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Assessment of the Effectiveness of Physical Therapy by Multivariate Analysis

通过多变量分析评估物理治疗的有效性

基本信息

批准号：
11835035
负责人：
SHIMIZU Kazuhiko
金额：
$ 1.98万
依托单位：
Kitasato University
依托单位国家：
日本
项目类别：
Grant-in-Aid for Scientific Research (C)
财政年份：
1999
资助国家：
日本
起止时间：
1999 至 2001
项目状态：
已结题

来源：
https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-11835035/
关键词：
physical therapy Effectiveness Multivariate Analysis Rehabilitation Structural Equation Modeling Cerebro Vascular Accident Total Hip Replacement Acute Myocardial Infarction Care Needs 筋骨格系疾患介護度認定

项目摘要

The primary aim of this study was to assess the effectiveness of physical therapy for the Patients with CVA (cerebrovascular accident, THR (total hip replacement), and AMI (acute myocardial infarction) using multivariate analysis. We also conducted additional study on related topics such as a survey of the caregivers for these patients working in day-service stations and an investigation of a simple method to evaluate the intelligence (cognitive capacity) of aged people by means of FIM (functional independence measure). The results are as follows:1. By using principal component analysis (PCA), Shimizu and Shimizu investigated the relationship among 93 test items used for assessing the level of gait disturbance (GD) of the CVA patients and found that these tests could be ranked in order according to the performance difficulty. Using this result, they demonstrated that the GD level could be more accurately assessed by reference to the most difficult performance task.2. By using structura … More l equation modeling (SEM), Nagasawa et al. proposed a formula to predict the ADL (activities of daily living) state at 2 years after onset of ischemic stroke through the combined use of demographic data (age, sex) and clinical findings (consciousness, etc) at the time of admission.3. Shimizu et al. converted the SS (signs and symptoms) found in the clinical records of 107 cases of THR patients into JOA (Japanese orthopedic association) hip rating scores By adding muscle strength of the patients to these scores, they constructed the SEM model and hypothesized the DIDH (disease impairment disability handicap) structure of the damage. They also found that the JOA hip scores reflected the physical aspect of SF-36 questionnaire, whereas did not do so for the mental aspect.4. Matsunaga et al. studied the effect of the muscle strength on endurance using 38 cases of the patients recovering from AMI. They found that 55% or more of relative strength of quadriceps femoris muscle to the body weight was needed to maintain s sufficient physical endurance. They also mentioned that many patients were motivated by the cardiac rehabilitation to return to performing their prior daily routines.5. Makita et al. conducted a survey of the caregivers working in day-service stations concerning their experiences in the care of these patients. By using PCA, they classified each person who received care services according to the severity of the case. They also discussed the issues which were experienced by the patients under their care during their service.6. Ogura et al. proposed a simplified method for evaluating the cognitive capabilities of aged people living independently in their towns by means of FIM. Less

本研究的主要目的是使用多变量分析来评估物理治疗对CVA（脑血管意外）、THR（全髋关节置换术）和AMI（急性心肌梗死）患者的有效性。此外，还对在日间服务站工作的老年人的看护者进行了调查，并对通过功能独立性测量（functional independence measure）评价老年人的智力（认知能力）的简易方法进行了调查。研究结果如下：1. Shimizu和Shimizu利用主成分分析（PCA）研究了用于评估CVA患者步态障碍（GD）水平的93个测试项目之间的关系，发现这些测试可以根据执行难度进行排序。利用这一结果，他们证明，通过参考最困难的表现任务，可以更准确地评估GD水平。使用structura ...更多信息 l方程模型（SEM），Nagasawa等提出了一个公式，通过综合使用入院时的人口统计学数据（年龄、性别）和临床表现（意识等）来预测缺血性卒中发病后2年的ADL（日常生活活动能力）状态. Shimizu等人将107例THR患者的临床记录中发现的SS（体征和症状）转换为乔亚（日本骨科协会）髋关节评分，通过将患者的肌肉力量添加到这些评分中，他们构建了SEM模型，并假设了损伤的DIDH（疾病损伤残疾障碍）结构。他们还发现乔亚髋关节评分反映了SF-36问卷的身体方面，而精神方面则没有。Matsunaga等人使用38例AMI恢复患者研究了肌力对耐力的影响。他们发现，股四头肌的相对力量需要达到体重的55%或更多，才能保持足够的身体耐力。他们还提到，许多患者在心脏康复的激励下恢复了之前的日常生活。Makita等人对在日间服务站工作的护理人员进行了一项关于他们护理这些患者的经验的调查。通过使用PCA，他们根据病例的严重程度对每个接受护理服务的人进行了分类。他们还讨论了他们护理的病人在服务期间遇到的问题。Ogura等人提出了一种简化的方法，用于评估独立生活在城镇中的老年人的认知能力。少

项目成果

期刊论文数量（17）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

宮原英夫: "予後予測の方法論"理学療法ジャーナル. 33. 863-869 (1999)

Hideo Miyahara：“预后预测方法”物理治疗杂志 33. 863-869 (1999)。

DOI：
发表时间：
期刊：
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通讯作者：

清水和彦, 小澤敏夫, 松永篤彦, 清水忍, 中村彩, 長澤弘他: "人工股関節全置換術後の障害像の構造的把握"第29日本行動計量学会大会発表論文抄録集. 29巻. 324-327 (2001)

Kazuhiko Shimizu、Toshio Ozawa、Atsuhiko Matsunaga、Shinobu Shimizu、Aya Nakamura、Hiroshi Nagasawa 等人：“全髋关节置换术后残疾的结构性理解”第 29 届日本行为测量学会会议论文摘要摘要。 -327 (2001)