急性期脳卒中患者における箸操作と上肢機能評価の関係

The relationship between chopsticks agility and upper extremity evaluations in acute stroke patients

要旨：箸操作と上肢機能評価（握力，ピンチ力，10秒テスト，Fugl-Meyer Assessment for Upper Extremity，簡易上肢機能検査，Motor Activity Log）の関係について調べた．対象者は発症から1週間以内の利き手側に麻痺を呈した脳卒中患者51名であった．ロジスティック回帰分析を使用し箸操作に影響する因子を求めた．さらに，カットオフ値は受信者動作特性曲線を使用し求めた．その結果，10秒テストが抽出され，カットオフ値は14回であった．10秒テストは，利き手が麻痺した急性期脳卒中患者の箸操作可否の判断に役立つ可能性が示唆された．

　We investigated the relationship between chopsticks agility and upper extremity evaluations, including grip strength, pinch strength, and the ten-second grip and release test, using the Fugl-Meyer Assessment for Upper Extremity, the Simple Test for Evaluating Hand Function and the Motor Activity Log. Fifty-one acute stroke patients within one week of stroke onset with dominant hand paralysis participated in the study. Logistic regression analyses were used to determine factors for chopsticks agility. Moreover, cutoff points were estimated with the help of a receiver operating characteristic (ROC) curve. Results showed that the ten-second grip and release test could be a significant contributing factor in chopsticks agility, and its cutoff point was 14 times. Thus, chopsticks agility may be predicted using the assessment of ten-second grip and release test in acute stroke patients with dominant hand paralyses.