{"created":"2023-05-15T12:11:42.621841+00:00","id":41,"links":{},"metadata":{"_buckets":{"deposit":"19e72015-5884-4e08-ac25-e0b4ee319358"},"_deposit":{"created_by":16,"id":"41","owners":[16],"pid":{"revision_id":0,"type":"depid","value":"41"},"status":"published"},"_oai":{"id":"oai:konan-wu.repo.nii.ac.jp:00000041","sets":["391:1","391:13","391:13:39"]},"author_link":["160","151","153","154","156","117","157","155","163","159","158","162","161","152"],"item_10001_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2009-03-19","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"50","bibliographicPageStart":"47","bibliographic_titles":[{"bibliographic_title":"甲南女子大学研究紀要. 看護学・リハビリテーション学編"},{"bibliographic_title":"Studies in nursing and rehabilitation","bibliographic_titleLang":"en"}]}]},"item_10001_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"姿勢反射障害が出現するまでのパーキンソン病（PD）患者の方向転換時の安定性に着目し、その障害の特徴と早期介入の必要性について検討した。\r\nPD患者16名（年齢63.5±10.0歳）を対象として、運動失調症（Ataxia）患者11名（年齢59.6±10.6歳）と比較した。両群のバランス能力はBerg Balance Scale（BBS）で評価をした。\r\nPD患者の重症度は、Modified Hoehn-Yahr分類（MHY）で2から3（2: 8名、2.5: 3名、3: 5名）Unified Parkinson's Disease Rating Scale motor score partⅢ（UPDRSⅢ）では平均19.3±9.8（7-39）であった。BBSはPD群で51.9±4.5（43-56）点であり、MHYおよびUPDRSⅢとの間に有意な相関を認めた（r=-0.71: p<0.01、r=-0.62: p<0.01）。BBSの合計点数はAtaxia群で51.5±2.8（47-54）点であり、PD群と有意差を認めなかった。BBSの下位項目得点は、項目11（360°方向転換課題）ではPD群でAtaxia群より有意に低いが（p<0.01）、項目14（片足立ち課題）では有意に高くなった（p<0.01）。以上より、中期までのPD患者では姿勢反射障害に加え、機能的バランス能力が低下していくことが分かった。さらに、PD患者のバランス能力は方向転換課題でより障害されていた。\r\nPD患者の転倒はMHYの2、3の時期に最も多く、転倒予防のトレーニングには早期から特に方向転換時のバランス障害を意識して行うことが有用と考えた。","subitem_description_type":"Abstract"}]},"item_10001_description_6":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"Falls are frequently observed among Parkinson's disease (PD) patients. In order to develop interventions to reduce falls, we investigated the cardinal factors required to maintain balance, especially while turning. We recruited 16 PD patients (63.5 ± 10.0 years old)  and 11 ataxia patients (59.6±10.6 years old) as disease controls. We used the modified Hoehn-Yahr classification (MHY) and Unified Parkinson's Disease Rating Scale part Ⅲ (UPDRS Ⅲ) to evaluate the severity of PD. We used the Berg Balance Scale (BBS) to evaluate balancing capacities of patients with PD and ataxia. PD patients scored 2 or 3 on MHY and 19.3 ± 9.8 on UPDRS Ⅲ. On the BBS, the PD patients scored 51.9 ± 4.5, and the ataxia patients scored 51.5 ± 2.8. Overall, significant difference was observed between the 2 groups. However, compared with ataxic patients, PD patients scored significantly lower on item 11 (turn 360°) and higher on item 14 (standing on one leg). Our results suggest that postural instabilities in PD patients are characterized by the inability to maintain balance while turning. This indicates that exercise programs to maintain balance while turning may be useful for preventing falls that occur while turning.","subitem_description_type":"Other"}]},"item_10001_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{"nameIdentifier":"157","nameIdentifierScheme":"WEKO"}],"names":[{"name":"KAMATA, Noriyuki"}]},{"nameIdentifiers":[{"nameIdentifier":"158","nameIdentifierScheme":"WEKO"}],"names":[{"name":"MATSUO, Yoshimi"}]},{"nameIdentifiers":[{"nameIdentifier":"159","nameIdentifierScheme":"WEKO"}],"names":[{"name":"HASHIDA, Goichi"}]},{"nameIdentifiers":[{"nameIdentifier":"160","nameIdentifierScheme":"WEKO"}],"names":[{"name":"KATO, Naoki"}]},{"nameIdentifiers":[{"nameIdentifier":"161","nameIdentifierScheme":"WEKO"}],"names":[{"name":"INOUE, Satoru"}]},{"nameIdentifiers":[{"nameIdentifier":"162","nameIdentifierScheme":"WEKO"}],"names":[{"name":"SUGAI, Fuminobu"}]},{"nameIdentifiers":[{"nameIdentifier":"163","nameIdentifierScheme":"WEKO"}],"names":[{"name":"ABE, Kazuo"}]}]},"item_10001_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"甲南女子大学"}]},"item_10001_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AA12320503","subitem_source_identifier_type":"NCID"}]},"item_10001_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"18825788","subitem_source_identifier_type":"ISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"鎌田, 理之"}],"nameIdentifiers":[{"nameIdentifier":"151","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"松尾, 善美"}],"nameIdentifiers":[{"nameIdentifier":"117","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"橋田, 剛一"}],"nameIdentifiers":[{"nameIdentifier":"152","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"加藤, 直樹"}],"nameIdentifiers":[{"nameIdentifier":"153","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"井上, 悟"}],"nameIdentifiers":[{"nameIdentifier":"154","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"須貝, 文宣"}],"nameIdentifiers":[{"nameIdentifier":"155","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"阿部, 和夫"}],"nameIdentifiers":[{"nameIdentifier":"156","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2012-09-28"}],"displaytype":"detail","filename":"002-06.pdf","filesize":[{"value":"548.9 kB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"002-06","url":"https://konan-wu.repo.nii.ac.jp/record/41/files/002-06.pdf"},"version_id":"574f88d9-3d59-4901-918c-8dfdbac14d02"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"パーキンソン病","subitem_subject_scheme":"Other"},{"subitem_subject":"Berg Balance Scale","subitem_subject_scheme":"Other"},{"subitem_subject":"バランス能力","subitem_subject_scheme":"Other"},{"subitem_subject":"方向転換","subitem_subject_scheme":"Other"},{"subitem_subject":"Parkinson's_disease","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Berg_Balance_Scale","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"balance","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"turning","subitem_subject_language":"en","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":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"パーキンソン病患者における方向転換時バランス保持の重要性 : 転倒予防に向けて","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"パーキンソン病患者における方向転換時バランス保持の重要性 : 転倒予防に向けて"},{"subitem_title":"Maintaining Balance while Turning is the Cardinal Factor in the Patients with Parkinson's Disease","subitem_title_language":"en"}]},"item_type_id":"10001","owner":"16","path":["1","13","39"],"pubdate":{"attribute_name":"公開日","attribute_value":"2012-09-28"},"publish_date":"2012-09-28","publish_status":"0","recid":"41","relation_version_is_last":true,"title":["パーキンソン病患者における方向転換時バランス保持の重要性 : 転倒予防に向けて"],"weko_creator_id":"16","weko_shared_id":-1},"updated":"2023-05-16T04:04:21.245032+00:00"}