作業療法士によるロービジョン者への評価と介入の実態—文献レビュー
要旨：ロービジョンとは，見えにくいために生活上の困難を生じている状態を総称した概念である．作業療法士によるロービジョンの評価や介入の実践を文献検索にて調査した．システマティックレビュー，ランダム化比較試験などを対象とし，医学中央雑誌とPubMedのデータベースを用いて検索を行い，66件の論文が抽出された．評価には，視機能や運転適性や住環境調査が含まれ，介入には，個別に対応する問題解決戦略や住環境調整やデバイス処方が含まれた．ロービジョンに対する作業療法の効果を調査している研究はまだ少ない．今後，ロービジョンについて作業療法士への啓発を行うとともに，作業療法の効果を科学的に検証していく必要がある...
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| Published in | 作業療法 Vol. 40; no. 4; pp. 407 - 414 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本作業療法士協会
15.08.2021
一般社団法人 日本作業療法士協会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0289-4920 2434-4419 |
| DOI | 10.32178/jotr.40.4_407 |
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| Abstract | 要旨：ロービジョンとは，見えにくいために生活上の困難を生じている状態を総称した概念である．作業療法士によるロービジョンの評価や介入の実践を文献検索にて調査した．システマティックレビュー，ランダム化比較試験などを対象とし，医学中央雑誌とPubMedのデータベースを用いて検索を行い，66件の論文が抽出された．評価には，視機能や運転適性や住環境調査が含まれ，介入には，個別に対応する問題解決戦略や住環境調整やデバイス処方が含まれた．ロービジョンに対する作業療法の効果を調査している研究はまだ少ない．今後，ロービジョンについて作業療法士への啓発を行うとともに，作業療法の効果を科学的に検証していく必要がある． |
|---|---|
| AbstractList | 要旨: ロービジョンとは, 見えにくいために生活上の困難を生じている状態を総称した概念である. 作業療法士によるロービジョンの評価や介入の実践を文献検索にて調査した. システマティックレビュー, ランダム化比較試験などを対象とし, 医学中央雑誌とPubMedのデータベースを用いて検索を行い, 66件の論文が抽出された. 評価には, 視機能や運転適性や住環境調査が含まれ, 介入には, 個別に対応する問題解決戦略や住環境調整やデバイス処方が含まれた. ロービジョンに対する作業療法の効果を調査している研究はまだ少ない. 今後, ロービジョンについて作業療法士への啓発を行うとともに, 作業療法の効果を科学的に検証していく必要がある. 要旨：ロービジョンとは，見えにくいために生活上の困難を生じている状態を総称した概念である．作業療法士によるロービジョンの評価や介入の実践を文献検索にて調査した．システマティックレビュー，ランダム化比較試験などを対象とし，医学中央雑誌とPubMedのデータベースを用いて検索を行い，66件の論文が抽出された．評価には，視機能や運転適性や住環境調査が含まれ，介入には，個別に対応する問題解決戦略や住環境調整やデバイス処方が含まれた．ロービジョンに対する作業療法の効果を調査している研究はまだ少ない．今後，ロービジョンについて作業療法士への啓発を行うとともに，作業療法の効果を科学的に検証していく必要がある． |
| Author | 出江 紳一 小幡 紘輝 宮武 ミドリ 鈴鴨 よしみ |
| AuthorAffiliation | 東北大学大学院医学系研究科障害科学専攻肢体不自由学分野博士後期課程 東北大学大学院医学系研究科障害科学専攻肢体不自由学分野 |
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| Copyright | 2021 一般社団法人日本作業療法士協会 |
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| DOI | 10.32178/jotr.40.4_407 |
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| Notes | 総説 |
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| References | 2) Yamada M, Hiratsuka Y, Roberts CB, Pezzullo ML, Yates K, et al:Prevalence of visual impairment in the adult Japanese population by cause and severity and future projections. Ophthalmic Epidemiol 17(1):50-57, 2010. 32) 日本視能訓練士協会：視能訓練士とは？．http://www.jaco.or.jp/ippan/about/(参照2020-03-17 1) Bourne RRA, Flaxman SR, Braithwaite T, Cicinelli MV, Das A, et al:Magnitude, temporal trends, and projections of the global prevalence of blindness and distance and near vision impairment:A systematic review and meta-analysis. Lancet Glob Health 5(9):888-897, 2017. 34) 日本作業療法士協会：2017年度 日本作業療法士協会会員統計資料．https://www.jaot.or.jp/files/page/wp-content/uploads/2018/11/6fac4aebf9b1a54512df0b5bf8a64844.pdf(参照2020-03-17 8) Klavora P, Gaskovski P, Martin K, Forsyth RD, Heslegrave RJ, et al:The effects of Dynavision rehabilitation on behind-the-wheel driving ability and selected psychomotor abilities of persons after stroke. Am J Occup Ther 49(6):534-542, 1995. 22) Dickerson AE:Driving assessment tools used by driver rehabilitation specialists:Survey of use and implications for practice. Am J Occup Ther 67(5):564-573, 2013. 28) Perlmutter MS, Bhorade A, Gordon M, Hollingsworth H, Engsberg JE, et al:Home lighting assessment for clients with low vision. Am J Occup Ther 67(6):674-682, 2013. 3) 日本眼科医会：視覚障害がもたらす社会損失額，8.8兆円!!─視覚障害から生じる生産性やQOLの低下を，初めて試算─．https://www.gankaikai.or.jp/press/20091115_socialcost.pdf(参照2020-03-17 21) Smallfield S, Kaldenberg J:Occupational therapy interventions to improve reading performance of older adults with low vision:A systematic review. Am J Occup Ther 74(1):7401185030p1-7401185030p18, 2020, doi:10.5014/ajot.2020.038380. 18) Berger S, McAteer J, Schreier K, Kaldenberg J:Occupational therapy interventions to improve leisure and social participation for older adults with low vision:A systematic review. Am J Occup Ther 67(3):303-311, 2013. 11) Lampert J, Lapolice DJ:Functional considerations in evaluation and treatment of the client with low vision. Am J Occup Ther 49(9):885-890, 1995. 13) Hunt LA, Bassi CJ:Near-vision acuity levels and performance on neuropsychological assessments used in occupational therapy. Am J Occup Ther 64(1):105-113, 2010. 30) 中田眞由美，清本憲太：メントール剤の前腕貼付が糖尿病視覚障害者の触覚機能および点字触読に及ぼす影響．作業療法 36(6)：581-590，2017 10) Young GC, Collins D, Hren M:Effect of pairing scanning training with block design training in the remediation of perceptual problems in left hemiplegics. J Clin Neuropsychol 5(3):201-212, 1983. 17) Nipp CM, Vogtle LK, Warren M:Clinical application of low vision rehabilitation strategies after completion of a computer-based training module. Occup Ther Health Care 28(3):296-305, 2014. 9) Tsang MHM, Sze KH, Fong KNK:Occupational therapy treatment with right half-field eye-patching for patients with subacute stroke and unilateral neglect:A randomised controlled trial. Disabil Rehabil 31(8):630-637, 2009. 29) Swenor BK, Yonge AV, Goldhammer V, Miller R, Gitlin LN, et al:Evaluation of the Home Environment Assessment for the Visually Impaired (HEAVI):An instrument designed to quantify fall-related hazards in the visually impaired. BMC Geriatr 16(1):214, 2016. 19) Liu CJ, Chang MC:Interventions within the scope of occupational therapy practice to improve performance of daily activities for older adults with low vision:A systematic review. Am J Occup Ther 74(1):7401185010p1-7401185010p18, 2020, doi:10.5014/ajot.2020.038372. 16) Academy for Certification of Vision Rehabilitation & Education Professionals:Certified Vision Rehabilitation Therapist (CVRT). https://www.acvrep.org/certifications/cvrt (accessed 2020-03-17). 4) 鈴鴨よしみ，陳 進志：地域における拡大ロービジョンリハビリテーションシステムの構築とその効果に関する研究．https://www.health-research.or.jp/library/pdf/hrn60.pdf(参照2020-03-17 6) George S, Clark M, Crotty M:Validation of the Visual Recognition Slide Test with stroke:A component of the New South Wales occupational therapy off-road driver rehabilitation program. Aust Occup Ther J 55(3):172-179, 2008. 20) Nastasi JA:Occupational therapy interventions supporting leisure and social participation for older adults with low vision:A systematic review. Am J Occup Ther 74(1):7401185020p1-7401185020p9, 2020, doi:10.5014/ajot.2020.038521. 25) Cimarolli VR, Jung S:Intensity of occupational therapy utilization in nursing home residents:The role of sensory impairments. J Am Med Dir Assoc 17(10):939-942, 2016. 26) La Grow SJ, Robertson MC, Campbell AJ, Clarke GA, Kerse NM, et al:Reducing hazard related falls in people 75 years and older with significant visual impairment:How did a successful program work? Inj Prev 12(5):296-301, 2006. 12) Brown T, Elliott S:Factor structure of the Motor-Free Visual Perception Test-3rd edition (MVPT-3). Can J Occup Ther 78(1):26-36, 2011. 33) 福祉医療機構：歩行訓練士(視覚障害生活訓練等指導者)．https://www.wam.go.jp/content/wamnet/pcpub/top/fukushiworkguide/jobguidejobtype/jobguide_job55.html(参照2020-03-17 31) 日本医師会：平成24年4月診療報酬改定対応．2012，p.48．https://ftp.orca.med.or.jp/pub/data/receipt/outline/revision/pdf/201204-kaisei-taiou-20130626.pdf(参照2020-03-17 14) Schuchard RA:Adaptation to macular scotomas in persons with low vision. Am J Occup Ther 49(9):870-876, 1995. 7) Cooke DM, McKenna K, Fleming J, Darnell R:Construct and ecological validity of the Occupational Therapy Adult Perceptual Screening Test (OT-APST). Scand J Occup Ther 13(1):49-61, 2006. 15) Burgess G, Jewell VD:Occupational therapists’ perspectives on binocular diplopia in neurorehabilitation:A national survey. NeuroRehabilitation 42(2):223-233, 2018. 24) Golisz K:Occupational therapy interventions to improve driving performance in older adults:A systematic review. Am J Occup Ther 68(6):662-669, 2014. 27) Campbell AJ, Robertson MC, La Grow SJ, Kerse NM, Sanderson GF, et al:Randomised controlled trial of prevention of falls in people aged > or =75 with severe visual impairment:The VIP trial. BMJ 331(7520):817, 2005. 5) Whittaker SG, Scheiman M, Sokol-mckay DA:Over view and First-Response Intervensions. In Low Vision Rehabilitation:A Practical Guide for Occupational Therapists Second Edition, Slack Inc, Thorofare (United States), 2015, pp.3-18. 23) Dickerson AE, Meuel DB, Ridenour CD, Cooper K:Assessment tools predicting fitness to drive in older adults:A systematic review. Am J Occup Ther 68(6):670-680, 2014. |
| References_xml | – reference: 9) Tsang MHM, Sze KH, Fong KNK:Occupational therapy treatment with right half-field eye-patching for patients with subacute stroke and unilateral neglect:A randomised controlled trial. Disabil Rehabil 31(8):630-637, 2009. – reference: 11) Lampert J, Lapolice DJ:Functional considerations in evaluation and treatment of the client with low vision. Am J Occup Ther 49(9):885-890, 1995. – reference: 19) Liu CJ, Chang MC:Interventions within the scope of occupational therapy practice to improve performance of daily activities for older adults with low vision:A systematic review. Am J Occup Ther 74(1):7401185010p1-7401185010p18, 2020, doi:10.5014/ajot.2020.038372. – reference: 15) Burgess G, Jewell VD:Occupational therapists’ perspectives on binocular diplopia in neurorehabilitation:A national survey. NeuroRehabilitation 42(2):223-233, 2018. – reference: 24) Golisz K:Occupational therapy interventions to improve driving performance in older adults:A systematic review. Am J Occup Ther 68(6):662-669, 2014. – reference: 6) George S, Clark M, Crotty M:Validation of the Visual Recognition Slide Test with stroke:A component of the New South Wales occupational therapy off-road driver rehabilitation program. Aust Occup Ther J 55(3):172-179, 2008. – reference: 30) 中田眞由美，清本憲太：メントール剤の前腕貼付が糖尿病視覚障害者の触覚機能および点字触読に及ぼす影響．作業療法 36(6)：581-590，2017． – reference: 14) Schuchard RA:Adaptation to macular scotomas in persons with low vision. Am J Occup Ther 49(9):870-876, 1995. – reference: 20) Nastasi JA:Occupational therapy interventions supporting leisure and social participation for older adults with low vision:A systematic review. Am J Occup Ther 74(1):7401185020p1-7401185020p9, 2020, doi:10.5014/ajot.2020.038521. – reference: 27) Campbell AJ, Robertson MC, La Grow SJ, Kerse NM, Sanderson GF, et al:Randomised controlled trial of prevention of falls in people aged > or =75 with severe visual impairment:The VIP trial. BMJ 331(7520):817, 2005. – reference: 3) 日本眼科医会：視覚障害がもたらす社会損失額，8.8兆円!!─視覚障害から生じる生産性やQOLの低下を，初めて試算─．https://www.gankaikai.or.jp/press/20091115_socialcost.pdf(参照2020-03-17)． – reference: 22) Dickerson AE:Driving assessment tools used by driver rehabilitation specialists:Survey of use and implications for practice. Am J Occup Ther 67(5):564-573, 2013. – reference: 33) 福祉医療機構：歩行訓練士(視覚障害生活訓練等指導者)．https://www.wam.go.jp/content/wamnet/pcpub/top/fukushiworkguide/jobguidejobtype/jobguide_job55.html(参照2020-03-17)． – reference: 31) 日本医師会：平成24年4月診療報酬改定対応．2012，p.48．https://ftp.orca.med.or.jp/pub/data/receipt/outline/revision/pdf/201204-kaisei-taiou-20130626.pdf(参照2020-03-17)． – reference: 7) Cooke DM, McKenna K, Fleming J, Darnell R:Construct and ecological validity of the Occupational Therapy Adult Perceptual Screening Test (OT-APST). Scand J Occup Ther 13(1):49-61, 2006. – reference: 13) Hunt LA, Bassi CJ:Near-vision acuity levels and performance on neuropsychological assessments used in occupational therapy. Am J Occup Ther 64(1):105-113, 2010. – reference: 4) 鈴鴨よしみ，陳 進志：地域における拡大ロービジョンリハビリテーションシステムの構築とその効果に関する研究．https://www.health-research.or.jp/library/pdf/hrn60.pdf(参照2020-03-17)． – reference: 29) Swenor BK, Yonge AV, Goldhammer V, Miller R, Gitlin LN, et al:Evaluation of the Home Environment Assessment for the Visually Impaired (HEAVI):An instrument designed to quantify fall-related hazards in the visually impaired. BMC Geriatr 16(1):214, 2016. – reference: 17) Nipp CM, Vogtle LK, Warren M:Clinical application of low vision rehabilitation strategies after completion of a computer-based training module. Occup Ther Health Care 28(3):296-305, 2014. – reference: 16) Academy for Certification of Vision Rehabilitation & Education Professionals:Certified Vision Rehabilitation Therapist (CVRT). https://www.acvrep.org/certifications/cvrt (accessed 2020-03-17). – reference: 25) Cimarolli VR, Jung S:Intensity of occupational therapy utilization in nursing home residents:The role of sensory impairments. J Am Med Dir Assoc 17(10):939-942, 2016. – reference: 21) Smallfield S, Kaldenberg J:Occupational therapy interventions to improve reading performance of older adults with low vision:A systematic review. Am J Occup Ther 74(1):7401185030p1-7401185030p18, 2020, doi:10.5014/ajot.2020.038380. – reference: 26) La Grow SJ, Robertson MC, Campbell AJ, Clarke GA, Kerse NM, et al:Reducing hazard related falls in people 75 years and older with significant visual impairment:How did a successful program work? Inj Prev 12(5):296-301, 2006. – reference: 12) Brown T, Elliott S:Factor structure of the Motor-Free Visual Perception Test-3rd edition (MVPT-3). Can J Occup Ther 78(1):26-36, 2011. – reference: 2) Yamada M, Hiratsuka Y, Roberts CB, Pezzullo ML, Yates K, et al:Prevalence of visual impairment in the adult Japanese population by cause and severity and future projections. Ophthalmic Epidemiol 17(1):50-57, 2010. – reference: 32) 日本視能訓練士協会：視能訓練士とは？．http://www.jaco.or.jp/ippan/about/(参照2020-03-17)． – reference: 1) Bourne RRA, Flaxman SR, Braithwaite T, Cicinelli MV, Das A, et al:Magnitude, temporal trends, and projections of the global prevalence of blindness and distance and near vision impairment:A systematic review and meta-analysis. Lancet Glob Health 5(9):888-897, 2017. – reference: 18) Berger S, McAteer J, Schreier K, Kaldenberg J:Occupational therapy interventions to improve leisure and social participation for older adults with low vision:A systematic review. Am J Occup Ther 67(3):303-311, 2013. – reference: 5) Whittaker SG, Scheiman M, Sokol-mckay DA:Over view and First-Response Intervensions. In Low Vision Rehabilitation:A Practical Guide for Occupational Therapists Second Edition, Slack Inc, Thorofare (United States), 2015, pp.3-18. – reference: 10) Young GC, Collins D, Hren M:Effect of pairing scanning training with block design training in the remediation of perceptual problems in left hemiplegics. J Clin Neuropsychol 5(3):201-212, 1983. – reference: 23) Dickerson AE, Meuel DB, Ridenour CD, Cooper K:Assessment tools predicting fitness to drive in older adults:A systematic review. Am J Occup Ther 68(6):670-680, 2014. – reference: 8) Klavora P, Gaskovski P, Martin K, Forsyth RD, Heslegrave RJ, et al:The effects of Dynavision rehabilitation on behind-the-wheel driving ability and selected psychomotor abilities of persons after stroke. Am J Occup Ther 49(6):534-542, 1995. – reference: 28) Perlmutter MS, Bhorade A, Gordon M, Hollingsworth H, Engsberg JE, et al:Home lighting assessment for clients with low vision. Am J Occup Ther 67(6):674-682, 2013. – reference: 34) 日本作業療法士協会：2017年度 日本作業療法士協会会員統計資料．https://www.jaot.or.jp/files/page/wp-content/uploads/2018/11/6fac4aebf9b1a54512df0b5bf8a64844.pdf(参照2020-03-17)． |
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| Snippet | 要旨：ロービジョンとは，見えにくいために生活上の困難を生じている状態を総称した概念である．作業療法士によるロービジョンの評価や介入の実践を文献検索にて調... 要旨: ロービジョンとは, 見えにくいために生活上の困難を生じている状態を総称した概念である. 作業療法士によるロービジョンの評価や介入の実践を文献検索にて調査した.... |
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| StartPage | 407 |
| SubjectTerms | Low vision Occupational therapy education Visual impairment ロービジョン 作業療法教育 視覚障害 |
| Title | 作業療法士によるロービジョン者への評価と介入の実態—文献レビュー |
| URI | https://webview.isho.jp/journal/detail/abs/10.11477/mf.6003901183 https://www.jstage.jst.go.jp/article/jotr/40/4/40_407/_article/-char/ja http://mol.medicalonline.jp/library/journal/download?GoodsID=cd6sagyh/2021/004004/002&name=0407-0414j |
| Volume | 40 |
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| ispartofPNX | 作業療法, 2021/08/15, Vol.40(4), pp.407-414 |
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