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Development of an assessment tool for impairment of divided attention

Research Project

Project/Area Number 21650142
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeSingle-year Grants
Research Field Rehabilitation science/Welfare engineering
Research InstitutionTokai University

Principal Investigator

TOYOKURA Minoru  東海大学, 医学部, 教授 (20217566)

Project Period (FY) 2009 – 2011
Project Status Completed (Fiscal Year 2011)
Budget Amount *help
¥2,280,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥180,000)
Fiscal Year 2011: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2010: ¥800,000 (Direct Cost: ¥800,000)
Fiscal Year 2009: ¥700,000 (Direct Cost: ¥700,000)
Keywordsリハビリテーション / 高次脳機能障害 / 注意障害 / 分配性注意 / 神経心理学的検査 / 評価 / 臨床検査
Research Abstract

Attentional disturbance commonly occurs following brain injury. Patients with traumatic brain injury(TBI) sometimes complain of difficulties in doing two things at the same time. This symptom reflects a disturbance of divided attention(DA), one of the several types of attention defined. DA is a cognitive function involving the division of available and controlled processing capacity between several cognitive operations. DA impairment may be the most salient and commonly reported cognitive dysfunction following mild TBI. DA deficit, however, is sometimes overlooked during hospitalization. The author developed a new dual-task test(DT) for detecting DA. In this test, a subject simultaneously performs both a simple cancellation task and calculation(addition) by writing. In the cancellation task, an audio device plays aloud the numbers 1 to 19 in a random order, and the subject replies "Yes" whenever the target number "8" is presented. The task continues for 3 minutes, and the target number "8" is played 20 times. In the visual task, the subject calculates as many 4-digit figures as possible by writing for 3 minutes when the previous simple cancellation task completes. Analysis of normal subjects and patients with brain damage showed that the DT has high sensitivity(89%) and specificity(88%). The sensitivity was generally higher than those of sub-tests in the Clinical Assessment of Attention(CAT) developed in 2006 by the Japan Society for Higher Brain Dysfunction to evaluate deficit of generalized attention. These findings indicated usefulness of the DT.

Report

(4 results)
  • 2011 Annual Research Report   Final Research Report ( PDF )
  • 2010 Annual Research Report
  • 2009 Annual Research Report
  • Research Products

    (30 results)

All 2012 2011 2010 2009 Other

All Journal Article (6 results) (of which Peer Reviewed: 6 results) Presentation (21 results) Remarks (3 results)

  • [Journal Article] Selective deficit of divided attention following traumatic brain injury : case reports2012

    • Author(s)
      Toyokura M, Nishimura Y, Akutsu I, Mizuno R, Watanabe F
    • Journal Title

      Tokai J Exp Clin Med

      Volume: 37 Pages: 19-24

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] 注意障害: divided attentionを中心に2012

    • Author(s)
      豊倉穣
    • Journal Title

      リハ医学

      Volume: 49 Pages: 206-209

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] 高次脳機能障害とその展開-注意障害を中心に2012

    • Author(s)
      豊倉穣
    • Journal Title

      リハ医学

      Volume: 47 Pages: 359-364

    • Related Report
      2011 Final Research Report
    • Peer Reviewed
  • [Journal Article] Selective Deficit of Divided Attention Following Traumatic Brain Injury : Case Reports2012

    • Author(s)
      Toyokura M, et al
    • Journal Title

      Tokai J Exp Clin Med

      Volume: 37(印刷中)

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 注意障害:divided attentionを中心に2012

    • Author(s)
      豊倉穣
    • Journal Title

      リハビリテーション医学

      Volume: 49(印刷中)

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 高次脳機能障害とその展開-注意障害を中心に-2010

    • Author(s)
      豊倉穣
    • Journal Title

      リハビリテーション医学

      Volume: 47 Pages: 359-364

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Presentation] 注意障害: divided attentionを中心に(シンポジウム)2011

    • Author(s)
      豊倉穣
    • Organizer
      第48回日本リハビリテーション医学会
    • Place of Presentation
      千葉市(幕張メッセ)
    • Year and Date
      2011-11-03
    • Related Report
      2011 Final Research Report
  • [Presentation] Divided attentionの評価課題における年齢の影響(1): dual task成績の比較2011

    • Author(s)
      豊倉穣
    • Organizer
      第48回日本リハビリテーション医学会
    • Place of Presentation
      千葉市(幕張メッセ)
    • Year and Date
      2011-11-03
    • Related Report
      2011 Final Research Report
  • [Presentation] Divided attentionの評価課題における年齢の影響(2): single taskとの比較2011

    • Author(s)
      豊倉穣
    • Organizer
      第48回日本リハビリテーション医学会
    • Place of Presentation
      千葉市(幕張メッセ)
    • Year and Date
      2011-11-03
    • Related Report
      2011 Final Research Report
  • [Presentation] Divided attentionの評価課題における年齢の影響(1):dual task成績の比較2011

    • Author(s)
      豊倉穣
    • Organizer
      第48回日本リハビリテーション医学会
    • Place of Presentation
      幕張メッセ(千葉県)
    • Year and Date
      2011-11-03
    • Related Report
      2011 Annual Research Report
  • [Presentation] Divided attentionの評価課題における年齢の影響(2):single taskとの比較2011

    • Author(s)
      豊倉穣
    • Organizer
      第48回日本リハビリテーション医学会
    • Place of Presentation
      幕張メッセ(千葉県)
    • Year and Date
      2011-11-03
    • Related Report
      2011 Annual Research Report
  • [Presentation] 注意障害:divided attentionを中心に2011

    • Author(s)
      豊倉穣
    • Organizer
      第48回日本リハビリテーション医学会
    • Place of Presentation
      幕張メッセ(千葉県)(シンポジウム)(招待講演)
    • Year and Date
      2011-11-02
    • Related Report
      2011 Annual Research Report
  • [Presentation] 非利き手で施行可能なdivided attentionの評価課題の開発:健常者での検討2011

    • Author(s)
      豊倉穣
    • Organizer
      第35回日本神経心理学会
    • Place of Presentation
      宇都宮市(栃木県総合文化センター)
    • Year and Date
      2011-09-16
    • Related Report
      2011 Final Research Report
  • [Presentation] 非利き手で施行可能なdivided attentionの評価課題の開発:健常者での検討2011

    • Author(s)
      豊倉穣
    • Organizer
      第35回日本神経心理学会
    • Place of Presentation
      栃木県総合文化センター(栃木県)
    • Year and Date
      2011-09-16
    • Related Report
      2011 Annual Research Report
  • [Presentation] 注意障害におけるdivided attentionの「選択的」障害の症例を通して2010

    • Author(s)
      豊倉穣
    • Organizer
      第46回日本リハビリテーション医学会関東地方会
    • Place of Presentation
      東京(野口英世記念会館)
    • Year and Date
      2010-09-11
    • Related Report
      2011 Final Research Report
  • [Presentation] 注意障害におけるdivided attentionの「選択的」障害の症例を通して2010

    • Author(s)
      豊倉穣
    • Organizer
      第46回日本リハビリテーション医学会関東地方会
    • Place of Presentation
      東京
    • Year and Date
      2010-09-11
    • Related Report
      2010 Annual Research Report
  • [Presentation] Divided attentionの障害に対する評価課題の検討1(テストA):健常者および脳損傷者の成績2010

    • Author(s)
      豊倉穣
    • Organizer
      第47回日本リハビリテーション医学会
    • Place of Presentation
      鹿児島市(鹿児島市民文化ホール)
    • Year and Date
      2010-05-21
    • Related Report
      2011 Final Research Report
  • [Presentation] Divided attentionの障害に対する評価課題の検討2(テストB):健常者の成績特性2010

    • Author(s)
      豊倉穣
    • Organizer
      第47回日本リハビリテーション医学会
    • Place of Presentation
      鹿児島市(鹿児島市民文化ホール)
    • Year and Date
      2010-05-21
    • Related Report
      2011 Final Research Report
  • [Presentation] Divided attentionの障害に対する評価課題の検討1(テストA):健常者および脳損傷者の成績2010

    • Author(s)
      豊倉穣
    • Organizer
      第47回日本リハビリテーション医学会
    • Place of Presentation
      鹿児島
    • Year and Date
      2010-05-21
    • Related Report
      2010 Annual Research Report
  • [Presentation] Divided attentionの障害に対する評価課題の検討2(テストB):健常者の成績特性2010

    • Author(s)
      豊倉穣
    • Organizer
      第47回日本リハビリテーション医学会
    • Place of Presentation
      鹿児島
    • Year and Date
      2010-05-21
    • Related Report
      2010 Annual Research Report
  • [Presentation] Divided attentionの障害に検する検査法の開発:検査成績の検討2009

    • Author(s)
      豊倉穣
    • Organizer
      第33回日本高次脳機能障害学会
    • Place of Presentation
      札幌市(ロイトン札幌)
    • Year and Date
      2009-10-29
    • Related Report
      2011 Final Research Report
  • [Presentation] Divided attentionの障害に検する検査法の開発:検査成績の検討2009

    • Author(s)
      豊倉穣
    • Organizer
      第33回日本高次脳機能障害学会
    • Place of Presentation
      ホテルロイトン札幌(札幌市)
    • Year and Date
      2009-10-29
    • Related Report
      2009 Annual Research Report
  • [Presentation] Divided attentionの障害に対する検査法の開発:課題内容の検討2009

    • Author(s)
      豊倉穣
    • Organizer
      第33回日本神経心理学会
    • Place of Presentation
      東京(東京ドームシティーホテル)
    • Year and Date
      2009-09-25
    • Related Report
      2011 Final Research Report
  • [Presentation] Divided attentionの障害に対する検査法の開発:課題内容の検討2009

    • Author(s)
      豊倉穣
    • Organizer
      第33回日本神経心理学会
    • Place of Presentation
      東京ドームホテル(東京都)
    • Year and Date
      2009-09-25
    • Related Report
      2009 Annual Research Report
  • [Presentation] 高次脳機能障害とその評価:「注意」障害を中心に2009

    • Author(s)
      豊倉穣
    • Organizer
      第46回日本リハビリテーション医学会
    • Place of Presentation
      静岡市(グランシップ静岡)
    • Year and Date
      2009-06-04
    • Related Report
      2011 Final Research Report
  • [Presentation] 高次脳機能障害とその評価:「注意」障害を中心に2009

    • Author(s)
      豊倉穣
    • Organizer
      第46回日本リハビリテーション医学会学術集会(シンポジウム)
    • Place of Presentation
      グランシップ静岡(静岡市)
    • Year and Date
      2009-06-04
    • Related Report
      2009 Annual Research Report
  • [Presentation] 高次脳機能障害とは:その症状と対応2009

    • Author(s)
      豊倉穣
    • Organizer
      第22回静岡作業療法学会市民公開講座(特別講演)
    • Place of Presentation
      沼津市民文化センター
    • Year and Date
      2009-05-24
    • Related Report
      2009 Annual Research Report
  • [Remarks] 第49回日本リハビリテーション医学会学術集会(福岡市)でも演題発表予定(以下に演題名を記す)。

    • Related Report
      2011 Annual Research Report
  • [Remarks] (1)脳障害者におけるdivided attentionの評価ツールとしての二重課題の検討(1):感度と特異度

    • Related Report
      2011 Annual Research Report
  • [Remarks] (2)脳障害者におけるdivided attentionの評価ツールとしての二重課題の検討(2):CATとの比較

    • Related Report
      2011 Annual Research Report

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Published: 2009-04-01   Modified: 2016-04-21  

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