リハビリテーションの立場からみた脳卒中後遺症の疫学(その1) : 岩手県葛巻町における調査
スポンサーリンク
概要
- 論文の詳細を見る
In an attempt to know the actual state of the apoplectic outside the hospital, a crosssectional population survey was made from the viewpoint of the rehabilitation at Kuzumaki Town in Iwate Pref. in August, 1964,with the following results : 1) Kuzumaki is a town of 433.9 square km. in area with a population of 16,649. Its death rate is 7.99% a year and that from apoplexy is 2.76% 2) By the method of multiple information, 62 apoplectic patients were found, being 3.72% of the population, of which 74% were males and 26% females. The incidence was found in 7.19%, 3.41%, and 3.49%. respectively in the three different regions of the town ; 0.4% in 30-39-year, 2.2% in 40-49-, 9.7% in 50-59-, 32.0% in 60-69-, 38.1% in 70-79- and 10.4% in over 80- year groups. 3) Clinical diagnosis made on the basis standardized by the group in the Ministry of Education, 1962,"Cause of apoplexy, with special reference to specificity of Japanese" revealed 65% of cerebral infarction, 27% of intra-cranial heamorrhage and 8% of transitory cerebral ischemia and so on. 4) An evaluation of activities of daily living (ADL) of the patients revealed 13% in the dependent group, 13% in the partially dependent group, 47% in the partially independent group and 27% in the independent group. 5) The correlation of several factors with ADL of the patients was studied and the factors associated with poor rehabilitation potential are summarized as follows : (1) Woman, (2) Age over fifty, (3) Cerebral infarction with recidiv, (4) Right hemiplegia, (5) Mardedly impaired speech, (6) Fecal incontinence, (7) On the functional tests ; (a) Unable to raise the suffered leg as stretching on the supine, (b) Under the head on arm-raising and (c) Not over the middle finger on the opposition of thumb and the other, (8) Limitation of passive range of motion and (9) Bad motivation and emotional incontinence. 6) Only 32% of the patients were admitted to the hospital after the stroke and only 21% were administered physiotherapy like massage. 7) On the basis of the results obtained, above we emphasize that the promotion of study and establishment of institutes are necessary for the rehabilitation of the apoplectic.
- 社団法人日本リハビリテーション医学会の論文
著者
関連論文
- 脳卒中片麻痺の運動機能に関する研究(第1報)
- 26. リハビリテーションの立場からみた函館市の脳血管障害の実態(続報)(脳卒中)(第8回リハビリテーション医学会総会)
- 10) 脳卒中片麻痺の運動機能に関する研究 : (第2報)上肢機能の筋電図学的研究(第4回日本リハビリテーション医学会総会)
- 9) 脳卒中片麻痺の運動機能に関する研究 : (第1報)ADL検査と粗大機能検査について(第4回日本リハビリテーション医学会総会)
- 37.リハビリテーションの立場からみた脳卒中後遺症の実態調査 : 第2報 函館市における調査成績(第3回日本リハビリテーション医学会総会)
- リハビリテーションの立場からみた脳卒中後遺症の疫学(その1) : 岩手県葛巻町における調査
- ❲36❳ リハビリテーションの立場からみた脳卒中後遺症の実態調査-第1報-(第2回 日本リハビリテーション医学会)
- 東北地方温泉地における湯治概況調査成績-17-山形県今神温泉における湯治概況と医学的調査