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Long term remediation for memory disorders : Appropriate OT approaches in each term Yoshie Ishiwari 1 , Fumiko Mori 2 , Reiko Okudaira 2 , Megumi Nagamitsu 2 , Kazuo Saito 2 1Former place; Fuchinobe General Hospital 2Fuchinobe General Hospital Keyword: 記憶障害 , 効果 , 単一症例研究 , Memory disorder , Effectiveness , Single-case experimental design pp.18-27
Published Date 2006/2/15
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 This paper presents a case study of OT approaches for a male with memory disorder. We have experienced treating him for a long period. We divided his remediation into two terms and gave different approaches to each of them.

 The first term is from the second month to the fifth month after the injury. He suffered from not only memory disorder but also conscious disorder, attention disorder, and frontal lobe disorder. We arranged environmental adaptations, external memory aids, and other efficient ways to improve his attention disorder and frontal lobe disorder. After these various approaches, ADL ability was improved and he spent daily life almost independently in our hospital.

 The second term is from one year and fifth months to one year and sixth months after the injury. His disorders, except for memory disorder, were mostly improved. We concentrated our efforts on remediation of his memory disorder before he returned to work. His visual memory ability was better than his verbal one. So we employed single-case experimental design and alternated between visual and verbal approaches to help him memorize words. As a result, we learned that the visual approach had the potential to improve his memory disorder while the verbal approach would cause him confusion. Later, we met with his supervisor at work and discussed his condition. The supervisor later assigned him another position that suited him.

 The conclusion of this paper is that it is important for memory disorder cases to receive appropriate OT approaches at the appropriate times. Moreover, we need to evaluate the effectiveness of different approaches. Based on that, the therapists should adopt the best approaches to remedy each of the cases.


Copyright © 2006, Japanese Association of Occupational Therapists. All rights reserved.

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電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会

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