The force used to pick up an object with one upper extremity after picking up a heavy object contralaterally -Does the force in the non-dominant hand for picking up an object influence the force in the dominant hand?-

This study follows the two studies "Generation of excess grip force after picking up a heavier object with the contralateral hand" by Noda (2004) and "The force used to pick up an object with one upper extremity after picking up a heavy object contralaterally: The influence of the force for the unilateral picking up of an object on the force used on the opposite side," by Nagai et al. (2010). In Noda (2004) and Nagai et al. (2010), the procedures of picking up an object first with the dominant hand and then by the non-dominant hand was used. In our study, we used the same procedures but in reverse order, so as to investigate the influence of the non-dominant hand on the dominant hand. Results showed that the surface pressure did not significantly increase when picking up a light object with the dominant hand after picking up a heavy object with the non-dominant hand. This result was different from the those reported by Noda (2004) and Nagai et al. (2010)

足指把持力とバランス能力との関係性の検討

本研究の目的は、足指把持力とバランス能力との関係性を検討することである. 対象は、健常な中高年女性13名(年齢59.8±4.3歳)と若年女性11名(年齢22.5±1.9歳)とした. 対象者には、足指把持力と立位での足圧中心(COP)の総軌跡長を測定した. COPの総軌跡長の測定は、条件の異なる2つの立位にて実施した. また、足指が床に接地した状態と接地していない状態とでFunctional Reach Test(FRT)を実施した. その結果、中高年女性と若年女性ともに、足指把持力と立位でのCOPの総軌跡長との間には相関関係が認められなかった. また、FRTの測定値は足指の接地の有無による影響が認められなかった. これらのことから、健常な中高年女性および若年女性において、足指把持力とバランス能力との明らかな関係性を示すことはできなかった.The objective of this study was to investigate the relationship between toe gripping force and balance ability. Subjects were 11 healthy young females (aged 22.5±1.9years) and 13 healthy upper-middle-aged females (aged 59.8±4.3years). Toe gripping force and the overall path length of the center of foot pressure (COP) while standing were measured. Measurement of the overall path length of COP was performed in two standing positions under two sets of conditions. In addition, the functional reach test (FRT) was administered with toes in contact with or not in contact with the floor. Results revealed no correlation between toe gripping force and overall COP path length while standing in both the upper-middle-aged group and the young group. In addition, no effect of contact or non-contact of the toes with the floor was noted in the measured FRT values. These findings showed no clear relationship between toe gripping force and balance ability in healthy young females or healthy upper-middle-aged females

足指把持力とバランス能力との関係性の検討

本研究の目的は、足指把持力とバランス能力との関係性を検討することである. 対象は、健常な中高年女性13名(年齢59.8±4.3歳)と若年女性11名(年齢22.5±1.9歳)とした. 対象者には、足指把持力と立位での足圧中心(COP)の総軌跡長を測定した. COPの総軌跡長の測定は、条件の異なる2つの立位にて実施した. また、足指が床に接地した状態と接地していない状態とでFunctional Reach Test(FRT)を実施した. その結果、中高年女性と若年女性ともに、足指把持力と立位でのCOPの総軌跡長との間には相関関係が認められなかった. また、FRTの測定値は足指の接地の有無による影響が認められなかった. これらのことから、健常な中高年女性および若年女性において、足指把持力とバランス能力との明らかな関係性を示すことはできなかった.The objective of this study was to investigate the relationship between toe gripping force and balance ability. Subjects were 11 healthy young females (aged 22.5±1.9years) and 13 healthy upper-middle-aged females (aged 59.8±4.3years). Toe gripping force and the overall path length of the center of foot pressure (COP) while standing were measured. Measurement of the overall path length of COP was performed in two standing positions under two sets of conditions. In addition, the functional reach test (FRT) was administered with toes in contact with or not in contact with the floor. Results revealed no correlation between toe gripping force and overall COP path length while standing in both the upper-middle-aged group and the young group. In addition, no effect of contact or non-contact of the toes with the floor was noted in the measured FRT values. These findings showed no clear relationship between toe gripping force and balance ability in healthy young females or healthy upper-middle-aged females

年齢群の違いによるリーチテストの意義に関する検討

本研究の目的は、端座位および立位にて前方と測方へのリーチテストを実施し、年齢群の違いによるリーチテストの意義について検証することである. 対象は、健常な若年女性11名(年齢22.5±1.9歳)と中高年女性13名(年齢59.8±4.3歳)とした. 対象者には、端座位および立位での前方と測方へのリーチ距離を測定し、各測定値の相関分析を行った. その結果、若年群では立位での前方リーチ距離と端座位での測方リーチ距離との間に有意な相関関係が認められなかったものの、その他の測定項目間には有意な相関関係が認められた. 一方、中高年群では全ての測定項目間に有意な相関関係が認められなかった. これらのことから、中高年群における各リーチテストは、それぞれが関係性を有さずに独立したものであることが示唆された. したがって、中高年群では一つのリーチテストの結果をバランス能力として包括的に解釈することはできず、それぞれのリーチテストの結果を個別に分析する必要性があると考えられる.The objective of this study was to elucidate the relationship between anterior and lateral reach test in different positions and different aged female groups. Subjects were 11 healthy young females (aged 22.5±1.9years) and 13 healthy upper-middle-aged females (aged 59.8±4.3years). The reach distances of anterior and lateral directions in squarely seated position on bed with sole free to the floor and standing position were measured, and the relationship between the measured values was analyzed. Results revealed no significant correlation between anterior reach distance when standing and lateral reach distance when seated squarely in the young group, but a significant correlation was noted between the other measured variables. On the other hand, no significant correlation was seen between any of the measured variables in the upper-middle-aged group. These findings suggest that the four positions measured by the reach tests in the upper-middle-aged group are independent and have no correlation. Therefore, the result of one reach test in the upper-middle-aged group can not be interpreted comprehensively as balance ability, we should be analyzed separately for each reach tests

臨床実習における理学療法実践体験量と理学療法技術水準の関係

理学療法臨床実習における見学、検査測定体験、治療体験の量が、実習終了時の自覚的な検査測定技術、治療技術の水準に及ぼす影響を検証するために、臨床実習を終了した本学理学療法学専攻4年次学生36名を対象にアンケートを行った. 質問内容は、一日あたりに見学した患者数とその時間、検査測定した患者数とその時間、指導を受けたセラピスト数とした. 理学療法技術水準は、実習終了時の自己の検査測定技術、治療技術水準が考えうる最高の水準であれば100点、最低の水準であれば0点として自己採点させた. 検査測定技術点、治療技術点は治療時間と有意な正の相関関係、見学人数と有意な負の相関関係にあった. 以上より、実習中の治療体験量の増大は、実習終了時の自覚的な理学療法技術水準を増大させるが、見学では増大しない可能性が示唆された.Purpose of this study was to investigate the effect of the volume of observation of physical therapy,experiment of measurement and therapy on skill of measurement and therapy by self-evaluation. The thirty six student of physical therapy after clinical internship of physical therapy were asked about the internship by questionnaire distributed after the internship. The items in the questionnaire were the number of patient and time in observation per day, the number of the patient and time in evaluation and therapy, and number of therapist who teach the student of physiotherapy per day. The ability of evaluation and therapy were scored by self-estimation after the internship. There were significantly positive correlation between the score of ability of evaluation and therapy and the time of therapy. In the other, there was significantly negative correlation between the score and number of patient in observation. These finding indicate that increasing of the volume of experiment of physical therapy can increase the ability of evaluation and therapy but increasing of observation cannot increase the ability

短期間の理学療法評価臨床実習の実態調査

理学療法士を養成する大学で実施される短期間の理学療法評価臨床実習の実態を明らかにすることを目的に、3年次大学生を対象にアンケート調査を実施した. 実習で学生が担当した症例の約80%が典型的な運動器疾患であり、約87%の学生が実習開始3日目以内に理学療法評価を開始していた. 1日の検査測定実施時間は約40分、治療実施時間は約17分、見学の時間は約340分であった. 帰宅後、デイリーノートや課題に費やす時間は約4時間、睡眠時間は約3時間であった. 以上より、実習期間が短いことと、初めての臨床実習であることを考慮し、計画的に実習が進行されていたと考えられた. その一方、見学や課題レポート作成の時間に比べて、評価・治療実施時間が極めて短いことがわかったが、現行の診療報酬制度下による病院運営の観点から、実習生に評価・治療体験のための時間を増加することは困難であると推測される. 効果的な理学療法実習を実現するための臨床実習体制の提案が必要である.The aim of this study was to investigate the actual situation of the clinical internship of physical therapy evaluation in 3 weeks. The inventory survey was conducted for the third grader student belonging to the university which trains a physical therapist. Approximately 80% of disease of the case of what student was in charge were the patients after a typical fracture. Approximately 87% of students started a physical therapy evaluation within third day. The time of evaluation was approximately 40 minutes, the time of therapy was approximately 17 minutes and the time of study by observation was 340 minutes per one day. Approximately 4 hours were spent for homework and the time of sleep was approximately 3 hours per day. Thus, in consideration of very short period of the clinical internship of physical therapy evaluation, the internship could be premeditatedly conducted by supervisor. On the other hand, it was found that the time of evaluation and therapy was extremely shorter than the time of study by observation and homework. From the viewpoint of hospital management under current fee-for-service system, it could be difficult to make a time to evaluation and therapy by student. The new proposal of the clinical internship of physical therapy system for effective training is necessary

高校吹奏楽部所属学生における身体症状と身体機能に関する研究

高校吹奏楽部所属学生を対象に、演奏楽器別に整形外科的症状の出現時期や出現部位について明確にすること、ならびに身体機能評価から整形外科的症状との関係について言及することを目的とした. 方法として身体症状はアンケート調査、身体機能評価は協力できる部員に筋力や関節柔軟性を測定した. 整形外科的症状が出現していた部員の多くはユーフォニウム、チューバ担当であり、比較的、大型の重量楽器を演奏する部員に多かった. また、サックス、パーカッション、カラーガード担当も複数の関節に症状が出現していた. 関節の柔軟性については低下している部員が多く、長座体前屈距離や下肢伸展挙上で全国平均値を下回っていた. また、体幹筋力を評価する上体起こしや背筋力は全国平均値を下回っていた.We intended that the students belonging to the brass band in high school to clarify for site of origin and time of appearance of symptoms orthopedic by musical instruments, to mention the relationship between symptoms and orthopedic from the assessment body functions and. Physical symptoms questionnaire, physical function evaluation was to measure the strength and joint flexibility to staff as a way to cooperate. Euphonium, many of the staff orthopedic symptoms had appeared tuba is in charge, there were many in the staff that a relatively large weight to playing an instrument. In addition, the symptoms have appeared in multiple joints sax, percussion, and color guard personnel. For many staff the joint flexibility is declining, was below the national average in distance and elevation on sit-and-reach distance and straight leg raising. In addition, the trunk body to evaluate back strength and sit up was below the national average