著者

梅田 匡純 森下 元賀 川浦 昭彦 河村 顕治

出版者

日本義肢装具学会

雑誌

日本義肢装具学会誌 (ISSN:09104720)

巻号頁・発行日

vol.34, no.3, pp.222-229, 2018-07-01 (Released:2019-07-15)

参考文献数

27

---

脳卒中患者の歩行獲得にとって,長下肢装具(KAFO)から短下肢装具(AFO)への移行は重要な要素となる.膝継手遊動化のKAFOを装着した歩行練習は,その過程の中で多く経験するが,足部調整には経験則によるところが大きい.AFOを対象にした報告では,足底屈制動の有効性に異論はないが,膝伸展を補うとされる足背屈制動については,推進力が抑制されるなどその見解は分かれる.そこで健常者13名を対象に,膝継手遊動のKAFOを装着し足背屈制限有無の歩行時床反力から検討を加えた結果,足背屈制限を付加した場合においても推進力は維持され,かつ膝関節は伸展方向へ安定させる傾向を示した.この結果からKAFOにおける足背屈制限は,AFO移行に向けた有効適応の可能性を示唆させた.

著者

清木 宏徳 森下 元賀 弘中 一誠 上田 亮輔 原田 幹彦

出版者

一般社団法人日本体力医学会

雑誌

体力科学 (ISSN:0039906X)

巻号頁・発行日

vol.66, no.4, pp.301-309, 2017-08-01 (Released:2017-07-12)

参考文献数

24

---

The purpose of this study was to clarify the effects of external and internal factors (EF and IF, respectively) on attention during exercise on a cross test in elderly inpatients with respect to physical and attention functions. The subjects were 27 elderly inpatients with orthopedic diseases, cerebrovascular diseases, or disuse syndrome (mean age, 77.8±8.8 years). They were randomly divided into two groups, and instructed to pay attention in different directions for a cross test. Measurement was conducted in a pretest, during a 14-day period of practice, during a 7-day period of discontinuation, and in a post-test. In the EF group, the subjects were instructed to place their body weight on the floor while paying attention to the floor. In the IF group, they were instructed to tilt their whole body while paying attention to the body. The physical function was evaluated using the Berg Balance Scale and Timed Up and Go Test, attention using the Trail Making Test Part-A. In the EF and IF groups, the physical and attention functions were lower than the reference ranges, and a cross test showed a significant improvement in the EF group both 7 days and post-test. On the other hand, there were no correlations between the improvement rating for the cross test in pre- and post-tests in the EF and IF groups and physical and attention functions. These results suggest that the use of EF improves the cross test in patients with mild physical, attention hypofunction, promoting exercise learning.