著者

内藤 紘一 松尾 泉 宮﨑 博子 藤野 英己

出版者

保健医療学学会

雑誌

保健医療学雑誌 (ISSN:21850399)

巻号頁・発行日

vol.8, no.2, pp.110-116, 2017-10-01 (Released:2017-10-01)

参考文献数

16

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人口の高齢化に伴い,心臓リハビリテーション対象者も高齢化しており,転倒リスクを評価することの重要性が高まっている.そこで,本研究は,転倒リスクをスクリーニングするための項目を検討することとした.60 歳以上の入院高齢心不全患者33 例をBerg balance scale を使用して,転倒リスクの有無で2 群に分け,患者背景,重症度,身体機能を比較した.その後,ロジスティック回帰分析を行い,転倒リスクの有無に関連のある項目を抽出し,ROC 曲線を用いてカットオフ値を算出した.転倒リスクに独立して関連する因子は6 分間歩行距離のみであり,カットオフ値は328m であった.6 分間歩行距離が328m 未満では転倒リスクが高い可能性があることが示唆された.

著者

藤田 裕 野中 崇大 原田 豪人 片岡 正尚 原 弘明 福井 宣善 福塚 美穂 宮﨑 博子

出版者

日本スキー学会

雑誌

スキー研究 (ISSN:1349449X)

巻号頁・発行日

vol.16, no.1, pp.29-33, 2019 (Released:2020-04-24)

参考文献数

7

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Knee is the most frequent joint to be injured among skiers. We report a case who suffered destructive osteoarthrosis of unilateral knee and could return to skiing after combined treatments including total knee arthroplasty, rehabilitation and wearing knee brace. 69 years old man has been skiing for more than 50 years. He has been suffering from left knee pain these 3 years. Though conservative treatments such as taking NSAIDs and wearing knee brace were tried, his left knee pain was not relieved. He was consulted to our hospital and agreed to take total knee arthroplasty( TKA). The operation was performed under general anesthesia and KU type( Kyocera Medical Co., Ltd.) artificial joint was fixed with polymethyl-methacrylate bone cement to the bones. Rehabilitation was started postoperative day 1. He was discharged to the home postoperative day 33. Hard knee brace was applied during skiing to reinforce stability of the operated knee. 9 months after the operation, he could ski at the gentle slope and at 1 year at the steep slope in the Alps area in Switzerland. He was able to ski also in next season without pain and functional condition of his left knee is maintained at 2 years postoperative. Combination of TKA, rehabilitation and wearing knee brace are essential to return and to keep skiing for damaged knee.