重度脳性麻痺児の摂食機能障害に対するジョイント・セラピーの試み  [in Japanese] Joint Therapy for a Child with Severe Cerebral Palsy and Eating Disorders  [in Japanese]

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Author(s)

    • 野沢 由紀子 NOZAWA Yukiko
    • 信濃医療福祉センターリハビリテーション部 Department of Rehabilitation, Shinano Handicapped Children's Hospital

Abstract

全身的なそりかえりを伴う緊張性咬反射により,摂食活動の快適性が著しく阻害されていた重度脳性麻痺症例に対して,OTとのジョイント・セラピーを試みた.その効果と要因について,STが単独で行うセラピーと比較しながら検討した結果,以下の知見を得た.(1)12セッションにわたる経過の中で,緊張性咬反射が漸次軽減した.(2)1セッションの中でも,ST単独セラピー場面からジョイント・セラピー場面に移行すると,緊張性咬反射が減少し,出現しても全身的なそりかえりにまで至らなくなることが多かった.(3)ジョイント・セラピーにひき続いて行ったST単独セラピー場面において,若干ながらジョイント・セラピーの効果の持続が認められた.(4)緊張性咬反射軽減に対するジョイント・セラピーの効果の要因として,頭部アライメントのよりよい調整が考えられた.

With an occupational therapist, the author provided joint therapy for a boy with severe cerebral palsy who also had difficulty eating comfortably because of a tonic bite reflex with an overall increase in body extension. The purpose of this study was to examine the effects of joint therapy by comparing it with therapy carried out only by a speech therapist. The results were as follows. (1) During the course of twelve sessions, the tonic bite was gradually reduced. (2) Even within a single session, where therapy by a speech therapist was followed by joint therapy, the tonic bite reflex abated and the tonic bite with an overall body extension decreased. (3) The joint therapy also positively effected the next session of single therapy. (4) It seems that the better alignment of the patient's head attained in joint therapy served to reduce the tonic bite reflex.

Journal

  • THE JAPANESE JOURNAL OF COMMUNICATION DISORDERS

    THE JAPANESE JOURNAL OF COMMUNICATION DISORDERS 17(1), 36-41, 2000-04-30

    Japanese Association of Communication Disorders

References:  15

Codes

  • NII Article ID (NAID)
    10008101768
  • NII NACSIS-CAT ID (NCID)
    AN10091280
  • Text Lang
    JPN
  • Article Type
    REV
  • ISSN
    09128204
  • NDL Article ID
    5391904
  • NDL Source Classification
    ZF1(教育) // ZS47(科学技術--医学--治療医学・看護学・漢方医学)
  • NDL Call No.
    Z7-1914
  • Data Source
    CJP  NDL  J-STAGE 
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