The Japanese Journal of Rehabilitation Medicine
Online ISSN : 1880-778X
Print ISSN : 0034-351X
ISSN-L : 0034-351X
Volume 41, Issue 8
Displaying 1-6 of 6 articles from this issue
  • [in Japanese]
    2004 Volume 41 Issue 8 Pages 529-530
    Published: August 18, 2004
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
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  • WeeFIM and PEDI
    Meigen LIU
    2004 Volume 41 Issue 8 Pages 531-539
    Published: August 18, 2004
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
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  • Eiji SUZUKI, Mitsuru MAJIMA, Toshihiro TSURUKAWA, Taro IMAI, Akiko HIS ...
    2004 Volume 41 Issue 8 Pages 540-547
    Published: August 18, 2004
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
    Here we report the results of a case-mix study of stroke patients in the post acute stage. Subjects were 394 stroke patients enrolled consecutively between January 1999 and December 2002 upon admission to our rehabilitation unit. Motor FIM (functional independence measure) at admission was verified as having a critical influence on functional status at discharge and was closely co-related with other impairment factors shown to be significant in multiple regression analysis (stepwise entry method, dependent variable: FIM at discharge). Stroke patients were classified into 8 groups (NODES) by classification and regression trees (CART) using the following three independent variables: FIM at admission, age, and days from onset to admission. Patients with a FIM at admission not less than 33 showed a good prognosis (NODE 6, 7, 8). Patients with a FIM at admission not more than 15 showed a poor prognosis (NODE 1). The prognosis of patients with a FIM at admission between 16 and 32 was dependent on patient age and days from onset to admission.
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  • Masanori NISHI, Masanori FUNAKOSHI, Tetsuo IKAI
    2004 Volume 41 Issue 8 Pages 548-554
    Published: August 18, 2004
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
    We examined the usefulness of the Gross Motor Function Classification System (GMFCS) for the prescription of wheelchairs and seating systems. We classified the severity of 66 cerebral palsy patients under 12 years old using the GMFCS, and compared these results with their medical findings. All of the prescribed patients were at more then level III on the GMFCS and half of them were level V. The severity of cerebral palsy as ascertained using the GMFCS had correlations with locomotion evaluated by FIM/WeeFIM, paralysis, complications, and types of wheelchairs and seating systems prescribed. This study concluded·that the GMFCS enabled us to evaluate objectively the severity of each child's disability and was a useful assessment tool to prescribe wheelchairs and seating systems for them.
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  • Takashi KASAHARA, Yuji KOYAMA, Shin-ichi IZUMI, Hisanao AKIYAMA, Toshi ...
    2004 Volume 41 Issue 8 Pages 555-560
    Published: August 18, 2004
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
    Severe dysphagia occurs in over 50% of lateral medullary syndrome (LMS) cases, and the prognosis varies greatly among individuals. Predicting the prognosis of the dysphagia from data acquired at the acute phase is very important in selecting both the type and duration of dysphagia treatment. Here we examined whether radiological findings and severity of dysphagia in the acute phase could accurately predict prognosis and treatment required. We experienced 2 cases of LMS in which magnetic resonance imaging in the acute phase showed medullary lesions on the ipsilateral side of the medulla in each patient. Videofluorograhic examination of swallowing revealed severe dysphagia with an absence of the swallowing reflex. Both patients received swallowing therapy, including thermal stimulation, supraglottic swallow, and the Mendelsohn maneuver. While dysphagia was significantly improved one month post onset in one patient, the loss of swallowing reflex continued for more than one year in the other patient. These findings indicate that radiological data and severity of dysphagia in the acute phase cannot accurately predict the prognosis of dysphagia in LMS patients.
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  • 2004 Volume 41 Issue 8 Pages 561-564
    Published: August 18, 2004
    Released on J-STAGE: October 28, 2009
    JOURNAL FREE ACCESS
    Download PDF (421K)
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