Effectiveness of Training on Activities of Daily Living for a Patient With a Severe Cognitive Disorder and Severe Right Hemiplegia

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  • 重度の認知障害と重度の右片麻痺を呈した対象者に対する日常生活動作訓練の効果
  • ジュウド ノ ニンチ ショウガイ ト ジュウド ノ ミギ ヘンマヒ オ テイシタ タイショウシャ ニ タイスル ニチジョウ セイカツ ドウサ クンレン ノ コウカ

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Abstract

Study objective: The purpose of the present study was to investigate the effectiveness of training on the activities of daily living for a man with severe cognitive disorder and severe right hemiplegia. Design: A-B-A-B single-subject design. Setting: Rehabilitation unit at University Hospital. Participant: A 70-year-old man with severe cognitive disorder and severe right hemiplegia due to cerebral infarction. Intervention: In the baseline phase, the patient was trained with praise following correct responses. In the intervention phase, physical guidance was added to the training. Measure: Whether the patient could carry out 12 activities of daily living was assessed. Results: The number of activities of daily living that the patient could perform independently in-creased during the intervention phase. However, this trend leveled off when the physical guidance was with-drawn. Conclusion: The training in activities of daily living used in the present study was effective in increasing the patient's ability to perform independently. However, further research is needed to identify a method for maintaining this improvement after training is no longer being provided.

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