Soundcell Method(SCM)による高齢者の認知機能評価の可能性

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1 Soundcell Method SCM Soundcell Soundcell Method SCM Soundcell Soundcell SCM SCM SCM SCM MMSE TMT-A TMT-BSCM SCM SCM SCM MMSE MMSE SCM SCM Soundcell Soundcell Method Soundcell Soundcell Soundcell Soundcell Soundcell Soundcell Soundcell Soundcell Soundcell

2 716 Soundcell Soundcell Method SCM SCM SCM MMSE Mini -Mental State Examination SCM SCM SCM SCM SCM SCM bpm beats per minute SCM Soundcell Soundcell Soundcell Soundcell Soundcell Soundcell Soundcell Soundcell Soundcell Soundcell Soundcell SCM Soundcell Soundcell SCM Soundcell

3 717 Soundcell Soundcell SCM Soundcell SCM Soundcell SCM Soundcell Soundcell SCM SCM SCM Soundcell WAV khz bit stereo PC SCM Soundcell Soundcell Soundcell Soundcell mm mm mm Soundcell PC Soundcell RFID Radio Frequency Identification Tag Soundcell P P RFID RFID PC Soundcell

4 718 Soundcell Soundcell SCM Soundcell Soundcell RFID PC PC Soundcell Soundcell Soundcell LED bpm Soundcell C SCM SCM Soundcell Soundcell Soundcell Soundcell SCM SCM Soundcell SCM

5 719 MMSE Mini-Mental State Examination TMT Trail Making Test -ATMT-B MMSE cut-off TMT-A B TMT-A B SCM SCM Student s t-test SCM Pearson MMSE SCM Spearman SCM SCM Soundcell P P P P Soundcell Soundcell

6 720 SCM A:Soundcell B C Soundcell PPPP Soundcell Soundcell Soundcell Soundcell SCM SCM Soundcell Soundcell

7 721 SCM MMSE TMT-A TMT-B P TMT-B MMSE SCM MMSE r P r P MMSE SCM TMT-A TMT -B SCM MMSE SCM r P rp r P rp SCM MMSE SCM SCM SCM MMSE TMT-A TMT-B n P

8 722 MMSE SCM MMSE SCM n P P P SCM SCM SCM Soundcell Soundcell SCM Soundcell

9 723 SCM Soundcell SCM SCM TMT-B SCM MMSE SCM MMSE SCM MMSE SCM MMSE MMSE TMT-A TMT-B SCM MMSE SCM MMSE SCM MMSE MMSE SCM MMSE SCM SCM MMSE SCM SCM SCM SCM SCM

10 724 Soundcell SCM SCM SCM MMSE MMSE SCM SCM SCM SCM SCM Sano Y. Presentation generation method, presentation generation device, and presentation generation system. U.S. Patent 2007 ; 7, 272, 539. CO Folstein MF, Folstein SE, McHugh PR. MINI- MENTAL STATE A practical method for grading the cognitive state of patients for the clinician. J Psychiat Res 1975 ; 12 : Mini-Mental State Trail Making Test (TMT) A and B Petersen RC, Smith GE, Waring SC, et al. Mild

11 725 cognitive impairment ; clinical characterization and outcome. Arch Neurol 1999 ; 56 : Petersen RC, Morris JC. Mild cognitive impairment as a clinical entity and treatment target. Arch Neurol 2005 ; 62(7) : Modern Physician Cognition and Dementia Assessment of Cognitive Function in the Elderly Using the Soundcell Method Yoshihiko SANO,YukiSASAKI,MisakoHANAI, Nobuyuki SUZUMOTO,Takahiro TODOROKI,Tomihiro HAYAKAWA, Makoto MIYAJI and Katsumi MITA Asoundcell is defined as a musical unit of meaning with short period of phrase. The soundcell method (SCM) is a musical procedure that decomposes a musical piece into several soundcells and subsequently recomposes the original music with the soundcells arbitrarily scattered. The present investigation aimed to assess cognitive function in the elderly using the SCM. An electronic system realizing the concept and methodology of the SCM was developed, and SCM examination with the school song Furusato as the musical piece was performed on18aged females. Four clinical tests were also carried out before or after the SCM examination to screen cognitive function : Mini-Mental State Examination (MMSE), Kana Pick-out Test, and Trail Making Tests A and B. The performance in the SCM examinationwas compared with the score in the clinical tests. The scores in all four clinical tests were significantly different between subjects who passed and failed the SCM examination. The individuals who passed the SCM examination were not suspected of dementia on the basis of the MMSE and seemed to execute successfully the Kana Pick-out Test. The number of actsandmeanact time in the SCM examination were strongly correlated not only with the total score in the MMSE but also with the scores of the two sub-items : attention/calculation and memory recall. The results suggest that the SCM reflects a subject s short-term and recent memory and provides useful supplementary information for early diagnosis of mild cognitive impairmentandalzheimer s disease since impairment of memory is frequently observed in the early stage of the diseases. In addition, most subjects enjoyed the SCM examination incorporating the element of musical amusement. The SCM is thus expected to allow repetitive and participatory assessment of cognitive function without imposing a large psychological burden on the subject. Seijoh University Graduate School, Aichi, Japan Aichi Medical Association Research Institute Dept. of Rehabilitation and Dept. of Internal Medicine, Asuke Hospital

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