通所リハビリテーションにおける自己選択型オーダーメイド介護予防プログラムの紹介

Introduction of personalized preventive care in ambulatory rehabilitation

要旨：継続した訓練実施と運動器機能の維持と向上のために，利用者自身が主体となってホームエクササイズを立案し実践する「自己選択型オーダーメイド介護予防プログラム」を考案し試行した．本プログラムは利用者が28枚の運動カードの中から選択し実施回数や負荷を決定する形をとる．手順は「項目決定」，「カード選択」，「負荷決定」，「更新内容決定」という作業を繰り返すことで構成される．試行では11名がプログラムを継続し，運動機能は維持された．また参加者の運動に関して積極的な言動が観察されるようになった．自己選択を用いてホームエクササイズを実施していくことは，継続性や積極性の向上を期待できると示唆された．

　A “Personalized Preventive Care Program” was designed and implemented in which users themselves can customize their own home-exercise program to maintain and improve motor function as well as systematize the training. Users chose their own exercises from 28 exercise cards and decided how many times to repeat the movements and how much strength to exert. The steps taken in planning are composed of repeating these procedures as follows : Selecting Categories, Selecting Cards, Selecting Strength, and Selecting to Repeat the Contents. The trial was carried out by 11 people, and their exercise abilities and programs were maintained and regularized respectively. Positive behavior has also been observed in the subjects. Patients self-selecting home-exercise suggests improvement in maintaining regular exercise and in taking initiative.