片麻痺者の立ち上がり動作における麻痺側のCOP前方移動と荷重率の関係

〔目的〕片麻痺者の立ち上がり動作中の麻痺側足圧中心点(center of pressure, COP)の前方移動量と,麻痺側荷重率および足関節底屈筋群の痙縮の程度との関係を明らかにすることである.〔対象〕脳血管障害による片麻痺者14名とした.〔方法〕椅子からの立ち上がり時の足圧分布を計測し,離殿直後の麻痺側COP前方移動距離,麻痺側荷重率を算出した.また痙縮をmodefied Ashworth scale (MAS)にて評価した.〔結果〕麻痺側COP前方移動距離と,麻痺側荷重率(rs=-0.60)およびMAS(rs=0.65)との間に有意な相関が認められた.〔結語〕麻痺側のCOPは,足関節底屈...

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Published in理学療法科学 Vol. 29; no. 2; pp. 161 - 164
Main Authors 小湊, 裕一, 日吉, 俊紀, 楠木, 達也, 木山, 良二
Format Journal Article
LanguageJapanese
Published 理学療法科学学会 2014
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ISSN1341-1667
2434-2807
DOI10.1589/rika.29.161

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Abstract 〔目的〕片麻痺者の立ち上がり動作中の麻痺側足圧中心点(center of pressure, COP)の前方移動量と,麻痺側荷重率および足関節底屈筋群の痙縮の程度との関係を明らかにすることである.〔対象〕脳血管障害による片麻痺者14名とした.〔方法〕椅子からの立ち上がり時の足圧分布を計測し,離殿直後の麻痺側COP前方移動距離,麻痺側荷重率を算出した.また痙縮をmodefied Ashworth scale (MAS)にて評価した.〔結果〕麻痺側COP前方移動距離と,麻痺側荷重率(rs=-0.60)およびMAS(rs=0.65)との間に有意な相関が認められた.〔結語〕麻痺側のCOPは,足関節底屈筋群の痙縮により前方へ移動し,麻痺側下肢への荷重を阻害する.
AbstractList 〔目的〕片麻痺者の立ち上がり動作中の麻痺側足圧中心点(center of pressure, COP)の前方移動量と,麻痺側荷重率および足関節底屈筋群の痙縮の程度との関係を明らかにすることである.〔対象〕脳血管障害による片麻痺者14名とした.〔方法〕椅子からの立ち上がり時の足圧分布を計測し,離殿直後の麻痺側COP前方移動距離,麻痺側荷重率を算出した.また痙縮をmodefied Ashworth scale (MAS)にて評価した.〔結果〕麻痺側COP前方移動距離と,麻痺側荷重率(rs=-0.60)およびMAS(rs=0.65)との間に有意な相関が認められた.〔結語〕麻痺側のCOPは,足関節底屈筋群の痙縮により前方へ移動し,麻痺側下肢への荷重を阻害する.
「要旨」: 〔目的〕片麻痺者の立ち上がり動作中の麻痺側足圧中心点(center of pressure, COP)の前方移動量と, 麻痺側荷重率および足関節底屈筋群の痙縮の程度との関係を明らかにすることである. 〔対象〕脳血管障害による片麻痺者14名とした. 〔方法〕椅子からの立ち上がり時の足圧分布を計測し, 離殿直後の麻痺側COP前方移動距離, 麻痺側荷重率を算出した. また痙縮をmodefied Ashworth scale (MAS)にて評価した. 〔結果〕麻痺側COP前方移動距離と, 麻痺側荷重率(rs=-0.60)およびMAS(rs=0.65)との間に有意な相関が認められた. 〔結語〕麻痺側のCOPは, 足関節底屈筋群の痙縮により前方へ移動し, 麻痺側下肢への荷重を阻害する.
Author 小湊, 裕一
木山, 良二
楠木, 達也
日吉, 俊紀
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References 15) Lin PY, Yang YR, Cheng SJ, et al.: The relation between ankle impairments and gait velocity and symmetry in people with stroke. Arch Phys Med Rehabil, 2006, 87(4): 562-568.
6) Roy G, Nadeau S, Gravel D, et al.: Side difference in the hip and knee joint moments during sit-to-stand and stand-to-sit tasks in individuals with hemiparesis. Clin Biomech, 2007, 22(7): 795-804.
7) 上杉 睦,秋山純和:片麻痺患者の立ち上がり動作における麻痺側下肢への荷重負荷について.理学療法科学, 2006, 21(2): 115-120.
10) Sato S, Mizuma M, Kawate N, et al.: Evaluation of sit-to-stand motion using a pressure distribution measurement system - effect of differences in seat hardness on sit-to-stand motion. Disabil Rehabil Assist Technol, 2011, 6(4): 290-298.
1) Mercer VS, Freburger JK, Chang SH, et al.: Measurement of paretic-lower-extremity loading and weight transfer after stroke. Phys Ther, 2009, 89(7): 653-664.
5) Mong Y, Teo TW, Ng SS: 5-repetition sit-to-stand test in subjects with chronic stroke: reliability and validity. Arch Phys Med Rehabil, 2010, 91(3): 407-413.
8) Engardt M: Long-term effects of auditory feedback training on relearned symmetrical body weight distribution in stroke patients. A follow-up study. Scand J Rehabil Med, 1994, 26(2): 65-69.
4) Lomaglio MJ, Eng JJ: Muscle strength and weight-bearing symmetry relate to sit-to-stand performance in individuals with stroke. Gait Posture, 2005, 22(2): 126-131.
11) Winter DA: Human balance and posture control during standing and walking. Gait Posture, 1995, 3(4): 193-214.
13) Cheng PT, Liaw MY, Wong MK, et al.: The sit-to-stand movement in stroke patients and its correlation with falling. Arch Phys Med Rehabil, 1998, 79(9): 1043-1046.
16) Lamontagne A, Malouin F, Richards CL: Locomotor-specific measure of spasticity of plantarflexor muscles after stroke. Arch Phys Med Rehabil, 2001, 82(12): 1696-1704.
2) Kluding PM, Santos M: Effects of ankle joint mobilizations in adults poststroke: a pilot study. Arch Phys Med Rehabil, 2008, 89(3): 449-456.
3) Lecours J, Nadeau S, Gravel D, et al.: Interactions between foot placement, trunk frontal position, weight-bearing and knee moment asymmetry at seat-off during rising from a chair in healthy controls and persons with hemiparesis. J Rehabil Med, 2008, 40(3): 200-207.
12) 木山良二,前田哲男:運動速度を変化させた場合の椅子からの立ち上がり動作の分析.鹿児島大学医学部保健学科紀要, 2000, 11(1): 119-125.
14) Park ES, Park CI, Chang HJ, et al.: The effect of hinged ankle-foot orthoses on sit-to-stand transfer in children with spastic cerebral palsy. Arch Phys Med Rehabil, 2004, 85(12): 2053-2057.
9) Rocha Ade S, Knabben RJ, Michaelsen SM: Non-paretic lower limb constraint with a step decreases the asymmetry of vertical forces during sit-to-stand at two seat heights in subjects with hemiparesis. Gait Posture, 2010, 32(4): 457-463.
References_xml – reference: 15) Lin PY, Yang YR, Cheng SJ, et al.: The relation between ankle impairments and gait velocity and symmetry in people with stroke. Arch Phys Med Rehabil, 2006, 87(4): 562-568.
– reference: 3) Lecours J, Nadeau S, Gravel D, et al.: Interactions between foot placement, trunk frontal position, weight-bearing and knee moment asymmetry at seat-off during rising from a chair in healthy controls and persons with hemiparesis. J Rehabil Med, 2008, 40(3): 200-207.
– reference: 8) Engardt M: Long-term effects of auditory feedback training on relearned symmetrical body weight distribution in stroke patients. A follow-up study. Scand J Rehabil Med, 1994, 26(2): 65-69.
– reference: 12) 木山良二,前田哲男:運動速度を変化させた場合の椅子からの立ち上がり動作の分析.鹿児島大学医学部保健学科紀要, 2000, 11(1): 119-125.
– reference: 1) Mercer VS, Freburger JK, Chang SH, et al.: Measurement of paretic-lower-extremity loading and weight transfer after stroke. Phys Ther, 2009, 89(7): 653-664.
– reference: 2) Kluding PM, Santos M: Effects of ankle joint mobilizations in adults poststroke: a pilot study. Arch Phys Med Rehabil, 2008, 89(3): 449-456.
– reference: 16) Lamontagne A, Malouin F, Richards CL: Locomotor-specific measure of spasticity of plantarflexor muscles after stroke. Arch Phys Med Rehabil, 2001, 82(12): 1696-1704.
– reference: 7) 上杉 睦,秋山純和:片麻痺患者の立ち上がり動作における麻痺側下肢への荷重負荷について.理学療法科学, 2006, 21(2): 115-120.
– reference: 10) Sato S, Mizuma M, Kawate N, et al.: Evaluation of sit-to-stand motion using a pressure distribution measurement system - effect of differences in seat hardness on sit-to-stand motion. Disabil Rehabil Assist Technol, 2011, 6(4): 290-298.
– reference: 14) Park ES, Park CI, Chang HJ, et al.: The effect of hinged ankle-foot orthoses on sit-to-stand transfer in children with spastic cerebral palsy. Arch Phys Med Rehabil, 2004, 85(12): 2053-2057.
– reference: 5) Mong Y, Teo TW, Ng SS: 5-repetition sit-to-stand test in subjects with chronic stroke: reliability and validity. Arch Phys Med Rehabil, 2010, 91(3): 407-413.
– reference: 4) Lomaglio MJ, Eng JJ: Muscle strength and weight-bearing symmetry relate to sit-to-stand performance in individuals with stroke. Gait Posture, 2005, 22(2): 126-131.
– reference: 9) Rocha Ade S, Knabben RJ, Michaelsen SM: Non-paretic lower limb constraint with a step decreases the asymmetry of vertical forces during sit-to-stand at two seat heights in subjects with hemiparesis. Gait Posture, 2010, 32(4): 457-463.
– reference: 11) Winter DA: Human balance and posture control during standing and walking. Gait Posture, 1995, 3(4): 193-214.
– reference: 13) Cheng PT, Liaw MY, Wong MK, et al.: The sit-to-stand movement in stroke patients and its correlation with falling. Arch Phys Med Rehabil, 1998, 79(9): 1043-1046.
– reference: 6) Roy G, Nadeau S, Gravel D, et al.: Side difference in the hip and knee joint moments during sit-to-stand and stand-to-sit tasks in individuals with hemiparesis. Clin Biomech, 2007, 22(7): 795-804.
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Snippet 〔目的〕片麻痺者の立ち上がり動作中の麻痺側足圧中心点(center of pressure, COP)の前方移動量と,麻痺側荷重率および足関節底屈筋群の痙縮の程度との関係を...
「要旨」: 〔目的〕片麻痺者の立ち上がり動作中の麻痺側足圧中心点(center of pressure, COP)の前方移動量と, 麻痺側荷重率および足関節底屈筋群の痙縮の程度との関係を...
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SubjectTerms 脳卒中
足圧中心点
麻痺側荷重率
Title 片麻痺者の立ち上がり動作における麻痺側のCOP前方移動と荷重率の関係
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