生活介護事業所に通所する成人脳性麻痺者に対するユニバーサルフレームを用いたバランス練習の即時・長期効果と生活行為の変化—シングルケースデザインによる検討

Immediate and long-term effects of balance exercises using a universal frame for an adult with cerebral palsy attending a Life Care Service, and changes in daily activities: A single case design study

要旨：本研究は，生活介護事業所に通う20代女性の脳性麻痺者を対象にユニバーサルフレームを用いたエクササイズがバランス能力に与える即時および長期効果と，生活行為の変化を確認した．Functional Reach Testでは，介入プログラム期の即時効果は平均1.18，通常プログラム期は-0.30であり介入プログラム期の方が即時効果は大きかった．また，介入期間全体のFunctional Reach Testの時間効果は0.1でBerg Balance Scaleは33点から39点に改善し長期的な有効性が示唆された．一方，生活行為への影響は限定的であり，今後は作業に根ざした実践の併用が必要と考えられた．

　This study examined the immediate and long-term effects of exercises using a universal frame on balance ability, as well as changes in daily activities, for a woman in her 20s with cerebral palsy attending a Life Care Service Facility. In the Functional Reach Test, the immediate effect during the intervention program period averaged 1.18, while during the regular program period it was -0.30, indicating a greater immediate effect during the intervention program period. The overall time effect of the Functional Reach Test throughout the intervention period was 0.1, and the Berg Balance Scale improved from 33 to 39 points, suggesting long-term effectiveness. However, the impact on daily activities was limited, suggesting that combining with occupation-based practice may be necessary in the future.