著者

綿森 淑子 竹内 愛子 福迫 陽子 宮森 孝史 鈴木 勉 遠藤 教子 伊藤 元信 笹沼 澄子

出版者

社団法人日本リハビリテーション医学会

雑誌

リハビリテーション医学 : 日本リハビリテーション医学会誌 (ISSN:0034351X)

巻号頁・発行日

vol.26, no.1, pp.23-33, 1989-01-18

被引用文献数

2

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Sixty-five patients with dementia were evaluated with 1) The Japanese CADL (a measure for functional communication), 2) abbreviated version of the Roken Test of Higher Cortical Functions (a measure for dementia severity) and 3) a checklist of behavior observed during the test sessions. The results were as follows : 1) The degree of functional communication ability was proportional to the degree of dementia severity (r=0.87,p<0.001).2) Analysis of subtests revealed that dementia patients at early stages failed to respond appropriately to the communication activities that require multiple steps of information processing (i.e., buying a ticket using a ticket vending machine). On the other hand, highly automated communication behavior such as greetings and saying own name were preserved in the severst patients.3) When the groups of senile dementia patients (N=17) and vascular dementia patients(N=48) were compared, no differences were observed on the dementia severity. However, senile group was lower in functional communication ability which was particularly noticeable on the tasks that require utilization of contextual information and abstract thinking. They also showed more anxiety toward the test situation than vascular group.4) When dementia and aphasia patients matched for the CADL total scores were compared, significant differences were found between the subtest profiles. Dementia patients were inferior to aphasia patients on the subtests that require utilization of contexual information, the ability of numerical operation and the ability of visuospatial information processing. Aphasia patients were inferior to dementia patients on the subtests that directly tap linguistic functions.