1.

論文

論文
Nakae, Hideyuki ; Tsushima, Hitoshi
出版情報: 弘前医学.  65  pp.55-64,  2014-04-15.  弘前大学大学院医学研究科・弘前医学会
URL: http://hdl.handle.net/10129/5315
概要: Background/Aims: We investigated the relationship between problems in daily living such as falls and the practice of hom e exercises in patients with Parkinson’s disease (PD) in Japan, to show the requirements for their eff ective and sustainable home exercises.Methods: An anonymous questionnaire was sent by mail to 159 PD patients who were members of the Miyagi Prefecture Branch of the Japan Parkinson’s Disease Association. The questionnaire included questions on PD symptoms, chief complaints, history of falls, use of the nursing care insurance program, and performance of exercise therapy.Findings: The questionnaire response rate was 62.3%. Falls had been experienced by 38 subjects (44.2%) during the month before the survey and by 52 (60.5%) during the 6 months before the survey. More than half (52.3%) of subjects had never undergone exercise therapy at a medical institution, and those who continued to undergo exercise therapy accounted for only 12.8% of all subjects. Thirty-three subjects (38.4%) did not undergo exercise therapy on a regular basis in any setting. Conclusion: To prevent a decrease in activity due to disuse muscular atrophy, it is important to establish more eff ective home exercises for home-care PD patients so that they can do these exercises on a regular basis. 続きを見る
2.

論文

論文
Nakae, Hideyuki ; Tsushima, Hitoshi
出版情報: 弘前医学.  65  pp.190-198,  2014-09-30.  弘前大学大学院医学研究科・弘前医学会
URL: http://hdl.handle.net/10129/5427
概要: Objective: To compare physical function and 24-h activity in home-care patients with Parkinson’s disease with those in h ealthy elderly people.Methods: Physical function (range of motion, muscle strength, activities of daily living, gait, and balance) was measured in 10 home-care patients with Parkinson’s disease (PD group) and 10 healthy elderly subjects (healthy group). As an indicator of the amount of physical activity per day, a triaxial accelerometer was used to measure the 24-h total impulse value; simultaneously, behavior recorders were used to measure 24-h posture.Results: The healthy group scored significantly higher in activities of daily living, walking speed, and balance. No significant difference was observed between groups in terms of range of motion, muscle strength, cadence, amount of physical activity per day, and number of postural changes. However, the PD group spent significantly more time per day standing and in a supine position.Conclusion: In the PD group, the amount of physical activity per day was comparable to that in the healthy elderly group, despite the decreased levels of activity caused by their impaired performance in activities of daily living. Range of motion and muscle strength may have been maintained by these patients’ self-training and by training at day-care centers. Our results suggest the importance of practicing postural transfers from the standing and supine positions and of intervention and guidance that aim to improve impaired performance in daily living. 続きを見る