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Study on Scientific Implementation of Medical foot care for Nursing care protection and Health promotion

科学实施医疗足疗护理保障与健康促进研究

基本信息

批准号：
17500481
负责人：
KOYAMA Hironori
金额：
$ 0.96万
依托单位：
Tokyo Denki University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
2005
资助国家：
日本
起止时间：
2005 至 2006
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/en/grant/KAKENHI-PROJECT-17500481/
关键词：
Nursing care protection Medical foot care Lower limb function Assessment of falling Risk

项目摘要

Falls and fracture are infirm cause. Since 90% or more of hip fracture of aged were caused by falls, fall is one of the most serious problem. And the elderly were declined activity of daily living by falling. To improve flexibility of lower limb, walking ability and muscular strength of the lower limb is effective in order to preserve and improve in ADL and QOL. Local authority and assisted living residence are using a exercise for prevent of falling in aged. But the evaluation methods have little scientific basis, evaluation method cannot evaluate easily. We focused that flexibility of lower limb, walking ability and muscular strength of the lower limb of those, who have abnormalities in toenail, are declined and increasing falling risk. This study is suggested the new evaluation index on the flexibility of lower limb, walking ability and muscular strength of the lower limb. They are living in a special elderly nursing home. In order to assess the change of their lower limb function, all subjects received the medical foot care for 1 year. Lower limb function of all the subjects, related the muscular strength, the flexibility of lower, distance of extroversion of the toe and walking ability, are measured at the medical foot care and they are investigated to assess the effectiveness of the purposed method. Parameters with significant differences between the before medical foot care and the after medical foot care were selected and summarized by principal component analysis into lower limb function assessment indices including lower limb function and flexibility and walking ability. The assessment score corresponded to questionnaire about actual activities in daily life. The results suggested that it was possible to assess the lower limb function of elderly numerically and to advise on their foot function, risk of falls, and active areas.

福尔斯和骨折是虚弱的原因。老年髋部骨折中90%以上是由福尔斯跌倒引起的，跌倒是最严重的问题之一。老年人因跌倒而导致日常生活能力下降。提高下肢柔韧性、步行能力和下肢肌力是维持和提高日常生活能力和生活质量的有效方法。地方当局和辅助生活住宅正在使用一种防止老年人跌倒的方法。但评价方法缺乏科学依据，评价方法不易评价。我们关注的是，有趾甲畸形的人，下肢的灵活性，步行能力和下肢肌肉力量下降，并增加跌倒的风险。提出了下肢柔韧性、步行能力和下肢肌力的新评价指标。他们住在一个特殊的老人护理院。为了评估下肢功能的变化，所有受试者接受1年的足部医疗护理。在足部医疗护理中，对所有受试者的下肢功能，包括肌力、下肢柔韧性、足趾外翻距离和步行能力进行测量，并对其进行调查，以评估所提出方法的有效性。选取足部医疗护理前后差异有统计学意义的参数，采用主成分分析法将其归纳为下肢功能评价指标，包括下肢功能、柔韧性和步行能力。评估分数对应于日常生活中实际活动的问卷。结果表明，老年人下肢功能的数字化评估是可能的，并建议他们的脚功能，福尔斯的风险，和活动区。