{"created":"2023-07-25T10:22:24.605550+00:00","id":1768,"links":{},"metadata":{"_buckets":{"deposit":"420dce0b-9874-404f-b3ad-10112ce96f06"},"_deposit":{"created_by":3,"id":"1768","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"1768"},"status":"published"},"_oai":{"id":"oai:air.repo.nii.ac.jp:00001768","sets":["611:612:874:897"]},"author_link":["6488","6492","6485","6490","6486","6489","6491","6487"],"item_10002_alternative_title_34":{"attribute_name":"別タイトル","attribute_value_mlt":[{"subitem_alternative_title":"Factors correlating with duration for achieving independent gait after total knee arthroplasty."}]},"item_10002_biblio_info_36":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2011-10-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"142","bibliographicPageStart":"135","bibliographicVolumeNumber":"19","bibliographic_titles":[{"bibliographic_title":"秋田大学大学院医学系研究科保健学専攻紀要"}]}]},"item_10002_description_29":{"attribute_name":"内容記述（抄録）","attribute_value_mlt":[{"subitem_description":"人工膝関節全置換術(TKA) 後に歩行自立となるまでの期間(days for independent gait, DIG) に影響する因\n子を明らかにするため, 年齢, 性, 身体的特徴, 歩行時の疼痛の程度, 膝関節可動域, 膝関節筋力, 術側上肢と非術側上肢によるファンクショナルリーチテスト(FRT) 値の差(difference of FRT value, DFRTV) を検討した.\n2010年３月～12月の期間に秋田赤十字病院で変形性膝関節症により片側TKA (ADVANCE Knee System ; Wright\nMedical Japan) が施行され, 術後は定められた同一のプログラムに従って機能訓練を受けた患者22名(男性２名,女性20名), 平均年齢73.2歳(61～84歳) を対象とした. 統計解析にはSPSS 12.0J for Windows を用いた. DIG は平均10.4日(４～21日) であった. 術前因子のうちではbody mass index (BMI) のみDIG と有意な相関を示した(P＝0.01). 術後の因子では, 術後１週の膝伸展角度(P＝0.002), 膝屈曲筋力体重比(P＝0.006), 歩行時の疼痛(P＝0.02), DFRTV (P＝0.008) が有意な相関を示した. またDFRTV は年齢(P＝0.03), BMI (P＝0.045), 歩行時の疼痛(P＝0.02) と有意に相関していた. TKA に関するプログラムでは術前の体重コントロール, 疼痛コントロールのための低侵襲の手術手技や適切な医療管理, 術後早期からの膝屈曲・伸展訓練が重要であると考えられた.また新たに考案したDFRTV はバランス能力だけでなく術後歩行時の疼痛を評価できる簡便なテスト法であると考察した.","subitem_description_type":"Other"},{"subitem_description":"Pre- and postoperative factors including age, sex, general physical characters, pain scale on gait, range of motion of the knee, muscle power of the knee, difference of functional reach test values between right and left upper extremities (DFRTV) were evaluated in order to clarify factors influencing the duration until DIG (days for independent gait) was achieved after total knee arthroplasty (TKA). The study involved 22 patients (male 2 ; female, 20), and the average age was 73 years (range, 61-84). All patients\nunderwent unilateral TKA (ADVANCE Knee System ; Wright Medical Japan) due to osteoarthritis of the\nknee, and postoperative rehabilitation under the same program in Akita Red Cross Hospital from March to December, 2010. Statistical analysis was performed by SPSS 12.0J for Windows. The duration ranged from 4 to 21 days (mean 10.4). In preoperative factors, only body mass index (BMI) was associated with the duration (P＝0.01). In postoperative factors, maximum knee extension angle (P＝0.002), maximum isometric knee flexion muscle power weight ratio (P＝0.006), pain on gait (P＝0.01), DFRTV (P＝0.008) 1 week after the surgery were significantly correlated with the duration. DFRTV were well correlated with pain scales (P＝0.02), BMI (P＝0.045) and age (P＝0.03). These results indicated that preoperative control of body weight, less invasive surgical procedure and adequate medical care for pain control, early exercise of knee extension and flexion were important in rehabilitation programs for patients after TKA.\nFurthermore, DFRTV, newly developed test in this study, might be a simple and useful one to detect not only balance ability but also intensity of postoperative pain.","subitem_description_type":"Other"}]},"item_10002_publisher_30":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"秋田大学大学院医学系研究科保健学専攻"}]},"item_10002_source_id_27":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"18840167","subitem_source_identifier_type":"ISSN"}]},"item_10002_source_id_35":{"attribute_name":"NCID","attribute_value_mlt":[{"subitem_source_identifier":"AA12447617","subitem_source_identifier_type":"NCID"}]},"item_10002_version_type_37":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"坂本, 和寛"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"岡田, 恭司"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"山平, 斉"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"工藤, 俊輔"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SAKAMOTO, Tomohiro","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"OKADA, Kyoji","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"YAMAHIRA, Hitoshi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KUDO, Shunsuke","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2017-02-16"}],"displaytype":"detail","filename":"hoken19-2(135).pdf","filesize":[{"value":"1.2 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"hoken19-2(135).pdf","url":"https://air.repo.nii.ac.jp/record/1768/files/hoken19-2(135).pdf"},"version_id":"d5214386-89e3-49b1-99f8-efb0a531a441"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"TKA","subitem_subject_scheme":"Other"},{"subitem_subject":"歩行自立","subitem_subject_scheme":"Other"},{"subitem_subject":"予後予測","subitem_subject_scheme":"Other"},{"subitem_subject":"膝関節機能","subitem_subject_scheme":"Other"},{"subitem_subject":"FRT","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"人工膝関節全置換術(TKA) 施行患者の予後予測因子の検討 ―歩行自立と膝関節機能との関連性―","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"人工膝関節全置換術(TKA) 施行患者の予後予測因子の検討 ―歩行自立と膝関節機能との関連性―"}]},"item_type_id":"10002","owner":"3","path":["897"],"pubdate":{"attribute_name":"公開日","attribute_value":"2011-12-14"},"publish_date":"2011-12-14","publish_status":"0","recid":"1768","relation_version_is_last":true,"title":["人工膝関節全置換術(TKA) 施行患者の予後予測因子の検討 ―歩行自立と膝関節機能との関連性―"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-07-25T11:46:51.759570+00:00"}