@article{oai:konan-wu.repo.nii.ac.jp:00000049,
 author = {橋田, 剛一 and 井上, 悟 and 阿部, 和夫},
 issue = {2},
 journal = {甲南女子大学研究紀要. 看護学・リハビリテーション学編, Studies in nursing and rehabilitation},
 month = {Mar},
 note = {【目的】
多発性硬化症入院患者（以下MS患者）に対する急性期からの理学療法（以下PT）の有用性について検討することが、本研究の目的である。
【対象と方法】
対象は大阪大学医学部附属病院に入院して、PTを施行したMS患者20名とし、全例女性であった。方法は、リハビリ部の入院病歴録から、①PT平均施行回数、②PTアプローチ内容、③PT開始時と終了時の Expanded Disability Status Scale (EDSS)による重症度の評価、④PT開始時と終了時のBarthel Index（以下BI）による重症度の評価を行った。さらに、重症度とADLとの相関について、入院時、終了時のEDSSとBIを用いて検討した。, Objective: To validate effectiveness of physical therapy (PT) for multiple sclerosis (MS) patients.
Methods: From retrospectively examined medical records of MS patients admitted for PT at our unit, 20 female MS patients were recruited. On admission and discharge, Expanded Disability Status Scale (EDSS) was measured to evaluate severity of MS and Barthel Index (BI) to evaluate active daily living (ADL). Ten patients were wheel-chaired on admission.
Results: Patients suffering from gait disturbance due to motor paralysis and sensory and cerebellar ataxia, performed balance training exercises for muscle strengthening and to maintain a standing position and improve gait. Patients with severe motor paralysis did exercises for transfer, rolling over and sitting up. On discharge, EDSS scores improved on average from 5.1 to 4.0 and BI scores from 72.5 to 87.3 Six of the wheel-chaired patients no longer needed wheelchairs, EDSS scores improved on average from 6.2 to 3.2 and BI scores from 59.2 to 97.5. Moreover, statically significant correlation between EDSS and BI was detected both on admission and on discharge.
Conclusion: Our results suggest that impatient PT for MS can enable patients to move without wheelchairs and this improved locomotion ability is important for attaining higher levels of ADL.},
 pages = {107--112},
 title = {多発性硬化症入院患者に対する理学療法の有用性について},
 year = {2009}
}