アブストラクト
Japanese
| Title | 感覚刺激デバイスを用いた介入により麻痺側上肢使用頻度・ADLが改善した急性期脳卒中後の半側空間無視を呈した一症例 |
|---|---|
| Subtitle | 実践報告 |
| Authors | 山本勝仁*1, 竹林崇*2 |
| Authors (kana) | |
| Organization | *1北播磨総合医療センターリハビリテーション室, *2大阪公立大学大学院リハビリテーション学研究科 |
| Journal | 作業療法 |
| Volume | 43 |
| Number | 2 |
| Page | 247-253 |
| Year/Month | 2024 / 4 |
| Article | 報告 |
| Publisher | 日本作業療法士協会 |
| Abstract | 「要旨」: 今回, 半側空間無視を呈した脳卒中急性期患者に対し, 麻痺側手に感覚刺激を与えるウェアラブルデバイスを着用し, 上肢の反復的な課題指向型練習とTransfer PackageのひとつであるActivities of Daily Living (以下, ADL) での麻痺手の使用練習を中心に実施した. デバイスの装着による麻痺側上肢への注意喚起および使用喚起によりセルフモニタリングが促されたことと, 反復的な上肢使用練習により, 上肢機能やADLにおける麻痺手使用頻度の改善, および無視行動や麻痺手使用状況への気付き, 半側無視症状の改善が認められた. これらのことから, 半側空間無視患者に対する介入として, これらの練習を併用する有用性が示唆された. |
| Practice | 医療技術 |
| Keywords | 半側空間無視, 脳卒中, 急性期, 上肢機能, Unilateral neglect, Stroke, Acute, Upper limb function |
English
| Title | A case of unilateral neglect after acute stroke in which the frequency of upper limb use and ADL on the paralyzed side improved after intervention using a sensory stimulation device |
|---|---|
| Subtitle | PRACTICAL REPORTS |
| Authors | Katsuhito Yamamoto*1, Takashi Takebayashi*2 |
| Authors (kana) | |
| Organization | *1Division of Rehabilitation, Kita Harima Medical Center, *2Graduate School of Rehabilitation Therapy, Osaka Metropolitan University |
| Journal | JAPANESE OCCUPATIONAL THERAPY RESEARCH |
| Volume | 43 |
| Number | 2 |
| Page | 247-253 |
| Year/Month | 2024 / 4 |
| Article | Report |
| Publisher | JAPANESE ASSOCIATION OF OCCUPATIONAL THERAPISTS |
| Abstract | In the present study, patients in the acute phase of stroke with unilateral neglect were given a wearable device that provides sensory stimulation to the paralyzed hand, and practiced repetitive task-oriented exercises of the upper limb and paralyzed hand use in ADL, one of the Transfer Package. The wearable device stimulated self-monitoring of the paralyzed upper limb, and the repetitive upper limb use practice improved upper limb function, frequency of paralyzed hand use in ADL, awareness of neglect behaviors and paralyzed hand use situations, and improvement of hemiparesis symptoms. These findings suggest the usefulness of combining these exercises as an intervention for patients with hemiparesis neglect. |
| Practice | Medical technology |
| Keywords | Unilateral neglect, Stroke, Acute, Upper limb function |
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