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要旨:脳梗塞により利き手に麻痺を呈した事例に対し,機能面の介入のみならず,作業に関する自己評価・改訂第2版(OSA-Ⅱ)や一般職業適性検査(GATB)を活用し,相互作用をもたらすような作業療法介入を実施した.約5ヵ月の関わりによって,麻痺手の機能と実生活における使用行動において臨床上意味のある最小変化量(MCID)を超える変化が得られ,最終的に復職に至った.本事例に関しては,OSA-ⅡやGATBを用いた復職を見据えた包括的な介入が有効であり,行動変容につながったと考えられた.
We conducted an occupational therapy intervention for a patient with paralysis of the dominant hand due to cerebral infarction, utilizing not only functional interventions but also OSA-Ⅱ and GATB, in order to bring about an interaction. After approximately 5 months of intervention, the patient's paralyzed hand function and use behavior in real life changed beyond MCID, and the patient eventually returned to work. In this case, comprehensive intervention using OSA-Ⅱ and GATB with a view to return to work was effective and led to behavioral change.
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