てんかんリハビリテーションと社会制度の今

抄録

Epilepsy rehabilitation is a comprehensive, holistic approach to treating patients with epilepsy for their seizure control as well as comorbidities and psychosocial issues. The goal is to minimize the effects of seizures and associated disabilities, thereby maximizing the potential for patient's independence in life. In order to achieve this goal, multidisciplinary professionals must collaborate across medical and social disciplines to engage efficiently and effectively over the course of patients' lifespan. While the concept of epilepsy rehabilitation has been proposed since the 1980s in Japan, it is one important framework to be readdressed in the current epilepsy care system. In this paper, the conceptual framework of epilepsy rehabilitation is discussed first, followed by the importance of comprehensive assessment and intervention. A study at the Tohoku University Hospital inpatient evaluation program illustrated the practical implementation of epilepsy rehabilitation, with regard to both the comprehensive evaluation of patients' needs and the patient–reported evaluation. Lastly, the current social system and welfare services that are available for patients with epilepsy is discussed.