頚髄損傷者の日常動作獲得における「同時的姿勢」の発達 : 靴下履きの縦断的観察

概要

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We studied about development of putting on socks action performed by a patient with paralytic symptom in rehabilitation of ADL. Our purpose is to reveal what information are available to relearn and improve the action. Especially, it is important how he organized many movement into whole process of action and what patterns of action were used and selected, because we can find in these developmental aspects what information were explored and used to coordinate segments of body. We analyzed 5 videotaped actions over 6 months in these ways : time, number of sub-actions, organization of action process, variation of action patterns. Time decreased gradually, but number of sub-actions didn't correspond to it. Organization of action process and variation of patterns showed that the patient explored posture supporting trunk and manipulation simultaneously and change of such posture varied some kinds of manipulation. These results suggest that putting on socks is based on this basic posture ('simultaneous posture') and it is source of generating new patterns of actions.
東京大学の論文
2000-03-15