釣りが私のいきがいなんよ

• Published in: The Journal of Showa Hospital Vol. 4; no. 1; pp. 029 - 033
• Main Authors: 中村 龍二, 松田 祥和
• Format: Journal Article
• Language: Japanese
• Published: 医療法人茜会 昭和病院 2007; Akane Medical Corporation, Showa Hospital
• Subjects: a fishing line knot; Re-learning of the sight; 視覚的再学習; 釣り糸結び
• ISSN: 1880-1528; 1880-151X
• DOI: 10.11163/akanekai.4.029

Occupational Therapist in Showa Hospital rehabilitated a 74 years old patient with higher brain dysfunction after cerebral infarction recovery. He desired enthusiastically to go fishing, because he had lost the processes, visual knowledge and technique for fishing. We assessed his state of the higher brain dysfunction and performed occupational therapy. The 1st approach: we watched his apraxia and understood his tendency of errors. The 2nd approach: we showed him the fishing pictures in correct order, and carefully explained them. Then we visualized the knot of fishing line 2 dimensionally. He was capable of understanding 2D illustrations easily; there after he almost returned to a fisherman he used to be. 今回、高次脳機能障害を呈する７４歳の男性を担当した。症例の要望は、釣りにいけることであり、釣りの動作と移動手段の獲得が必要であった。釣り動作に支障をきたす高次脳障害の状態を評価・把握し、作業療法アプローチを実施した。作業療法評価・アプローチについては、失行の誤りと特徴を評価し、写真の分割提示プラス口頭指示・視覚的デモンストレーションで釣り糸結びを行った。その後釣り動作、その他の物品使用動作が可能となったためここに報告する。