44 2006 Cognitive Rehabilitation by means of Personal Computer for Cerebrovascular Disease Patients with Attentional Disorders 1 1 2 2 5 4 1 PC ABA design 4 PASATTMT Ponsford PC SAS working memoryattention central executive PC Key Words 2003 1986 2003 PC Wood 1987Ponsford 1988 PC ABA designaba design 2004 1 6 5 2 3 63.8 11.9 3.8 2.9 1 Masatomo Kubota, Hirofumi Hamada School of Health SciencesFaculty of Medicine Kagoshima University 2Akihide Umemoto, Syousaku Yamasita Kajiki-Onsen Hospital JCLS 88002 659
45 5 CT A 4 D 5 E ABA design A 2 B 4 A 3 9 3 5 CT JCLS 88002 659
46 2006 Audio Motor Method AMM Paced Auditory Serial TaskPASAT 1 2 Trail Making Test TMTPart A Part B Part A Part B, 2004 Ponsford Ponsford, 1991 1997 Ponsford 4. 2 1. 6 1 1 3 2. 1 3. 1 4. PC B 2 1 20 30 3 4 1. 2. 6 2 6 3. 1 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 88002 659
47 PC 1 PC 2 JCLS 88002 659
48 2006 A A A AMM PASAT 1 2 TMT Part A Part B A ADL Ponsford ADL FIM Ponsford 10 40 2 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 19861983, 1984 64 91.4 AMM A B A AMM 5 PASAT A B A PASAT 1 2 5 JCLS 88002 659
49 AMM PASAT1 2 JCLS 88002 659
50 2006 TMT-A B 1 A 11.0 B 12.0 B 16.5 A 16.2 2 A 18.3 B 22.0 B 31.6 A 32.0 1 2 5 A B A 2 1995 40 34.8 12.1 TMT Part A Part B A B A TMT Part A Part B 5 Part A A 169.7 B 200.3 B 113.0 A 77.3 Part B A 411.3 B 367.0 B 256.3 A 142.3 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 16.0 5 A B 5 A A 1 JCLS 88002 659
51 Ponsford FIM FIM A B A ADL FIM A 74 A 95 Wilcoxon 5 5 4 ADL USN 3 BIT A 28/146 71/146 C 125/146 138/146 D 107/146 122/146 3 Sohlberg1987 Attention Process Training APTAPT process specific approach APT 1990 2 1992 2 ADL PC APT process specific approach PC Wood 1987 7 Ponsford 1988 10 5 PC ABA design JCLS 88002 659
52 2006 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 88002 659
53 PC central executive Baddeley1993working memory working attention working attention PC PC PC 5 4 1 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, 152-170, 1993. 2 : 19.,,, pp.412-420,, 2003. 3 : 12,, pp.99-110,, 2004. 4,,, : 1. 7, 1983. 5,,, : 2. 7, 1984. 6 :.PT 3712, 1023-1028, 2003. 7,,, :. 30(5), 847-857, 1986. 8 : 3. 6(3), 164-170, 1990. 9,,, :. 25(6), 567-573, 1997. 10Ponsford J, Kinsella G : Attentional deficits following closed head injury. Journal of Clinical and Experimental Neuropsychology 14: 822-838, 1988. 11Ponsford J, Kinsella G : The use of a rating scale of attentional behaviour. Neuropsychol Rehabil 1, JCLS 88002 659
54 2006 241-257, 1991. 12Shallice T, Burgess PW, Schon F, et al : The origins of utilization behaviour. Brain112, 1587-1598, 1989. 13Sohlberg MM, Mateer CA : Effectiveness of an attention training program. Journal of Clinical and Experimental Neuropsychology 19, 117-130, 1987. 14,,, : Attention process training. 29(2), 153-157, 1992. 15 :., 177-180, 1995. 16Wood RL, Fussey I : Computer-based cognitive retraining: A controlled study. International Disability Studies 9: 149-153, 1987. JCLS 88002 659