著者

Junichi Inatomi Satoko Kataoka Sanae Hatada Yutaka Yano Kenji Hagihara Masatoshi Katsura Hideaki Takebayashi Masahiro Yamaguchi

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.18, no.1, pp.173-180, 2022 (Released:2022-09-21)

参考文献数

23

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Background: Outcome of motor practice is influenced by focus of attention. Paying attention to the environment (external focus) has been reported to be more effective than paying attention to body movements (internal focus). On the other hand, internal focus was reported to be more effective for novice sports players, indicating that the optimal focus differs among individuals. Outcome of motor practice is also reported to be influenced by motor imagery ability, where subjects with higher motor imagery ability show better outcomes. However, the possible relation between optimal focus of attention and motor imagery ability is not yet known.Methods: In this study, we evaluated the motor imagery ability of healthy young students using a mental rotation task, and divided the subjects into low-motor-imagery and high-motor-imagery groups. The subjects performed the Functional Reach Test, which reflects balance ability, and performance was examined during and after repeated practice with different focuses of attention. Results: Internal focus was more effective than external focus for the low-motor-imagery groups, while internal focus and external focus were similarly effective for high-motor-imagery groups. Conclusion: These results indicate the relation between optimal focus of attention and motor imagery ability, and suggest the importance of evaluating motor imagery ability in choosing optimal focus of attention for motor practice.

著者

Shan Yun Risa Takashima Mari Sakaue Daisuke Sawamura Takao Inoue Shinya Sakai

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.8-15, 2023 (Released:2023-02-17)

参考文献数

48

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Background: Occupational dysfunction (OD) can become a major health problem for community-dwelling older adults. OD can be experienced by older adults despite the absence of an apparent medical diagnosis or disability. Therefore, OD may be a new health indicator in the field of preventive medicine. Objectives: This study investigated possible predictors of OD in community-dwelling older adults. Methods: Fifty-four participants (aged 63-94) in Japan completed a demographic questionnaire, the Classification and Assessment of Occupational Dysfunction Scale (CAOD), assessments of functional health (Five Times Sit-to-Stand Test, Timed Up & Go, Automatic Thoughts Questionnaire-Revised, and Japan Science and Technology Agency Index of Competence), and responded about their subjective health (self-rated health). Only seven participants were men; therefore, male data were excluded from the analysis. Independent t-test and analysis of multiple regression model was performed to identify the predictors of OD. Results: The results of the independent samples t-test shows that the OD group correlated to a significant younger age, more negative automatic thoughts, and better social engagement in older women. The results of the multiple regression analysis showed that negative automatic thoughts was a significant predictor of OD among older women. Conclusion: Negatively evaluating stressful events related to occupational engagement may be associated with OD. It may be useful to assess, maintain, and improve negative automatic thoughts to prevent OD. The results of this study can provide an assessment perspective and intervention strategy focusing on occupations to occupational therapists active in the field of preventive occupational therapy.

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

Masahiro Ogawa Kouya Oshita Kouta Matsumoto Sousuke Nakatsuka Hajime Tomita Daisuke Tashiro

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.132-139, 2023 (Released:2023-06-09)

参考文献数

38

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Background: The number of studies on cognitive impairment in patients with chronic obstructive pulmonary disease (COPD) has been increasing in recent years. However, no study has comprehensively examined the relationship between cognitive impairment and occupation. Thus, the relationship between cognitive impairment and occupation in patients with COPD remains unclear.Objectives: This study aimed to conduct a scoping review and summarize the findings on the relationship between occupation and cognitive impairments in patients with COPD.Methods: A scoping review of articles published in English from 2001 to 2020 was conducted in MEDLINE, PsychINFO, and OTseeker. A key search term was employed using “COPD,” “occupation,” and “cognitive impairment.” Two investigators independently screened article titles and abstracts (primary screening) and then conducted full text review (secondary screening).Results: After screening, 22 articles were included in the analysis. The results of the analysis of the relationship between cognitive impairment and occupations in patients with COPD revealed that many studies have examined inhaler use and medication management in patients with COPD, whereas only a few studies were conducted in areas such as activities of daily living (ADL) and driving.Conclusion: Since occupations such as ADL and driving are critical for patients with COPD, further studies on these occupations are warranted.

著者

Takuya Noguchi Makoto Kyougoku Mutsumi Teraoka

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.46-54, 2023 (Released:2023-04-05)

参考文献数

40

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Aims: This study aimed to validate the Assessment of Positive Occupation 15 (APO-15) by differential item functioning (DIF) and differential test functioning (DTF).Method: Participants were to obtain research cooperation from individual clinics, community healthcare institutions, and home-visit rehabilitation services. The inclusion criteria for participants were people between the ages of 20 and 90 years who were diagnosed with mental illness, physical illness, or geriatric illness and agreed to participate in the study. In this study, the face sheet and APO-15 were distributed to the participants, and they were asked to respond.Results: A total of 3003 participants were included in this study. The mean age was 67.41 (±16.63) years (≥ 75; 1168 and ≤ 74; 1835). Regarding the gender of participants, 1565 were males and 1438 were females. Considering illness, 1184 participants had a mental illness, 897 had a physical illness, and 922 had a geriatric illness. The results of the DIF and DTF suggested that the APO-15 did not differ in the response pattern of the scale due to the influence of subgroups (illness, gender, and age).Conclusion: The APO-15 suggests the potential to provide measurement results with a good level of scale validity and robustness.

著者

Venthan J. MAILOO

出版者

Japanese Association of Occupational Therapists

雑誌

Asian Journal of Occupational Therapy (ISSN:13473476)

巻号頁・発行日

vol.6, no.1, pp.1-13, 2007 (Released:2007-12-07)

参考文献数

63

被引用文献数

4 5

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Ayurveda is an Eastern system of medicine that has been practised for over 5000 years. The relationship between occupations and health is a fundamental aspect of the ayurvedic health model. It could contribute a strong spiritual element to modern occupational therapy practice and may be more culturally appropriate for people with strong Hindu/Buddhist beliefs than modern occupational therapy models. The aim of this paper is therefore to introduce the ayurvedic model to occupational therapists that are unfamiliar with it. It describes assumptions underlying the ayurvedic model and related frames of reference that are relevant to occupational therapy. Yoga is the main occupational therapy intervention advocated by the model. The branches of yoga are described. Other traditional interventions are summarised but not described in detail. Sanskrit terminology has mostly been removed and concepts have been simplified for the ease of a general readership.

著者

Sho Maruyama Satoshi Sasada Yohei Jinbo Peter Bontje

出版者

Japanese Association of Occupational Therapists

雑誌

Asian Journal of Occupational Therapy (ISSN:13473476)

巻号頁・発行日

vol.17, no.1, pp.17-25, 2021 (Released:2021-03-18)

参考文献数

25

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Introduction: Acquiring competence in clinical reasoning is regarded as key to meet the challenges of integrating knowledge into one's practice. Learners and educators need a shared understanding of what is clinical reasoning because they need appropriate means for reflection and feedback. However, the clinical reasoning concept needs revisiting in the current context, which is becoming increasingly diverse and complex. The purpose of this study was to analyse the clinical reasoning concept and develop a common framework.Methods: Rodgers' concept analysis was selected for this theoretical study. Accordingly, a systematically search of multiple databases yielded 903 articles and 135 articles that met the inclusion criteria were extracted, and of these 30 articles randomly sampled for analysis. Data analysis was done following Rodgers' method of thematic analysis. Results: The attributes were four ‘therapeutic thinking processes’ and two ‘professional thinking skills.’ The application contexts were ‘clinical and non-clinical practice settings,’ and ‘professional education.’ Moreover, the antecedents were ‘professional factors’ and ‘practice factors,’ and the consequences were ‘professional developments’ and ‘professional attitudes and behaviours.’ Conclusion: The resulting framework of clinical reasoning can be the basis for developing pedagogies and assessment of clinical reasoning competence acquisition.

著者

Yusuke Masuda Jun Yaeda Tamami Aida

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.1-7, 2023 (Released:2023-01-31)

参考文献数

15

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In recent years, the concepts of value-based practice (VBP) and shared decision-making (SDM) have become popular as methods of clinical decision-making and consensus-building. Moreover, the underlying decision-making is commonly known as evidence-based practice (EBP). EBP is the necessary knowledge and skills for clinical practice of occupational therapy, but at the same time, the difficulties of EBP have been reported. Purpose: The purpose of this study was to explore the structure of EBP-promoting factors, including clinical, educational, and research experiences, among occupational therapists. Methods: A questionnaire survey using a postal method was conducted among 30 occupational therapists working in Japanese convalescent rehabilitation wards. Results: Factors associated with the implementation of EBP and self-efficacy regarding EBP included the following: (1) experience of learning in graduate school, (2) experience of receiving education on research methods, (3) positive experience with research, (4) experience of working in professional teams, (5) experience as a clinical practice supervisor for students, (6) frequency of database use, (7) outcome expectancy, (8) work environment, (9) intrinsic motivation, and (10) barriers. The number of years of clinical experience of occupational therapists was not associated with the implementation of EBP and self-efficacy regarding EBP. Conclusions: Research experience, working in professional teams, and being clinical practice supervisors for students and others were more important factors than years of clinical experience to promote the implementation of EBP and self-efficacy regarding EBP among occupational therapists. The structures of these factors interacted with each other.

著者

Sho Maruyama Satoshi Sasada Yohei Jinbo Peter Bontje

出版者

Japanese Association of Occupational Therapists

雑誌

Asian Journal of Occupational Therapy (ISSN:13473476)

巻号頁・発行日

vol.16, no.1, pp.119-127, 2020 (Released:2021-01-13)

参考文献数

25

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Introduction: Acquiring competence in clinical reasoning is regarded as key to meet the challenges of integrating knowledge into one's practice. Learners and educators need a shared understanding of what is clinical reasoning because they need appropriate means for reflection and feedback. However, the clinical reasoning concept needs revisiting in the current context, which is becoming increasingly diverse and complex. The purpose of this study was to analyse the clinical reasoning concept and develop a common framework.Methods: Rodgers' concept analysis was selected for this theoretical study. Accordingly, a systematically search of multiple databases yielded 903 articles and 135 articles that met the inclusion criteria were extracted, and of these 30 articles randomly sampled for analysis. Data analysis was done following Rodgers' method of thematic analysis. Results: The attributes were four ‘therapeutic thinking processes’ and two ‘professional thinking skills.’ The application contexts were ‘clinical and non-clinical practice settings,’ and ‘professional education.’ Moreover, the antecedents were ‘professional factors’ and ‘practice factors,’ and the consequences were ‘professional developments’ and ‘professional attitudes and behaviours.’ Conclusion: The resulting framework of clinical reasoning can be the basis for developing pedagogies and assessment of clinical reasoning competence acquisition.

著者

Mai Sakimoto Takayuki Kawaguchi Aki Watanabe

出版者

Japanese Association of Occupational Therapists

雑誌

Asian Journal of Occupational Therapy (ISSN:13473476)

巻号頁・発行日

vol.15, no.1, pp.93-96, 2019 (Released:2019-12-17)

参考文献数

10

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Introduction: Few reports describe interventions combining the Canadian Occupational Performance Measure (COPM) with cognitive behavioral therapy (CBT) although both are important in enabling occupation for a client with depression. We outline the therapy process conducted by an occupational therapist combining the COPM with CBT to enable occupation for a client with depression. Methods: A single-system research design was implemented. The intervention was based on behavioral activation, and the cognitive restructuring was divided into three phases: baseline (Phase I), intervention 1 (Phase II), and intervention 2 (Phase III). Baseline consisted of behavioral activation only. In intervention 1, the COPM was used in addition to the baseline action. In intervention 2, cognitive restructuring was conducted in addition to intervention 1. Results: There was no significant difference in the client's frequency per week of going out in Phase II compared with Phase I (p = 0.062), but the rate increased significantly in Phase III compared with Phase II by binomial test (p = 0.002). As assessed by the COPM, the performance and satisfaction scores for going out were 4 and 3 at the 5th week, but they improved to 7 and 6 at the 17th week. Conclusion: Combining the COPM with CBT significantly increased the frequency of going out that a client with depression hoped to attain. The present intervention might facilitate enabling occupation for clients with depression. Our findings suggested that in clients with depressive symptoms, enabling occupation is possible by combining the COPM with CBT.

著者

Seigo Minami Ryuji Kobayashi

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.12, no.1, pp.29-36, 2016 (Released:2016-09-04)

参考文献数

18

被引用文献数

1

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Objective/Background: In this study, we classified the psychological adjustments of family members of terminal cancer patients using a conceptual structure based on recurring cases. We hypothesised that it is possible to determine the need for intervention on the basis of the occupational performance patterns of the family members.Methods: The subjects were bereaved family members of cancer patients who died more than a year ago. For our classification system, we adopted code matrix analysis using MAXQDA10 analysis software.Results: We categorised the 9 cases into 3 types on the basis of functionality with regard to occupation: i) type of continued occupation; ii) type of resumed occupation; iii) type of interrupted occupation. Conclusions: The categorisation of occupational types assumes that occupation has an effect on the family members' ability to progress through or alter mental states according to occupational performance patterns.

著者

Takayuki Kawaguchi Noriyuki Okumura Kiyomi Takahashi Megumi Shinozaki Aki Watanabe

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.18, no.1, pp.127-131, 2022 (Released:2022-07-27)

参考文献数

10

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Introduction: Few reports describe the occupational therapy practice of reinforcing the daily life behaviors hoped for by clients with schizophrenia in community mental health services. We outline a therapeutic process to enable bathing hoped for by a client with schizophrenia through the combined use of the Canadian Occupational Performance Measure (COPM) and a checklist as a cognitive aid.Methods: The study was divided into a baseline phase and intervention phase based on the single-system design. The interventions were focused on occupation based on the COPM and positive feedback by using the checklist. Assisted bathing, advice, suggestions and prompting of voluntary activities were conducted in the baseline phase.Results: The frequency of bathing per week increased significantly in the intervention phase compared to baseline phase by binomial test (p = 0.03). Although bathing performance score and satisfaction score in the COPM assessment decreased from 10 and 9 (20th week) to 6 and 4 (34th week), respectively, the assessment was influenced by the client's further positive inquiries into ways of bathing.Conclusion: Bathing hoped for by a client with schizophrenia was enhanced, and further positive inquiries into activities of daily life in a personal context were initiated. The findings suggest that in community-dwelling clients with schizophrenia, a client-centered approach combining COPM and a checklist as a behavioral reinforcement-based cognitive aid is sufficiently appropriate for promoting client participation in activities.

著者

Masahiro Tanaka

出版者

Japanese Association of Occupational Therapists

雑誌

Asian Journal of Occupational Therapy (ISSN:13473476)

巻号頁・発行日

vol.17, no.1, pp.27-30, 2021 (Released:2021-04-09)

参考文献数

10

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Visual agnosia is a rare symptom in which the patient cannot recognize objects by visual perception. We report a case of integrative visual agnosia and memory disorder. A 70-year-old, right-handed man was diagnosed with cardioembolic stroke affecting the proximal left posterior cerebral artery. He had a short-term memory disorder. He could not name and explain how to use objects, or read characters, but could discriminate between objects to some extent and draw copies of simple figures. His recognition by tactile sense was comparatively preserved. He needed complete assistance with his life in the hospital ward. We provided him with training using preserved tactile sensation by errorless learning. We arranged the environment around him to promote his memory of the position of objects and to avoid misuse of daily objects. Improvement in the visual agnosia and memory disorder was slight. He became independent with his life in the hospital ward. However, he needed assistance in a new environment, such as an unfamiliar lavatory. The results suggest that a patient with visual agnosia may become independent early by appropriate training, despite insufficient visual perception and memory function. In our patient, the intervention period was too short to generalize the effects of training. Additionally, the memory disorder might have become an obstacle for generalization. Further improvement in visual perception, independence in daily activities, and quality of life, will need continuous support.

著者

Kazuo Saito Maki Koyama Atsuko Ishida Toshiko Futaki

出版者

Japanese Association of Occupational Therapists

雑誌

Asian Journal of Occupational Therapy (ISSN:13473476)

巻号頁・発行日

vol.17, no.1, pp.31-35, 2021 (Released:2021-04-23)

参考文献数

10

被引用文献数

1

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Purpose: The objectives of this study were to quantitatively analyze the reaction patterns of ataxia and Parkinson's disease cases that are cognitively harmless and to examine the characteristics of pathological reactions, such as ataxia, rigidity, and motor control, compared to the patterns of a healthy subject.Methods: An eye–hand coordination pointing with pencil test (EHCPPT) app was developed that requires patients to tap a bullseye target with a pencil for screening testing. This app is intended to be used during regular check-ups of the elderly to help them maintain their home lifestyle through self-management of health. The EHCPPT consists of two tasks, both of which require the patient to tap a bullseye target as a test of eye–hand coordination in response to a stimulus sound. In one task, the sound is repeated rhythmically; in the other, it is generated irregularly and infrequently. The EHCPPT app is based on the “oddball paradigm” experimental design and can be administered in just a few minutes to measure the time lag between the sounds and taps as well as the distance between the target and tapped locations automatically.Results: The data generated when the app was used by a healthy subject, an ataxia patient, and a patient with Parkinson's disease were analyzed. In each case, the data exhibited a distinctive pattern.Conclusion: The EHCPPT app is simple and fast and shows potential as a screening test.

著者

Noriko Yamaguchi Sayaka Okahashi Priscila Yukari Sewo Sampaio Toshiko Futaki

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.12, no.1, pp.53-60, 2016 (Released:2016-09-07)

参考文献数

22

被引用文献数

1

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Aim: To clarify the characteristics of desktop dual tasks that cause dorsolateral prefrontal cortex (DLPFC) activation. Methods: Subjects (29 young adults and 22 middle-aged adults) performed three different combinations of dual tasks composed of a pencil and paper task (copying numbers or calculation) and a hand-shape changing task (in response to visual hints or self judgment). We measured brain activation using near-infrared spectroscopy. Results: Right DLPFC activation was significantly higher for the simplest dual task than the complex dual task with the younger group, whereas there was no significant difference between tasks with the middle-aged group. Task performance was higher in the younger group than the middle-aged group, whereas there was no difference in brain activation between the two age groups. Conclusion: A dual task including two of each task performed automatically could be used for training frontal lobe functions, and the difficulty level should be adjusted depending on age.

著者

Venthan J MAILOO

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.5, no.1, pp.1-10, 2006 (Released:2006-07-14)

参考文献数

36

被引用文献数

1 1

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It has recently been suggested that yogic philosophy provides a model for occupational therapy and that meditation and pranayama (yogic breathing exercises) can facilitate occupational performance. This literature review was undertaken to determine whether there is any evidence to support the use of pranayama to facilitate occupational performance. A literature search using AMED, BNI, CINAHL, HMIC, Medline and Old Medline for the term `pranayama', limited to English language human research uncovered seven articles clinically applicable to occupational performance. The evidence suggests pranayama can influence, arousal, metabolism and exercise tolerance. Slow alternate nostril breathing should be considered when anxiety impairs occupational performance, and right nostril breathing should be considered for obesity, lethargy, and symptoms of hypothyroidism or similar metabolic disorders that inhibit function. Further research is required for evidence-based application of other pranayama techniques.

著者

Aiko Hoshino Ichiro Kutsuna Ami Usui Yukari Mori Mami Suwa

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.195-204, 2023 (Released:2023-10-03)

参考文献数

35

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Background: Mental health problems in the workplace are an important issue globally, and return-to-work (RTW) programs for people on sick leave because of mental health problems are being developed. However, participants' situations and states are various and there are few assessment tools.Objectives: We aimed to reveal the clinical picture of participants of an RTW program according to depressive state with mixed method research to help occupational therapists plan client-centered rehabilitation programs.Methods: We used a conversion mixed methods research design. We collected basic information and administered the Beck Depression Inventory (BDI) in the quantitative arm, and used written rehabilitation plans based on interviews conducted in the initial stage assessments of participants in an RTW program as the qualitative arm. Data from the quantitative arm were divided into three groups according to severity of depressive symptoms based on BDI cut-off points. Qualitative data were analyzed by creating codes and categories following the grounded theory approach. Both types of data were merged by calculating the frequencies of occurrence of codes for each depression severity group.Results: Our results showed that participants' clinical pictures were different depending on their depressive state. Participants with a severe state had difficulty waking up early, disordered eating habits and appetite, and difficulty with selfdisclosure. Participants with a lighter depressive state had a stable lifestyle and were able to perform high-level cognitive activities like studying or exercise.Conclusions: Our results will help occupational therapists assess participants in the initial stage RTW programs, and contribute to effective interventions.

著者

Nao Yoshihiro Kazu Amimoto Shinpei Osaki Junpei Tanabe

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.213-222, 2023 (Released:2023-10-20)

参考文献数

37

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Background: Functional electrical stimulation (FES) improves unilateral spatial neglect (USN). However, only few studies have reported on the relationship between FES and cognitive function. Therefore, this study aimed to investigate the effects of FES on attentional function in healthy participants using the Posner task, which is generally used to assess patients with USN.Methods: In this interventional study, we conducted experiments on healthy participants to obtain fundamental knowledge before investigating effective ways of adapting FES to patients with USN as our final purpose. A total of 28 right-handed healthy young participants were assigned to the online-effect group or after-effect group and underwent FES simultaneously with or immediately before the Posner task, respectively. FES was applied to the extensor muscles of the left forearm to induce involuntary movement.Results: A significant difference was observed in the effects of FES in the Posner task between the online-effect group or after-effect group in the left-valid conditions (online-effect, 26.7 ms delay; after-effect, -0.4 ms [reduction]; p = 0.01). No interaction was noted between the groups and the type of target of the Posner task presentation condition. The effects of FES differed between the online- and after-effect condition groups.Conclusion: Performing the attention task after FES may enhance attention compared with performing the task with FES simultaneously.

著者

Masato Ikegami Hitoshi Mutai Rika Karasawa Yoshie Yuzawa Nobuko Sakai

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.68-76, 2023 (Released:2023-04-05)

参考文献数

27

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Background and Purpose: We introduced an intervention that aimed to improve upper limb use in daily life using Aid for Decision-making in Occupation Choice for Hand (ADOC-H), a monitoring and problem-solving technique, in addition to conventional occupational therapy for hospitalized patients with acute stroke. This pilot study examined the effectiveness of this intervention to improve paralyzed upper limb use in daily life and their motor function.Methods: This comparative study included 28 patients with acute stroke who underwent an intervention based on the ADOC-H process (ADOC-H group) and 155 participants from a previous study (control group). The paralytic arm participation measure (PPM; scores for eating and toileting items) was used to evaluate upper limb use in daily life, and the Stroke Impairment Assessment Set (SIAS; knee mouth [K-M] and finger flexion [F-F] tests) was used to evaluate upper limb motor function. The amount of change in these evaluations was compared between the two groups.Results: Using propensity score matching, 21 participants were allocated to each group. Comparing the two groups, significant improvements were observed in the ADOC-H group for all items, as shown by the scores for PPM total (P = 0.005, r = 0.43), eating (P = 0.035, r = 0.32), toileting (P = 0.004, r = 0.44), upper limb motor function (P = 0.001, r = 0.52), K-M (P = 0.014, r = 0.38), and F-F (P = 0.002, r = 0.48).Conclusion: This intervention process may be effective for improving the frequency of paralyzed upper limb use and upper limb motor function of the paralyzed upper limbs in patients with acute stroke.

著者

Yuto Tashiro Yuichi Nishida Ayaka Yamaoka Yusuke Suzuki Takayoshi Horii Hiroaki Arai Yutaka Yamaguchi Naoya Wada Isao Yokota Tomoki Aoyama

出版者

Japanese Association of Occupational Therapists

雑誌

Asian Journal of Occupational Therapy (ISSN:13473476)

巻号頁・発行日

vol.16, no.1, pp.87-93, 2020 (Released:2020-12-15)

参考文献数

31

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Objectives: There are only a few functional evaluations that non-medical personnel can perform and interpret without guidance. Here, we have created a questionnaire that focused on eating activities, which can be used to evaluate motor function easily because most people could relate to eating activities. This study aimed to verify the reliability and validity of the developed questionnaire by comparing it with clinical evaluations for upper extremity function.Methods: This was a cross-sectional study. Patients who have cerebrovascular disease history with disabilities in the upper limb were included in the study. The questionnaire on eating activities was answered by the patients themselves. Upper extremity function was evaluated with the Fugl-Meyer Assessment (FMA). Work efficiency was evaluated with the General Aptitude Test Battery. Reliability of the questionnaire was assessed by test-retest reliability. Validity was evaluated using a correlation analysis.Results: The study included 16 participants. The results indicated that all items had sufficient reliability. The correlation between the questionnaire score of the hand and the FMA score of the wrist, hand, and arm was statistically significant.Conclusions: The developed questionnaire was reliable and significantly related to clinical evaluation of upper extremity functions. This questionnaire is of great value to patients with stroke to understand their functions.