Asian Journal of Occupational Therapy
Online ISSN : 1347-3484
Print ISSN : 1347-3476
ISSN-L : 1347-3476
9 巻 , 1 号
選択された号の論文の3件中1~3を表示しています
PROFESSIONAL TRENDS IN ASIA
ORIGINAL ARTICLE
  • Hirofumi Tanabe, Toru Nagao, Rumi Tanemura
    原稿種別: ORIGINAL ARTICLE
    2011 年 9 巻 1 号 p. 7-14
    発行日: 2011年
    公開日: 2012/04/26
    ジャーナル フリー
    Objective: To determine the efficacy of intense constraint-induced movement therapy (CIMT) for patients who cannot achieve finger extension due to a severe plegic hand after stroke. Design: Pre-post, pre-1 month follow-up, single-blinded, multi-baseline case. Participants: Fifteen participants who were all >12 months post-stroke. Interventions: Two weeks of CIMT including restraint of the nonparetic upper extremity and 6 hours of training each day. Outcome: There was a statistically significant effect of CIMT on upper extremity motor impairment assessed by the Fugl-Meyer Motor Assessment (FMA), the Motor Activity Log for low functioning patients (Grade 5 MAL) and Active Range of Motion (AROM). Post hoc analysis showed significant differences between pre- and post-treatment motor impairment scores, and the improvements in these scores were maintained at 1 month after completion of treatment. Improvements were mostly in the use of the involved upper extremity for bimanual activities. Conclusions: Intense CIMT conferred significant changes in objective measures in subjects with chronic severe plegic hand after stroke. Additional studies of the long-term benefits of this treatment on post-stroke motor impairments and related functional disabilities are warranted.
  • Yusuke Suzuki, Rumi Tanemura
    原稿種別: ORIGINAL ARTICLE
    2011 年 9 巻 1 号 p. 15-22
    発行日: 2011年
    公開日: 2012/04/26
    ジャーナル フリー
    The purpose of this study is to verify the effects of interventional programmes to reduce the psychological distress of family caregivers of persons with traumatic brain injury. An interventional programme was conducted over five sessions which were held for four hours and took place once a week, involving a total of 16 persons. The interventional programme mainly consisted of providing basic knowledge of traumatic brain injury, ways of treating cognitive dysfunction and training of communication skills applying assertiveness training. Evaluation criteria were GHQ-30, SDS, STAI, and RAS as assessment measures and were analysed before and after the intervention and at three month and six month follow-ups after the interventional programme. A considerable reduction of the mean score was statistically recognised compared with SDS at pre-intervention and after the six month follow-up, and STAI at pre-intervention and post-intervention in the analysis of variance of pre- and post-intervention and follow-ups.
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