在宅高齢脳卒中片麻痺者の関節可動域制限とその関連要因

概要

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Although restricted range of motion development is a common and debilitating problem in hemiplegic patients, there is considerable controversy about its pathogenesis and effective treatment. The incidence of restricted range of motion occurrence as well as factors affecting its development were studied in 52 hemiplegic elderly people. All of them stayed in their houses after the discharge from hospitals. They were assessed on their age, sex, passive range of motion of the lower extremity, the duration from their onset, their hemiplegic side, severity of the impaired motor function (assessed by Brunnstrom's recovery stage), sensory impairment, functional capacity (the level of ambulatory function), and activity level. Restricted range of motion was categorized into 2 groups : under the 30% and over the 30% loss of normal renge of motion. The statistical analysis was conducted using x^2-test (P<0.05). The result showed that the restricted range of motion in the aged people with hemiplegia needing home - based care might be caused by sensory impairment, severity of the impaired motor function, functional capacity, and activity level. As a consequence, rehabilitation should be continued after discharge from hospitals to maintain their function and keepinga higher activity is necessary in order to remain joint mobility well.