血友病患者における関節機能とADL,健康関連QOLの関連性  [in Japanese] Associations between Joint Function, Activities of Daily Living, and Health Related Quality of Life in Patients with Hemophilia  [in Japanese]

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Abstract

〔目的〕血友病患者の関節機能とADL,健康関連QOL(HRQOL)の関連性を明らかにする.〔対象〕先天性血友病患者31名.〔方法〕膝関節屈曲・伸展筋力,握力,肘・膝・足関節可動域,関節症重症度,ADL,HRQOLを評価した.〔結果〕27名が重症で29名には複数の関節症罹患が認められ,対象関節の60.2%が末期関節症であった.年齢と関節機能,ADL,HRQOLが逆相関しており,関節機能とADL,HRQOLが正相関していた.各対象関節の関節症罹患は,当該関節の深屈曲と荷重を伴う動作の困難度に影響しており,足関節症罹患は立位での足関節制御を伴う動作の困難度にも影響していた.膝や足関節症罹患状況はHRQOLに関連していた.〔結語〕関節症と関節機能の改善はADLとHRQOL改善に寄与する可能性がある. <br>

[Purpose] The purpose of this study was to clarify the associations between joint function, activities of daily living (ADL), and health-related quality of life (HRQOL) in patients with hemophilia (PWH). [Subjects and Methods] The knee, ankle, and elbow joints of 31 patients with congenital hemophilia were studied. The conditions of the patients were evaluated on the basis of a questionnaire, joint function measurements, and roentgenography of the affected joints. In the assessment of joint function, knee flexor strength, knee extensor strength, and grip strength as well as the passive ROM of the elbows, knees, and ankles were evaluated. [Results] Twenty-seven patients had severe hemophilia, twenty-nine patients had plural arthropathies, and 60.2% of subjects' joints showed severe arthropathy. Age significantly correlated with joint function, ADL, and HRQOL, and joint function significantly correlated with ADL and HRQOL. The status of knee arthropathy and ankle arthropathy were significantly related to HRQOL. [Conclusion] Our results suggest that improvement of joint function and arthropathy is necessary to improve the ADL and HRQOL of PWH. <br>

Journal

  • Rigakuryoho Kagaku

    Rigakuryoho Kagaku 30(3), 413-419, 2015

    The Society of Physical Therapy Science

Codes

  • NII Article ID (NAID)
    130005087362
  • NII NACSIS-CAT ID (NCID)
    AN10472896
  • Text Lang
    JPN
  • ISSN
    1341-1667
  • NDL Article ID
    026568919
  • NDL Call No.
    Z7-1893
  • Data Source
    NDL  J-STAGE 
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