在宅脳卒中患者の生活活動と歩行機能の関連  [in Japanese] The Relation between Walking Function and Daily Life Activities of Stroke Patients at Home  [in Japanese]

Author(s)

Abstract

退院後1年以上経った歩行可能な在宅脳卒中愚考54例を対象として,10m最大歩行速度(MWS)と75項目の日常生活活動遂行の関係を検討した.性別,年齢,麻療側,罹病期間,家庭内地位,MWSを説明変数とし,各項目の遂行頻度を目的変数として,数量化I類を用いて分析した.MWSが第一義の決定因として選出された活動は27項目であった.身辺処理や新聞を読むなどの静的活動はMWSの速度とは無関係であった.20m/分以上で掃除,買物などの家事,趣味や旅行などの余暇活動,40m/分以上で政治,文化講演会参加,80m/分以上では老人などの世話を行っていた.MWSは在宅脳卒中患者の日常生活活動の予知に有用である.

Relation between the maximum walking speed for 10 m distance (MWS) and performance of daily life activities examined by a questionnaire composed of 75 items were analysed in 54 ambulatory post-stroke patients more than one year after discharge. Multivariate discriminant analysis of qualitative data (Hayashi's quantification I) to clarify the difference between "doing" and "not-doing" of 75 items was performed using six independent variables ; age, sex, paretic side, time since stroke onset, position in the family and MWS. MWS was the most significant discriminant of 27 items. The self-care activities and static activities such as reading a newspaper were not related to MWS. Patients with MWS more than 20 m/min performed several home activities and leisure activities such as cleaning, shopping, hobby and traveling, those with more than 40 m/min did some social activities such as attendance on political meeting, and those with more than 80 m/min assisted family members in their home-works. It is assumed that MWS is a reliable predictor of daily life activities in ambulatory stroke patients.

Journal

  • The Japanese journal of rehabilitation medicine

    The Japanese journal of rehabilitation medicine 28(7), p541-547, 1991-07

    The Japanese Association of Rehabilitation Medicine

Cited by:  20

Codes

  • NII Article ID (NAID)
    110001860408
  • NII NACSIS-CAT ID (NCID)
    AN00250275
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    0034351X
  • NDL Article ID
    3724850
  • NDL Source Classification
    SC711;SC351
  • NDL Source Classification
    ZS35(科学技術--医学--外科学・整形外科学・麻酔学)
  • NDL Call No.
    Z19-283
  • Data Source
    CJPref  NDL  NII-ELS 
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