上肢切断者のADLについて

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The authors studied Activities of Daily living (A. D. L.) of 33 upper extermity amputees (25 unilateral, 8 bilateral) by interbiew in order to know, fiestly, the demension of their disability, secondaly, the usefulness of the prosthesis. For each of 126 activities (peronal hygiene, eating, dressing, communication, use of tools), the interviewer scored specially designed questionnaire, from which following results were obtained. 1. Upper wxtermity amputees are essentially independent in A. D. L. (97% of test activities). HOwever, "hidden disabilities", such as slowness of oergormance (11% of independent activities), change of motion patterns (41%), use of self help devices (3%) and avoidance of performance (1% of necessary activities) were noted. 2. Dressing activities, especially knotting, use of cuff buttons, are the most difficult among 5 categories of A. D. L. 3. Unilateral amputees use active prosthesis rarely (12% of cases) and their A. D. L. are accomplished by residual function (remaining hand , mouth, foot, etc.). 40% of unilateral amputees use routinely some type of prosthesis. 4. Bilateral amputees tend to use exclusively either active prosthesis or their prehensile stumps (Krukenburg stump or cleft partial hand). Bilateral amputees expect for one bilateral above-elbow amputee live within sufficient level of independence, but they avoid to perform more activities than unilateral ones.
社団法人日本リハビリテーション医学会の論文
1976-06-18

上肢切断者のADLについて

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