The Japanese Journal of Rehabilitation Medicine
Online ISSN : 1880-778X
Print ISSN : 0034-351X
ISSN-L : 0034-351X
Volume 12, Issue 1
Displaying 1-7 of 7 articles from this issue
  • [in Japanese]
    1975 Volume 12 Issue 1 Pages 1
    Published: 1975
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
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  • 1975 Volume 12 Issue 1 Pages 2-13
    Published: 1975
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
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  • 1975 Volume 12 Issue 1 Pages 15-29
    Published: 1975
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
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  • 1975 Volume 12 Issue 1 Pages 31-40
    Published: 1975
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
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  • 1975 Volume 12 Issue 1 Pages 41-48
    Published: 1975
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
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  • Kazuho Jin-nai, Toshiro Izawa, Kikuo Kameshita, Ken-u Hiyama, Isao Sat ...
    1975 Volume 12 Issue 1 Pages 49-55
    Published: 1975
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
    1) The interest in the spina bifida children with higher rehabilitation potential than C. P. is increasing recently in Japan.
    2) From 1970, over one hundred spina bifida children visited Kanagawa Children's Medical Center. We are approaching them from several aspects. The problems of orthopedic surgery and habilitation are reported in this paper including ambulatory function.
    3) The management of deformities of spine and lower extremities shoud be done under the proper understanding of their developing mechanism.
    4) We classified the level of paralysis into six groups according to the lowest level of the nerve preserved. The patients with intakt L5 show no paralytic hip dislocation and have independent ambulation with or without short leg braces.
    5) Therefore, L5 nerve is seemed to be the critical level for the spina bifida children.
    6) The children with the paralysis below this level can get indipendent ambulation until the age of three to four by proper management.
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  • NAOICHI CHINO
    1975 Volume 12 Issue 1 Pages 57-64
    Published: 1975
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
    Ten B-K amputees were studied for stump-socket interface pressure changes upon ramp walking.
    Five miniature pressure transducers were placed on the patellar tendon, kickpoint, medial and lateral tibial condyle and the calf. Flexion of the hip and knee joint was evaluated by electric goniometers and the gait pattern was analysed through foot switches.
    Upon the level walking, the mean maximum pressure was 1.67kg/cm2 at the patellar tendon and 0.86kg/cm2 at the kick-point. The maximum pressures on the medial and lateral condyle and the calf were 1.01, 1.09, and 0.32kg/cm2 respectively.
    On the ramp walking, a remarkable pressure change was noted on the kick-point where the pressure was increased up to 1.40kg/cm2 on 3 degree descending and decreased to 0.65kg/cm2 on 3 degree ascending. On the patellar tendon, the pressure was decreased to 1.22kg/cm2 on 3 degree descending. There was little change noted during the ramp walking in the lateral and medial tibial condyle and the calf.
    On the level walking, flexion of the hip and the knee joint was 27.9 and 51.2 degree respectively and flexion of the joint was increased as the subject ascended.
    The mean cadence was 80 per minute with the stance phase of 57.8% on the prosthetic leg and 62.5% on the nomal leg. This may indicate some instability of the prosthetic leg.
    Finally, the computer analysis was compared with the conventional pen-recorder polygraph and future research is contemplated using the computer system.
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