本資料は、掲載誌(URI)等のリンク先にある学位授与機関のWebサイトやCiNii Dissertationsから、本文を自由に閲覧できる場合があります。
博士論文
国立国会図書館館内限定公開
収録元データベースで確認する
国立国会図書館デジタルコレクション
デジタルデータあり
脳卒中片麻痺者の歩行自立判定に関する研究
- 国立国会図書館永続的識別子
- info:ndljp/pid/10211028
国立国会図書館での利用に関する注記
資料に関する注記
一般注記:
- type:Thesis[Introduction]Physical therapists must often ascertain whether hemiparetic patients can walk independently. However, no criteria exist, so ...
書店で探す
障害者向け資料で読む
目次
2018-06-04 再収集
2018-06-04 再収集
2018-06-04 再収集
2023-03-02 再収集
2023-03-02 再収集
書店で探す
障害者向け資料で読む
書誌情報
この資料の詳細や典拠(同じ主題の資料を指すキーワード、著者名)等を確認できます。
デジタル
- 資料種別
- 博士論文
- 著者・編者
- 髙橋, 純平
- 著者標目
- 出版年月日等
- 2014-03-20
- 出版年(W3CDTF)
- 2014-03-20
- 授与機関名
- 弘前大学
- 授与年月日
- 2014-03-20
- 授与年月日(W3CDTF)
- 2014-03-20
- 報告番号
- 甲第39号
- 学位
- 博士(保健学)
- 博論授与番号
- 甲第39号
- 本文の言語コード
- jpn
- 対象利用者
- 一般
- 一般注記
- type:Thesis[Introduction]Physical therapists must often ascertain whether hemiparetic patients can walk independently. However, no criteria exist, so decisions are often left to individual physical therapists.The study procedures were the following. (1) Investigation of methods used by physical therapists to assess walking independence of hemiparetic stroke patients, and walking-independence related factors (Chapter 1)(2) Exploration of how physical therapists ascertain whether a hemiplegia patient can walk independently in a ward or not (Chapter 2)(3) Evaluation of the reliability and validity of a scale to assess walking independence of hemiplegia patients (Chapter 3)[Chapter 1] Review of determination of walking independence in hemiparetic stroke patients. [Method] English-language and Japanese-language studies were identified through searches of MEDLINE and ICHUSHI through December 2011. [Result] Inclusion criteria were satisfied by 39 trials. The test batteries used to determine walking independence were FIM, FAC, and doctors and physical therapistdecisions. Factors related to walking independence were walking ability, lower extremity function of the affected side, cognitive disorder, and higher cerebral dysfunction. However, their values and significance were not defined. [Conclusion] Results of this review suggest that determination of walking independence in stroke patients is used for qualitative evaluation. Therefore, comprehensive evaluation scales are necessary for physical therapists to ascertain walking independence clearly.[Chapter 2] Clinical reasoning of physical therapists regarding in-hospital walking independence of patients with hemiplegia.[Methods] The subjects were 15 physical therapists with experience of stroke patients’ rehabilitation. We interviewed them using semi-structured interviews related to the criteria of the states of walking in the ward of hemiparetic patients. The interviews were transcribed in full, and the texts were analyzed by coding and grouping.[Results] From the results of the interviews, PTs determined patients’ independence of walking in hospital by observation of behavior during walking or treatment. The majority of PTs focused on the patients’ state during walking, higher brain function, and their ability to balance. In addition, they often asked ward staff about patients’ daily life, and self-determination.[Conclusions] We identified the items examined by physical therapists when determining the in-hospital walking independence of stroke patients. Further investigation is required to examine which of these items are truly necessary.[Chapter 3] Reliability and validity of a scale to assess walking independence of hemiplegia patients[Methods] Subjects were 7 hemiparetic stroke patients and 14 physical therapists. We evaluated stroke patients using the check list presented in Chapter 2. Additionally, we asked PTs about the importance of items using a questionnaire. Intra-rater andinter-rater reliability were measured, as was internal consistency.[Results] The intra-rater coefficient and internal consistency exhibited good reliability, but the inter-rater coefficient was low. Results of the questionnaire, items related to crouching and walking over different levels were not important determinants of walking independence.[Conclusions] We identified the intra-rater reliability and scale validity. Results show that items related to squat and gait must be re-examined.
- 国立国会図書館永続的識別子
- info:ndljp/pid/10211028
- コレクション(共通)
- コレクション(障害者向け資料:レベル1)
- コレクション(個別)
- 国立国会図書館デジタルコレクション > デジタル化資料 > 博士論文
- 収集根拠
- 博士論文(自動収集)
- 受理日(W3CDTF)
- 2016-11-02T12:02:18+09:00
- 作成日(W3CDTF)
- 2018-03-13
- 記録形式(IMT)
- application/pdf
- オンライン閲覧公開範囲
- 国立国会図書館内限定公開
- デジタル化資料送信
- 図書館・個人送信対象外
- 遠隔複写可否(NDL)
- 可
- 掲載誌(URI)
- 連携機関・データベース
- 国立国会図書館 : 国立国会図書館デジタルコレクション