The Japanese Journal of Rehabilitation Medicine
Online ISSN : 1880-778X
Print ISSN : 0034-351X
ISSN-L : 0034-351X
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Volume 43, Issue 11
Displaying 1-7 of 7 articles from this issue
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Short Notes
  • Using Dipyridamole-loaded Electrocardiograms in Ischemic Stroke Rehabilitation Patients to detect Silent Ischemic Heart Disease
    Mariko SEKIGUCHI, Michio MASUDA, Katsunori KONDO
    2006 Volume 43 Issue 11 Pages 752-755
    Published: 2006
    Released on J-STAGE: November 27, 2006
    DOIhttps://doi.org/10.2490/jjrm1963.43.752
    JOURNAL FREE ACCESS
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    Background : It has been reported that ischemic heart disease (IHD) is frequently observed in patients with stroke, but an exercise stress ECG cannot be administered to patients with post-stroke sequelae. We therefore tried using dipyridamole-loaded electrocardiograms in post-stroke patients to detect silent ischemic heart disease. Materials and methods : A dipyridamole-loaded electrocardiogram was administered to 60 rehabilitation patients after cerebral infarction, based on the report of Picano et al. Dipyridamole was infused at a dosage of 0.56 mg per kilogram over four minutes, and the electrocardiogram was recorded immediately after infusion, and then again two and four minutes after infusion. Results : Dipyridamole-loaded electrocardiogram was positive in 10 of the 60 persons (16.7%). Of these, 4 were atherothrombotic stroke patients, 3 were lacunar, and one was cardioembolic. Only two of the 10 patients had abnormal resting electrocardiography. Four out of 10 patients complained of chest pain during the test. Conclusions : A dipyridamole-loaded electrocardiogram can be safely and effectively used in patients with post-stroke sequelae. This method is considered to be one of the diagnostic methods to detect silent ischemic heart disease in post-stroke patients.
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  • Standing Test Score after Femoral Neck Fracture Surgery in relation to Post-operative Walking Ability
    Jun ITO, Hidehiko FUJITA
    2006 Volume 43 Issue 11 Pages 756-761
    Published: 2006
    Released on J-STAGE: November 27, 2006
    DOIhttps://doi.org/10.2490/jjrm1963.43.756
    JOURNAL FREE ACCESS
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    Postoperative walking ability, standing test score, the revised version of Hasegawa's Dementia Scale (HDS-R), walking motivation, patient insight into their disease, and the presence of poriomania were all evaluated in patients with femoral neck fracture after surgery. The number of patients was 138 (13 men, 125 women). Mean age of the patients was 83.7 years old. The results of the standing test were divided into three levels. (Good : Both feet press the floor almost equally well, fair : Only the intact foot presses the floor good enough, poor : Neither foot presses the floor adequately and the patient is unable to keep standing) The standing test was performed one day after surgery. As for results, the group of patients that scored“good"in the standing test had significantly better results in their incidence of walking after surgery than the group of patients scoring“other than good". A logistic regression test was performed to evaluate whether the group of the patients with“good"had confounding factors such as age, sex, HDS-R, walking motivation, insight into disease, and poriomania. The results showed that the standing test was a predictor in addition to HDS-R or insight into disease, walking motivation, and poriomania. In conclusion, there was a correlation between standing test score and postoperative walking ability.
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  • Use of the SF-8 to assess Health-Related Quality of Life (HRQOL) in Elderly Patients with SMON (Subacute Myelo-Optico-Neuropathy)
    Kaoru HONAGA, Shin YAMADA, Meigen LIU
    2006 Volume 43 Issue 11 Pages 762-766
    Published: 2006
    Released on J-STAGE: November 27, 2006
    DOIhttps://doi.org/10.2490/jjrm1963.43.762
    JOURNAL FREE ACCESS
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    The aim of this study was to evaluate the health-related quality of life (HRQOL) in elderly persons with disabilities living in the community using the SF-8TM. Their subjective HRQOL is one of the most important outcome measures for rehabilitation medicine. However, it is difficult to evaluate HRQOL in elderly people who have many chronic diseases and disorders. The SF-8TM was developed as a short version of the SF-36TM to lessen the burden on the respondents. The SF-8TM was administered to seven patients with SMON (average age 78.0 years, range 69 to 84 years ; 5 women) suffering from peripheral neuropathy. The average length of illness was 39.8 years. Functional limitations in ADL was also assessed with the Barthel Index (BI). Their SF-8TM scores were significantly lower in all domains (p<0.05) in comparison with the age matched reference population, indicating their impaired HRQOL. Their physical satisfaction was low even if they had better ADL status (BI 90). In addition, the questionnaire response had no defect value. Feasibility of the SF-8TM measurement in SMON patients with disabilities was demonstrated. In conclusion, the SF-8TM is a useful instrument in the management of SMON patients. In future studies, the measure should be tested on a larger scale, and its longitudinal responsiveness also needs to be examined.
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Reports
43rd Annual Meeting of the Japanese Association of Rehabilitation Medicine
Symposium
  • Progress and Practice of Rehabilitation for Stroke
    2009 Volume 43 Issue 11 Pages 729-751
    Published: November 18, 2009
    Released on J-STAGE: February 10, 2010
    DOIhttps://doi.org/10.2490/jjrm1963.43.729
    JOURNAL FREE ACCESS
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    Stroke Treatment Guideline 2004 in Japan —What does it Bring?…Yoshihisa MASAKADO, Meigen LIU, Akio KIMURA 729

    Network of Therapy and Care for Stroke…Yoichiro HASHIMOTO, Susumu WATANABE, Toshiro YONEHARA, Tadashi TERASAKI, Teruyuki HIRANO, Makoto UCHINO 733

    How to Perform Highly Concentrated Rehabilitation…Shigeru SONODA 739

    Rehabilitation for Paretic Upper Extremity of Patients with Stroke…Toshiyuki FUJIWARA, Meigen LIU, Yuko KASASHIMA, Osamu UEMURA 743

    Rehabilitation Approach to Gait Disorders in Patients with Stroke…Mitsuhiro OCHI, Kenichirou MAKINO, Futoshi WADA, Satoru SAEKI, Kenji HACHISUKA 747
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