{"created":"2023-07-25T10:22:41.290821+00:00","id":2130,"links":{},"metadata":{"_buckets":{"deposit":"4bc28b75-5582-483c-adf4-8031f86061b5"},"_deposit":{"created_by":3,"id":"2130","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"2130"},"status":"published"},"_oai":{"id":"oai:air.repo.nii.ac.jp:00002130","sets":["611:612:874:967"]},"author_link":["8132","8129","8131","8130","8128","8127"],"item_10002_alternative_title_34":{"attribute_name":"別タイトル","attribute_value_mlt":[{"subitem_alternative_title":"Kinetic analysis of one foot wheelchair propulsion characteristics according to seat surface angle of the wheelchair for stroke patients with hemiplegia"}]},"item_10002_biblio_info_36":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2013-10-31","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"124","bibliographicPageStart":"113","bibliographicVolumeNumber":"21","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":"片まひ者の車いす駆動では, 骨盤と体幹保持の不安定と車いすシート角度の後傾によりバックサポートにもたれた姿勢(体幹後傾斜位) での駆動が多い. この姿勢での駆動は二次的障害を助長しやすく, 駆動効率も悪くなる. そこで, 車いすのシート角度を前傾, または水平位の座面において, 体幹前傾位での駆動を促すことが, 車いす駆動を効率的にするとされている. そこで, 車いすの座面角度を後傾斜位から前傾斜位, 後傾斜位から水平位に変更したときの片まひ者の車いす片足駆動の駆動特性の変化を運動学的・運動力学的に検証した.対象は高次脳機能障害により日常生活が妨げられておらず, FIM の歩行・車いす項目が6点以上の20名とした.検証項目は動作分析, 筋電図(腹直筋, 脊柱起立筋, 腓腹筋, 大腿二頭筋, 前脛骨筋), 足圧量, 駆動速度(直進駆動, 折り返し駆動), 感性評価(VAS) とした. 検証項目を前傾斜位, 水平位, 後傾斜位の座面角度3条件で測定した. 座面角度を前傾斜位に変更すると２名が体幹後傾駆動から体幹前傾駆動に変化し, 腹直筋の活動量が増加した.水平位に変更すると腹直筋, 前脛骨筋の活動量が増加, 足圧量が増加した. 座面角度の変更による速度, 感性評価に変化は無かった. 結果より, 車いすの座面角度を前傾斜位, 水平位に変更することで車いすの駆動効率が良くなることが示唆された.","subitem_description_type":"Other"},{"subitem_description":"The seat surface of the wheelchair is usually tilted backward. The seat surface tilting backward causes a backward-leaning posture. This posture causes a secondary obstacle for a hemiplegic person in driving a wheelchair, and so it is said that the seat surface tilting forward, or flat are more efficient for than backward. However, this is not clear. Therefore, we analyzed kinetically and kinematically the change of wheelchair drive characteristics where the wheelchair seat angle was changed from backward to forward or flat. The subjects were twenty individuals with hemiplegia due to stroke, without higher brain dysfunction. Initial propulsion was captured on video, surface electromyography of the leg and trunk was performed, foot pressure was measured, propulsion time, and propulsion was subjectively assessed afterwards using the Visual Analogue Scale (VAS). These indices were used to compare and study differences as a result of seat surface angle. By tilting the seat surface angle forward, two persons adopted a forward-leaning posture from a backward-leaning posture and the %EMG activity of the rectus abdominis muscle was significantly greater. By flattening the seat surface angle, the %EMG activity of the rectus abdominis and tibialis anterior muscle were significantly greater, and foot pressure was significantly greater. The change of seat surface did not influence either driving speed or VAS. The results suggest that wheelchair propulsion is more efficient with forward-tilting or flat seat surface than backward-tilting.","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":"三橋, 力也"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"佐々木, 彬子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"金城, 正治"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"MITSUHASHI, Rikiya","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"SASAKI, Akiko","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"KINJO, Masaji","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":"hoken21-2(113).pdf","filesize":[{"value":"2.3 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"hoken21-2(113).pdf","url":"https://air.repo.nii.ac.jp/record/2130/files/hoken21-2(113).pdf"},"version_id":"eb5ba30f-4d84-4b50-b575-24c1ab73fc5e"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"車いす","subitem_subject_scheme":"Other"},{"subitem_subject":"座面角度","subitem_subject_scheme":"Other"},{"subitem_subject":"片足駆動","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":"座面角度の違いによる車いす片足駆動効率の解析 : 脳卒中片まひ者を対象に","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"座面角度の違いによる車いす片足駆動効率の解析 : 脳卒中片まひ者を対象に"}]},"item_type_id":"10002","owner":"3","path":["967"],"pubdate":{"attribute_name":"公開日","attribute_value":"2013-11-27"},"publish_date":"2013-11-27","publish_status":"0","recid":"2130","relation_version_is_last":true,"title":["座面角度の違いによる車いす片足駆動効率の解析 : 脳卒中片まひ者を対象に"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-07-25T11:43:10.788432+00:00"}