頸髄損傷者むけ上肢機能評価「GRASSP」の本邦における臨床的有用性の検証

Verification of clinical usefulness of “GRASSP” for cervical spinal cord injuries in Japan

要旨：上肢機能評価バッテリーGRASSP（Graded Redefined Assessment of Strength, Sensation and Prehension）は，頸髄損傷者を主たる対象とした上肢・手指機能の評価ツールであり，既に海外では北米やヨーロッパを中心に脊髄損傷者の上肢機能評価に多く用いられている．この使用報告がほぼない本邦で，これを用いて脊髄損傷者の上肢機能の評価を行い，信頼性，妥当性，反応性について検証したところ，いずれも先行文献とほぼ同様の結果が得られた．また対象者のADL状況との関連を検証したところ，自助具箸の使用可否との間に有意な関係が示されることが確認された．

　The GRASSP (Graded Redefined Assessment of Strength, Sensation and Prehension) is an evaluation tool for upper limb and finger function primarily for people with cervical spinal cord injury (CSCI). Except for Japan, it is often used worldwide to evaluate upper limb function. We evaluated the upper limb function of patients with CSCI by GRASSP and we verified its reliability, validity, and predictability. As a result, we obtained almost the same results as those in the previous reports. In addition, we examined the relationship between the GRASSP scores and the ADL status of the subjects, confirming that a significant relationship was shown between GRASSP and the utilization of chopsticks.