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＜departmental bulletin paper＞
A study of How to deal of involuntary movements in Dohsa-hou treatment to an adult with athetosis cerebral palsy

Creator	Creator Name 向, 晃佑 Mukai, Kosuke ムカイ, コウスケ Affiliation Affiliation Name 九州大学大学院人間環境学府 Graduate School of Human Environmental Studies, Kyushu University
	Creator Name 五位塚, 和也 Goitsuka, Kazuya ゴイツカ, カズヤ Affiliation Affiliation Name 大阪大谷大学教育学部 Department of Education, Osaka Ohtani University
	Author PID K004622 Creator Name 古賀, 聡 Koga, Satoshi コガ, サトシ Affiliation Affiliation Name 九州大学大学院人間環境学研究院 Department of Human Sciences, Faculty of Human-Environmental Studies, Kyushu University
	Author PID K000287 Creator Name 遠矢, 浩一 Toya, Koichi トオヤ, コウイチ Affiliation Affiliation Name 九州大学大学院人間環境学研究院 Department of Human Sciences, Faculty of Human-Environmental Studies, Kyushu University
Language	Japanese
Publisher	九州大学大学院人間環境学府附属総合臨床心理センター
Publisher	Center for Clinical Psychology and Human Development, Kyushu University
Date	2018-03-22
Source Title	Bulletin of Center for Clinical Psychology and Human Development, Kyushu University
Vol	9
First Page	127
Last Page	137
Publication Type	Version of Record
Access Rights	open access
JaLC DOI	https://doi.org/10.15017/2202936

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PISSN	2185-6974
NCID	AA12461491
Record ID	2202936
Subject Terms	動作法
	Dohsa-hou
	アセトーゼ型脳性マヒ
	athetosis cerebral palsy
	不随意動作
	involuntary movements
	心理リハビリテイションキャンプ
	psychological rehabilitation camp
Notes	本研究の目的は，成人のアテトーゼ型脳性マヒ者への上肢の操作性向上を目指した課題展開を検討し課題時にみられる不随意動作の取り扱いについて考察を深めることであった。2泊3日の心理リハビリテイションキャンプに参加したアテトーゼ型脳性マヒを有する50代の男性（以下， A）の事例をもとに検討を行った。Aは身体疾患による入院によってアテトーゼ型脳性マヒの特徴のlつである不随意動作の出現がより顕著になり，これまである程度できていた食事場面における上肢の動作において不自由さが示され，上肢の動作不自由を改善したいというニーズを持っていた。そこで，主として上肢と体幹部に焦点を当て，リラクセイション課題を取り入れつつ，動作遂行課題を中心に取り組んだ。上肢の操作性向上を目指した課題展開として，上肢の動作遂行課題と並行して，上肢運動を保障する安定した坐位姿勢の獲得を目指した課題に取り組むことが有意義であったと考えられた。また，アテトーゼ型脳性マヒ者にみられる不随意動作にコントロール感を持たせていくような援助は，不随意緊張の抑制だけでなく，心理的な変化を促す効果を持つ可能性が考えられた。
Notes	This study aimed to examine the better method to apply Dohsa-hou treatment to improve motility of upper limbs for an adult with athetosis cerebral palsy, and how to deal of involuntary movements. The subject of the study ("A") was a man in his 50's with athetosis cerebral palsy who took part in 3-day psychological rehabilitation camp. With the advent of involuntary movement which is a feature of athetosis type cerebral palsy, A had the inconvenience of movement of upper limb which was possible up to now. Therefore, focusing mainly on upper limbs and body trunk, while focusing on relaxation assistance, we focused mainly on action acquisition assistance. It was thought that it was meaningful to tackle the assistance aiming to obtain a stable sitting posture that guarantees the movement of the upper limbs in parallel with the assistance of acquiring the movement of the upper limbs. In addition, it thought that assistance which gives a sense of control to involuntary movements, which is a feature of athetosis type cerebral palsy, is not only a suppression of involuntary tension but also possibility that it may have an effect that promotes psychological change.
Created Date	2019.02.21
Modified Date	2022.11.14