Assistance methods for activities of daily living according to basic movements among patients with cerebrovascular disorders

本研究的目的是探讨基本动作与日常生活活动（ADL）独立性的关系，以阐明ADL辅助方法的特点。10名职业治疗师参与了这项研究。调查项目包括：1）日常生活活动的障碍，2）基本动作，3）日常生活活动的独立程度。多元Logistic回归分析显示，基本动作是影响ADL独立性的变量。排除了与其他运动功能障碍、感觉功能障碍和高级脑功能障碍相关的9个变量。在13个ADL项目中，有11个项目的独立性程度存在显著性差异。这些结果表明，基本动作可以作为日常生活能力的指标。第二个研究包括一个邮件问卷调查和一个个案研究。在邮件调查中，向全国2，012名在恢复康复机构工作的职业治疗师发送了关于根据基本动作的ADL援助方法的问卷。共有587名职业治疗师作出回应（回应率，29。2%）。在个案研究的主题是149制度化的脑血管疾病患者在12个恢复康复单位。共有92名职业治疗师参加。调查项目包括：1）基本信息，2）基本动作，3）ADL辅助方法。本次调查明确了按照基本动作进行的ADL辅助方法的类型，并对ADL辅助方法进行了分类，希望能够以实现ADL独立为目标，在护理环境中，探讨按照基本动作进行ADL辅助方法的有效性。

The purpose of this study was to examine the relationship between basic movements and the degree of independence in activities of daily living(ADL) in order to clarify the characteristics of ADL assistance methods according to basic movements.The first study involved 42 institutionalized patients with cerebrovascular disorders in a recovery rehabilitation unit. Ten occupational therapists participated in this study. Survey items included 1) impairments, 2) basic movements, and 3) degree of independence in ADL. Multiplex logistic analysis revealed basic movements as a variable that influenced the degree of independence in ADL. Nine variables related to other motor dysfunctions, sensory dysfunction, and higher brain dysfunction were excluded. A significant difference according to basic movements was found in the degree of independence for 11 of 13 ADL items. These results suggest that basic movements can serve as an ADL index.The second study involved a mail-based questionnaire survey and a case study. For the mail-based survey, a questionnaire on ADL assistance methods according to basic movements was sent to 2,012 occupational therapists working at recovery rehabilitation units nationwide. A total of 587 occupational therapists responded(response rate, 29. 2%). Subjects in the case study were 149 institutionalized patients with cerebrovascular disorders in 12 recovery rehabilitation units. A total of 92 occupational therapists participated. Survey items included 1) basic information, 2) basic movements, and 3) ADL assistance methods. The survey provided a clear picture of the types of ADL assistance methods carried out according to basic movements.We also classified ADL assistance methods according to basic movements, and hope to address the efficacy of ADL assistance methods according to basic movements in the care setting with the goal of achieving independence in ADL.