出版社：Japanese Association of Occupational Therapists
摘要：Objective: In stroke patients with visual impairment, it is unclear which activities of daily living (ADL) are affected or how they are affected. This study aimed to determine the effect of the type and prevalence of visual impairments on ADL in acute stroke patients.Method: We interviewed stroke patients without severe movement disorder, aphasia, general inattention, or hemispatial neglect who were admitted to our hospital between September 2018 and May 2020 for lesions in the cortical and subcortical white matter posterior to the central sulcus. The patients were asked via a questionnaire whether they had ADL impairments related to 13 types of visual impairments, and to provide specific examples. We determined the types of visual impairments, the prevalence of each impairment, and what effect they exerted on daily life. Results: Sixteen participants were included. Fifteen participants had defective visual search, 14 had hemianopic dyslexia, 9 had walking trajectory deviations, and 6 had difficulty in recalling the place where they were seeing right before. In addition, there were defective visual counting, difficulty in judging distance, and pure alexia.Conclusion: Even in cases without severe movement disorder, aphasia, general inattention, and hemispatial neglect, cerebral infarction in the posterior half of the cerebrum causes problems in ADL due to visual impairment. It is important to interview patients from the acute stage with visual impairment in mind.
