脳卒中片麻痺歩行における時間空間変数と左右差の検討 健常成人女性との比較検討
〔目的〕脳卒中片麻痺歩行の時間空間変数とその左右差を簡易的分析によって健常成人と比較検討し,さらに左右差と麻痺の重症度および歩行速度との関係を明らかにすること.〔対象〕健常成人女性10名(以下,健常群)および脳卒中片麻痺患者29名(以下,片麻痺群).〔方法〕10 m歩行路を健常群は快適速度,片麻痺群は最大速度で歩行した.歩行変数の測定にはビデオブラウザを用い,ステップ時間(以下,ST),歩幅,STおよび歩幅の左右比などを算出した.〔結果〕片麻痺群のSTの左右比は1.3±0.4で,中等度の麻痺ではより高値を示し,STの左右比と歩行速度の間には負の相関を認めた.〔結語〕脳卒中片麻痺歩行の左右差は時...
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| Published in | 理学療法科学 Vol. 27; no. 2; pp. 205 - 211 |
|---|---|
| Main Authors | , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
理学療法科学学会
20.04.2012
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1341-1667 2434-2807 |
| DOI | 10.1589/rika.27.205 |
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| Abstract | 〔目的〕脳卒中片麻痺歩行の時間空間変数とその左右差を簡易的分析によって健常成人と比較検討し,さらに左右差と麻痺の重症度および歩行速度との関係を明らかにすること.〔対象〕健常成人女性10名(以下,健常群)および脳卒中片麻痺患者29名(以下,片麻痺群).〔方法〕10 m歩行路を健常群は快適速度,片麻痺群は最大速度で歩行した.歩行変数の測定にはビデオブラウザを用い,ステップ時間(以下,ST),歩幅,STおよび歩幅の左右比などを算出した.〔結果〕片麻痺群のSTの左右比は1.3±0.4で,中等度の麻痺ではより高値を示し,STの左右比と歩行速度の間には負の相関を認めた.〔結語〕脳卒中片麻痺歩行の左右差は時間変数において出現しやすく,歩行速度や麻痺の重症度の影響を受けることが示唆された. |
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| AbstractList | 〔目的〕脳卒中片麻痺歩行の時間空間変数とその左右差を簡易的分析によって健常成人と比較検討し,さらに左右差と麻痺の重症度および歩行速度との関係を明らかにすること.〔対象〕健常成人女性10名(以下,健常群)および脳卒中片麻痺患者29名(以下,片麻痺群).〔方法〕10 m歩行路を健常群は快適速度,片麻痺群は最大速度で歩行した.歩行変数の測定にはビデオブラウザを用い,ステップ時間(以下,ST),歩幅,STおよび歩幅の左右比などを算出した.〔結果〕片麻痺群のSTの左右比は1.3±0.4で,中等度の麻痺ではより高値を示し,STの左右比と歩行速度の間には負の相関を認めた.〔結語〕脳卒中片麻痺歩行の左右差は時間変数において出現しやすく,歩行速度や麻痺の重症度の影響を受けることが示唆された. 「要旨」 [目的] 脳卒中片麻痺歩行の時間空間変数とその左右差を簡易的分析によって健常成人と比較検討し, さらに左右差と麻痺の重症度および歩行速度との関係を明らかにすること. [対象] 健常成人女性10名(以下, 健常群)および脳卒中片麻痺患者29名(以下, 片麻痺群). [方法] 10m歩行路を健常群は快適速度, 片麻痺群は最大速度で歩行した. 歩行変数の測定にはビデオブラウザを用い, ステップ時間(以下, ST), 歩幅STおよび歩幅の左右比などを算出した. [結果] 片麻痺群のSTの左右比は1.3±0.4で, 中等度の麻痺ではより高値を示し, STの左右比と歩行速度の間には負の相関を認めた. [結語] 脳卒中片麻痺歩行の左右差は時間変数において出現しやすく, 歩行速度や麻痺の重症度の影響を受けることが示唆された. |
| Author | 川畑, 志乃 森国, 裕 半田, 健壽 熊谷, 匡紘 小駒, 喜郎 小松, 弘典 藤原, 孝之 重島, 晃史 川島, 隆史 |
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| References | 16) Chen CL, Chen HC, Tang SFT, et al: Gait performance with compensatory adaptations in stroke patients with different degrees of motor recovery. Am J Phys Med Rehabil, 2003, 82: 925-935. 20) Pomeroy VM, Chambers SH, Giakas G, et al.: Reliability of measurement of tempo-spatial parameters of gait after stroke using GaitMat II. Clin Rehabil, 2004, 18: 222-227. 13) Patterson KK, Parafianowicz I, Danells CJ, et al.: Gait asymmetry in community-ambulating stroke survivors. Arch Phys Med Rehabil, 2008, 89: 304-310. 18) 市村 哲,福井トシヤ:映像ブラウジングのためのビデオファイルブラウザおよびビデオテープブラウザの試作.インタラクション2003予稿集,2003, 171-172 1) Craik RL, Oatis CA: Gait analysis. Theory and application. Mosby, Missouri, 1995, pp412-419. 29) Rabadi MH, Blau A: Admission ambulation velocity predicts length of stay and discharge disposition following stroke in an acute rehabilitation hospital. Neurorehabil Neural Repair, 2005, 19: 20-26. 15) 重島晃史,半田健壽,藤原孝之・他:ビデオブラウザを用いた歩行の時間変数および空間変数の簡易的測定の検討─3次元動作解析機器との同時的妥当性および評価者内および評価者間信頼性の検討─.理学療法科学,投稿中 19) 半田健壽,若山由香利,中江秀幸・他:歩行距離による歩行速度測定値の差異─5 mと10 m歩行に於ける比較検討─.東北理学療法学,1993, 5: 54-58. 7) Eastlack ME, Arvidson J, Snyder-Mackler L, et al.: Interrater reliability of videotaped observational gait-analysis assessments. Phys Ther, 1991, 71: 465-472. 8) Lord SE, Halligan PW, Wade DT: Visual gait analysis: the development of a clinical assessment and scale. Clin Rehabil, 1998, 12: 107-119. 28) Montero-Odasso M, Schapira M, Soriano ER, et al.: Gait velocity as a single predictor of adverse events in healthy seniors aged 75 years and older. J Gerontol A Biol Sci Med Sci, 2005, 60: 1304-1309. 26) Hesse S, Reiter F, Jahnke M, et al.: Asymmetry of gait initiation in hemipretic stroke subjects. Arch Phys Med Rehabil, 1997, 78: 719-724. 23) De Lisa JA: Gait analysis in the science of rehabilitation. Department of Veterans Affairs, Baltimore, 1998, pp1-10. 2) 長谷公隆:片麻痺患者の病態と歩行分析.総合リハ,2006, 34(2): 125-131. 6) Hughes KA, Bell F: Visual assessment of hemiplegic gait following stroke: pilot study. Arch Phys Med Rehabil, 1994, 75: 1100-1107. 25) Griffin MP, Olney SJ, McBride ID: Role of symmetry in gait performance of stroke subjects with hemiplegia. Gait Posture, 1995, 3: 132-142. 10) Brandstater ME, de Bruin H, Gowland C, et al.: Hemiplegic gait: analysis of temporal variables. Arch Phys Med Rehabil, 1983, 64: 583-587. 24) Gundersen LA, Valle DR, Barr AE, et al.: Bilateral analysis of the knee and ankle during gait: an examination of the relationship between lateral dominance and symmetry. Phys Ther, 1989, 69: 640-650. 27) Lehmann JF, Condon SM, Price R, et al.: Gait abnormalities in hemiplegia: their correction by ankle-foot orthoses. Arch Phys Med Rehabil, 1987, 68: 763-771. 21) McDonough AL, Batavia M, Chen FC, et al.: The validity and reliability of the GAITRite system’s measurements: a preliminary evaluation. Arch Phys Med Rehabil, 2001; 82: 419-425. 3) Wall JC, Turnbull GI: Gait asymmetries in residual hemiplegia. Arch Phys Med Rehabil, 1986, 67: 550-553. 11) Roth EJ, Merbitz C, Mroczek K, et al.: Hemiplegic gait: relationships between walking speed and other temporal parameters. Am J Phys Med Rehabil, 1997, 76: 128-133. 22) van Uden CJT, Besser MP: Test-retest reliability of temporal and spatial gait characteristic measured with an instrumented walkway system. BMC Musculoskelet Disord, 2004, 5: 13. 9) Miyazaki S, Kubota T: Quantification of gait abnormalities on the basis of continuous foot-force measurement: correlation between quantitative indices and visual rating. Med Biol Eng Comput, 1984, 22: 70-76. 4) Peurala SH, Titianova EB, Matteev P, et al.: Gait characteristics after gait-oriented rehabilitation in chronic stroke. Restor Neurol Neurosci, 2005, 23: 57-65. 12) Öken Ö, Yavuzer G: Spatio-temporal and kinematic asymmetry ratio in subgroups of patients with stroke. Eur J Phys Rehabil Med, 2008, 44: 127-132. 17) Balasubramanian CK, Bowden MG, Neptune RR, et al.: Relationship between step length asymmetry and walking performance in subjects with chronic hemiparesis. Arch Phys Med Rehabil, 2007, 88: 43-49. 5) Krebs DE, Edelstein JE, Fishman S: Reliability of observational kinematic gait analysis. Phys Ther, 1985, 65: 1027-1033. 14) Titianova EB, Pitkänen K, Pääkkönen A, et al.: Gait characteristic and functional ambulation profile in patients with chronic unilateral stroke. Am J Phys Med Rehabil, 2003, 82: 778-786. |
| References_xml | – reference: 26) Hesse S, Reiter F, Jahnke M, et al.: Asymmetry of gait initiation in hemipretic stroke subjects. Arch Phys Med Rehabil, 1997, 78: 719-724. – reference: 24) Gundersen LA, Valle DR, Barr AE, et al.: Bilateral analysis of the knee and ankle during gait: an examination of the relationship between lateral dominance and symmetry. Phys Ther, 1989, 69: 640-650. – reference: 22) van Uden CJT, Besser MP: Test-retest reliability of temporal and spatial gait characteristic measured with an instrumented walkway system. BMC Musculoskelet Disord, 2004, 5: 13. – reference: 14) Titianova EB, Pitkänen K, Pääkkönen A, et al.: Gait characteristic and functional ambulation profile in patients with chronic unilateral stroke. Am J Phys Med Rehabil, 2003, 82: 778-786. – reference: 25) Griffin MP, Olney SJ, McBride ID: Role of symmetry in gait performance of stroke subjects with hemiplegia. Gait Posture, 1995, 3: 132-142. – reference: 15) 重島晃史,半田健壽,藤原孝之・他:ビデオブラウザを用いた歩行の時間変数および空間変数の簡易的測定の検討─3次元動作解析機器との同時的妥当性および評価者内および評価者間信頼性の検討─.理学療法科学,投稿中. – reference: 3) Wall JC, Turnbull GI: Gait asymmetries in residual hemiplegia. Arch Phys Med Rehabil, 1986, 67: 550-553. – reference: 23) De Lisa JA: Gait analysis in the science of rehabilitation. Department of Veterans Affairs, Baltimore, 1998, pp1-10. – reference: 2) 長谷公隆:片麻痺患者の病態と歩行分析.総合リハ,2006, 34(2): 125-131. – reference: 10) Brandstater ME, de Bruin H, Gowland C, et al.: Hemiplegic gait: analysis of temporal variables. Arch Phys Med Rehabil, 1983, 64: 583-587. – reference: 21) McDonough AL, Batavia M, Chen FC, et al.: The validity and reliability of the GAITRite system’s measurements: a preliminary evaluation. Arch Phys Med Rehabil, 2001; 82: 419-425. – reference: 12) Öken Ö, Yavuzer G: Spatio-temporal and kinematic asymmetry ratio in subgroups of patients with stroke. Eur J Phys Rehabil Med, 2008, 44: 127-132. – reference: 27) Lehmann JF, Condon SM, Price R, et al.: Gait abnormalities in hemiplegia: their correction by ankle-foot orthoses. Arch Phys Med Rehabil, 1987, 68: 763-771. – reference: 20) Pomeroy VM, Chambers SH, Giakas G, et al.: Reliability of measurement of tempo-spatial parameters of gait after stroke using GaitMat II. Clin Rehabil, 2004, 18: 222-227. – reference: 18) 市村 哲,福井トシヤ:映像ブラウジングのためのビデオファイルブラウザおよびビデオテープブラウザの試作.インタラクション2003予稿集,2003, 171-172. – reference: 9) Miyazaki S, Kubota T: Quantification of gait abnormalities on the basis of continuous foot-force measurement: correlation between quantitative indices and visual rating. Med Biol Eng Comput, 1984, 22: 70-76. – reference: 28) Montero-Odasso M, Schapira M, Soriano ER, et al.: Gait velocity as a single predictor of adverse events in healthy seniors aged 75 years and older. J Gerontol A Biol Sci Med Sci, 2005, 60: 1304-1309. – reference: 8) Lord SE, Halligan PW, Wade DT: Visual gait analysis: the development of a clinical assessment and scale. Clin Rehabil, 1998, 12: 107-119. – reference: 7) Eastlack ME, Arvidson J, Snyder-Mackler L, et al.: Interrater reliability of videotaped observational gait-analysis assessments. Phys Ther, 1991, 71: 465-472. – reference: 5) Krebs DE, Edelstein JE, Fishman S: Reliability of observational kinematic gait analysis. Phys Ther, 1985, 65: 1027-1033. – reference: 11) Roth EJ, Merbitz C, Mroczek K, et al.: Hemiplegic gait: relationships between walking speed and other temporal parameters. Am J Phys Med Rehabil, 1997, 76: 128-133. – reference: 17) Balasubramanian CK, Bowden MG, Neptune RR, et al.: Relationship between step length asymmetry and walking performance in subjects with chronic hemiparesis. Arch Phys Med Rehabil, 2007, 88: 43-49. – reference: 1) Craik RL, Oatis CA: Gait analysis. Theory and application. Mosby, Missouri, 1995, pp412-419. – reference: 6) Hughes KA, Bell F: Visual assessment of hemiplegic gait following stroke: pilot study. Arch Phys Med Rehabil, 1994, 75: 1100-1107. – reference: 13) Patterson KK, Parafianowicz I, Danells CJ, et al.: Gait asymmetry in community-ambulating stroke survivors. Arch Phys Med Rehabil, 2008, 89: 304-310. – reference: 29) Rabadi MH, Blau A: Admission ambulation velocity predicts length of stay and discharge disposition following stroke in an acute rehabilitation hospital. Neurorehabil Neural Repair, 2005, 19: 20-26. – reference: 16) Chen CL, Chen HC, Tang SFT, et al: Gait performance with compensatory adaptations in stroke patients with different degrees of motor recovery. Am J Phys Med Rehabil, 2003, 82: 925-935. – reference: 19) 半田健壽,若山由香利,中江秀幸・他:歩行距離による歩行速度測定値の差異─5 mと10 m歩行に於ける比較検討─.東北理学療法学,1993, 5: 54-58. – reference: 4) Peurala SH, Titianova EB, Matteev P, et al.: Gait characteristics after gait-oriented rehabilitation in chronic stroke. Restor Neurol Neurosci, 2005, 23: 57-65. |
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| Snippet | 〔目的〕脳卒中片麻痺歩行の時間空間変数とその左右差を簡易的分析によって健常成人と比較検討し,さらに左右差と麻痺の重症度および歩行速度との関係を明らかにすること.〔... 「要旨」 [目的] 脳卒中片麻痺歩行の時間空間変数とその左右差を簡易的分析によって健常成人と比較検討し, さらに左右差と麻痺の重症度および歩行速度との関係を... |
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| Subtitle | 健常成人女性との比較検討 |
| Title | 脳卒中片麻痺歩行における時間空間変数と左右差の検討 |
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| ispartofPNX | 理学療法科学, 2012, Vol.27(2), pp.205-211 |
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