脳卒中後片麻痺患者のDisability Evaluation

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概要

• 論文の詳細を見る

• The evaluation of patients' disability is one of the most important problems in the process of medical rehabilitation. The disability evaluation should necessarily be a comprehensive one that considers psychological, social and vocational as well as medical factors. It is also desirable that the evaluation medthod by which we assess patients' disability and presuppose the rehabilitation potential is as simple as possible, regardless of so many factors to be evaluated. As regards neurological, orthopedic-psychiatric and psychological, and socioeconomic factors, I selected respectively 4 items which would inhibit restoration of the patient. Disability score was shown by the total score of these 16 items. The reliability of the results of this method was examined by comparing them with those of 6 ADL groups which were determined by ambulation and selfcare abilities. The results obtained can be summarized as follows : 1) The results of rehabilitative treatment in 106 patients were examined by comparing one's ADL group on admission and on discharge. A good many patients showed marked recovery, but no improvement was seen in 11 cases. 2) There was shown a high degree of correlation between disability score on admission and ADL groups on discharge. Thus it was assumed that disability score obtained by the method presented here can be a sueful index for predicting the state of ADL on discharge. 3) The result of comparison of disability score on admission and duration of disease before admission didn't show any significant change. One of the importhat reasons, of this result was that this scoring method of disability lacked the detailed analysis of disuse syndrome. 4) The results of comparison according to age-groups less than 59 years and more than 60 years of bont the disability score on admission and ADL groups on discharge were respectively accepted as significant. 5) The results of comparison according to the presence or non-presence of complication of both the disability score on admission and ADL groups on discharge were respectively not accepted as significant. This naturally shows that the factor which matters is the severity and kinds of complication rather than its presence or non-presence.

• 社団法人日本リハビリテーション医学会の論文
• 1969-01-18

著者

• 森園 隆一

  鹿児島大学内科

• 森園 隆一

  鹿児島大学医学部第一内科

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