Various social problems in an elderly society are global issues in today's society. Aging proceeds globally in the world while Japan is expected to become a super-aged society in an unprecedented short term. An increase in the elderly population, including the disabled, demands the expansion of social security-related expenditures, which confers an unbearable burden to the following generation. These “Aging Crises” would give rise to the collapse of the social system. We are here to emphasize the importance of the integration of the elderly population toward the productive society and in the reform of the life cycle that is currently refined by education, labor, and retirement. In order to establish a sustainable society, in which the elderly can be independent, we need to explore the occupations that are suitable for the elderly and reduce social security-related expenditures. In our research scheme, we conjugated the related research fields including medical science, engineering, and social science in order to integrate the various aspects of a complex aged society. The recent progress in our research project is reported.

抄録全体を表示

今後のリハビリテーション（以後リハビリ）医学の発展に役立てるように，私の経験と，その経験から生まれた地域リハビリはこうあるべきと考える手法と内容について，総論を述べる．
はじめに，これまでの経験を述べる．そこから得られた障害をもつ高齢者の自立へ向けた日常生活に関し，今日までのリハビリのあり方を問う．その後，生活内容を改善するために「這う」という行動を生活に取り入れるとどのように生活が楽になるかを示す．そしてその動作を獲得するためにはどのようなリハビリが必要なのかを述べ．さらにその実践による生活者の状況を示す．

抄録全体を表示

少子高齢化社会の急速な到来は，私たちの生活の周辺にも様々な変革をもたらしてきています．福祉の分野においても，福祉サービスの利用が措置から利用契約の仕組みに変更となり自由な選択によるサービスの利用が可能となりましたが，利用者にとって多くの不都合な側面も少なからず包含されています．このような利用契約上の不都合や不利益を緩和するためには，様々な新しい支援制度を有効に活用する必要があります．
福祉用具が，高齢者等の介護や自立•自助に寄与するために，その利用環境の整備に心掛ける必要があります．また，福祉用具の情報提供，人材養成，研究開発等に関わる非効率•非採算分野については公私の役割分担での取組みが不可欠でありましょう．

抄録全体を表示

下肢創動運動は，下肢機能回復の観点からリハビリテーション効果が定性的に報告されている．リハビリテーション効果の向上には，下肢創動運動を歩行や立位制御の観点から定量的に解析する必要がある．本研究は，立位保持能の観点から下肢創動運動実施時の筋電図および関節可動範囲を定量的に評価した．対象者は脳卒中後片麻痺者２名である．計測した筋は，立位保持に必要な長指伸筋，ヒラメ筋，腓腹筋，大腿直筋，内側広筋，外側広筋とした．その結果，下肢創動運動の実施により，患側の主動筋，拮抗筋に筋活動が認められ，運動力学的見地から協調的な活動が認められた．下肢の関節可動範囲の解析より対象者の痛みを誘発せずに最大可動域の確保が確認でき，筋電図の結果と合わせてリハビリテーションへの有効性が推測できた．

抄録全体を表示

We assessed a new type of walker with a seat and two fore sleds for use in both faculties and at home. This walker has been named "RAKU walker", with 4 casters and a pair of sleds besides the front casters. Forty seven patients were evaluated for this study. Quite an improvement was observed in FIM items (bathing, toilet use, self grooming, transfer and locomotion) in the initial interval. Patients above 75 years and below showed similar improvements. Clinical success of this walker depends on both the analysis of patient needs and proper selection of the patients.

抄録全体を表示

The elderly population of Japan of 65 years old or more increased rapidly, and reached 19% in 2003. Various strategies are necessary so that the aged may maintain healthy life. It appears to a physical function as a good influence if a mental function is activated for the aged. This time, the relation between a result and body various functions to practice the consumption behavior for a weak senior citizen and the slight dementia senior citizen were assumed and the relation to the state of mental was assumed to be an examination. Subjects were divided randomly into two groups, with one group (Cons-G) actually taking place in consumption activity, and with other group (W-G) only having a watching activity in the shopping center. Depression scale and face scale showed the improvement tendency in C-Group. It has been understood to cause the influence on a mental function with a physical change through this consumption behavior. It is necessary to grope for an effective technique achieving relations and these that achieve such senior citizen individual's needs.

抄録全体を表示

車いすを使用している人体のモデルを作成し，走行中のシミュレーションを行いことにより，振動や衝突，外乱等に対する応答データを得ることができる．ここでは，最も人体に影響があるとされている段差通過時などの挙動についても解明し，実験と比較検討した．その結果，人体が剛体リンクモデルであっても，効率よく人体挙動を再現するシミュレーションモデルを作成することができた．また，段差通過時に人体が発生させる反射的なモーメントに対してはフィードフォワード制御を加えることにより実験値に近づけることが解明された．

抄録全体を表示

Elderly cases offered Takizawa-Program as one of the rehabilitation techniques were evaluated statistically. Initially we clarified the characteristics of the total FIM (Functional Independent Measure) score and the relation between the number of improved items and of worsened ones. Furthermore, we investigated the multidimensional relevance of 18 FIM items to explain the characteristics of improvement or aggravation clear, and obtained four factors by factor analysis and classified into six groups by cluster analysis, and then extracted some specific cases. Finally, we statistically verified the effect about the 18 FIM evaluation items using the t-test, a sign test and the Wilcoxon signed rank sum test, and several items in the FIM were turned out to be significantly effective.

抄録全体を表示