The Japanese Journal of Rehabilitation Medicine

[title in Japanese]

[in Japanese]

1999 Volume 36 Issue 9 Pages 581-583
Published: September 18, 1999
Released on J-STAGE: September 04, 2009

DOIhttps://doi.org/10.2490/jjrm1963.36.581

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[title in Japanese]

[in Japanese]

1999 Volume 36 Issue 9 Pages 584-588
Published: September 18, 1999
Released on J-STAGE: September 04, 2009

DOIhttps://doi.org/10.2490/jjrm1963.36.584

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[title in Japanese]

[in Japanese]

1999 Volume 36 Issue 9 Pages 588-590
Published: September 18, 1999
Released on J-STAGE: September 04, 2009

DOIhttps://doi.org/10.2490/jjrm1963.36.588

JOURNAL FREE ACCESS

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[title in Japanese]

[in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...

1999 Volume 36 Issue 9 Pages 591-592
Published: September 18, 1999
Released on J-STAGE: September 04, 2009

DOIhttps://doi.org/10.2490/jjrm1963.36.591

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The Relationship between Return to Society and WAIS-R in the Patients with Severe Traumatic Brain Injury

Neuropsychological Evaluation in Severe Traumatic Brain Injury (Part 3)

Yasushi TOMITA, Satoshi MIYANO, Shu WATANABE, Masahiro OHASHI, Norimas ...

1999 Volume 36 Issue 9 Pages 593-598
Published: September 18, 1999
Released on J-STAGE: September 04, 2009

DOIhttps://doi.org/10.2490/jjrm1963.36.593

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The purpose of this study is to investigate the relationship between cognitive disorders and return to society in traumatic brain injury (TBI) patients. Intellectual disorders were evaluated by Wechsler Adult Intelligence Scale-Revised (WAIS-R). Subjects were 60 severe TBI patients under 55 years old, who could walk outdoor independently and being free from aphasia. These patients were divided into working group and nonworking group, the latter included sheltered employment. In the working group, Verbal IQ (VIQ) and Performance IQ (PIQ) were 90.4 ± 14.6 and 80.5 ± 14.2 respectively, whereas in the non-working group, VIQ and PIQ were 82.3 ± 14.2 and 62.3 ± 13.0. Given multivariable analysis, it was found out that PIQ and subtests of picture arrangement and digit symbol had been useful in distinguishing the both groups. These tests reflected social ability and were likely regarded as useful predictors for return to society in severe TBI patients.

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Factors Associated with Handicaps of Spinal Cord Injured Patients

Pilot Study of the CHART

Noriyo AOYAGI, Hidetoshi TAKAHASHI, Yukihiro HARA, Keiichi SHIBAZAKI, ...

1999 Volume 36 Issue 9 Pages 599-606
Published: September 18, 1999
Released on J-STAGE: September 04, 2009

DOIhttps://doi.org/10.2490/jjrm1963.36.599

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To study handicaps of spinal cord injured (SCI) patients and factors that influence them, we assessed 73 outpatients (30 with cervical and 43 with thoracic or lumbar cord injury) with the Craig Handicap Assessment and Reporting Techniques (CHART). The CHART was developed in the United States based on the recommendation by the World Health Organization, and consists of the five domains of physical independence, mobility, occupation, social integration and economic self-sufficiency. We analyzed total and domain scores of the CHART and their relationships to ASIA motor scores, bladder and bowel item scores of the FIM and the presence or absence of the history of decubitus ulcers. The CHART scores averaged 396.3 (212 to 500) and did not differ significantly among different impairment levels (p= 0.160, Kruskal-Wallis test). They were higher in patients with independent bladder or bowel control as opposed to dependent group (414.1 ± 63.7 vs. 337.9±62.8 and 414.6±64.8 vs. 348.6±57.9, p<0.01, Mann-Whitney U test) and in patients having no history of decubitus ulcer (434± 61.6 vs. 387.4 ± 70.6, p<0.05). These results suggested that the handicaps of SCI patients were more influenced by the degree of disability than by the degree of impairment. The achievement of good bladder and bowel controls and pressure-sore-free state could influence beneficially on the quality of their handicaps.

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Exercise-induced Hypertrophy of the Partially Denervated Muscle in Cervical Spinal Cord Injury

Evaluation by Muscle Fiber Conduction Velocity

Kunitsugu KONDO, Yasutomo OKAJIMA, Meigen LIU, Naoichi CHINO

1999 Volume 36 Issue 9 Pages 607-611
Published: September 18, 1999
Released on J-STAGE: September 04, 2009

DOIhttps://doi.org/10.2490/jjrm1963.36.607

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Strength of the muscle innervated by the damaged spinal anterior horn cell or root is important for improving patients' ADL especially in cervical spinal cord injury. Physiatrists have to evaluate and prognosticate strength of the partially denervated muscle of these patients. We established non-invasive methods to measure muscle fiber conduction velocity (MFCV), and applied the methods to the evaluation of exercise-induced hypertrophy of the damaged muscle in patients with cervical spinal cord injury in this study. MFCV and cross sectional area of the brachial biceps were measured in 9 patients with C5 or C6 spinal cord injury and 9 healthy volunteers. Nine patients were divided into two groups; namely, well-trained (n=7) and non-trained (n=2) groups. Cross sectional area of the biceps was larger in the healthy volunteers than in the well-trained patients. MFCV of the well-trained patient group was faster than that in the volunteer and non-trained patient group. Results indicate that MFCV of the biceps is potentially helpful to determine whether the muscle is fully strengthened or not in patients with C5 and C6 spinal cord injury.

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