巻号一覧
42 巻, 8 号
選択された号の論文の5件中1～5を表示しています
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会長講演
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―変遷と障害評価および研究課題―立野 勝彦2005 年 42 巻 8 号 p. 547-552
発行日: 2005年
公開日: 2006/09/22
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症例報告
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永冨 彰仁, 赤星 和人, 阿部 玲音, 小川 真司, 村岡 香織, 永田 雅章2005 年 42 巻 8 号 p. 553-557
発行日: 2005年
公開日: 2006/09/22
ジャーナル フリーWe report a 40-year-old female patient with Spinal Muscular Atrophy (SMA) type III, a slow progressive motor neuron disease, who also had an ADL disorder caused by a bilateral severe pes equinus deformity since she was an infant and newly occurring brachial plexus palsy. Her pes equinus deformity occurred in childhood and was gradually aggravated afterwards, but appropriate guidance was not taken due to her mother's distrust of medical intervention. By the time she was 25, it was impossible for her to walk, and she retired from her job and lived afterward at several homes. Her left upper extremity was inconvenient, but she utilized her right upper extremity, and her independent life indoors was managed by crawling. At 39 years of age, she became unconsciousness in a diabetic coma for four days. When her consciousness returned, right brachial plexus paralysis occurred. All of her ADL needs except meal movement required assistance, so she was transferred to our hospital for the purpose of rehabilitation 11 months after the onset of her paralysis. Finally, she was able to dress herself, roll over and gain locomotion with an electric wheelchair and she became independent, but she still needed assistance for transfer activities. With her improved ADL, her mother's distrust of medical assistance was overcome and a good doctor patient relationship was formed.抄録全体を表示PDF形式でダウンロード (956K) -
阿部 優介, 渡邉 哲郎, 佐伯 覚, 蜂須賀 研二2005 年 42 巻 8 号 p. 558-563
発行日: 2005年
公開日: 2006/09/22
ジャーナル フリーWe report a 59-year-old man with X-linked Charcot-Marie-Tooth disease. Although the patient had already been diagnosed with polyneuropathy at a hospital, he was admitted to our department for further rehabilitative treatments because he began to notice that he needed assistance while walking. On admission, he had muscle atrophy and weakness in the distal part of his extremities, sensory loss of touch and pain in the fingers, feet and toes, and loss of deep tendon reflexes, and pes equino-cavus. Conduction velocities of the bilateral median, ulnar, and tibial nerves were lower than the standard values, and evoked potentials of the bilateral sural nerves were not detected. Needle electromyography showed polyphasic motor unit action potentials in the left tibialis anterior and right first dorsal interosseus muscles. Gene analysis disclosed a mutation (Trp77→stop codon) in the connexin 32. Therefore, we diagnosed him as having X-linked Charcot-Marie-Tooth disease. For rehabilitative treatments, we prescribed resistive exercises for the upper and lower extremities, prolonged stretching of the ankle joints on a standing board, and gait training with bilateral Lofstrand's crutches and shoe-horn type plastic ankle-foot orthosis. A standard wheelchair was also made available for going outside.抄録全体を表示PDF形式でダウンロード (394K)
総説
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―痙性と筋力の影響―丸石 正治, 黒瀬 靖郎, 片山 昭太郎2005 年 42 巻 8 号 p. 564-572
発行日: 2005年
公開日: 2006/09/22
ジャーナル フリーCerebral palsy (CP) is a motor disorder that results from a nonprogressive brain lesion that occurs during prenatal or perinatal development. As motor function in patients with CP changes with brain development, it may be more suitable to make a quantitative evaluation during adulthood than childhood. But until now there has been little information available about adult CP. In this review, we investigate the clinical characteristics and ADL scores in adult CP patients from our series of clinical experience. From our previous study that assessed the clinical characteristics of adult CP using uniform scale, a population of adult CP patients showed markedly increased muscle tone and moderate muscle weakness. These two factors did not correlate with each other, and were independently responsible for worse ADL scores. Decreased functional ability and secondary muscloskeletal problems such as cervical spondylosis are common in adult CP patients. We therefore added a review of them such reports from the literatures.抄録全体を表示PDF形式でダウンロード (971K)
地方会
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2005 年 42 巻 8 号 p. 573-580
発行日: 2005/08/18
公開日: 2010/02/05
ジャーナル フリーPDF形式でダウンロード (590K)
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