サワダ　タツノリ   Tatsunori Sawada   澤田　辰徳    所属   医療保健学部 リハビリテーション学科　作業療法学専攻    職種   教授
言語種別	英語
発行・発表の年月	2020
形態種別	学術論文
査読	査読あり
標題	The clinical utility of a decision-aid to facilitate the use of the hand in real-life activities of patients with distal radius fractures: A case study
執筆形態	共著
掲載誌名	Journal of Hand Therapy
掲載区分	国外
巻・号・頁	Online ahead of print.
著者・共著者	Ohno K, Saito K, Matsumoto H, Tomori K, Sawada T
概要	To investigate the clinical utility of the ADOC-H (paper version) in patients with distal radius fractures. Study design: A prospective case series and a clinical survey for occupational therapists. This study comprised a prospective patient case series of 8 patients with distal radius fractures, treated using Volar locking plates, and a clinical survey of 4 experienced occupational therapists. Active range of motion (wrist), Grip strength, and Disabilities of the Arm, Shoulder, and Hand scores improved for all patients. The ADOC-H induced 158 activities using the injured hand, with activities of daily living (69.8%) selected earlier in the treatment period, and instrumental activities of daily living (63.3%) selected later. The feedback and case studies suggested that the ADOC-H was useful for patients who were afraid of using the hand and, interestingly, patients who were able to use their hand without pain or other problems. The clinical survey showed that most therapists found the ADOC-H effective in facilitating real-life use of an injured hand.