The Japanese Journal of Rehabilitation Medicine
Online ISSN : 1880-778X
Print ISSN : 0034-351X
ISSN-L : 0034-351X
Volume 36, Issue 4
Displaying 1-12 of 12 articles from this issue
  • 1999 Volume 36 Issue 4 Pages 214-216
    Published: April 18, 1999
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
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  • Nobuyuki TANAKA
    1999 Volume 36 Issue 4 Pages 219
    Published: April 18, 1999
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
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  • Aspects from Public Health
    Koji MIURA
    1999 Volume 36 Issue 4 Pages 221-223
    Published: April 18, 1999
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
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  • Naoichi CHINO
    1999 Volume 36 Issue 4 Pages 224-226
    Published: April 18, 1999
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
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  • Makoto ISHIKAWA
    1999 Volume 36 Issue 4 Pages 227-231
    Published: April 18, 1999
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
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  • Shigenobu ISHIGAMI
    1999 Volume 36 Issue 4 Pages 231-233
    Published: April 18, 1999
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
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  • Hiroshi SATSUMA, Kanji FUKUDA, Katsuhiko TERADA, Seisuke TANAKA
    1999 Volume 36 Issue 4 Pages 234-236
    Published: April 18, 1999
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
    Despite the rehabilitative emphasis on hip abductor strength following total hip arthroplasty, it is unclear how muscular strength is related to Trendelenburg sign. Twenty-four patients (mean age 59 years) completed hip abductor and adductor strength assessments at 8 weeks after surgery. Isokinetic force-velocity curve indicated the significantly increased maximum torque for adductor in case of Trendelenburg positive patients. These data shows that hip abductor should play the most important role in Trendelenburg sign, besides it suggests that this sign should have something to do with its balance with hip adductor and force acting on the femoral head.
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  • Atsushi KINOSHITA, Hiroaki NAGASHIMA, Masuo SENDA, Masato KOTAKEMORI, ...
    1999 Volume 36 Issue 4 Pages 237-239
    Published: April 18, 1999
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
    The purpose of this study was to determine the normal values for the measurement sum of several maximal isometric strength using a manual myometer and to assess the clinical usefulness of this method. A sample of 120 healthy persons aged 20 to 79 years was tested. Measurements of three muscle strength (neck flexion, abduction of the upper extremity, and straight leg raising) were performed at the supine position, and the normal range of the measurement sum was calculated after stratification by age and sex. We also tested some myopathy and neuropathy patients. The measurement sum reflected the clinical condition and laboratory data of these patients. The main advantage of the manual myometer was that muscle strength could be measured simply. As we reported before, this method can be reliable if the measurement technique is standardized. We consider that the sum of these three muscle strength measurements using a manual myometer is useful in the clinical evaluation of myopathy and neuropathy patients.
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  • Two Cases Report
    Osamu YOKOYAMA, Manabu NONOGAKI, Noriko HINO, Akinobu NEMOTO, Kazuya M ...
    1999 Volume 36 Issue 4 Pages 240-242
    Published: April 18, 1999
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
    We report two cases of achondroplasia with a late onset of paraplegia. The patients, a 21-year-old man and a 44-year-old woman, exhibited neurological symptoms-such as intermittent claudication and weakness of lower extremities-for one to two years before a diagnosis of spinal canal stenosis was made. The outcome of spinal surgery was unsatisfactory and paraplegia persisted. Early functional recovery through rehabilitation training was impeded by clinical features of achondroplasia (i. e., extremely short stature and limbs). Devices like push-up handles and reachers were helpful in self-care activities. Inspite of long-term intensive rehabilitation training, these patients required minimal assistance in their activities of daily living, such as putting on trousers, applying self catheterization, and bathing. Functional outcomes in these cases were apparently poorer than for uncomplicated paraplegic patients.
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  • Kazutoshi YOKOGUSHI, Hiroshi NARITA, Toshihiko YAMASHITA, Kouji NAKAGA ...
    1999 Volume 36 Issue 4 Pages 243-245
    Published: April 18, 1999
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
    We prescribed a powered wheelchair driven with active movements of head and shoulder to a 66-year-old female patient with high level cervical cord injury. It is possible to switch six different gears of sitting up, reclining, low speed, moderate speed, high speed and backing by active elevation of the shoulder. Driving the wheelchair is controlled by extention and rotation of the neck. After practicing, she became independent to move indoors and outdoors with the powered wheelchair.
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  • Shigeru SONODA
    1999 Volume 36 Issue 4 Pages 246-254
    Published: April 18, 1999
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
    Pathophysiology of sound localization in stroke patients is reviewed. The mechanism of sound localization in humans has been eagerly studied and was explained at first as internaural time difference (ITD) or internaural intensity (pressure) difference (IID). Then the concept of a sound transfer function was introduced and a three dimensional system for testing using a headphone became available. Now, three test methods are utilized: speaker method, headphone method with ITD or IID, or headphone method with transfer function. The majority of the studies found disturbance of sound localization in stroke patients. Stroke patients having either a right or left hemispheric lesion less accurately identified the direction of sound than healthy subjects. In some studies, patients showed a systematic (relative) error in discrimination of direction. The term “systematic error” is used when the answered direction consistently deviated to one direction, clockwise or counterclockwise. Clockwise systematic deviation was frequently encountered in patients with a right hemispheric lesion. This phenomenon is closely related to hemispatial visual neglect. Disturbance of sound localization in stroke patients seems to be composed of two elements. The first cause is decreased accuracy of discrimination of direction. This phenomenon can be brought about by damage in either the right or left side of the brain. The second element is a systematic error that may be one expression of symptoms of hemispatial neglect. In clinical situations, a patient may manifest both elements, or possibly only one of the two elements. Higher cortical function concerning sound localization is not fully understood now. Further research may build a comprehensive theory for hemispatial neglect, including sound localization.
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  • 1999 Volume 36 Issue 4 Pages 255-257
    Published: April 18, 1999
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
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