脳卒中片麻痺患者の床からの立ち上がり動作に関係する機能およびAPDLへの影響  [in Japanese] Functions Related to Standing-up Movement from the Floor of Hemiplegic Patients and the Influence on APDL  [in Japanese]

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Abstract

本研究は、脳卒中片麻痺患者(以下片麻痺患者)60例を対象とし、46例を立ち上がり可能 · 不可能群に分け、身体機能面の違いを明らかにし、その日常生活関連動作(以下APDL)における影響を比較 · 検討した。立ち上がり可能群は、不可能群と比較して非麻痺側下肢筋力、腹直筋筋力(以下腹筋筋力)、下肢Brunnstrom Stage(以下Br.stage)、立位バランスが有意に優れ、APDLも高値を示した。立ち上がり不可能な14例に対して通常の理学療法を2ヶ月間施行したところ、立ち上がりが可能となった例でも腹筋筋力、下肢Br.stage,非麻痺側下肢筋力、立位バランスが改善し、あわせてAPDLの得点も高くなることが分かった。これらのことから、片麻痺患者の床からの立ち上がり動作獲得には、腹筋筋力、両下肢機能、立位バランス反応が重要であり、APDLにも影響することが示された。

The purposes of this study were to demonstrate the functions related to standing-up movement from the floor among hemiplegic patients, and to examine the relationship between the functions and their activities parallel to daily living (APDL). Of 60 patients with post-stroke hemiplegia, 46 patients were classified into 2 groups; those who could stand up from the floor, and those who could not. Those who could stand up showed significantly higher values of muscle strength of the uninvolved leg and rectus abdominis, Brunnstrom stage (Br. stage) of the involved leg, standing balance, and APDL score. Of 14 patients who could not stand up and received conventional physical therapy for 2 months, some became able to stand up and demonstrated improvements in muscle strength of the uninvolved leg and rectus abdominis, Br. stage of the involved leg, standing balance, and APDL score. These results indicate that muscle strength of rectus abdominis, function of both legs and standing balance play important roles in restoration of ability to stand up from the floor in hemiplegic patients, and affect their APDL.

Journal

Journal of exercise physiology  

Journal of exercise physiology 16(2), 59-63, 2001-05-20 

The Society of Physical Therapy Science

References:  16

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Cited by:  2

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Codes

  • NII Article ID (NAID) :
    10019090579
  • NII NACSIS-CAT ID (NCID) :
    AN10472896
  • Text Lang :
    JPN
  • Article Type :
    Journal Article
  • ISSN :
    13411667
  • NDL Article ID :
    5838871
  • NDL Source Classification :
    ZF21(教育--体育)
  • NDL Call No. :
    Z7-1893
  • Data Source :
    CJP  CJPref  NDL  J-STAGE