2021 Fiscal Year Final Research Report
Differences in kinematic and kinetic characteristics between successful and failed sit-to-stand trials in stroke patients
| Project/Area Number |
20K23262
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| Research Category |
Grant-in-Aid for Research Activity Start-up
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| Allocation Type | Multi-year Fund |
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| Review Section |
0909:Sports sciences, physical education, health sciences, and related fields
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| Research Institution | Showa University |
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Principal Investigator |
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| Project Period (FY) |
2020-09-11 – 2022-03-31
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| Keywords | 脳卒中片麻痺者 / 起立動作 / 重度麻痺 / 三次元動作解析 / リハビリテーション / 失敗 |
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| Outline of Final Research Achievements |
The purpose of this study was to clarify the kinematic and kinetic characteristics of stroke patients who have difficulty moving to a standing position during sit-to-stand (STS). There were 26stroke patients who had difficulty in moving to a standing position (the failed group) and 25 stroke patients who succeeded of STS (the successful group), making a total of 51 participants. When it is difficult to shift to the standing of the failed group, the anterior thoracic and pelvic tilt and the forward movement of the center of mass before seat off, though the hip and knee extension moment before seat-off were small compared to the trial of success. An analysis of successful STS of each group represented that in the failed group, the anterior tilt of the thorax and the pelvis until seat-off was smaller, but the hip extension moment after seat-off and the weight-bearing ability of the unaffected side were larger than those in the successful group.
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| Free Research Field |
理学療法学
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| Academic Significance and Societal Importance of the Research Achievements |
これまで報告がなかった起立動作に失敗する回復期脳卒中片麻痺者の三次元動作解析に基づいた客観的データから，離殿を繰り返して起立を達成する麻痺が重度な脳卒中片麻痺者は，麻痺が軽度な脳卒中片麻痺者の起立動作とは異なる運動学・運動力学的特徴が明らかになった．これらより，重度の麻痺を呈する脳卒中片麻痺者の起立動作達成のためのリハビリテーション評価および治療において，これまで提唱されていなかった離殿前の股関節モーメントや離殿時の胸郭前傾角度について着目する必要が示唆された．このことは，より効率的な脳卒中片麻痺者の起立動作の理学療法プログラムの立案に寄与できる基礎的なデータであると言える．
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