@article{oai:ir.kagoshima-u.ac.jp:00005898,
 author = {窪田, 正大 and KUBOTA, Masatomo and 森山, 明子 and MORIYAMA, Akiko},
 issue = {1},
 journal = {鹿児島大学医学部保健学科紀要, Bulletin of the School of Health Sciences, Faculty of Medicine, Kagoshima University},
 month = {Mar},
 note = {観念失行（Ideational Apraxia; IA）は、左大脳半球損傷患者の4%～8%に出現すると言われ、決して多くはないが一旦出現すればリハビリテーションやADLの重大な阻害因子となり、決して看過できない。また、IAは左大脳半球損傷に出現するので失語症を合併しやすい特徴がある。そこで今回は、失語症を伴ったIA患者9例に対して、5種類の指示様式（口頭命令、書字命令、動作絵、分割写真、動作模倣）を用いて、それに伴う出現動作の差異について比較検討し、どのような指示様式がリハビリテーションアプローチを展開するうえで有効であるかを検討した。症例別に指示様式パターンを比較した結果、動作模倣が最も良好であった。また、失語症のタイプ別に指示様式パターンを比較した結果でも動作模倣が最も良好であった。これらのことから、失語症を伴うIA患者に有効な指示様式は、視覚情報や状況判断能力を利用した動作模倣であることが推察された。, Ideational apraxia (IA) is identified in roughly 148% of patients affected by a left-hemisphere stroke. While these numbers are not high, once apparent, this condition becomes a major inhibitory factor with regard to rehabilitation and activities of daily living, and is difficult to ignore. In addition, as IA occurs with left-hemisphere strokes, aphasia is a common complication. The present study examined  gpatients with IA who also experienced aphasia, and compared the differences in movements made by patients who received  9 forms of instructions (spoken, written, illustrations, division photograph, and movement mimicking), with the aim to identify the form of instruction which was most effective for developing a rehabilitation strategy. Case-by-case comparison of the various instructional form patterns revealed that the movement mimicking was the most effective. In addition, comparison of the various instructional patterns according to the type of aphasia also revealed that movement mimicking was the most effective. This indicates that the most effective form of instruction for IA patients with aphasia is to mimic the desired movement for the patient, encouraging them to process visual information and utilize situational assessment skills.},
 pages = {59--65},
 title = {失語症を伴う観念失行患者における指示理解能力の比較検討},
 volume = {25},
 year = {2015}
}