Japanese

Title	重度感覚障害による上肢機能障害に対し, 動触知覚弁別フィードバック型感覚代償アプローチを実施した一例
Subtitle	資料
Authors	篠原真矢*1, 吉野智佳子*2,*3, 上島伽乃*4
Authors (kana)
Organization	*1帝京大学ちば総合医療センター リハビリテーション部, *2帝京平成大学 健康医療スポーツ学部 リハビリテーション学科 作業療法コース, *3千葉大学 デザイン・リサーチ・インスティテュート, *4株式会社テック技販
Journal	千葉作業療法
Volume	14
Number	1
Page	16-22
Year/Month	2025 / 3
Article	報告
Publisher	千葉県作業療法士会
Abstract	「要旨」: 感覚障害への治療介入の一つとして, 手が受け取る摩擦情報を振動刺激に変換して感覚障害を補完する, 動触知覚弁別フィードバック型感覚代償システム, ゆびレコーダーリハビリモデル(ゆびレコ)が開発された. 今回, くも膜下出血により重度感覚障害が後遺した慢性期の一症例に対し, ゆびレコを使用した上肢機能訓練と標準の上肢機能訓練を実施し, ゆびレコの装着効果をBABシングルケースデザインにて検証した. A期は標準的な上肢機能訓練を実施し, B期はゆびレコを装着して上肢機能訓練を実施した. 結果, B1期・B2期の上肢機能訓練中では, A期に比べ, 目的動作が円滑に行え, 運動主体感やMotor Activity LogのQuality of Movementの向上を認め, 症例より運動主体感や上肢の操作性が向上したという内容の感想が聴取された. ゆびレコは, 感覚障害を補完し, 上肢機能訓練の一助となることが示唆された.
Practice	医療技術
Keywords	感覚障害, 上肢機能, フィードバック, 身体所有感, 運動主体感, sensory deficits, upper limb function, feedback, sense of ownership, sense of agency

English

Title	A case of a motion-tactile discrimination feedback sensory compensatory approach for upper limb dysfunction due to severe sensory deficit
Subtitle
Authors	Maya Shinohara*1, Chikako Yoshino*2,*3, Kano Uejima*4
Authors (kana)
Organization	*1Teikyo University Chiba Medical Center, Department of Rehabilitation, *2Occupational Therapy Major, Department of Rehabilitation, Faculty of Health Care and Medical Sports, Teikyo Heisei University, *3Chiba University, Design Research Institute, *4Tec Gihan Co.,Ltd.
Journal	The Journal of Chiba Association of Occupational Therapists
Volume	14
Number	1
Page	16-22
Year/Month	2025 / 3
Article	Report
Publisher	Chiba Association of Occupational Therapists
Abstract	[Abstract] : As one of therapeutic interventions for sensory deficits, a kinesthetic discrimination feedback-type sensory compensation system called the Finger Recorder Rehab model (Yubireco), has been developed to convert frictional information received by the hand into vibratory stimuli to compensate for sensory deficits. In the present report, we performed upper limb functional training using the Yubireco and standard upper limb functional training in a chronic case of a patient with severe sensory disorders due to subarachnoid hemorrhage and examined the effect of wearing the Yubireco using a BAB single case design. In stage A, we conducted standard upper limb functional training, and in stage B, we conducted upper limb functional training while wearing the Yubireco. As a result, during upper limb functional training in stages B1 and B2, compared to stage A, the subject was able to perform intended movements more smoothly, showing improvements in the sense of agency and the Quality of Movement on the Motor Activity Log. The patient also reported that the sense of agency and operability of the upper limb had improved. These results suggest that Yubireco can compensate for sensory deficits and aid in upper limb functional training.
Practice	Medical technology
Keywords	sensory deficits, upper limb function, feedback, sense of ownership, sense of agency

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