地域高齢者における大腿骨頚部骨折予防装具の装着率に関する基礎的研究

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  • Compliance in Use of External Protectors for Hip Fractures among the Community Elderly in Japan.
  • チイキ コウレイシャ ニ オケル ダイタイコツ ケイブ コッセツ ヨボウ ソウグ ノ ソウチャクリツ ニ カンスル キソテキ ケンキュウ

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To protect femoral neck fractures which are the most serious complication of osteoporosis and are increasing in frequency in Japan, an external hip protector (EHP) fixed in special underwear has been proven to absorb a direct impact to the greater trochanter during a fall from standing height.<br>In this study, we investigated compliance concerning the use of EHPs, for six months using two types of EHP, i.e., hard pad type (Hip Protector®, Sahvatex) from Denmark (Fig. 1) and soft pad type (Safety Pants®, Rounomo Oy) from Finland.<br>The subjects were 20 elderly women aged 70 years or more who had at least one experience of falling within the year preceding the baseline survey in September of 1997.<br>The compliance rate is shown in Fig. 2. Though the soft type EHP had relatively better compliance than the hard type EHP, there was no significant difference between them. The main reason for early dropout (one or two weeks after baseline) was “difficulty to remove especially with regard to using the toilet”. The main reason for later dropout was “too tight to wear in winter”. There were no significant differences with regard to anthropometric measurements, physical activity, ADL, and rate of falls between compliers and dropouts except age (73.6 vs 78.5 yrs).<br>Sufficient explanation at baseline and generatively good motivation for wearing the EHP will maintain a high compliance which may result in the effective prevention of hip fractures among the community elderly.

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