| Item type |
紀要論文 / Departmental Bulletin Paper(1) |
| 公開日 |
2007-12-14 |
| タイトル |
|
|
タイトル |
障害のある高齢者の膝関節屈曲拘縮に対する自己ストレッチングの効果 |
| その他のタイトル |
|
|
その他のタイトル |
Effect of Self-stretchs on The Prevention of Knee Flexion Contracture in the Frail Elderiy. |
| 言語 |
|
|
言語 |
jpn |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
障害の工る高齢者 |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
膝関節屈曲拘縮 |
| 主題 |
|
|
主題Scheme |
Other |
|
主題 |
自己ストレッチング |
| 資源タイプ |
|
|
資源タイプ識別子 |
http://purl.org/coar/resource_type/c_6501 |
|
資源タイプ |
departmental bulletin paper |
| 作成者 |
進藤, 伸一
上村, 佐知子
籾山, 日出樹
小松, しのぶ
SHIND, Shinichi
UEMURA, Sachiko
MOMIYAMA, Hideki
KOMATSU, Shinobu
|
| 内容記述 |
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|
内容記述タイプ |
Other |
|
内容記述 |
介護老人保健施設に入所中の障害のある高齢者55名を3群(膝圧迫法群,体前屈法群,対照群)に分け,膝関節屈曲拘縮を予防・改善する簡便な2種類の自己ストレッチングを6週間実施した.その結果,直接,膝関節に伸長刺激を加える膝圧迫法群は,膝関節屈曲拘縮の指標である長座位床-膝窩距離(左右平均)が0.5cm縮小(p<0.01)したが,体前屈法群と対照群はほとんど変化しなかった.これは,移動が自立している高齢者にみられる軽度の膝関節屈曲拘縮は,関節包や靭帯などの短縮による関節原性の拘縮が原因であったため,膝関節に直接伸長刺激を加える膝圧迫法がより有効に作用したためと考えられる. |
| 内容記述 |
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内容記述タイプ |
Other |
|
内容記述 |
It is important to prevent the progress of knee flexion contracture to maintain ambulatory function. This study aimed to examine the effects of two types of self-stretch for preventing knee flexion contracture in the frail elderly. Fifty-five volunteers residing in health care service facilities for the elderly participated in this study. They were divided into three groups; a sit-and-reach stretch group, a direct knee extension stretch group, and a control group. The sit-and-reach stretch was a forward reach toward a foot elevated on a stool with the knee in extension. The direct knee extension stretch was pushing the knee into passive extension in sitting and placing a foot on the floor. These self-stretches were done twice on both sides for 30 seconds per day, four days per week. The control group did not stretch. Before and after six weeks of the self-stretches, the effects were evaluated through the distance between the popliteal region and the floor in a long sitting position and the sit-and-reach test. The average distance between the popliteal region and the floor on both sides improved significantly from 2.9±2.1 cm to 2.4±1.8 cm in the direct knee extension stretch group (p<0.01), while it improved only from 2.4±1.8 cm to 2.3±1.6 cm in the sit-and-reach stretch group (NS). The sit-and-reach test improved significantly from -5.6±9.0 cm to -2.3±8.0 cm in the sit-and-reach stretch group (p<0.01), while it decreased from -9.1±10.4 cm to -9.2±10.3 cm in the direct knee extension stretch group. Compared with the stretch groups, there were no significant changes in these parameters amongst the control group. The direct knee extension stretch made a significant difference to the status of the knee flexion contracture. This indicates that the main cause of slight knee flexion contracture is tightness of soft tissues around the joint (ligaments, joint capsules) rather than hamstring length. If the direct knee extension stretch were to be introduced, ambulatory function in the frail elderly would be better maintained. |
| 出版タイプ |
|
|
出版タイプ |
VoR |
|
出版タイプResource |
http://purl.org/coar/version/c_970fb48d4fbd8a85 |
| 書誌情報 |
秋田大学医学部 保健学科紀要
巻 12,
号 1,
p. 48-52,
発行日 2004-03-31
|
| ISSN |
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収録物識別子タイプ |
ISSN |
|
収録物識別子 |
13478664 |
| NCID |
|
|
収録物識別子タイプ |
NCID |
|
収録物識別子 |
AA11834061 |
| 出版者 |
|
|
出版者 |
秋田大学医学部 |
KJ00004257417.pdf (650.9 kB)
