{"created":"2023-06-19T12:44:38.508296+00:00","id":4161,"links":{},"metadata":{"_buckets":{"deposit":"e666e306-e7cd-40b8-9a64-b362fe0887eb"},"_deposit":{"created_by":3,"id":"4161","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"4161"},"status":"published"},"_oai":{"id":"oai:tokyo-metro-u.repo.nii.ac.jp:00004161","sets":["656:675:677:1227:1243"]},"author_link":["13562","13563","13564"],"item_2_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2014-03-25","bibliographicIssueDateType":"Issued"},"bibliographic_titles":[{}]}]},"item_2_creator_2":{"attribute_name":"著者(ヨミ)","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"キシノ, ケンジ"}],"nameIdentifiers":[{"nameIdentifier":"13564","nameIdentifierScheme":"WEKO"}]}]},"item_2_date_granted_66":{"attribute_name":"学位授与年月日","attribute_value_mlt":[{"subitem_dategranted":"2014-03-25"}]},"item_2_degree_grantor_64":{"attribute_name":"学位授与機関","attribute_value_mlt":[{"subitem_degreegrantor":[{"subitem_degreegrantor_name":"首都大学東京"}]}]},"item_2_degree_name_63":{"attribute_name":"学位名","attribute_value_mlt":[{"subitem_degreename":"修士（理学療法学）"}]},"item_2_description_4":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"踵補高がパーキンソン病(PD)患者歩行の運動効率に与える影響を検討した.PD患者と健常者各8名を対象とし,踵補高の有無の2条件による立位時重心動揺(GS-3000)と6分間歩行試験中の呼気ガス(K4b_2),重心加速度(MVP-RF8)の測定を実施した.呼気ガスからは運動効率の指標として1mあたりの酸素摂取量(VO_2/m)を算出し,各測定項目はWilcoxonの符号付順位検定を用い有意水準5%にて比較した.PD患者群は踵補高により後方重心の改善,重心加速度の前方変換作用の向上が得られ歩行距離が延長した.また,PD患者群はVO_2/mが高値であったが,換気能力低下は認めず,歩行時の運動効率には下肢運動制限因子の影響が先行していると考えた.一方,踵補高によりVO_2/mは減少せず,歩行困難度が増加したことから,前方重心加速度の増加に対し突進を制御することで運動効率が低下した可能性が考えられた.","subitem_description_type":"Abstract"},{"subitem_description":"【Purpose】 We examined the effect that heel elevation gave in the exercise efficiency (oxygen consumption efficiency) of the patients with Parkinson' s disease (PD) walk. 【Subject and Method】We intended for eight PD patients (PD group) and eight healthy subjects (control group) . We measured center of gravity unrest at standing position (GS-3000) , expired gas (K4b_2) and center of gravity acceleration (MVP-RF8) in 6-minutes walking test by two conditions of the presence or absence of heel elevation. We calculated oxygen intake per 1-meter (V0_2/m) for an index of the exercise efficiency from expired gas, and each measurement item compared it with 5% of level of significance using Wilcoxon signed-rank test.【Result】A center of gravity at the standstill standing position was displaced forward, and the front center of gravity acceleration of PD group increased by heel elevation. With it, the distance walked extended. PD group didn't accept a decrease to oxygen intake, ventilation volume, tidal volume, respiratory frequency, but, as for V0_2/m, PD group showed high level. V0_2/m didn't decrease by heel elevation, and difficulty in walking degrees increased. 【Discussion】The improvement of the backward center of gravity and front conversion effects of the center of gravity acceleration were obtained by heel elevation, and distance walked extended PD group. Also, as for V0_2/m, PD group showed high level, but thought that the effect of the lower limbs physical limitation factor preceded exercise efficiency because the ventilatory capacity was equivalent to control group. However, V0_2/m didn't decrease by heel elevation, and the likelihood that exercise efficiency decreased by controlling dash for increase of the front center of gravity acceleration was thought about by the case that a difficulty in walking degree increased. It is necessary for heel elevation to consider a difficulty in walking degree for PD patients walk.","subitem_description_type":"Abstract"}]},"item_2_description_5":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"首都大学東京, 2014-03-25, 修士（理学療法学）","subitem_description_type":"Other"}]},"item_2_version_type_16":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_ab4af688f83e57aa","subitem_version_type":"AM"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"来住野, 健二"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"古川, 順光"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2016-08-04"}],"displaytype":"detail","filename":"T00320-001.pdf","filesize":[{"value":"2.7 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"T00320-001.pdf","url":"https://tokyo-metro-u.repo.nii.ac.jp/record/4161/files/T00320-001.pdf"},"version_id":"e97d8c27-2a7a-4579-84d1-025611b1da62"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"踵補高","subitem_subject_scheme":"Other"},{"subitem_subject":"パーキンソン病","subitem_subject_scheme":"Other"},{"subitem_subject":"呼気ガス分析","subitem_subject_scheme":"Other"},{"subitem_subject":"重心加速度","subitem_subject_scheme":"Other"},{"subitem_subject":"運動効率","subitem_subject_scheme":"Other"},{"subitem_subject":"Heel elevation","subitem_subject_scheme":"Other"},{"subitem_subject":"Parkinson's disease","subitem_subject_scheme":"Other"},{"subitem_subject":"Expired gas analysis","subitem_subject_scheme":"Other"},{"subitem_subject":"Center of acceleration","subitem_subject_scheme":"Other"},{"subitem_subject":"Exercise efficiency","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"thesis","resourceuri":"http://purl.org/coar/resource_type/c_46ec"}]},"item_title":"踵補高がパーキンソン病患者歩行の運動効率に与える影響","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"踵補高がパーキンソン病患者歩行の運動効率に与える影響"}]},"item_type_id":"2","owner":"3","path":["1243"],"pubdate":{"attribute_name":"公開日","attribute_value":"2015-03-27"},"publish_date":"2015-03-27","publish_status":"0","recid":"4161","relation_version_is_last":true,"title":["踵補高がパーキンソン病患者歩行の運動効率に与える影響"],"weko_creator_id":"3","weko_shared_id":3},"updated":"2023-06-19T17:24:27.857136+00:00"}