{"created":"2023-06-19T12:46:48.142508+00:00","id":6894,"links":{},"metadata":{"_buckets":{"deposit":"ffee65ef-d021-4e02-a71a-e9a826ae24d9"},"_deposit":{"created_by":3,"id":"6894","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"6894"},"status":"published"},"_oai":{"id":"oai:tokyo-metro-u.repo.nii.ac.jp:00006894","sets":["656:675:677:1227:1561"]},"author_link":["22446","22445"],"item_2_alternative_title_19":{"attribute_name":"その他のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"Effects of lateral movement training with a tilt wedge on verticality and sitting balance in patients with subacute stroke."}]},"item_2_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2018-03-25","bibliographicIssueDateType":"Issued"},"bibliographic_titles":[{}]}]},"item_2_creator_2":{"attribute_name":"著者(ヨミ)","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"サワ, コウタ"}],"nameIdentifiers":[{"nameIdentifier":"22446","nameIdentifierScheme":"WEKO"}]}]},"item_2_date_granted_66":{"attribute_name":"学位授与年月日","attribute_value_mlt":[{"subitem_dategranted":"2018-03-25"}]},"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":"【はじめに】姿勢制御への介入方法として片側へ坐骨下ウェッジを麻痺側に挿入することで座位保持を可能とすることが報告されているが,垂直認知が坐骨下ウェッジ上でのトレーニングの前後によって変化し得るのかは不明である.【目的】本研究の目的は脳血管障害患者に対する麻痺側への坐骨下ウェッジによるトレーニングとして最大側方傾斜トレーニング課題が垂直認知,座位バランスにどのような影響を及ぼすのかを明らかにすることとした.【方法】対象は脳血管障害患者479例のうち選択基準と除外基準を満たした18例とした.主要評価項目はSPV,SPV開眼(SPV-EO),垂直認知判断時の座面圧を評価した.介入方法は麻痺側に坐骨下ウェッジを用い,体幹の最大側方傾斜トレーニングを閉眼にて60回,0.5Hzにて行った.ウェッジ介入前後と麻痺側へのウェッジの有無と課題前後を2要因とした一般線型モデルにおける反復測定法を用い,2元配置分散分析を行った.【結果】課題トレーニング前後の傾斜方向性については交互作用を認めず,主効果においても認めなかった.傾斜動揺性は,W条件で交互作用を認め(p<0.01),課題前後として時間に単純主効果を認めた(p<O.05).SPV-EO判断時の座面圧は,課題前後の時間で主効果を認め(p<0.05),SPV判断時の座面圧は交互作用を認め,麻痺側の座面圧が増加した(p<O.01).課題前後として時間に単純主効果を認めた(p<0.05).【考察】W条件にてSPV-EO,SPVの傾斜動揺性が有意に減少した.ウェッジによる重力知覚変化と側方傾斜トレーニングの組み合わせによって,姿勢制御に対して負荷を与え,垂直認知を改善させると考えられる.SPV-EO判断時の座面圧では,トレ一ニング後麻痺側に増加しその差は認められなかった.視覚情報が優位に働き修正されたものと考えられる.SPV判断時の座面圧においてW条件でのトレーニング後,有意に麻痺側に増加しC条件との差を認めた.体性感覚による閉眼ウェッジ介入と閉眼条件であるSPVの課題では視覚情報による補正が行われず,より強く麻痺側傾斜トレーニングの影響を受け姿勢制御に寄与したと考えられる.【結論】坐骨下ウェッジでの体幹最大側方傾斜トレーニングを実施し,垂直性及び座面圧を分析した.その結果,ウェッジを付与した側方傾斜トレーニング課題が,垂直認知判断の動揺性を改善させ,さらにSPV判断時の座面圧分布を変容させたと考えられた.","subitem_description_type":"Abstract"},{"subitem_description":"【Introduction】 The subjective postural vertical (SPV) is an important factor for maintaining sitting balance. So far, specific training methods to improve verticality have not been established. The purpose of the present study was to clarify the effects of lateral movement training with a tilt wedge on SPV and sitting balance abilities. 【Subjects and Methods】 Eighteen patients (9 males, 9 females; 68.7 years of age) participated in this study, and all subjects gave written informed consent under the approval of the ethics committees. For the measurement of SPV eyes opened (SPV-EQ), SPV and sitting pressure, we used an originally designed vertical board (VB) and a center of pressure monitor (Confo-light). The subject was seated on VB and tilted to the right or left side in the frontal plane with the eyes closed or the eyes opened. The mean value of orientation was calculated as directional error and SD as index of inconsistency. These outcomes were measured before and after the intervention. Subjects had an inclined wedge of 10° to the paralyzed side and the subjects asked to move their trunk laterally to the wedge side 60 times during 2 min. 【Results】 There were significant pre-post differences of SPV-EO on SD(2.9±1.4° and 2.6±2.1°), SPV on SD (3.2±1.6° and 3.9±2°)and a sitting pressure SPV-EO, SPV (-108.2±34.3 and 108.4±38.5, -114.4±43.6 and -96.7±33 respectively; p<0.01). 【Discussion】 The wedge showed significant bias for SD of SPV-EO and SPV, and a sitting pressure (p<0.01). This suggests that lateral weight shift training with a wedge would be stabilized the postural verticality, and move the center of pressure to the affected side.","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, 2018-03-25, 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":"澤, 広太"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2018-10-09"}],"displaytype":"detail","filename":"T01528-001.pdf","filesize":[{"value":"1.9 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"T01528-001.pdf","url":"https://tokyo-metro-u.repo.nii.ac.jp/record/6894/files/T01528-001.pdf"},"version_id":"5feb23c0-a935-46b1-a8f7-8541af50678a"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"体幹側方傾斜トレーニング","subitem_subject_scheme":"Other"},{"subitem_subject":"座位バランス","subitem_subject_scheme":"Other"},{"subitem_subject":"ウェッジ","subitem_subject_scheme":"Other"},{"subitem_subject":"Trunk tilted training","subitem_subject_scheme":"Other"},{"subitem_subject":"Sitting balance,","subitem_subject_scheme":"Other"},{"subitem_subject":"Wedge","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":"回復期脳血管障害患者に対する坐骨下ウェッジでの麻痺側への体幹側方傾斜トレーニングが垂直認知及び座位バランスに及ぼす影響","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"回復期脳血管障害患者に対する坐骨下ウェッジでの麻痺側への体幹側方傾斜トレーニングが垂直認知及び座位バランスに及ぼす影響"}]},"item_type_id":"2","owner":"3","path":["1561"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-03-31"},"publish_date":"2019-03-31","publish_status":"0","recid":"6894","relation_version_is_last":true,"title":["回復期脳血管障害患者に対する坐骨下ウェッジでの麻痺側への体幹側方傾斜トレーニングが垂直認知及び座位バランスに及ぼす影響"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2023-06-19T16:26:01.559006+00:00"}