上肢実用動作テスト—その紹介とMFSとの関連性

Practical motion test on upper limbs : Introduction and relation with MFS

要旨：患側上肢の能力を日常生活における実際の動作に近い状況で把握するために上肢実用動作テストを作成した．対象は脳卒中片麻痺患者64例で，作業療法開始時に上肢実用動作テストとMFS測定を同時に行い，2週ごとに再検査を行った．両検査で変化がみられた場合は同一症例から複数のデータを用いて，課題とその課題が遂行可能なMFSとの関係を分析した．その結果，各MFSの段階で行える実用動作について対応付けを行うことができた．これは，上肢機能の回復に合わせて日常生活の中で，患側上肢を使用した動作を指導する目安として利用可能と思われた．

　We aimed to improve the rough and fine finger motions of the upper limbs on the paralyzed side of patients with cerebral apoplectic hemiplegia, and to improve their activities of daily living. We therefore devised a practical motion test for the upper limbs in order to measure the abilities of the upper limbs on the paralyzed side in situations similar to activities used in daily life.

　Sixty-four patients with cerebral apoplectic hemiplegia were assessed using the practical motion test for the upper limbs and Manual Function Test (MFT) at the start of treatment and were assessed once every two weeks. The relation between the test subject and Manual Function Score (MFS) was analyzed.

　As a result, we successfully devised a means of improving practical motions at each stage of MFS. These means can be used to teach patients about activities in their daily lives which use the upper limbs on the paralyzed side and thus help restore upper limb functions.