多系統萎縮症), 作業療法, (TMT), (SARA), Spinocerebellar ataxia, Multiple system atrophy, Occupational therapy, Trail Making Test, Scale for the Assessment and Rating of Ataxia |
English
Title | Improvement of upper limb and cognitive functions through intensive occupational therapy among patients with spinocerebellar degeneration |
---|---|
Subtitle | ORIGINAL ARTICLES |
Authors | Yuma Sonoda*1 |
Authors (kana) | |
Organization | *1Department of Occupational Therapy, Faculty of Rehabilitation, Biwako Professional University of Rehabilitation |
Journal | JAPANESE OCCUPATIONAL THERAPY RESEARCH |
Volume | 41 |
Number | 5 |
Page | 568-576 |
Year/Month | 2022 / |
Article | Original article |
Publisher | JAPANESE ASSOCIATION OF OCCUPATIONAL THERAPISTS |
Abstract | The study examines the effectiveness of intensive occupational therapy (OT) in improving upper limb and cognitive function in patients with spinocerebellar degeneration (SCD) with and without multiple-site symptoms. In this retrospective before-after clinical study, we included patients with pure cerebellar ataxia (eight with cortical cerebellar ataxia and two with suspected spinocerebellar ataxia type-6) and polyphyletic disorder (twelve with multiple system atrophy-cerebellar and two with Machado-Joseph disease). The following were evaluated at the time of admission and discharge : (1) upper-limb ataxia based on the Scale for the Assessment and Rating of Ataxia (SARA) and (2) the Trail Making Test (TMT) to evaluate cognitive functions such as attention. The data were analyzed using the Wilcoxon signed-rank test with Holm's method. At the time of discharge, significant improvements in SARA and TMT scores were observed in both groups, indicating that OT improves upper limb ataxia and cognitive function in patients with SCD with or without multiple-site symptoms. |
Practice | Medical technology |
Keywords | (TMT), (SARA), Spinocerebellar ataxia, Multiple system atrophy, Occupational therapy, Trail Making Test, Scale for the Assessment and Rating of Ataxia |
- 全文ダウンロード: 従量制、基本料金制の方共に770円(税込) です。
参考文献
- 1) Tsuji S, Onodera O, Goto J, Nishizawa M, Study Group on Ataxic Diseases:Sporadic ataxias in Japan--a population-based epidemiological study. Cerebellum 7(2):189-197, 2008.
- 2) Online Mendelian Inheritance in Man:An Online Catalog of Human Genes and Genetic Disorders. https://www.omim.org
- 3) Lee YC, Liao YC, Wang PS, Lee IH, Lin KP, et al:Comparison of cerebellar ataxias:A three-year prospective longitudinal assessment. Mov Disord 26(11):2081-2087, 2011.
- 4) Giordano I, Harmuth F, Jacobi H, Paap B, Vielhaber S, et al:Clinical and genetic characteristics of sporadic adult-onset degenerative ataxia. Neurology 89(10):1043-1049, 2017.
- 5) Ilg W, Bastian AJ, Boesch S, Burciu RG, Celnik P, et al:Consensus paper:Management of degenerative cerebellar disorders. Cerebellum 13(2):248-268, 2014.
残りの30件を表示する
- 6) Rohrer G, Hoglinger GU, Levin J:Symptomatic therapy of multiple system atrophy. Auton Neurosci 211:26-30, 2018.
- 7) Jain S, Dawson J, Quinn NP, Playford ED:Occupational therapy in multiple system atrophy:A pilot randomized controlled trial. Mov Disord 19(11):1360-1364, 2004.
- 8) Barbuto S, Martelli D, Isirame O, Lee N, Bishop L, et al:Phase I single-blinded randomized controlled trial comparing balance and aerobic training in degenerative cerebellar disease. PM R 13(4):364-371, 2021.
- 9) Barbuto S, Kuo SH, Winterbottom L, Lee S, Stern Y, et al:Home aerobic training for cerebellar degenerative diseases:A randomized controlled trial. Cerebellum 18:1-10, doi:10.1007/s12311-022-01394-4 [published online ahead of print Mar 18, 2022].
- 10) Ilg W, Synofzik M, Brotz D, Burkard S, Giese MA, et al:Intensive coordinative training improves motor performance in degenerative cerebellar disease. Neurology 73(22):1823-1830, 2009.
- 11) Ilg W, Brotz D, Burkard S, Giese MA, Schols L, et al:Long-term effects of coordinative training in degenerative cerebellar disease. Mov Disord 25(13):2239-2246, 2010.
- 12) Miyai I, Ito M, Hattori N, Mihara M, Hatakenaka M, et al:Cerebellar ataxia rehabilitation trial in degenerative cerebellar diseases. Neurorehabil Neural Repair 26(5):515-522, 2012.
- 13) Sonoda Y, Yamanaka Y, Sawano S, Komada R, Kugo M, et al:Amelioration of motor and nonmotor symptoms in cortical cerebellar atrophy and multiple system atrophy-cerebellar type by inpatient rehabilitation:A retrospective study. Int J Rehabil Res 44(2):104-109, 2021.
- 14) Sonoda Y, Yoshida N, Kawami K, Kitamura A, Ogawa N, et al:Short-term effect of intensive speech therapy on dysarthria in patients with sporadic spinocerebellar degeneration. J Speech Lang Hear Res 64(3):725-733, 2021.
- 15) Silva RC, Saute JA, Silva AC, Coutinho AC, Saraiva-Pereira ML, et al:Occupational therapy in spinocerebellar ataxia type 3:An open-label trial. Braz J Med Biol Res 43(6):537-542, 2010.
- 16) Mastammanavar VS, Kamble N, Yadav R, Netravathi M, Jain S, et al:Non-motor symptoms in patients with autosomal dominant spinocerebellar ataxia. Acta Neurol Scand 142(4):368-376, 2020.
- 17) Schmitz-Hubsch T, du Montcel ST, Baliko L, Berciano J, Boesch S, et al:Scale for the assessment and rating of ataxia:Development of a new clinical scale. Neurology 66(11):1717-1720, 2006.
- 18) Trouillas P, Takayanagi T, Hallett M, Currier RD, Subramony SH, et al:International Cooperative Ataxia Rating Scale for pharmacological assessment of the cerebellar syndrome. The Ataxia Neuropharmacology Committee of the World Federation of Neurology. J Neurol Sci 145(2):205-211, 1997.
- 19) Tombaugh TN:Trail making test A and B:Normative data stratified by age and education. Arch Clin Neuropsychol 19(2):203-214, 2004.
- 20) Llinas-Regla J, Vilalta-Franch J, Lopez-Pousa S, Calvo-Perxas L, Torrents Rodas D, et al:The Trail Making Test. Assessment 24(2):183-196, 2017.
- 21) 安部光代, 鈴木匡子, 岡田和枝, 三浦利奈, 藤井俊勝, 他:前頭葉機能検査における中高年健常日本人データの検討 -Trail Making Test, 語列挙, ウィスコンシンカード分類検査(慶応版)-. 脳と神経 56(7):567-574, 2004.
- 22) Fujiwara Y, Suzuki H, Yasunaga M, Sugiyama M, Ijuin M, et al:Brief screening tool for mild cognitive impairment in older Japanese:Validation of the Japanese version of the Montreal Cognitive Assessment. Geriatr Gerontol Int 10(3):225-232, 2010.
- 23) Zigmond AS, Snaith RP:The hospital anxiety and depression scale. Acta Psychiatr Scand 67(6):361-370, 1983.
- 24) Trzepacz PT, Hochstetler H, Wang S, Walker B, Saykin AJ:Relationship between the Montreal Cognitive Assessment and Mini-mental State Examination for assessment of mild cognitive impairment in older adults. BMC Geriatr 15:107, 2015, doi:10.1186/s12877-015-0103-3.
- 25) Borg GA:Psychophysical bases of perceived exertion. Med Sci Sports Exerc 14(5):377-381, 1982.
- 26) Armstrong RA:Visual signs and symptoms of multiple system atrophy. Clin Exp Optom 97(6):483-491, 2014.
- 27) Devos H, Akinwuntan AE, Nieuwboer A, Truijen S, Tant M, et al:Screening for fitness to drive after stroke:A systematic review and meta-analysis. Neurology 76(8):747-756, 2011.
- 28) Sanchez-Cubillo I, Perianez JA, Adrover-Roig D, Rodriguez-Sanchez JM, Rios-Lago M, et al:Construct validity of the Trail Making Test:Role of task-switching, working memory, inhibition/interference control, and visuomotor abilities. J Int Neuropsychol Soc 15(3):438-450, 2009.
- 29) Tamura I, Takei A, Hamada S, Nonaka M, Kurosaki Y, et al:Cognitive dysfunction in patients with spinocerebellar ataxia type 6. J Neurol 264(2):260-267, 2017.
- 30) Rentiya Z, Khan NS, Ergun E, Ying SH, Desmond JE:Distinct cerebellar regions related to motor and cognitive performance in SCA6 patients. Neuropsychologia 107:25-30, 2017.
- 31) Braga-Neto P, Pedroso JL, Alessi H, Dutra LA, Felicio AC, et al:Cerebellar cognitive affective syndrome in Machado Joseph disease:Core clinical features. Cerebellum 11(2):549-556, 2012.
- 32) Tamura I, Takei A, Hamada S, Soma H, Nonaka M, et al:Executive dysfunction in patients with spinocerebellar ataxia type 3. J Neurol 265(7):1563-1572, 2018.
- 33) Costabile T, Pane C, Aurisicchio L, Salvati A, Lieto M, et al:Application of the p9NORM correction method to timed neuropsychological tests in Parkinson's disease and multiple system atrophy. Neurol Sci 41(12):3633-3641, 2020.
- 34) Chang CC, Chang YY, Chang WN, Lee YC, Wang YL, et al:Cognitive deficits in multiple system atrophy correlate with frontal atrophy and disease duration. Eur J Neurol 16(10):1144-1150, 2009.
- 35) Terada S, Sato S, Nagao S, Ikeda C, Shindo A, et al:Trail making test B and brain perfusion imaging in mild cognitive impairment and mild Alzheimer's disease. Psychiatry Res 213(3):249-255, 2013.