原著
高次脳機能障害スクリーニングテストHibrid-STT作成の試みと有用性について
2013 年 36 巻 2 号 p. 172-179
詳細
2013 年 36 巻 2 号 p. 172-179
Introduction: Support services for patients with higher brain dysfunction following head trauma have been expanded nationwide, but examination methods appropriate for diagnosis and quantitative evaluation of rehabilitation efficacy have not been established. We developed a screening test for patients with higher brain dysfunction and examined its usefulness in association with support facilities for patients with higher brain dysfunction in Tokushima.
Test Contents, Subjects, and Methods: The screening test consisted of 21 items, including orientation, short-term memory, visual perception ⁄ situational cognition, and attention ⁄ executive function; these items were evaluated on a 50-point scale. Initially, the screening test was performed for healthy person of different age groups, and the mean scores for each test item were obtained. The screening test and Hasegawa Dementia Scale-Revised (HDS-R) were successively administered after rehabilitation intervention in patients with higher brain dysfunction. Subjects were patients undergoing rehabilitation for higher brain dysfunction due to head trauma and stroke.
Results: All patients with higher brain dysfunction (11 persons) at the time of rehabilitation intervention had abnormal scores (0 – 36 points; mean, 22 points) in the screening test, and the items showing abnormal scores were consistent with clinical symptoms of the patients. The screening test performed 3 months after rehabilitation intervention showed improvement of scores in 7 of the 11 patients.
Conclusion: Although the results of our screening test partially correlated with those of HDS-R, our screening test could evaluate higher brain dysfunction according to its elements, even in patients with normal scores on HDS-R, and was useful for screening patients. Moreover, this screening test may be useful for quantitative determination of rehabilitation efficacy in patients with higher brain dysfunction. We intend to accumulate further data on cases and verify the results of this screening test.
