The Japanese Journal of Rehabilitation Medicine
Online ISSN : 1880-778X
Print ISSN : 0034-351X
ISSN-L : 0034-351X
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Volume 30, Issue 4
Displaying 1-7 of 7 articles from this issue
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  • [title in Japanese]
    [in Japanese]
    1993 Volume 30 Issue 4 Pages 229-230
    Published: April 18, 1993
    Released on J-STAGE: October 28, 2009
    DOIhttps://doi.org/10.2490/jjrm1963.30.229
    JOURNAL FREE ACCESS
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  • What Contribution Can Medicine Make to Community-based Rehabilitation?
    Lindsay McLellan
    1993 Volume 30 Issue 4 Pages 231-235
    Published: April 18, 1993
    Released on J-STAGE: October 28, 2009
    DOIhttps://doi.org/10.2490/jjrm1963.30.231
    JOURNAL FREE ACCESS
    Download PDF (742K)
  • [title in Japanese]
    [in Japanese]
    1993 Volume 30 Issue 4 Pages 236-242
    Published: April 18, 1993
    Released on J-STAGE: October 28, 2009
    DOIhttps://doi.org/10.2490/jjrm1963.30.236
    JOURNAL FREE ACCESS
    Download PDF (981K)
  • [title in Japanese]
    1993 Volume 30 Issue 4 Pages 243-260
    Published: April 18, 1993
    Released on J-STAGE: October 28, 2009
    DOIhttps://doi.org/10.2490/jjrm1963.30.243
    JOURNAL FREE ACCESS
    Download PDF (2482K)
  • Experimental Studies of Spinal Cord Transection in Rabbits
    Pathological Studies of the Urinary Tract
    Yasuo ITO, Takashi HARADA, Teruhito FURUICHI, Yuuji INOKUCHI, Masumi O ...
    1993 Volume 30 Issue 4 Pages 264-269
    Published: April 18, 1993
    Released on J-STAGE: October 28, 2009
    DOIhttps://doi.org/10.2490/jjrm1963.30.264
    JOURNAL FREE ACCESS
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    Seventy spinalized rabbits were prepared by spinal cord transection at the level of T-10 to T-11 to produce spastic paralysis. For thirty-five out of seventy rabbits, histopathological changes in the urinary tracts were then studied.
    All cases in the sample showed stretch reflexes to taps on the knee and ankle between 24 to 48 hours after spinal cord transection; these reflexes graduallay increased subesequently. All cases also displayed ankle clonus and spastic paraplegia in the hind limbs after two or three weeks.
    Urinary retention occurred in all the rabbits after recovery from anesthesia but automatic bladder developed the fourth and seventh days. Inflammation of the vesical wall became more and more pronounced. Hypertrophic changes in the vesical wall and muscle layer were also seen. Dilatation of the uretes were noted six weeks post-operatively.
    The kidneys displayed chronic pyelonephritis and mild hydronephrosis. Histopathologic findings also suggested VUR. At six months post-operatively, amyloid deposition was noted further in some glomeruli. These findings suggest that spinal cord transection induced in order voiding disturbance, hydronephroureters and then chronic pyelonephritis.
    These pathological changes in the urinary tract after experimental spinal cord transection are thought to provide a useful approach to treatment and diagnosis in clinical medicine.
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  • The Reasons for Interruption of Rehabilitation in Patients with Traumatic Spinal Cord Injury
    Masahiro NAGAYA, Ken AKASHI, Masaki ISE, Yoshihisa TSUKAMOTO, Tomoyuki ...
    1993 Volume 30 Issue 4 Pages 270-272
    Published: April 18, 1993
    Released on J-STAGE: October 28, 2009
    DOIhttps://doi.org/10.2490/jjrm1963.30.270
    JOURNAL FREE ACCESS
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    To identify the factors that prolong hospitalization following traumatic spinal cord injury, we studied the reasons for interruption of rehabilitation in 47 patients. 30 patients discontinued rehabilitation for more than 5 days on at least one occasion.
    The reasons were as follows.
    1) Spinal fusion/Laminectomy: 10 patients, 10 interruptions. 2) Plastic surgery for closure of decubitus ulcers: 9 patients, 13 interruptions. 3) Urinary tract infection: 7 patients, 10 interruptions. 4) Respiratory infection: 6 patients, 9 interruptions. 5) Removal of plates, wires or intramedullary nails/Intercostal nerve crossing: 4 patients, 5 interruptions. 6) Thrombophlebitis: 2 patients, 3 interruptions. 7) Others: 6 patients, 6 interruptions.
    The mean period of hospitalization in patients whose rehabilitation was interrupted was 75 days longer than that of patiests without such interruption.
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  • Stroke Impairment Assessment Set (SIAS)
    (1) The Concept and Clinical Application
    Shigeru SONODA, Eiichi SAITOH, Kazuhisa DOMEN, Naoichi CHINO, Akio KIM ...
    1993 Volume 30 Issue 4 Pages 273-278
    Published: April 18, 1993
    Released on J-STAGE: October 28, 2009
    DOIhttps://doi.org/10.2490/jjrm1963.30.273
    JOURNAL FREE ACCESS
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    Impairment assessment is indispensable for stroke rehabilitation, but the previously published methods have left some inadequate points. The authors have developed the Stroke Impairment Assessment Set (SIAS) based on the recommendations of the Buffalo symposium. SIAS includes items of motor, deep tendon reflexes, muscle tone, sensory, ROM, pain, trunk, higher cortical function, and sound side functions. The authors measured 66 stroke patients within four weeks of stroke onset, classifying them into 4 groups using cluster analysis. Groups were characterized as “generally low, ” “generally good, ” “medium, ” and “good sound side.” Sound side functions are generally known as the prognostic factors for stroke patients, but have not been used effectively as the parameters. The score pattern of the SIAS was adequately disseminated. The authors concluded that SIAS is a simple and valuable assessment tool for characterizing impairement.
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