The Japanese Journal of Rehabilitation Medicine
Online ISSN : 1880-778X
Print ISSN : 0034-351X
ISSN-L : 0034-351X
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Volume 37, Issue 9
Displaying 1-6 of 6 articles from this issue
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  • [title in Japanese]
    Naoichi CHINO
    2000 Volume 37 Issue 9 Pages 583-584
    Published: September 18, 2000
    Released on J-STAGE: October 28, 2009
    DOIhttps://doi.org/10.2490/jjrm1963.37.583
    JOURNAL FREE ACCESS
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  • Symposium
    2000 Volume 37 Issue 9 Pages 585-597
    Published: September 18, 2000
    Released on J-STAGE: October 28, 2009
    DOIhttps://doi.org/10.2490/jjrm1963.37.585
    JOURNAL FREE ACCESS
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  • Peripheral Nerve Function in Hemiplegia Resulting from Cerebral Palsy
    Takeshi MIYAJI
    2000 Volume 37 Issue 9 Pages 598-604
    Published: September 18, 2000
    Released on J-STAGE: October 28, 2009
    DOIhttps://doi.org/10.2490/jjrm1963.37.598
    JOURNAL FREE ACCESS
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    I studied a secondary disturbance of the peripheral nerve following a lesion in the upper motoneuron using M and F wave studies of the tibial nerve. Fifteen subjects with hemiplegia as a result of cerebral palsy (CP), 15 subjects with hemiplegia as a result of strokes or head injuries (acquired group), and 15 normal controls age-matched to the CP group were examined. I assessed the MCV and the amplitude ratio of M waves after stimulating the popliteal and ankle. The shortest latency, difference in latencies, and the duration and amplitude of F waves after stimulating the ankle were also assessed. When the affected and the non-affected limbs were compared, both the CP and the acquired group had statistically significant differences in the MCV, F/M duration ratio and F/M amplitude ratio. When the results for non-affected limbs and the normal group were compared, both the CP and the acquired group had statistically significant differences for the MCV, the shortest F latency, and the F/M duration ratio. In both the affected and non-affected limbs, the abnormal M wave amplitude ratio and the F/M amplitude ratio in the CP group were less severe than those of the acquired group.
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  • Fractal Analysis of Bone Atrophic Changes on Calcaneus Radiographs after Ankle Fracture
    Yuichi TAKANO
    2000 Volume 37 Issue 9 Pages 605-608
    Published: September 18, 2000
    Released on J-STAGE: October 28, 2009
    DOIhttps://doi.org/10.2490/jjrm1963.37.605
    JOURNAL FREE ACCESS
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    Fractal analysis is known to reflect complexity of image texture. The purpose of this study is to evaluate the relationship between fractal dimension and bone atrophy of the calcaneus after ankle fracture. The lateral radiographs of the 20 operatively treated ankle fractures were taken fortnightly after trauma, and then the radiographic images of the intact calcaneus were digitized using a digital camera. The region of interest (100×100 pixels) of fractal analysis focused on the center of the calcaneus in lateral radiographs. Results were expressed by the fractal dimension (FRS) of the computerized surface method. The FRS ratio was, then, defined as the ratio of FRS of post-operative radiograph to that of pre-operative one. In 16 cases, the FRS ratios increased and then gradually recovered after the start of weight bearing. In other 4 cases, the FRS ratios decreased and then recovered. In this study, the fractal dimension did not correlate with bone volume but with time course of the FRS ratio changes after ankle fracture. It suggests that the FRS ratios could reflect bone architectural change of calcaneus. The advantages and disadvantages of this technique, however, need to be defined using more strict exposure conditions in further investigation.
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  • Two Cases of Cervical Osteophytic Dysphagia
    Yuji KOYAMA, Shin-Ichi IZUMI, Akira ISHIDA, Kazuo SAKAIZUMI, Kiichi TA ...
    2000 Volume 37 Issue 9 Pages 609-612
    Published: September 18, 2000
    Released on J-STAGE: October 28, 2009
    DOIhttps://doi.org/10.2490/jjrm1963.37.609
    JOURNAL FREE ACCESS
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    We experienced rehabilitation of two patients with pharyngeal stage dysphagia due to diffuse idiopathic skeletal hyperostosis (DISH). Videofluoroscopic examination of swallow function (VF) revealed that large cervical osteophytes interfered with the downward tilt of the epiglotis and the opening of the cricopharyngeal sphincter. Anterolateral osteophytectomy was performed for the two patients to whom supraglottic swallow was taught. However, 2 month postoperative VF demonstrated residue in the vallecula after the swallow of liquid and jelly. We continued to lead the effortful swallow and range of motion tongue exercises for the two patients. As a result, it was suggested that these approach were effective for the improvement of epiglottic movement.
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  • Regional Meetings
    2000 Volume 37 Issue 9 Pages 613-623
    Published: September 18, 2000
    Released on J-STAGE: October 28, 2009
    DOIhttps://doi.org/10.2490/jjrm1963.37.613
    JOURNAL FREE ACCESS
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