上肢麻痺と失語症を呈した脳卒中患者の麻痺手におけるTransfer Packageの効果—シングルケースデザインBAB法を用いた検証

Effects of Transfer Package on the paralyzed hands of stroke patients with upper extremity paralysis and aphasia: Verification using the single case design BAB method

要旨：右上下肢の運動麻痺と失語症を呈した脳卒中患者一事例に対して，シングルケースデザイン（BAB法）を用いてTransfer Package（以下，TP）の効果を検証した．A期は標準的作業療法（関節可動域練習，課題指向型練習，日常生活動作練習，家事動作練習）を実施，B1期・B2期は標準的作業療法とTPを実施した．結果，B1期およびB2期ではA期に比べ，Fugl-Meyer Assessmentの上肢項目，麻痺手の使用頻度と動作の質の改善を認めた．TPは失語症患者に対しても有用なアプローチである可能性が示唆された．

　We examined the effect of Transfer Package (TP) using the single case design (BAB method) for a stroke patient with motor paralysis and aphasia of the right upper and lower limbs. Standard occupational therapy (range of motion exercises, task-oriented training, activities of daily living exercises, and housework exercises) was performed in stage A, and standard occupational therapy and TP were performed in stages B1 and B2. As a result, in the B1 and B2 stages, compared with the A stage, improvements were observed in the Fugl-Meyer Assessment upper extremity items, the frequency of use of the paralyzed hand, and the quality of movement. Therefore, TP may be a useful approach for patients with aphasia.