著者

Kazunori Kojima Taku Nakayama Asami Watanabe Shiro Yoshimura Tomonori Yamaya Konomi Sato Ari Doi Takako Ogino Noriko Moriyasu Susumu Watanabe

出版者

一般社団法人 回復期リハビリテーション病棟協会

雑誌

Japanese Journal of Comprehensive Rehabilitation Science (ISSN:21855323)

巻号頁・発行日

vol.8, pp.30-36, 2017 (Released:2017-04-29)

参考文献数

31

被引用文献数

4

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Kojima K, Nakayama T, Watanabe A, Yoshimura S, Yamaya T, Sato K, Doi A, Ogino T, Moriyasu N, Watanabe S. Activities of daily living and quality of life assessment during home-based rehabilitation - A multi-institutional study. Jpn J Compr Rehabil Sci 2017; 8: 30-36.Objective: The purpose of this study was to examine the relationship between activities of daily living (ADL) performance and quality of life (QOL) in participants in a home-based rehabilitation program, and to assess the associated changes during the program.Methods: The subjects were participants newly enrolled in home-based rehabilitation in six facilities. The Functional Independence Measure motor subscore was used to evaluate the current ADL performance. We used PGC-MS to evaluate the emotional aspect of QOL, and ADL satisfaction for the cognitive aspect.Results: Participants were divided into two groups: <1 year from onset and >1 year from onset; ADL satisfaction had significantly improved in the latter group (p = 0.008). A strong correlation between ADL performance and ADL satisfaction was found. On the other hand, the correlation between ADL satisfaction and PGC-MS was weaker.Conclusions: The ‘cognitive aspect’ of QOL improved due to the rehabilitation staff’s approach in explaining the participants’ ADL abilities and motivating them to accept their limitations. It is considered that the ‘emotional aspect’ of QOL is difficult to change with only three months of home-based rehabilitation.

著者

Kazunori Kojima Daisuke Kamai Shogo Ishitani Susumu Watanabe

出版者

The Society of Physical Therapy Science

雑誌

Journal of Physical Therapy Science (ISSN:09155287)

巻号頁・発行日

vol.29, no.6, pp.1025-1028, 2017 (Released:2017-06-07)

参考文献数

22

被引用文献数

1 7

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[Purpose] This study evaluated balance tests in users of a day care service who needed nursing care or support, and investigated the usefulness of the Two-step Test for evaluating balance. [Subjects and Methods] The subjects were users of a day care service, and had certified need for long-term care or support. All subjects were able to undergo the balance evaluations. Balance tests included the 3-m Timed Up and Go test (TUG), the one-leg standing time, and the Two-step Test. [Results] The Two-step Test and other balance tests were strongly correlated. [Conclusion] In this study of subjects who needed nursing care or support, the results were the same as in a previous study of subjects who did not need nursing care or support. The Two-step Test should be considered as an indicator of balance ability in elderly individuals requiring nursing care or support.

著者

Kazunori KOJIMA Daisuke KAMAI Akie YAMAMOTO Yuji TSUCHITANI Hiroaki KATAOKA

出版者

Japanese Society of Physical Therapy

雑誌

Physical Therapy Research (ISSN:21898448)

巻号頁・発行日

pp.E10105, (Released:2021-10-27)

参考文献数

30

被引用文献数

1

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Objective: The purpose of the study was to clarify the causal effect of toe-grasping exercises on the improvement of static or dynamic balance ability in home-based rehabilitation users. Method: Our study included 34 subjects who met the criteria and were evaluable out of 98 rehabilitation service users at home nursing stations. This study was a randomized controlled trial. The intervention group performed towel gathering exercises in addition to the regular home-based rehabilitation program. The primary outcome was one-leg standing time, and the secondary outcomes were two-step test and toe grip strength. Results: Seventeen subjects were assigned to the intervention group and seventeen to the control group by block randomization. Data from 15 and 12 subjects in the intervention group and control group, respectively, who were able to complete the initial evaluation and the evaluation after 3 months, were analyzed. We compared the amount of change after 3 months of evaluation in the intervention group with the change in the control group. The results showed that the left/right mean value of oneleg standing time in the intervention group was significantly greater than that in the control group. In terms of the amount of change in the intervention period (T2-T1) within each assessment, there were significant improvements in both the toe-grip strength and the two-step values in the intervention group. Conclusion: We found that toe-grasping exercises could improve the balance ability of home-based rehabilitation users. This suggests the clinical significance of toe function in rehabilitation programs.