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Japanese

Title 高齢パーキンソン病に対するソフトロボットグローブを使用した遠隔監視による在宅作業療法 - 実行可能性に関する予備的事例研究 -
Subtitle 短報
Authors 加賀山俊平*1, 園田悠馬*2,*3, 多賀優佳*1
Authors (kana)
Organization *1スミレ会グループ医療法人社団菫会介護老人保健施設野洲すみれ苑デイケアセンター, *2神戸大学ウェルビーイング先端研究センター, *3神戸大学大学院保健学研究科
Journal 作業療法
Volume 43
Number 1
Page 137-140
Year/Month 2024 / 2
Article 報告
Publisher 日本作業療法士協会
Abstract 「要旨」 : 本研究は在宅生活を送るパーキンソン病 (以下, PD) 患者におけるロボットグローブ (以下, RG) を用いた遠隔監視下の作業療法 (以下, OT) の実行性と認容性, ならびに上肢機能, Quality of Life, 介護負担に対する有効性の探索を目的とした予備的事例研究である. RG装着と非装着のOTを順に各々週2回・5週間実施し, 手の痛みや強い疲労と脱落, 簡易上肢機能検査, カナダ作業遂行測定, EuroQol 5-dimension 5-level, Zarit介護負担感尺度を6ヵ月間観察した. 研究中に有害事象と欠席はなく, RG装着OT後に全評価項目で改善を認めたが, RG非装着で低下し20週後にRG装着前と同等になった. 本OTは実行性・認容性・有効性が確認され, 在宅PD患者に対するOTの1つとして検討され得る.
Practice 医療技術
Keywords パーキンソン病, 作業療法, ロボット, 遠隔リハビリテーション, 在宅生活, Parkinson's disease, Occupational therapy, Robotic glove, Telerehabilitation, Home-life

English

Title Home-based occupational therapy using a soft-robotic glove in remote supervision for older individuals with Parkinson's disease : A preliminary case study on feasibility
Subtitle SHORT REPORTS
Authors Shunpei Kagayama*1, Yuma Sonoda*2,*3, Yuka Taga*1
Authors (kana)
Organization *1Day Care Center, Geriatric Health Services Facility Yasu Sumire-en, *2Advanced Research Center for Well-being, Kobe University, *3Kobe University Graduate School of Health Sciences
Journal JAPANESE OCCUPATIONAL THERAPY RESEARCH
Volume 43
Number 1
Page 137-140
Year/Month 2024 / 2
Article Report
Publisher JAPANESE ASSOCIATION OF OCCUPATIONAL THERAPISTS
Abstract This study aimed to explore the feasibility and tolerability of remote-monitored occupational therapy (OT) using robotic gloves (RG) in home-dwelling patients with Parkinson's disease (PD) and its effectiveness on upper extremity function, health-related quality of life, and caregiver burden. This is a preliminary single-case study of OT with and without RG performed twice a week for five weeks. Hand pain and severe fatigue, dropouts, simple test for evaluating hand function, Canadian Occupational Performance Measure, EuroQol 5-dimension 5-level, and Zarit burden interview were observed for six months. During the study, there were no adverse events or absences. All outcomes improved after OT with RG but declined gradually without RG, returning scores comparable to pre-OT with RG after six months. This OT program for home-dwelling patients with PD has been confirmed to be feasible, tolerable, and effective, and may be considered a future home OT.
Practice Medical technology
Keywords Parkinson's disease, Occupational therapy, Robotic glove, Telerehabilitation, Home-life
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参考文献

  • 1) Armstrong MJ, Okun MS: Diagnosis and treatment of Parkinson disease: A review. JAMA 323(6): 548-560, 2020.
  • 2) Foster ER, Carson LG, Archer J, Hunter EG: Oc-cupational therapy interventions for instrumental activities of daily living for adults with Parkinson's disease: A systematic review. Am J Occup Ther 75(3): 7503190030p1-7503190030p24, 2021, doi: 10.5014/ajot.2021.046581.
  • 3) Tofani M, Ranieri A, Fabbrini G, Berardi A, Pelosin E, et al: Efficacy of occupational therapy interventions on quality of life in patients with Parkinson's disease: A systematic review and meta-analysis. Mov Disord Clin Pract 7(8): 891-901, 2020.
  • 4) Perju-Dumbrava L, Barsan M, Leucuta DC, Popa LC, Pop C, et al: Artificial intelligence applications and robotic systems in Parkinson's disease(Re-view). Exp Ther Med 23(2): 153, 2022, doi: 10.3892/etm.2021.11076.
  • 5) Duret C, Mazzoleni S: Upper limb robotics applied to neurorehabilitation: An overview of clinical practice. NeuroRehabilitation 41(1): 5-15, 2017.
残りの3件を表示する
  • 6) Palmcrantz S, Plantin J, Borg J: Factors affecting the usability of an assistive soft robotic glove after stroke or multiple sclerosis. J Rehabil Med 52(3): jrm00027, 2020, doi: 10.2340/16501977-2650.
  • 7) Yamakawa I, Yamada A, Sonoda Y, Wakita K, Nish-ioka T, et al: Occupational therapy using a robotic-as-sisted glove ameliorates finger dexterity and modu-lates functional connectivity in amyotrophic lateral sclerosis. J Clin Neurosci 107: 144-149, 2023.
  • 8) Bessler J, Prange-Lasonder GB, Schulte RV, Schaake L, Prinsen EC, et al: Occurrence and type of adverse events during the use of stationary gait robots-A systematic literature review. Front Robot AI 7: 557606, 2020, doi: 10.3389/frobt.2020.557606.