頸髄損傷者に特化した上肢機能評価Capabilities of Upper Extremity Test（CUE-T）の本邦における有用性の検証

Verifying the usefulness of the Capabilities of Upper Extremity Test (CUE-T) for cervical spinal cord injury patients in Japan

要旨：【はじめに】Capabilities of Upper Extremity Test（CUE-T）は頸髄損傷者（CSCI）に特化した上肢機能評価であり，本邦におけるCUE-Tの臨床的有用性を検証した．【対象と方法】研究1：CSCI 19名を対象とし，CUE-Tと既存の評価との相関関係を検証した．研究2：CSCI 4名のCUE-Tと既存の評価の経時的な結果を視覚化して分析した．【結果】研究1：CUE-Tと既存の評価はSpearmanの順位相関係数が0.7以上（p＜.01）となった．研究2：CUE-Tは全症例で詳細な変化を検知した．【考察】本邦におけるCUE-Tの良好な妥当性と反応性が示唆された．

　The Capabilities of Upper Extremity Test (CUE-T) is a detailed upper extremity function evaluation specialized for CSCI. The purpose of this research was to verify the clinical usefulness of CUE-T in Japan. The subjects were 19 CSCI patients. In the first study we examined the correlation between CUE-T and the general evaluation method. In the second study we visualized and analyzed the changes over time in CUE-T, and general upper extremity evaluation method in 4 CSCI patients. In the first study CUE-T and the general evaluation method were Spearman's rank correlation coefficient of 0.7 or higher (p<.01), while in the second study CUE-T detected detail changes in upper limb function in all cases. The results indicate good validity of CUE-T in Japan and its sensitivity to changes.