Overwork Weakness in Patients with Neuromuscular Diseases…Satoru SAEKI, Yasuyuki MATSUSHIMA, Kenji HACHISUKA 795

An Update on Pulmonary Rehabilitation in Patients with Neuromuscular Disease…Kozo HANAYAMA 799

Rehabilitation of Parkinson’s Disease : The Latest Evidence and Approach for Postural Disorders <Review Article>…Nobuo TAKEZAWA 804

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Three-dimensional Kinematics and Kinetics in Osteoarthritis of the Knee…Eiichi NAKAMURA, Nobukazu OKAMOTO, Yasunari ONIKI, Akihiro NISHIOKA, Tatsuki KARASUGI, Miki OOGUSHI, Yoshiko NISHI, Risa SHIMAMURA, Hiroshi MIZUTA 813

Hip Fracture and Healthy Life Expectancy <Review Article>…Motoyuki HORII, Toru MORIHARA, Takumi IKEDA, Tsuyoshi SUKENARI, Toshikazu KUBO 819

Pain Management in Locomotive Disorder…Takanori MURAKAMI 826

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Objective : This study aimed to investigate the changes in the functioning of users of visiting rehabilitation services and related factors. Methods: Among 107 users in 22 visiting rehabilitation centers, we analyzed the data of 80 who completed the 6-month study. Their Functional Independence Measure (FIM), Life-Space Assessment (LSA), and level of caregiver burden (J-ZBI_8) were compared at the commencement of this study, and at 3 and 6 months afterwards. A multiple linear regression analysis was performed to examine the factors related to the variables, which changed over 6 months. Results : Over a period of 6 months from the commencement of the study, we found that FIM and LSA scores significantly improved from 82.4 to 87.3 (p=0.016) and from 9.9 to 12.3 (p=0.05), respectively, in the group who were still within 1 year from the time since onset/injury. A multiple regression analysis revealed that the period of time since onset/injury, independence degree of daily living for the demented elderly, and presence of goal setting for activities of daily living/domestic work significantly influenced changes in total FIM scores (p=0.001, R²=0.32). Furthermore, the change in LSA scores was significantly influenced by gender, presence of cerebrovascular diseases, period of time since onset/injury, number of occupations involved in visiting rehabilitation services, and J-ZBI_8 scores (p=0.0001, R²=0.36). Conclusion : Effective visiting rehabilitation requires having appropriate goals set for daily living activities and the establishment of interprofessional collaboration within visiting rehabilitation centers.

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Objective : With clinical application in mind, we developed a method to measure the movement of a selected joint three-dimensionally as a conic domain (joint sinus cone). The method was applied to shoulder joint motion during daily living activities exercises in a group of hemiparetic poststroke patients. The results were compared to the exercise range of physically unimpaired persons. Methods : The subjects dressed in jackets and performed certain other tasks in a sitting position and the range of motion of the shoulder joint in three dimensions was measured using a 6-dimensional electromagnetic tracking system. Measurement results were analyzed with a plane display using a Lambert Azimuthal equal area. Results : This method was able to determine findings difficult to see with the naked eye, such as the narrow range of motion in a paralyzed shoulder joint and poor functionality also in the contralateral shoulder. Conclusion : The dressing measurement was achieved using magnetic measurement equipment. By displaying the results through a map projection it was possible to appreciate the whole range of the motion. Because this method facilitates the expression of complex joint exercise ranges, it will be useful in the analysis of daily behavior restrictions due to impairment.

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