{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390001205678939392.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.11507/jarvi.19.0.24.0"}},{"identifier":{"@type":"NAID","@value":"130007008151"}}],"dc:title":[{"@language":"ja","@value":"重症心身障害児・者の療育における視覚を活かす支援への取り組み"}],"dcterms:alternative":[{"@language":"ja","@value":"1.　屈折と眼位"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"ja","@value":"＜目的＞重症心身障害児・者（以下 重障児者）の発達・療育援助をおこなう上で、彼らの視覚認知機能を客観的に評価することは重要なポイントになると考えられる。施設で直接療育に携わる作業療法士等の立場からも、重障児者の視覚機能に関する情報を必要と感じているという声が多く聞かれる。自覚的評価の難しい重障児者の視覚認知機能を的確に捉える評価法の構築を目的として多職種が連携した研究に着手した。第1段階として、眼科一般検査で視機能評価をおこない、結果を検討した。\n＜対象と方法＞対象は重症心身障害児施設に入所中の重障児者50名。他覚的屈折検査（手持ち自動屈折検査機または検影法）、視力検査（字ひとつ・Teller acuity card）、視運動性眼振検査、眼位・眼球運動検査を実施し、検査の成否や測定結果について調査した。\n＜結果＞他覚的屈折検査は義眼、角膜混濁以外の対象者で全例測定可能であった。3D以上の乱視100眼中26眼（27％）、等価球面値で近視のもの60眼（63％）であった。眼位は、義眼と角膜混濁の3名を除き、47名中30名（64％）に恒常性の斜視を認めた。14名（30％）が間歇性斜視で、眼位異常が全く認められなかったものは3名（6％）であった。\n＜考察と今後の展望＞既存の視機能評価で治療適応になる眼位異常や高度の屈折異常が高頻度に認められたが、視機能に対する治療・訓練等はほとんどおこなわれていなかった。\n3歳児健診に眼科評価項目が含まれているように、重障児者もおいても視機能評価は重要であると思われる。視機能の異常に対する適切な治療訓練の導入は、重障児者の発達援助をより効果的なものにすると考えられる。健常児より高頻度に高度屈折異常や眼位異常を合併する重障児者の視機能を確実に評価できる方法を確立し、より早期に視機能に対する治療訓練を療育の中に導入していくことが重要と考えられた。\n　本研究は日本学術振興会科学研究費補助金：基盤（B）課題番号22330260の助成を受けた。"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1030003658341014144","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"20113491"},{"@type":"NRID","@value":"1000020113491"},{"@type":"NRID","@value":"9000396125331"},{"@type":"NRID","@value":"9000396169575"},{"@type":"NRID","@value":"9000396126586"},{"@type":"NRID","@value":"9000402297025"},{"@type":"NRID","@value":"9000009217607"},{"@type":"NRID","@value":"9000005305303"},{"@type":"NRID","@value":"9000021060427"},{"@type":"NRID","@value":"9000308724398"},{"@type":"NRID","@value":"9000256758901"},{"@type":"NRID","@value":"9000021068519"},{"@type":"NRID","@value":"9000392018738"},{"@type":"NRID","@value":"9000381473577"}],"foaf:name":[{"@language":"ja","@value":"靭負 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