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Methods: The patient was a 65-year-old woman who had developed depression and had therefore experienced long-term immobility. She had developed deteriorating the muscular strength and was restricted to diaper use. On alleviation of the depression, the patient wanted to use the toilet by herself. We used PNF muscle strengthening exercises to help the patient regain continence, while taking care to prevent overuse syndrome. This therapy was performed in 7 stages and we assessed the results in each stage. We also assessed the patient\u0027s muscular strength by using a handheld dynamometer and measured muscle thickness by ultra sonography. Results: After 4 weeks, the patient\u0027s muscular strength improved. After 8 weeks, she could operate the toilet without wearing her under-pants and pants. 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理学療法介入によりADL改善が認められた遠位型ミオパチーの1症例
http://hdl.handle.net/2297/39050
http://hdl.handle.net/2297/39050cb6533ad-d1d3-49e7-bb40-a036ad4e945f
名前 / ファイル | ライセンス | アクション |
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ME-PR-WATANABE-S-186.pdf (2.1 MB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2017-10-03 | |||||
タイトル | ||||||
タイトル | 理学療法介入によりADL改善が認められた遠位型ミオパチーの1症例 | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Improvement in Activities of Daily Living Effected by Physical Therapy Intervention for a Patient Who Developed Distal Myopathy as a Complication of Disuse Syndrome | |||||
言語 | ||||||
言語 | jpn | |||||
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 | journal article | |||||
著者 |
渡辺, 伸一
× 渡辺, 伸一× 岩田, 淳× 廣田, 智也× 横地, 英博× 染矢, 富士子 |
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書誌情報 |
理学療法学 = The Journal of Japanese Physical Therapy Association 巻 39, 号 3, p. 186-193, 発行日 2012-06-20 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0289-3770 | |||||
NCID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN10146032 | |||||
出版者 | ||||||
出版者 | 日本理学療法士協会 = About Japanese Physical Therapy Association | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 【目的】遠位型ミオパチー1症例に対し,トイレ動作能力向上を目的に運動療法を実施し,改善したので報告する。【対象と方法】症例は65歳の女性,うつ病により臥床期間が続いたことで,排泄はおむつにて全介助へと低下した。徐々にうつ症状が改善し,本人から「トイレに自分で行けるようになりたい」との訴えが聞かれるようになった。これに対し,過負荷を考慮したうえで,PNFによる筋力増強訓練とトイレ動作訓練を施行した。評価は一連のトイレ動作を7相に分け,相ごとに評価した。筋力においては徒手筋力計を用い,筋厚の測定には超音波診断装置を使用した。【結果】介入4週後から筋力向上を認め,トイレ動作においては介入8週後にズボン・パンツ上げ以外の動作が自立となった。【結語】遠位型ミオパチーの運動療法では過用症候群に留意したうえで訓練を行えば,廃用の改善を含めた筋力増強が可能であると考えた。 Purpose: We aimed to return using the toilet of a patient with distal myopathy by using exercise therapy. Methods: The patient was a 65-year-old woman who had developed depression and had therefore experienced long-term immobility. She had developed deteriorating the muscular strength and was restricted to diaper use. On alleviation of the depression, the patient wanted to use the toilet by herself. We used PNF muscle strengthening exercises to help the patient regain continence, while taking care to prevent overuse syndrome. This therapy was performed in 7 stages and we assessed the results in each stage. We also assessed the patient's muscular strength by using a handheld dynamometer and measured muscle thickness by ultra sonography. Results: After 4 weeks, the patient's muscular strength improved. After 8 weeks, she could operate the toilet without wearing her under-pants and pants. Conclusions: The muscular strength of a distal myopathy patient who has experienced long-term immobility can be improved by exercise, while taking care to prevent overuse syndrome. | |||||
権利 | ||||||
権利情報 | Copyright © 2013 by the Japanese Physical Therapy Association | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | http://ci.nii.ac.jp/naid/110009477072 | |||||
関連URI | ||||||
識別子タイプ | URI | |||||
関連識別子 | http://www.japanpt.or.jp/ |