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1 Cognitive Rehabilitation by means of Personal Computer for Cerebrovascular Disease Patients with Attentional Disorders PC ABA design 4 PASATTMT Ponsford PC SAS working memoryattention central executive PC Key Words PC Wood 1987Ponsford 1988 PC ABA designaba design Masatomo Kubota, Hirofumi Hamada School of Health SciencesFaculty of Medicine Kagoshima University 2Akihide Umemoto, Syousaku Yamasita Kajiki-Onsen Hospital JCLS

2 45 5 CT A 4 D 5 E ABA design A 2 B 4 A CT JCLS

3 Audio Motor Method AMM Paced Auditory Serial TaskPASAT 1 2 Trail Making Test TMTPart A Part B Part A Part B, 2004 Ponsford Ponsford, Ponsford PC B A A WAIS RKohs A HDS R 20 USN BIT A 28/146 C 125/146 D 107/146 USN A D C A JCLS

4 47 PC 1 PC 2 JCLS

5 A A A AMM PASAT 1 2 TMT Part A Part B A ADL Ponsford ADL FIM Ponsford ADL 5 ADL ADL A A 83.0 B 95.3 B 96.0 A 92.0 A 83.3 B 79.0 B 82.6 A 87.4 B , AMM A B A AMM 5 PASAT A B A PASAT JCLS

6 49 AMM PASAT1 2 JCLS

7 TMT-A B 1 A 11.0 B 12.0 B 16.5 A A 18.3 B 22.0 B 31.6 A A B A TMT Part A Part B A B A TMT Part A Part B 5 Part A A B B A 77.3 Part B A B B A TMT Part A Part B 5 Part B A A 5 Part A Part B Ponsford A B A Ponsford 5 A 26.4 B 17.8 A A B 5 A A 1 JCLS

8 51 Ponsford FIM FIM A B A ADL FIM A 74 A 95 Wilcoxon ADL USN 3 BIT A 28/146 71/146 C 125/ /146 D 107/ /146 3 Sohlberg1987 Attention Process Training APTAPT process specific approach APT ADL PC APT process specific approach PC Wood Ponsford PC ABA design JCLS

9 PASATTMT ADL Ponsford FIM ABA design PC USN 3 BIT USN Ponsford 1988 Shallice1989 Supervisory Attentional SystemSAS SAS PC SAS ADL Baddeley1986SAS working memory central executive PC JCLS

10 53 PC central executive Baddeley1993working memory working attention working attention PC PC PC PC ABA design PASATTMT Ponsford SAS working memoryattention central executive PC PC 1Baddeley A : Working memory or working attention? In Attention: Selection, Awareness, and Control. eds by Baddeley A, Weiskrantz L, Oxford University Press, Oxford, , : 19.,,, pp ,, : 12,, pp ,, ,,, : 1. 7, ,,, : 2. 7, :.PT 3712, , ,,, :. 30(5), , : 3. 6(3), , ,,, :. 25(6), , Ponsford J, Kinsella G : Attentional deficits following closed head injury. Journal of Clinical and Experimental Neuropsychology 14: , Ponsford J, Kinsella G : The use of a rating scale of attentional behaviour. Neuropsychol Rehabil 1, JCLS

11 , Shallice T, Burgess PW, Schon F, et al : The origins of utilization behaviour. Brain112, , Sohlberg MM, Mateer CA : Effectiveness of an attention training program. Journal of Clinical and Experimental Neuropsychology 19, , ,,, : Attention process training. 29(2), , :., , Wood RL, Fussey I : Computer-based cognitive retraining: A controlled study. International Disability Studies 9: , JCLS

JILPT Discussion Paper 05-013 2005 7 - 2-3 3 3 4 4 5 5 5 6 7 8 9 9 10 10 10 10 10 12 12 14 15 20 - 3 - Schaie, 1980-4 - - 5-11 33 44 19 22 7 (1994) 20 30 2 3 4 5 5 20 (2002) DELL Dimemsin4500C CRT 1 1

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