@article{oai:shijonawate-gakuen.repo.nii.ac.jp:00000216,
 author = {Kawakami, Eiko and 川上, 永子 and Hori, Megumi and 堀, 芽実 and Hamamoto, Kazumi and 濱元, 一美 and Sugihara, Katsumi and 杉原, 勝美},
 journal = {四條畷学園大学リハビリテーション学部紀要, Annual reports of Faculty of Rehabilitation, Shijonawate Gakuen University},
 month = {},
 note = {著者は先行研究にて、歯磨きの専門家でない作業療法士が歯磨き訓練を実施する際の具体的な訓練方法を提案した. その方法は1.歯磨き訓練マニュアルによる個別指導、2.手鏡を用いた視覚的フィードバックによる個別指導の2点であった. 今回、もともと左利きで69歳時に左片麻痺、71歳時に右片麻痺を呈した症例を対象に歯磨き訓練を実施した. 症例は69歳時の左片麻痺発症時に右手への利き手交換にてADLは自立していたが、71歳時の発症にて右片麻痺の方が重度であったために、再度機能低下した左手でのADL獲得をもとめられている. 歯磨き訓練内容については前回の報告とほぼ同様の方法を用いた. ただし、実施期間は3ヶ月としOTRが直接指導するのは週5回とした. 判定は歯科衛生士によるO'Learyのプラークコントロールレコードにより口腔内の磨き残しを算出した. その結果、口腔内の磨き残しが顕著に減少し、口腔機能も改善したので考察を含め報告する., In a previous study, we presented a detailed training method to be used in tooth-brushing training for occupational therapists, who have no expertise in tooth brushing. That method is comprised of two main points:(1)individual instruction according to a tooth-brushing training manual, and (2)individual instruction with visual feedback using a mirror. In the present study, we conducted tooth-brushing training in an originally left-handed patient who developed left hemiplegia at 69 years old and right hemiplegia at 71 years old. With the development of left hemiplegia at 69 years old, the patient switched to using the right hand predominantly and was independent in ADL. With the onset of right paralysis at 71 years old, however, the right paralysis was more severe and ADL demands were placed on the left hand, which had undergone functional decline for a second time. The method used for tooth-brushing training was nearly the same as in the previous report. However, the implementation period was three months and direct OTR training was performed five times per week. Unbrushed parts of the oral cavity were calculated by a dental hygienist using O'Leary's plaque control record. As a result, unbrushed portions of the oral cavity decreased markedly and oral funxction improved., 報告, Report},
 pages = {37--41},
 title = {作業療法士が行う歯磨き訓練の効果 : 両側性片麻痺を呈した一症例を通して},
 volume = {6},
 year = {2010},
 yomi = {カワカミ, エイコ and ホリ, メグミ and ハマモト, カズミ and スギハラ, カツミ}
}