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Japanese Occupational Therapy Research Volume 18, Issue 1 （February 1999）

作業療法 18巻1号（1999年2月発行）

Japanese English

◆研究と報告

脳性麻痺児への脳卒中上肢機能検査(MFT)の有用性の検討 The validity of MFT as ameasure to evaluate the manual function of children with cerebral palsy 宮脇利幸 ¹ , 福田恵美子 ² , 熊本圭吾 ³ , 吉田一成 ³ , 岩谷力 ³ Toshiyuki Miyawaki ¹ , Emiko Fukuda ² , Keigo Kumamoto ³ , Kazunari Yoshida ³ , Tsutomu Iwaya ³ ¹信州大学医療技術短期大学部作業療法学科 ²国際医療福祉大学保健学部作業療法学科 ³東北大学大学院医学系研究科障害科学専攻運動障害学講座肢体不自由学分野 ¹Department of Occupational Therapy, School of Allied Medical Sciences, Shinshu University ²Department of Occupational Therapy, School of Health Sciences, International University of Health and Welfare ³Rehabilitation Medicine for the Physically Disabled, Disability Science, Tohoku University Graduate School of Medicine キーワード：脳性麻痺 , 上肢機能 , ADL , cerebral palsy , upper extremity function , basic ADL Keyword: 脳性麻痺 , 上肢機能 , ADL , cerebral palsy , upper extremity function , basic ADL pp.38-48

発行日 1999年2月15日 Published Date 1999/2/15

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要旨：脳性麻痺児67名の脳卒中上肢機能検査(MFT)結果と上肢の運動年齢検査(MAT)結果とを比較し，MATによる上肢機能評価をMFTにより代替可能であるかを検討した．またS-M社会生活能力検査(S-M検査)から抜粋した移動活動を除いた上肢機能を要するBasic ADLに関連した項目の自立の程度とMFS(MFTによる評価スコア)とを比較し，MFT結果からADLの自立度を推定できるかを検討した．結果：上肢運動年齢とMFSとの間に強い相関関係が認められた．またS-M検査でBasic ADLの各動作が自立している者としてない者との平均MFSが有意な差を示し，移動活動を除いた上肢機能を要するBasic ADLの完全自立の目安としてMFS80〜85が導かれた．

　The aims of this study were to know whether 1) Manual Function Test (MFT) was useful to measure the upper extremity function of children with cerebral palsy, and 2) whether we could estimate basic ADL independence from Manual Function Score (MFS).

　Methods : We carried out MFT, Motor Age Test (MAT) and Social Maturity Scale(S-M test) on 67 children with cerebral palsy, except the hemiplegic type, who were admitted to institutions for physically disabled children and compared their results.

　Results: MFS of the subjects were correlated with motor age of the upper extremity(r = 0.92, y = 17.5 + 1.15x). In each sub-test of middle items within the MFT, the average MFS of subjects, who were able to accomplish the sub-test, were higher than the average MFS of the subjects who could not accomplish the test. Items that were classified as related to basic ADL, which were extracted from the "Self Help" section of S-M test, were compared. Results showed that the average MFS of the subjects who became independent was significantly higher than that of subjects who didn't become independent at each Basic ADL.

　Discussion: It was suggested that the MFT was useful for children of cerebral palsy except for the hemiplegic type. MFS was above 80~85 for subjects with good ability of upper extremity function, resulting in complete independence in basic ADL.