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Influences of the Coronavirus Disease (COVID-19) Pandemic on Occupational Therapy: A Content Analysis of Long-Term Care Insurance Service Facilities in Hokkaido 冠状病毒病(COVID-19)大流行对职业治疗的影响:北海道长期护理保险服务机构内容分析
Pub Date : 2022-01-01 DOI: 10.11596/asiajot.18.147
Kazuki Yokoyama, Hidekazu Saito, Takafumi Morimoto, H. Ota, Nozomu Ikeda
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引用次数: 0
Motor Learning of Handwriting Using the Non-dominant Hand 非惯用手书写的运动学习
Pub Date : 2022-01-01 DOI: 10.11596/asiajot.18.79
M. Kono, K. Inoue, T. Kawaguchi, Masashi Yoshitake, Syunji Sako
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引用次数: 0
Initial Practice for the Introduction of a Gaze-Based Augmentative and Alternative Communication Device 引入基于注视的辅助和替代通信设备的初步实践
Pub Date : 2022-01-01 DOI: 10.11596/asiajot.18.165
Shigeto Moriwaki
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引用次数: 0
Factors Related to the Visual Information Processing of Children with Learning Disabilities Who Have Difficulty Acquiring Kanji Writing: Features Revealed by the Rey–Osterrieth Complex Figure Test 汉字习得困难儿童视觉信息加工的相关因素:Rey-Osterrieth复形测验的特征
Pub Date : 2022-01-01 DOI: 10.11596/asiajot.18.87
S. Ônishi, H. Kosuge, Keiko Kumagai
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引用次数: 0
Comparison of Forearm Muscle Activation and Relationship with Pressure Distribution in Various Grip Patterns 不同握持方式下前臂肌肉活动与压力分布关系的比较
Pub Date : 2022-01-01 DOI: 10.11596/asiajot.18.31
Keisuke Irie, Junpei Yokota, Masakatsu Takeda, K. Mukaiyama, Yuji Nishida, Masaru Sato, Yasuyoshi Mishima, N. Yamamoto, M. Nagai-Tanima, T. Aoyama
: Introduction: In racket sports, it is necessary to devise a gripping method that facilitates both the efficient transmission of power and injury prevention. This study quantified grip pressure distribution (PD) in the hand using various gripping methods and investigated the relationship between these distributions and muscle activation. Methods : In a laboratory setting, a grip sensor was used to measure hand PD in 15 healthy adults during each task. Participants gripped the sensor device using three grip patterns with simultaneous electromyography (EMG) recordings from the extensor digitorum communis (EDC), extensor carpi radialis, flexor digitorum superficialis (FDS), and flexor carpi ulnaris (FCU). The device’s hand-contact area was assigned anatomical regions, and the percentage PD of each region was calculated for each task. We compared the EMG in each grip pattern and analyzed the correlation between grip force and EMG. Results : The main outcomes measured were EMG and PD. For radial and power grips, there was a significant relation ship between EDC and grip force (r = 0.52, 0.47). For the ulnar grip, there was a significant relationship between FDS and grip force (r = 0.55). Furthermore, the ulnar grip’s EDC activity was significantly lower than that of the power grip, and FCU activity was significantly higher than that of the radial grip (p < 0.05). Discussion : The ulnar grip had significantly lower EDC activity than the power grip and higher FCU activity, which is involved in the elbow joint’s stability, than the radial grip. The ulnar grip may be effective in preventing injuries. (
在球拍运动中,有必要设计一种抓握的方法,既能有效地传递力量,又能防止伤害。本研究采用不同的握力方法,量化了手部的握力压力分布(PD),并探讨了这些分布与肌肉激活的关系。方法:在实验室环境中,使用握力传感器测量15名健康成人在每个任务中的手部PD。参与者使用三种握力模式抓住传感器装置,同时记录来自指共伸肌(EDC)、桡侧腕伸肌、指浅屈肌(FDS)和尺侧腕屈肌(FCU)的肌电图(EMG)。将设备的手接触区域划分为解剖区域,并计算每个任务中每个区域的PD百分比。我们比较了各握力模式下的肌电图,并分析了握力与肌电图的相关性。结果:主要指标为肌电图和PD。对于径向握把和强力握把,EDC与握把力有显著相关(r = 0.52, 0.47)。尺骨握把FDS与握把力之间存在显著相关(r = 0.55)。尺骨握把EDC活性显著低于强力握把,FCU活性显著高于桡骨握把(p < 0.05)。讨论:尺骨握把的EDC活性明显低于力量握把,FCU活性明显高于桡骨握把,这与肘关节的稳定性有关。尺骨握握可以有效防止受伤。(
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引用次数: 1
Effect of Perceptive Exploration Activity on Spoon Manipulation by Paralyzed Upper Extremity with Sensory Disturbance in a Patient with Stroke Hemiparesis: A Single-Subject Research Design 知觉探索活动对脑卒中偏瘫患者上肢麻痹伴感觉障碍的勺子操作的影响:单受试者研究设计
Pub Date : 2022-01-01 DOI: 10.11596/asiajot.18.111
Masato Sato, Y. Mikami, F. Tajima
: Introduction: Functional use of a paralyzed upper extremity in patients with hemiparesis after stroke depends on the specificity of the task. Further, task specificity-dependent upper extremity use is an important factor in the recovery of upper extremity function. The purpose of this study was to investigate the usefulness of a perceptive exploration activity in consideration of the specificity of the task for Japanese male patient in his 70s and monitor its effect on spoon manipulation using the affected arm. Methods: A single-subject research design was implemented in the ABAB trial. The facilitation of selective movement of the paralyzed upper extremity and self-care skill training were provided during baseline A and A’ as occupational therapy (OT). In addition to the OT, 10 minutes of perceptive exploration activity was added during the interventions B and B’. The required time (RT) and number of errors (NOE) in task performance were monitored as the outcome of the therapeutic effect. Goal Attainment Scaling (GAS) and Fugl-Meyer Assessment (FMA) were also adopted to evaluate individual goals and changes in upper extremity function. Results: RT and NOE in task performance were decreased with interventions B and B’ compared to baselines A and A’. GAS score improved in interventions B and B’, and FMA showed a gradual improvement within each phase. Conclusion: Spoon manipulation using the paralyzed upper extremity with sensory disturbance was improved by perceptive exploration activity. Current therapy suggests that perceptive exploration activity may be effective in improving movement skills in the manipulation of tools.
摘要:脑卒中后偏瘫患者瘫痪上肢的功能性使用取决于任务的特异性。此外,任务特异性依赖的上肢使用是上肢功能恢复的重要因素。本研究的目的是探讨在考虑任务特殊性的情况下,日本70多岁男性患者的感知探索活动的有用性,并监测其对使用患臂的勺子操作的影响。方法:ABAB试验采用单受试者研究设计。在基线A和基线A期间,作为职业治疗(OT)提供上肢选择性运动的促进和自我保健技能训练。除了OT外,在干预B和B '期间还增加了10分钟的感知勘探活动。监测任务执行所需时间(RT)和错误数(NOE)作为治疗效果的结果。采用目标实现量表(GAS)和Fugl-Meyer量表(FMA)评估个体目标和上肢功能的变化。结果:与基线A和基线A相比,干预B和干预B的任务绩效RT和NOE均有所降低。GAS评分在干预B和干预B′中有所改善,FMA在每个阶段逐渐改善。结论:知觉探索活动可改善上肢麻痹感觉障碍患者的勺子操作。目前的治疗表明,感知探索活动可能有效地提高操作工具的运动技能。
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引用次数: 0
Oculomotor Rehabilitation Program for a Patient with Brain Injury in an Acute Care Hospital: A Single-Case Experimental Design 急性护理医院脑损伤患者的眼动康复方案:单例实验设计
Pub Date : 2022-01-01 DOI: 10.11596/asiajot.18.133
Takayuki Watabe, Hisayoshi Suzuki, Kunio Kabe, Shunya Hamabe, M. Yoda
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引用次数: 0
Factors Predicting the Use of Paralyzed Upper Limbs in the Daily Life of Patients with Acute Stroke 预测急性脑卒中患者瘫痪上肢在日常生活中使用的因素
Pub Date : 2022-01-01 DOI: 10.11596/asiajot.18.9
Masato Ikegami, Hitoshi Mutai, Yoshie Yuzawa, Nobuko Sakai
Background and Purpose: In patients with stroke, predictors of the use of paralyzed upper limbs in each activity of daily life, including eating and toileting, are not clear. Therefore, we aimed to identify factors that predict the use of paralyzed upper limbs in specific activities of daily life in patients with acute stroke. Method: This prospective observational study enrolled 155 patients with acute stroke. We used the paralytic arm participation measure (PPM) to evaluate the use of the paralyzed upper limb in daily life. Eating and toileting were assessed at admission and discharge. Factors that predicted the use of the paralyzed upper limb at discharge were analyzed by binomial logistic regression analysis. Results: The predictors of the use of paralyzed upper limbs for eating at discharge were age [odds ratio (OR)=0.93, p=.011], paralysis of the dominant hand (OR=3.75, p=.044), and motor function of the paralyzed upper limb (OR=2.16, p<.001). For toileting, the predictors were motor function of the paralyzed upper limb (OR=1.75, p<.001), sensory function of the paralyzed upper limb (OR=1.66, p=.004), and muscle strength of the quadriceps on the non-paralyzed side (OR=3.65, p=.005). Conclusion: These identified predictors may provide clues to interventions promoting the use of paralyzed upper limbs in the daily life of hospitalized patients with acute stroke. Observation and evaluation of each activity by an occupational therapist using the PPM is potentially useful in encouraging patients to consciously use the paralyzed upper limbs in
背景和目的:在脑卒中患者中,上肢瘫痪在日常生活中的各项活动(包括进食和如厕)的预测指标尚不清楚。因此,我们旨在确定预测急性脑卒中患者在特定日常生活活动中瘫痪上肢使用的因素。方法:本前瞻性观察性研究纳入155例急性脑卒中患者。我们使用麻痹臂参与测量(PPM)来评估瘫痪上肢在日常生活中的使用情况。入院和出院时对进食和如厕情况进行评估。采用二项logistic回归分析预测上肢瘫痪患者出院时使用情况的因素。结果:年龄是影响出院时瘫痪上肢进食的预测因素[优势比(OR)=0.93, p=。[11]、优势手麻痹(OR=3.75, p= 0.044)和瘫痪上肢运动功能(OR=2.16, p< 0.001)。如厕时,预测因子为瘫痪上肢运动功能(OR=1.75, p<.001)、瘫痪上肢感觉功能(OR=1.66, p=.004)和未瘫痪侧股四头肌肌力(OR=3.65, p=.005)。结论:这些确定的预测因素可能为促进急性脑卒中住院患者在日常生活中使用瘫痪上肢的干预提供线索。职业治疗师使用PPM对每个活动进行观察和评估,可能有助于鼓励患者有意识地使用瘫痪的上肢
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引用次数: 0
Types of Grasping Chopsticks and Their Functionality in Typically Developing Preschool Children 典型发展学龄前儿童抓筷子的种类及其功能
Pub Date : 2022-01-01 DOI: 10.11596/asiajot.18.95
Masashi Tsuzuku, Chieko Karashima, Go Igarashi
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引用次数: 0
Examining the Linguistic Equivalency and Cross-Cultural Adaptation of the Sensory Processing and Self-Regulation Checklist- Tagalog Version 感官加工和自我调节量表的语言对等性和跨文化适应研究——他加禄语版
Pub Date : 2021-07-10 DOI: 10.11596/asiajot.17.57
I. Gomez, P. G. Morato-Espino, Cynthia Y. Y. Lai
: Children’s ability to adequately process sensory information from their environments contribute to the devel opment of self-regulation. The increasing prevalence of sensory processing difficulties in both clinical and normative childhood population underscores the need for assessment. However, in the Philippine context, there is no cross-culturally validated tool that measures sensory processing and self-regulation among children. Both language equiva lency and cultural-relevance should be addressed when translating health-related outcomes. In this study, the accuracy of linguistic equivalency and cultural relevance of the Tagalog version of the Sensory Processing and Self-Regulation Checklist (SPSRC) was validated. Using a multi-step process of forward translation, equivalence of translation testing, backward translation, face, and content validation, and cross-cultural adaptation inquiry, the SPSRC-Tagalog was ex -amined. Adaptation of colloquial English terms was incorporated, and several items whose examples were deemed not culturally relevant were modified to reflect the language and culture it is intended for. The findings in this study support the linguistic equivalency and cultural-relevance of the SPSRC-Tagalog as a single measure of sensory processing and self-regulation abilities of Tagalog-speaking Filipino children that can be used by Filipino occupational therapists. Future studies should further examine its psychometric properties in the target population.
儿童充分处理来自环境的感官信息的能力有助于自我调节的发展。越来越普遍的感觉处理困难在临床和规范儿童人口强调需要评估。然而,在菲律宾的背景下,没有跨文化验证的工具来测量儿童的感觉加工和自我调节。在翻译与健康相关的结果时,应注意语言的等效性和文化相关性。本研究验证了他加禄语版本的感觉加工和自我调节检查表(SPSRC)在语言对等性和文化相关性方面的准确性。通过前向翻译、对等翻译测试、后向翻译、面孔和内容验证以及跨文化适应调查等多步骤的过程,对spsrc -他加禄语进行了研究。对英语口语术语进行了改编,并对一些被认为与文化无关的例子进行了修改,以反映其所要表达的语言和文化。本研究结果支持spsrc -他加禄语作为菲律宾儿童感官加工和自我调节能力的单一衡量标准的语言等效性和文化相关性,可用于菲律宾职业治疗师。未来的研究应进一步考察其在目标人群中的心理测量特性。
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引用次数: 3
期刊
Asian journal of occupational therapy
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