The Effect of Activities of Daily Living (ADL) Instructions to Rheumatoid Arthritis Patients
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概要
- 論文の詳細を見る
In order to investigate the protective effect of the activities of daily living (ADL) instructions against the developing and progression of joint deformity observed in the rheumatoid arthritis (RA) patients, 34 RA patients were reviewed average 22.4 months after the initial guidance. Instructed ADLs are composed of 18 different kinds of activities such as the safety way to stand up with assistance. With regard to the acceptance, 78% of total patients were satisfied with these instructions and 60% have expected to prevent the progress of the joint deformity due to RA after 6 month follow-up periods though this guidance did not affect the disease activities of RA. At the one year follow up period, half of the un-deformed joints (Steinbrocker stage II) yield to the joint subluxation, which indicates that they can not always inhibit the progression of joint deformity of RA patients consequently. In early RA patients, however, the extent of the articular destruction of wrist joints measured by the decreasing of carpal height ratio (CHR) were relatively smaller than those of late stage of RA patients. These results suggest that when the instructions of ADLs for the RA patients were applied as soon as possible after their disease onset, they might be effective for the delay of joint destruction due to arthritis even though they could not stop the progress of joint deformity completely.
- 神戸大学の論文
- 1998-12-26
著者
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Doita Minoru
Department Of Orthopaedic Surgery Kobe University Graduate School Of Medicine
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Doita Minoru
Department Of Orthopaedic Surgery Kobe Graduate University School Of Medicine
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MIZUNO Kosaku
Department of Orthopaedic Surgery, Kobe University School of Medicine
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Ishikawa Hitoshi
Faculty of Health Science, Kobe University School of Medicine
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Saura Ryuichi
Faculty of Health Science, Kobe University School of Medicine
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Ishikawa Hitoshi
Faculty Of Health Sciences Kobe University School Of Medicine
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Itoh Chieko
Department of Rehabilitation service, Kobe University Hospital
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Ishikawa Hitoshi
School Of Allied Medical Sciences Kobe University
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Ishikawa Hitoshi
Faculty Of Health Science Kobe University School Of Medicine
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Itoh Chieko
Department Of Rehabilitation Service Kobe University Hospital
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Mizuno K
Department Of Orthopedic Surgery Kobe University Graduate School Of Medicine
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Mizuno Kosaku
Department Of Orthopaedic Surgery Kobe University School Of Medicine
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Saura R
Faculty Of Health Sciences Kobe University School Of Medicine
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Saura Ryuichi
Faculty Of Health Science Kobe University School Of Medicine
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Saura Ryuuichi
Faculty Of Health Science Kobe University School Of Medicine
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Saura Ryuichi
Kobe University School Of Medicine
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Ishikawa Hitoshi
Faculty Of Health Science Kobe University
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Doita M
Department Of Orthopaedic Surgery Kobe University Graduate School Of Medicine
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