The Japanese Journal of Rehabilitation Medicine
Online ISSN : 1880-778X
Print ISSN : 0034-351X
ISSN-L : 0034-351X
Volume 4, Issue 2
Displaying 1-4 of 4 articles from this issue
  • A Manual of Principles and Methods
    Knud Jansen, [in Japanese]
    1967 Volume 4 Issue 2 Pages 83-95
    Published: April 18, 1967
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
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  • Iwao Yokoyama
    1967 Volume 4 Issue 2 Pages 118-126
    Published: April 18, 1967
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
    Actual recovery states of 160 cases with histories of CVA were investigated on home visits by public health nurses in Tamagawa district of Tokyo.
    The results were as follows;
    1) 59.3% of the cases were independants, 21.9% were partially dependants and 18.8% were completely dependants. The rate of return to job was 26.7%.
    2) Numbers of completely dependants according to the lapse of time after the stroke was as follows; those number decreased remarkably one year after the stroke, but thereafter 1.0-1.3% of the cases were present per year stationally to ten years after the stroke. 11.9% of the cases still remained as completely dependant over one year after the stroke.
    3) The ratio of male to female was 5:3 and the restoration of ADL showed no marke'd difference between them.
    4) From this survey, factors pointed out as impedimental to restoration of ADL of post-CVA patients were right-side hemiplegia, incontinentia urinae et albi, decubiti, lack of motivation, moderate mental impairments and speech disturbances. Concomitant visual disturbance, tremor, convulsive seizure and involuntary movements were also noted as impedimental.
    5) In living circumstances, incomplete heating using “Kotatsu” “Hibachi” or “Anka” in the winter and living rooms lack of sun shine through the seasons were noted as impedimental factors also.
    6) Therapeutic exercises were experienced by only 11.9% of the cases and braces were used by only 1.3% of the cases.
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  • 1967 Volume 4 Issue 2 Pages 127-141
    Published: April 18, 1967
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
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  • Satoshi Sato
    1967 Volume 4 Issue 2 Pages 149-153
    Published: April 18, 1967
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
    The grave situation of rehabilitation service in medical institutes in Japan was schematically demonstrated and the lack of effective service was attributed to its specific cultural surroundings and a bias of medical interest under that influence.
    The author stressed that the establishment of more potent and comprehensive central rehabilitation service is essential considering the less advanced social security services in this country, and more active participations of respective clinical specialities regarding rehabilitation as one of their principal duties are necessitated than they are in European countries and the United States at present.
    Every attending doctor should take the responsibility to the results of rehabilitation just as he has taken in the therapeutic work, and the central rehabilitation service can act only as a cooperator.
    In order to develop and complete this dualism in rehabilitation service, it was suggested that two kinds of rehabilitation specialist will be taken into account: the one a rehabilitation specialist in existing clinical speciality, the other a new specialist which is quite independent of any existing specialities.
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