Attentional disturbance following brain damage is usually evaluated by several neuropsychological tests. In a rehabilitation setting, however, the primary concern is not task performance, but rather functional real-world behavior. To address this requirement, a new assessment system for attentional behavior, BAAD (Behavioral Assessment of Attentional Disturbance), has been developed. This assessment is generally completed by the patient's therapist (occupational therapist, OT) during therapy. The aim of this study was to investigate whether BAAD completed by the family at home (BAAD-FM) yields results that are comparable to BAAD completed by an OT during occupational therapy (BAAD-OT). The subjects were 53 patients with brain damage. BAAD consists of six items thought to be associated with attentional behaviors. Each item is rated (0 to 3) based on the frequency with which the problem behaviors appeared during daily living at home and daily sessions of occupational therapy. The intraclass-correlation coefficient of the total score between BAAD-FM and BAAD-OT was 0.89. The mean (SD) values of the total scores were 3.7 (3.7) and 3.7 (3.6), respectively. Similarly, there were no significant differences in any of the item scores between BAAD-FM and BAAD-OT. The coincidence rate between the two BAAD tests on an item-by-item basis was over 64% for all items but one (43%). In conclusion, the total BAAD-FM score seemed comparable to the total BAAD-OT score and valuable for detecting attentional disturbance.

Objective：This study aimed to clarify the actual functions and issues associated with the work of a full-time prosthetist and orthotist while treating patients and users at a rehabilitation hospital.Methods：Using a database that recorded the work performed by the full-time prosthetist and orthotist, the details of the work performed over the course of a year were classified into eight categories and tabulated by stage and item.Results：A total of 1,300 responses were collected for the one-year study period, of which participation in replacement of consumables and damage repair, adjustment of conformity, and brace clinic conferences accounted for 54.0%. Ankle-foot orthosis was the most common response (59.2%), and was more frequently associated with the living phase (76.3%) than the recovery phase (46.5%). The response numbers for all items per prescription in the recovery phase were as follows：prosthetic legs, 11.1 times；ankle-foot orthoses, 3.7 times；and knee ankle-foot orthoses, 2.2 times. Thus, the responses for knee ankle-foot orthoses were less frequent than those for the other two.Conclusion：The maintenance of ankle-foot orthoses in the living phase and prosthetic legs in the recovery phase was well supported by a full-time prosthetist and orthotist. On the other hand, users of knee ankle-foot orthoses may have received less support.