USN患者に対する机上検査とADL評価との関係

Relationships between paper tests and ADL assessments in patients with unilateral spatial neglect

要旨：半側空間無視を有する患者19名に，机上検査である線分二等分検査，線分抹消検査，図形模写検査を実施し，ADL評価との関係を検討した．机上検査はその多くがADL評価と相関を示し，USNの有無のみではなく重症度を判定しそれらの関係を検討することにより，ADL場面におけるUSNの出現や自立の程度を予想するうえで有用であることが示唆された．さらに，福井の重症度分類や大川の半側空間失認チェックリストも具体的な無視症状や代償能力を評価するうえで，有用であると思われた．以上より，検査課題の特性を考察し，机上検査とADL評価に身体機能の評価を加え，総合的に評価する重要性について論じた．

　We administered a line bisection test, A line cancellation test and a design copying test to 19 patients with unilateral spatial neglect (USN), and investigated relationships between the paper tests and ADL assessments. Most of the paper tests showed significant correlation with the ADL assessments, and they proved to be useful for anticipating problems caused by USN and level of independence in ADL based on the results of those tests. In addition, seriousness classification of the Fukui and unilateral spatial agnosia checklist of Okawa seemed to be useful when specific neglect symptoms and compensation ability were evaluated. From what has been said above, we discussed characteristics of the paper tests and the importance of synthetic assessment of the paper tests and the ADL assessments with careful consideration to assessments of physical functions.