- 著者
- Hiroyuki Miyasaka Wataru Narita Yuuki Nakagawa Rieko Kanamori Maki Ohshita Satsuki Kawakami Koji Shimomura Izumi Kondo Shigeru Sonoda
- 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.7, pp.61-72, 2016 (Released:2016-09-09)
- 参考文献数
- 30
Miyasaka H, Narita W, Nakagawa Y, Kanamori R, Ohshita M, Kawakami S, Shimomura K, Kondo I, Sonoda S. Development and validity of an evaluation of higher cortical dysfunction in the daily life of patients with stroke and traumatic brain injury. Jpn J Compr Rehabil Sci 2016; 7: 61-72.Purpose: To develop a valid Cognition-oriented Performance Evaluation (COPE) questionnaire for the evaluation of higher brain function in any environment using the nominal group technique (NGT).Method: The NGT participants included nine expert staff members of our hospital. The NGT process was performed twice and involved: 1) enumerating questions regarding the presence or absence of higher cortical dysfunction symptoms, 2) judging each item on a four-point scale and posing additional questions, 3) determining the level of agreement across participants using the NGT, and 4) modifying, removing, and adding questions based on the agreement and comments of the NGT participants. In addition, a correlation analysis between COPE areas and the social cognition items of the Functional Independence Measure (FIM) was performed in 20 patients with higher cortical dysfunction.Results and discussion: An initial 126 questions were crafted prior to the NGT. During the first NGT, 12 items failed to achieve adequate agreement, and during the second NGT, three items failed. Furthermore, we coordinated the expressed opinions after the second NGT. The final version contained 96 items. Correlation analysis demonstrated significant correlation between the COPE and FIM in related items such as memory and problem-solving. Thus, the validity of the COPE was verified using a qualitative research technique (consensus method) and by correlation with another scale.
- 著者
- Ryuzo Yanohara Toshio Teranishi Yutaka Tomita Genichi Tanino Yoshiya Ueno Shigeru Sonoda
- 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.26, no.11, pp.1761-1765, 2014 (Released:2014-11-13)
- 参考文献数
- 23
- 被引用文献数
- 11 14
[Purpose] The aim of this study was to investigate the recovery process of standing postural control in hemiplegia after stroke. [Subjects and Methods] Thirty-four inpatients with hemiparesis after first-onset stroke were included in this study. We measured the center of pressure fluctuations during quiet standing using a force platform at 2, 4, and 6 weeks after admission. We assessed weight-bearing asymmetry, and velocity and amplitude of body sway. [Results] Weight-bearing asymmetry diminished in the first 2 weeks of observation. Velocity of body sway also decreased significantly in the first 2 weeks, though its amplitude only decreased significantly after 4 weeks of observation. [Conclusion] Amplitude of body sway requires a longer time for significant improvement than weight-bearing asymmetry and velocity of body sway. Although the loading function of the paretic lower limb improved at an early stage, attainment of optimum postural control, including management of the affected paretic lower limb, requires much time.