著者

Takayuki Miyauchi Shotaro Sasaki Yoko Sasaki Takuma Mogamiya Rumi Tanemura Kunji Shirahama

出版者

社団法人 日本作業療法士協会

雑誌

Asian Journal of Occupational Therapy (ISSN:13473476)

巻号頁・発行日

vol.19, no.1, pp.236-242, 2023 (Released:2023-10-20)

参考文献数

24

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Introduction: Stroke rehabilitation that considers attention deficits and effectively improves activities of daily living (ADL) requires sufficient evaluation of attention functions. Attention function evaluations are generally performed using neuropsychological tests in patients with stroke. However, such tests become unviable for patients with acute stroke due to fatigue-related unstable general conditions and cannot determine how attention deficits affect ADL. Hence, developing an appropriate observational rating scale is crucial. Therefore, we investigated the factors related to independence in ADL in patients with acute stroke and the usefulness of the Moss Attention Rating Scale (MARS) score in predicting independence in ADL.Methods: In this cross-sectional single-center study, we included 154 patients admitted to Acute Hospital, Japan for stroke treatment between April 2016 and April 2020 who consented to participate. The primary outcome was the motor functional independence measure (m-FIM) score. The secondary outcome measures were the Glasgow Coma Scale score, Brunnstrom recovery stage, grip strength, one-leg standing time (1LST), Mini-Mental State Examination-Japanese score, Visual Cancellation Task score, Symbol Digit Modalities Test score, and MARS score.Results: The 1LST and MARS scores were associated with independence in ADL. The cutoff values were 2.99 seconds for 1LST (average), 89 points for MARS total score, and 58.87 points for MARS logit score.Discussion: The MARS score and 1LST might be useful indices for predicting independence in ADL. Thus, behavioral assessments might be appropriately performed by implementing these indices to determine the degree of ADL independence in patients with stroke, and thereby establishing targeted rehabilitation strategies.

著者

相良 二朗 見明 暢 田頭 章徳 種村 留美 長尾 徹 野田 和恵 Jiro SAGARA Nobu MIAKE Akinori TAGASHIRA Rumi TANEMURA Toru NAGAO Kazue NODA

出版者

神戸芸術工科大学

雑誌

芸術工学2013

巻号頁・発行日

2013-11-25

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少子高齢化が進行している我が国において、認知症者の増加は予想をはるかに上回り、2012年時点で高齢者人口の15%にあたる約462万人が認知症を発症していると発表された(朝田隆、厚生労働省研究班、2013)。一方、2010年現在、高齢者のいる世帯は全体の4割を占め、独居高齢者は男性140万人、女性346万人と推計されている(平成24年版高齢者白書、内閣府)。加齢に伴う生活不安の一つは自身あるいは家族が認知症になることであり、認知症が進行すれば在宅生活をあきらめざるを得ない。アルツハイマーに代表される認知症は進行性の疾患であり、数年間に及ぶ初期症状の段階を経て要介護状態となる。この初期段階における日常生活上の困難や混乱によって生じる「問題行動」は生活行為を縮小させ、認知機能の廃用を引き起こし、認知症の進行を早める危険性がある。著者らは、生活環境とりわけ日常生活で使用する家庭電化製品等(以下家電等と略記)が認知機能の低下に配慮していないことに起因していると仮定し、独居もしくは日中独居の高齢者がどのような家電等を継続使用しているのか、使用を中断したものはないか、といった調査を行い、その結果から認知力が低下しても継続使用が可能な家電等のデザイン方法について7つの知見を得た。In 2013, a research unit of Ministry of Health, Labor and Welfare announced that more than 4.62 million are dementia and around 4 million are MCI (Mild Cognitive Impairment), extremely exceeding expectation. On the other hand, households which have elderly counted 42% in 2010 in Japan. The cabinet estimated 1.3 million men and 3.5 million women of over 65 live alone.One of the fears of aging people is to be a dementia. People must move to institute when the stage of dementia goes deep. The dementia like an Alzheimer's disease become worth in several years, after intermediate stage so called MCI. In this intermediate stage, if some kind of problems happens, family member tend to take his/her independent activities. This makes dementia worth.The authors interviewed 91 elderly who live alone to find what kind of everyday technology are still used or quite using. Finally we found seven items of knowledge to design those elderly friendly.

著者

Shunsuke MURATA Rei ONO Hisafumi YASUDA Rumi TANEMURA Yoshiaki KIDO Hisatomo KOWA

出版者

Japanese Society of Physical Therapy

雑誌

Physical Therapy Research (ISSN:21898448)

巻号頁・発行日

vol.24, no.2, pp.112-119, 2021-08-20 (Released:2021-08-20)

参考文献数

21

被引用文献数

3

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Objective: The purpose of this study is to investigate the effect of an intervention combining exercise and cognitive activity on cognitive function in healthy older adults. Methods: This pilot randomized controlled trial recruited 33 eligible, healthy communitydwelling older adults (mean age, 77.1 years old; women, 51.5%), who were divided into intervention and waitlist control groups. The intervention group was engaged weekly in a group activity comprising exercise and discussions of homework, which included reading aloud, simple arithmetic, and simple activities, like spotting differences, for cognitive stimulation. They were also required to complete cognitive activity homework twice a week. The waitlist control group received no intervention. The main outcomes were cognitive function assessed using the Mini-Mental State Examination, delayed recall score on the Logical Memory IIA of the Wechsler Memory Scale Revised, Trail Making Test, and digit symbol substitution test. Results: According to the results, Mini-Mental State Examination scores were maintained in the intervention group but declined in the control group [Mean change in outcomes in control group (95% confidence interval): -1.68 (-2.89 to -0.48) ]. Additional mean change in outcomes in intervention group were found [1.68 (0.02 to 3.35) ]. Conclusions: Interventions combining exercise and cognitive activity can be helpful for preserving cognitive function in healthy older adults.