股関節固定患者のADLと歩行

脊椎および隣接関節の障害に関連して

抄録

In this paper, A. D. L. was evaluated and motion pattern were analysed for 40 patients with surgical hip fusion progressed over one year after operations, comparing with fused hip angle, R. O. M. of spine and neighboring joints, and pain. And for 6 patients of them, gait analysis was made, taking 16mm movies in 2 synchronized directions of frontal plane and sagittal plane.
‹conclusion›
1) Highly significant correlation exists between (1) fused hip angle and degree of disability of spine and neighboring joints, and (2) each A. D. L. and motion pattern.
2) A. D. L. in flexion direction (e. g. upright sitting and sitting in a chair) is correlated with the sum of fused hip angle and flexion range of spine after operation, and the desirable angle of the sum is more than 90°.
3) Extension range of spine after operation is necessary more than 15° or 20° from a result of gait analysis.
4) Total range of motion of spine is necessary more than 60° from A. D. L. and gait.
5) In bilateral oste-arthritis, desirable range of motion of contralateral hip joint is more than 80° in flexion, 15° in abduction, and 60° in total range of flexion and extension.