The Japanese Journal of Rehabilitation Medicine
Online ISSN : 1880-778X
Print ISSN : 0034-351X
ISSN-L : 0034-351X
Volume 25, Issue 1
Displaying 1-8 of 8 articles from this issue
  • [in Japanese]
    1988 Volume 25 Issue 1 Pages 1
    Published: January 18, 1988
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
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  • [in Japanese]
    1988 Volume 25 Issue 1 Pages 4-10
    Published: January 18, 1988
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
    Download PDF (1104K)
  • [in Japanese]
    1988 Volume 25 Issue 1 Pages 11-16
    Published: January 18, 1988
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
    Download PDF (712K)
  • [in Japanese]
    1988 Volume 25 Issue 1 Pages 17-22
    Published: January 18, 1988
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
    Download PDF (1784K)
  • Tetsuo SUYAMA, Ryuichi NIHEI, Tetsuhiko KIMURA, Shoji TAKANO, Yoshiko ...
    1988 Volume 25 Issue 1 Pages 23-27
    Published: January 18, 1988
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
    Application of instrument surgery to a patient with a spinal cord injury can help correct spinal deformity and provide stability, but we have often noticed that the long Harrington rod used for this purpose sacrifices too much mobility in the spinal column and makes trunk balance difficult. We removed the Harrington rod from a number of patients who complained of excessive back pain or loss of trunk balance. The results were so favorable that we decided to investigate functional activities and subjective symptoms before and after removal of the Harrington rod.
    Over the past four years and two months we have removed Harrington rods. Of these cases, we have been able to follow nine directly. No marked changes were seen after removal of the rod in performances on I. S. M. G. and Strohkendl's tests for sitting balance or in wheelchair meneuverability. Subjective assessments revealed that pain noted prior to rod removal completly disappeared after the surgical procedure.
    We conclude that removal of the Harrington rod is generally a preferred procedure in the management of patients with spinal cord injuries.
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  • EXPLORATION OF EVALUATION METHODS
    Hisahiro Kishi
    1988 Volume 25 Issue 1 Pages 29-42
    Published: January 18, 1988
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
    When analyzing factors influencing aphasia and its recovery, it is the most important basic issue to select the most proper evaluation method which indexes ability of language and to realize the meaning of the method, grasping their excellences and defects.
    This study explored the following three different categories of evaluation methods; an ordinal scale evaluation in views of verbal communication of daily living, SLTA as a test battery, and an evaluation method adopting factors of factor analysis of SLTA as indexes of ability of language.
    SLTA was the most appropriate evaluation which indexes ability of language and its recovery. The total scores of SLTA was the most significant index among the items of SLTA. However, the ordinal scale evaluation could not be ignored as the indexes of recovery of ability of language. Factor analysis evaluation was not proper for that purpose.
    Comparative analysis of these three evaluation methods and internal items of each method also showed a significant trend in the meanings, excellences and defects of the methods, and correlations among them.
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  • Tetsumi HONDA
    1988 Volume 25 Issue 1 Pages 43-50
    Published: January 18, 1988
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
    The psychological acceptance of physical disabilities, especially in terms of self-awareness, was investigated in 43 patients with traumatic spinal-cord injuries. Results were as follows.
    1) There is a disparity between the period when patients resign themselves recovery from paralysis and when they recognize themselves as handicapped in social life.
    2) Those paients who gain independent ADLs (Activities of Daily Livings) go through these two periods succesively.
    3) Extremely disabled patients who must be permanently dependent on others can only resign themselves to recovery and never go beyond it.
    4) Depressive reactions occur when patients resign themselves to recovery, however, this tendency is not apparent when they recognize themselves as handicapped individuals.
    5) Various problems during rehabilitation can be understood as problems in above-mentioned process of self-awareness of disability.
    6) Comprehensive rehabilitation programs, including psycho-social approaches, are necessary to prevent such problems.
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  • Toshiko Note, Kazuya Ando, Satoshi Ueda
    1988 Volume 25 Issue 1 Pages 51-53
    Published: January 18, 1988
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
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