著者

Koshi Matsuoka Aki Watanabe Takayuki Kawaguchi Koji Misawa Keiichi Murakami Michinari Fukuda

出版者

The Japanese Association of Rehabilitation Medicine

雑誌

Progress in Rehabilitation Medicine (ISSN:24321354)

巻号頁・発行日

vol.5, pp.20200031, 2020 (Released:2020-12-22)

参考文献数

38

被引用文献数

1

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Objectives: There are few scales that reflect the function of the stroke-affected arm as it relates to the performance of daily activities while also indicating the difficulty of scale items. In this study, we developed the Activities Specific Upper-extremity Hemiparesis Scale (ASUHS) to evaluate daily activities performable by the affected arm after stroke. We also clarified the validity, reliability, and item difficulty of the scale.Methods: The participants were 145 patients with stroke who were consecutively admitted to a convalescent rehabilitation ward. The unidimensionality of ASUHS was assessed by principal component analysis. Analyses of item discrimination and content validity were conducted to assess the overall validity. Reliability was evaluated by assessing internal consistency and inter-rater reliability. Item difficulties were determined by Rasch analysis.Results: Unidimensionality, high discrimination, and good content validity were shown for all items. ASUHS consists of a dominant hand scale and non-dominant hand scale. Both scales showed good internal consistency (Cronbach’s α coefficient = 0.99) and substantial inter-rater reliability (Cohen’s Kappa coefficient = 0.74 and 0.75, respectively). Item difficulty was determined as being in the range –8.71 to +5.18 logit.Conclusions: This study suggested good validity and reliability of ASUHS. Furthermore, because the item difficulties of daily activities performed by the affected arm were clarified, therapists can use ASUHS to identify the process that should be the next focus for training. Consequently, therapists may be able to train patients in daily activities that match the affected arm’s ability step by step rather than determining training activities empirically.

著者

Takayuki Hoshiyama Tatsuhiko Wada Shin Nihonyanagi Ryo Kameda Minako Yamaoka-Tojo Michinari Fukuda Jyunya Ako Kunihiro Yamaoka Yoko Takayama

出版者

The Japanese Society of Internal Medicine

雑誌

Internal Medicine (ISSN:09182918)

巻号頁・発行日

pp.5601-20, (Released:2020-11-02)

参考文献数

42

被引用文献数

6

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Objective To describe the clinical features and clinical course of individuals diagnosed with asymptomatic SARS-CoV-2 infection or mild COVID-19. Patients The study participants consisted of 7 crewmembers of the passenger cruise-liner, Diamond Princess, who were admitted to our hospital after becoming infected with SARS-CoV-2 aboard the ship. Methods The data on patient background and biochemical test results were obtained from the patients' medical records. All patients had a chest X-ray, and a throat swab and sputum samples were sent for culture on admission. Results The median age of the 7 patients, of whom 4 were male and 3 were female, was 39 years (range: 23-47 years). On admission, none of them had fever, but 4 (57%) had a cough. None of them showed any signs of organ damage on laboratory testing. Chest X-ray showed pneumonia in one individual, which resolved spontaneously, while the other 6 had normal chest X-ray findings. Culture of throat swabs and sputum samples revealed that 4 patients (57%) had bacterial upper respiratory infections (Haemophilus influenzae, Klebsiella pneumoniae, and Staphylococcus aureus). The period from a positive PCR test to negative conversion ranged from 5 to 13 days, with a median of 8 days. Conclusion Healthy young adults without risk factors who acquire SARS-CoV-2 infection may have an asymptomatic infection or may experience mild COVID-19. In addition to obesity, an older age, underlying illness, and being overweight can lead to a risk of exacerbation; thus, hospital management for such individuals may be desirable. Culturing respiratory samples may be useful for diagnosing secondary bacterial pneumonia.

著者

Kosuke Mizuno Yoshitaka Shiba Haruhiko Sato Naoto Kamide Michinari Fukuda Noriaki Ikeda

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.25, no.1, pp.97-100, 2013 (Released:2013-02-25)

参考文献数

24

被引用文献数

1 3

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[Purpose] The purpose of this study was to investigate the reliability and validity of the kinematic analysis of trunk and pelvis movement during gait and standing as measured by two smartphones (in the present study, we used iPod touches because of their weight). [Methods] Thirty-eight healthy adults (mean age, 21.4 ± 1.2 years) were instructed to stand and walk on a treadmill at three different speeds. The tilt angle of the trunk and pelvis were measured using both an iPod touch and an optoelectronic motion capture system (Optotrak). [Results] The error between the iPod touch and Optotrak was small during standing and walking at low speed. However, as the walking speed was increased, the error between the iPod touch and Optotrak increased. There were no significant differences between the test and retest measurement values of each device, nor were there any significant differences between the days of the analyses. [Conclusions] The iPod touch has good accuracy, since the variations in the test and retest and for different days were small. This suggests that the iPod touch can be used instead of the Optotrak for the kinematic analysis of trunk and pelvis movement at low walking speeds.