Japanese

Title	視空間認知障害を合併した脳卒中片麻痺患者に対する応用行動分析学に基づいた上衣着衣練習の効果 - 単一事例研究 -
Subtitle	実践報告
Authors	小澤弘幸*1, 渡邊愛記*2, 石井杏樹*3, 川上祥*1, 小林健太郎*1
Authors (kana)
Organization	*1国家公務員共済組合連合会九段坂病院リハビリテーション科, *2神奈川県立保健福祉大学リハビリテーション学科, *3社会福祉法人浴風会浴風会病院リハビリテーション科
Journal	作業療法
Volume	42
Number	5
Page	663-669
Year/Month	2023 / 10
Article	報告
Publisher	日本作業療法士協会
Abstract	要旨:視空間認知障害を呈した左片麻痺症例に対し, 単一事例実験研究による応用行動分析学に基づいた上衣の着衣練習の有効性を検証した. 着衣動作を6つの工程に分割し, それぞれに対して介助量によって点数付けをし, その得点と着衣動作の遂行時間を計測した. ベースライン期では試行錯誤による着衣練習, 介入期では時間遅延法と視覚的プロンプト・フェイディング法による着衣練習を行った. その結果, 介入期ではベースライン期に比べて着衣の遂行時間と得点が有意に改善し, その後も着衣動作が継続的に可能となった. これらより, 応用行動分析学に基づいた着衣練習は, 視空間認知障害を呈した片麻痺患者に対する有効な訓練方法であると示唆された.
Practice	医療技術
Keywords	脳血管障害, 半側空間無視, 更衣, 応用行動分析学, シングルシステムデザイン, Stroke, Unilateral spatial neglect, Dressing, Applied behavior analysis, Single-case experimental study

English

Title	The trail of upper-body dressing training based on the time-delay and visual prompt fading methods for a stroke inpatient with severe hemiplegia and visual-spatial deficit
Subtitle	PRACTICAL REPORTS
Authors	Hiroyuki Ozawa*1, Aki Watanabe*2, Anju Ishii*3, Akira Kawakami*1, Kentaro Kobayashi*1
Authors (kana)
Organization	*1Department of Rehabilitation, Kudanzaka Hospital, *2School of Rehabilitation, Kanagawa University of Human Services, *3Department of Rehabilitation, Yokuhukai Hospital
Journal	JAPANESE OCCUPATIONAL THERAPY RESEARCH
Volume	42
Number	5
Page	663-669
Year/Month	2023 / 10
Article	Report
Publisher	JAPANESE ASSOCIATION OF OCCUPATIONAL THERAPISTS
Abstract	This study examined the effect of upper-body dressing training based on the time-delay and visual prompt fading methods using applied behavior analysis on a stroke inpatient with severe hemiplegia and visual-spatial deficit (left-homonymous hemianopsia and ocular motility disorder). In this single-case experimental study, to assess the effect of the intervention, the performance times of upper-body dressing and amounts of dressing scores in the baseline and intervention phases were measured and compared. Statical analysis was performed by the split-middle line method and a binomial test. As a result, performance times of upper-body dressing were shortened and amounts of the dressing score increased significantly in the intervention phase compared to the baseline. Moreover, these outcomes were also consistent during the follow-up. These results suggest that upper-body dressing training based on the time-delay and visual prompt fading methods are effective in improving upper-dressing ability in a stroke patient with impaired visuospatial ability.
Practice	Medical technology
Keywords	Stroke, Unilateral spatial neglect, Dressing, Applied behavior analysis, Single-case experimental study

• 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