Yuko Mizuno-Matsumoto, Syoji Kobashi, Yutaka Hata, Osamu Ishikawa, Fusayo Asano
IC-MED International Journal of Intelligent Computing in Medical Sciences and Image Processing 2(3) 169-182 2008年
Horticultural therapy (HT) is gaining attention as a form of rehabilitations in medical fields especially such as occupational therapy and nursing care, although its effectiveness has not been proven yet. This paper uses a strictly medical point of view to assess whether or not HT is effective for improvement of functional activities in the brains of brain-damaged patients. Five patients in Ishikawa Hospital with cerebrovascular diseases were invited to participate in HT for a month in addition to their routine medication and physical therapy (PT). The HT program was designed by horticultural therapists. The original purpose of the HT program was to monitor its effects on mental healing, cognitive re-organization, and training of sensory-motor function. The Functional Independence Measure (FIM) and the Self-Rating Depression Scale (SDS) were performed before and after HT to assess the patients’ physical activities of daily living (ADL) and to determine the patients’ mental changes in depressive states, respectively. Functional magnetic resonance imaging (fMRI) during recognition tasks was also measured before and after HT. The ADL of all patients significantly improved after HT; however, the depressive states in all patients did not change remarkably after the HT. fMRI examinations showed that the visual area, the inferior temporal area, the fusiform gyros, and the supramarginal gyros (SMG), in addition to the motor area, the supplementary motor area (SMA), the sensory area, and the cerebellum were activated after HT. These findings suggest that HT can accelerate an improvement of activities in the “visual and color processing areas” and the “association areas” as well as the sensory-motor areas of the brain in the patients with cerebrovascular diseases. HT, therefore, stimulates parts of brain, that are not always evoked through routine physical rehabilitation. HT can complement the routine physical rehabilitation and help to improve damaged brain function. © 2008, TSI® Press Printed in the USA.