@article{oai:kanazawa-u.repo.nii.ac.jp:00013234, author = {池永, 康規 and 染矢, 富士子 and 立野, 勝彦 and 八幡, 徹太郎 and 山口, 朋子}, issue = {2}, journal = {リハビリテーション医学}, month = {Feb}, note = {非ホジキンリンパ腫(NHL)の障害像について調査を行った.31人のNHL患者について後方視的に調べたところ,廃用性筋萎縮型が20人,末梢神経障害型が5人,脊髄障害型が6人であった.廃用性筋萎縮を呈した患者では臥床期間が3カ月以上続いており,リハ訓練の後独歩可能となった.末梢神経障害を呈した患者では,脊髄神経根,末梢神経への腫瘍浸潤を原因とする,下垂足,感覚障害を来していたが,適切な短下肢装具を使用したことで歩行可能となった.脊髄障害を呈した患者では,腫瘍細胞が脊椎に浸潤しており,リハ治療後歩行器歩行可能となった.NHLは,障害型に応じたリハが必要な疾患であると考えられる. Non-Hodgkin's lymphoma(NHL) was studied from the point of impediment and rehabilitation approach. Thirty-one patients diagnosed with NHL, who were referred to the Department of Rehabilitation Medicine at a university hospital. The patients could be classified into three types according to impediment: Twenty with disuse muscle atrophy, five with peripheral neuropathy, and six with spinal cord injury. The patients with disuse atrophy had been bed-ridden for three months before rehabilitation started, but at the end of the rehabilitation course, all of them could walk unaided inside the hospital. The patients with peripheral neuropathy showed foot drop and sensory disturbance because tumor cells invaded their peripheral nerves. Ankle-foot orthosis was very effective for this group and enabled the patients in this group to walk unassisted inside the hospital. The patients with paraplegia showed muscle clonus and atrophy in their legs because tumor cells had invaded the vertebral bodies. Following rehabilitation, all these patients could walk in their ward with the aid of a walker. We conclude that NHL can be classified into 3 types according to the type of impediment and requires a rehabilitation approach based on the classification., 金沢大学医薬保健研究域保健学系}, pages = {103--105}, title = {非ホジキンリンパ腫のリハビリテーション : 障害型に基づくアプローチ}, volume = {37}, year = {2000} }