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1.
Yuki Hasebe Kiyokazu Akasaka Takahiro Otsudo Toby Hall Mitsuru Yamamoto 《Journal of Physical Therapy Science》2022,34(3):230
[Purpose] To investigate the effects of incorporating elliptical trainer exercise in early rehabilitation after total hip arthroplasty on physical function and self-reported outcomes. [Participants and Methods] Participants with independent gait prior to total hip arthroplasty underwent conventional postoperative physiotherapy and were divided into two groups. The intervention group additionally underwent elliptical trainer exercise, while the control group underwent a walking program. The main outcomes were low back and hip region pain, lower limb muscle strength, single-leg stance time, Timed Up & Go Test results, 10 m walking test results, hip disability and osteoarthritis outcome score, and modified fall efficacy scale score. These outcomes were evaluated preoperatively, at discharge, and at 1 and 3 months postoperatively. [Results] Fifty participants (including 40 females; age, 68.3 ± 10.8 years) participated in this study. Physical function evaluations showed a significant improvement in hip region pain during walking at discharge. Knee extensor strength, single-leg stance time, stride length, and walking speed were significantly greater in the intervention group at discharge and at 1 and 3 months postoperatively. The modified fall efficacy scale score significantly improved in the intervention group 1 month postoperatively. [Conclusion] Elliptical trainer exercise and conventional physiotherapy in the early postoperative period contribute to improved physical function and walking ability and improvement in the fear of falling. 相似文献
2.
Kwon-Young Kang 《Journal of Physical Therapy Science》2015,27(8):2499-2500
[Purpose] This study was conducted to evaluate the effect of mechanical horseback riding
exercise on the balance ability of the elderly. [Subjects and Methods] Ten elderly
patients were assigned to an experimental group, and they performed 15 min of horseback
riding. Another 10 elderly patients were assigned to a control group, and they performed
15 min of one-leg standing exercise. Both exercises were repeated five times a week for a
total of six weeks. The participants’ balance ability was evaluated. [Results] The
horseback-riding group showed significant differences between the pre-and post-test
balance abilities as assessed by the Berg Balance Scale (BBS) and the Timed Up and Go
(TUG) test. [Conclusion] Horseback riding effectively improves the balance ability of the
elderly. Horseback riding should be considered as a therapeutic method for the physical
therapy of the elderly.Key words: Balance ability, Elderly, Mechanical horseback riding 相似文献
3.
[Purpose] To investigate the factors affecting the knee-flexion range of motion in the early period after total knee arthroplasty. [Participants and Methods] Ninety-nine patients who had undergone total knee arthroplasty at our hospital between 2016 and 2019 were allocated into two groups based on the presence of a 110° knee-flexion range of motion at 14 days post-surgery. From medical records, we extracted data for the participants’ basic attributes and preoperative/postoperative physical function (knee-flexion range of motion, Timed Up & Go Test results, resting/walking pain according to a numerical rating scale, and knee-extension muscle strength). Postoperative physical function was measured 14 days post-surgery. [Results] Preoperative knee-flexion range of motion, preoperative femorotibial angle, postoperative knee-extensor strength, and postoperative Timed Up & Go Test value differed significantly as factors related to achieving a 110° knee-flexion range of motion. Through further statistical analyses, we selected the preoperative knee-flexion range of motion, preoperative femorotibial angle, preoperative Timed Up & Go Test result, and postoperative knee-extension strength as factors affecting the knee-flexion range of motion at 14 days post-surgery. [Conclusion] Preoperative knee-flexion range of motion, preoperative femorotibial angle, preoperative Timed Up & Go Test result, and postoperative knee-extension strength influence knee-flexion range of motion at 14 days after total knee arthroplasty, and our findings indicate the effectiveness of active physiotherapy interventions. 相似文献
4.
Masaki Kobayashi Kumiko Takahashi Miyuki Sato Shigeru Usuda 《Journal of Physical Therapy Science》2015,27(1):75-78
[Purpose] The effect of turn direction and relation between turn performance and walking
ability in patients with hemiparetic stroke is not clear. The purpose of this study was to
determine the effect of turn direction on the performance of standing turns and to examine
the relations between turn performance and walking ability in patients with hemiparetic
stroke. [Subject and Methods] The participants were 38 outpatients with chronic
hemiparesis due to stroke. Turn performance was evaluated using the time and number of
steps required to complete a 360° standing turn, and was evaluated for turns toward the
paretic side and the non-paretic side. Walking ability was assessed using gait speed in
the 10-m walk test, the Timed Up and Go test, and the Functional Ambulation Category.
[Results] Thirty-six participants were analyzed, and the time needed for turns and number
of steps were similar for turns to the paretic and non-paretic sides. The time needed for
turns was correlated walking ability. A turn time of 10.0 s distinguished FAC 5
(independent ambulation in the community) from FAC ≤4 with a sensitivity of 0.94 and
specificity of 0.85. [Conclusion] The performance of standing turns was not affected by
the turning direction and was closely correlated with walking ability.Key words: Standing turn, Stroke, Walking 相似文献
5.
[Purpose] This study investigated the effects of Nordic walking on physical functions and
depression in frail people aged 70 years and above. [Subjects] Twenty frail elderly
individuals ≥70 years old were assigned to either a Nordic walking group (n=8) or general
exercise group (n=10). [Methods] The duration of intervention was equal in both groups (3
sessions/week for 12 weeks, 60 min/session). Physical function (balance, upper extremity
strength, lower extremity strength, weakness) and depression were examined before and
after the interventions. [Results] With the exception of upper extremity muscle strength,
lower extremity strength, weakness, balance, and depression after Nordic walking
demonstrated statistically significant improvement. However, in the general exercise
group, only balance demonstrated a statistically significant improvement after the
intervention. There were significant differences in the changes in lower extremity muscle
strength, weakness and depression between the groups. [Conclusion] In conclusion, Nordic
walking was more effective than general exercise. Therefore, we suggest that Nordic
walking may be an attractive option for significant functional improvement in frail people
over 70 years old.Key words: Nordic walking, General exercise, Frail people 相似文献
6.
[Purpose] The aim of this study was to examine the effects of ball exercise as a general
exercise on the balance abilities of elderly individuals by comparing ball exercise with
virtual reality exercise. [Subjects and Methods] Thirty elderly individuals residing in
communities were randomly divided into a virtual reality game group and a ball exercise
group and conducted exercise for 30 min 3 times a week for 8 weeks. [Results] Step length
increased significantly, and the average sway speed and Timed Up and Go time significantly
decreased in both groups. A comparison of sway length after the intervention between the
two groups revealed that the virtual reality game exercise resulted in a reduction than
the ball exercise. [Conclusion] The results of this study indicated that the virtual
reality game exercise may improve balance and gait of elderly individuals in
communities.Key words: Elderly, Balance, Virtual reality exercise 相似文献
7.
Laís Campos de Oliveira Raphael Gon?alves de Oliveira Deise Aparecida de Almeida Pires-Oliveira 《Journal of Physical Therapy Science》2015,27(3):871-876
[Purpose] The aim of the present study was to determine the effects of Pilates on lower
leg strength, postural balance and the health-related quality of life (HRQoL) of older
adults. [Subjects and Methods] Thirty-two older adults were randomly allocated either to
the experimental group (EG, n = 16; mean age, 63.62 ± 1.02 years), which performed two
sessions of Pilates per week for 12 weeks, or to the control group (CG, n = 16; mean age,
64.21 ± 0.80), which performed two sessions of static stretching per week for 12 weeks.
The following evaluations were performed before and after the interventions: isokinetic
torque of knee extensors and flexors at 300°/s, the Timed Up and Go (TUG) test, the Berg
Balance Scale, and the Health Survey assessment (SF-36). [Results] In the intra-group
analysis, the EG demonstrated significant improvement in all variables. In the inter-group
analysis, the EG demonstrated significant improvement in most variables. [Conclusion]
Pilates exercises led to significant improvement in isokinetic torque of the knee
extensors and flexors, postural balance and aspects of the health-related quality of life
of older adults.Key words: Exercise, Age, Muscle strength dynamometer 相似文献
8.
[Purpose] This study investigated the effects of neck proprioceptive training on the
balance of patients with chronic poststroke hemiparesis. [Subjects] Three patients with
chronic stroke were recruited for this study. [Methods] The subjects underwent neck
proprioceptive training using the red light of a laser pointer (30 min daily, five times
per week for 4 weeks). Outcome measures included the stability and weight distribution
indices measured with a Tetrax system and Timed Up and Go (TUG) and proprioception tests.
[Results] For all subjects, the stability and weight distribution indices increased by
1.87–9.66% in the eyes-open and eyes-closed conditions, and the TUG and proprioception
test scores improved by 2.49–15.27%. [Conclusion] Neck proprioceptive training may be a
good option for improving the balance function of patients with chronic poststroke
hemiparesis.Key words: Neck proprioceptive training, Balance, Stroke 相似文献
9.
Seiichi Takemasa Ryoma Nakagoshi Masahito Murakami Masayuki Uesugi Yuri Inoue Makoto Gotou Hideki Koeda Susumu Naruse 《Journal of Physical Therapy Science》2014,26(2):301-303
[Purpose] This study examined the quality of life (QOL) of homebound elderly hemiparetic
stroke patients and factors that affect it. [Subjects] The subjects of the study were 21
homebound elderly hemiparetic stroke patients who were 65 years old or over and required
care for daily living (12 males and 9 females, average age: 79.3 ± 8.4 years old). Their
physical and psychological conditions, QOL, and other characteristics were researched.
[Methods] The Functional Independence Measure (FIM) was used for the activities of daily
living (ADL) assessment, and the MOS 36-Item Short-Form Health Survey (SF-36, Japanese
version 1.2) was used for the QOL assessment. [Results] No correlations were observed
between the QOL of homebound elderly hemiparetic stroke patients and their age and gender.
However, the results showed that their QOL was affected by their independence in ADL,
bedridden degree, and care-need level. [Conclusion] These results suggest that in order to
improve the QOL of homebound elderly hemiparetic stroke patients, ongoing rehabilitation
to improve independence in ADL and lower the bedridden degree and care-need level is
required.Key words: QOL, Homebound elderly hemiparetic stroke patients, ADL 相似文献
10.
Mizuki Hachiya Shin Murata Hiroshi Otao Kenji Kamijou Katsuhiko Mizota Toyoko Asami 《Journal of Physical Therapy Science》2015,27(5):1511-1514
[Purpose] This study aimed to investigate the reproducibility and validity of the 50-m
walking test. [Subjects] Reproducibility was investigated in 19 community-dwelling elderly
women (mean age, 76.3 years), and validity was investigated in 31 community-dwelling
elderly individuals (12 men and 19 women; mean age, 75.7 years). [Methods] The time taken
to walk 50 m, the time taken to walk each 10-m section (laps 1–5), the time taken to walk
10 m, and grip strength were measured. In addition, the functional reach test (FRT),
one-leg standing test, and timed up and go (TUG) test were performed. [Results] In a
reproducibility analysis, the interclass correlation coefficient (1,1) was 0.97. In a
Bland-Altman analysis, no systematic error was found. The measured values from the 50-m
walking test included a measurement error of 1.5 s, and the acceptable margin of error was
confirmed to be 3.1 s. In a validity analysis, the 50-m walking test score was
significantly correlated with the 10-m walking and TUG test scores. [Conclusion] Our
results suggest that the 50-m walking test score may be a useful index of the walking
ability of community-dwelling elderly.Key words: 50-meter walk test, Reproducibility, Validity 相似文献
11.
Akihiro Yakabi Miyoko Watanabe Masahiro Ishizaka Masafumi Itokazu Akira Kubo 《Journal of Physical Therapy Science》2022,34(9):620
[Purpose] The quality of physical functions was evaluated prospectively in older females over a 5 year period to identify the physical functions that are more likely to consistently decline or be maintained in females aged 65‒74 years and more than 75 years. [Participants and Methods] Physical functions, including grip strength, walking speed, and balance, were measured for older females aged 65–74 years group and more than 75 years group from 2015 to 2019. T-scores of the physical performances were calculated to analyze the changes in the physical functions over 5 years. [Results] Based on the T-scores, physical functions in terms of the 5-m walking speed, timed up-and-go test, and functional reach test, improved from 2015 to 2019 in the 65–74 group, whereas all physical functions consistently deteriorated in the older than 75 group. [Conclusion] There was no significant decline of the physical functions in both groups; however, the T-score variations for physical functions during the 5 year observation period differed in each group. 相似文献
12.
[Purpose] The application of kinesio taping may improve strength and performance, inhibit
and facilitate motor activity, and increase range of motion. The aim of this study was to
compare the effects of kinesio taping facilitation and inhibition applications on
spatiotemporal knee kinematics and kinetics during walking activity in healthy subjects.
[Subjects and Methods] A three-dimensional quantitative gait evaluation was performed
without tape and with, facilitation and inhibition kinesio taping application on the knee.
Sixteen healthy female college students (age, 19.7 ± 0.4 years; height, 1.64 ± 3.4 cm;
body mass, 51.5 ± 4.8 kg) participated in the study. [Results] Spatiotemporal parameters
(cadence, walking speed, stride length) were significantly different among the trials.
Knee joint sagittal plane range of motion was not different with either kinesio taping
application. Knee external flexion moment during the early stance phase decreased
significantly with facilitation kinesio taping and increased with the inhibition kinesio
taping. Knee external extension moment during the mid-stance phase increased with
facilitation kinesio taping. Knee power parameters, eccentric activity in the rectus
femoris during the pre-swing phase was significantly increased with inhibition kinesio
taping application, while eccentric activity of the hamstrings during the terminal swing
of gait was decreased. [Conclusion] These findings showed that facilitation kinesio taping
application affected the terminal stance phase and that inhibition kinesio taping
influenced the terminal swing phase compared with the no tape condition.Key words: Kinesio tape, Knee joint, Gait analysis 相似文献
13.
[Purpose] This study investigated the effects of resistance exercise using Thera-band on
balance of elderly adults. [Methods] Subjects (age range, 60–70 years) were randomly
assigned to an experimental (n=12) or control group (n=12). The experimental group
performed stretching and resistance exercises, and the control group performed stretching
exercises only. Before and after the 5-week intervention, the participants’ static and
dynamic balance were evaluated using the Berg Balance Scale, the Timed Up & Go Test,
and the Tetrax Portable Multiple System (Tetrax Ltd., Ramat Gan, Israel) after 5 weeks.
[Results] After the intervention, the values of the Tetrax in the weight distribution
index with eyes open and that with eyes closed and the stability test index with eyes open
were significantly lower in the resistance exercise group than in the control group, and
the pre-test values were was significantly higher than the post-test values. However,
there were no significant differences between groups in the values of the Berg Balance
Scale, the Timed Up & Go Test, and the Tetrax stability test index with the eyes
closed. [Conclusion] The findings of this study indicate that resistance exercise using
the Thera-band is possible to improve the static and dynamic balance of elderly
adults.Key words: Stretching, Resistance exercise, Balance 相似文献
14.
GyuChang Lee 《Journal of Physical Therapy Science》2015,27(4):1133-1136
[Purpose] The objective of this study was to investigate the effects of whole-body
vibration (WBV) in the horizontal direction on the motor function and balance of chronic
stroke survivors. [Subjects and Methods] This study was a randomized controlled trial.
Twenty-one individuals with chronic stroke from an inpatient rehabilitation center
participated in the study. The participants were allocated to either the WBV training
group or the control group. The WBV training group (n = 12) received whole-body vibration
delivered in the horizontal direction (15 min/day, 3 times/week, 6 wks) followed by
conventional rehabilitation (30 min/day, 5 times/week, 6 wks); the control group (n = 9)
received conventional rehabilitation only (30 min/day, 5 times/week, 6 wks). Motor
function was measured by using the Fugl-Meyer assessment, and balance was measured by
using the Berg Balance Scale (BBS) and the Timed Up and Go (TUG) test before and after the
interventions. [Results] After the interventions, all variables improved significantly
compared with the baseline values in the WBV training group. In the control group, no
significant improvements in any variables were noted. In addition, the BBS score in the
WBV training group increased significantly compared with that in the control group.
[Conclusion] WBV training with whole-body vibration delivered in the horizontal direction
may be a potential intervention for improvement of motor function and balance in patients
who previously experienced a stroke.Key words: Stroke, Whole-body vibration, Motor function 相似文献
15.
[Purpose] The purposes of this study were to investigate the effects of recreational
exercises on the muscle strength, flexibility, and balance of old-old elderly individuals
over the age of 75 years. [Subjects and Methods] Forty-three old-old elderly subjects
(aged 78.7 ± 2.9 years) participated in 8 weeks of recreational exercises. The exercises
were performed twice a week for 8 weeks. Muscle strength, flexibility, and balance were
evaluated by the Senior Fitness Test before and at the end of the intervention. [Results]
Significant improvements in muscle strength, flexibility, and balance were observed at the
end of the intervention. [Conclusion] This study demonstrated that an intervention using
recreational exercises effectively improves the muscle strength, flexibility, and balance
of old-old elderly individuals.Key words: Balance, Old-old elderly, Recreation exercise 相似文献
16.
Kensuke Matsuda Shou Ikeda Masami Nakahara Takuro Ikeda Ryuji Okamoto Kazuo Kurosawa Etuo Horikawa 《Journal of Physical Therapy Science》2015,27(4):1087-1090
[Purpose] The purpose of this study was to investigate the factors affecting the
coefficient of variation (CV) of stride time in an exercise intervention for the elderly
without falling history. [Subjects and Methods] The subjects were 42 elderly women who had
participated in a care prevention program for 12 weeks. Stride time CV, motor function,
movement ability, balance, Modified Falls Efficacy Scale (MFES) score, and Life-space
Assessment (LSA) score before and after the intervention were examined for significant
differences using the paired t-test. Multiple regression analysis was used to determine
the factors that changed in the stride time CV. [Results] There were significant
differences in muscle strength, sit-and-reach flexibility, the one-leg standing time (eyes
open), the maximum walking speed, local stability of trunk acceleration, The Timed Up and
Go Test (TUG-T), the MFES score, and the LSA score between the pre-intervention and
post-intervention. Stepwise multiple regression analysis revealed that improvement of
quadriceps muscle strength, sit-and-reach flexibility, the one-leg standing time, TUG-T,
local stability of trunk acceleration (vertical direction) and MFES score were independent
variables explaining the reduction in stride time CV. [Conclusion] The results was
suggested that it might be possible to reduce the stride time CV by improving strength,
flexibility and dynamic balance, and reducing fear of falls through interventions.Key words: Coefficient of variation of stride time, Prospective study, Fear of falling 相似文献
17.
Cecilia Elam Per Aagaard Frode Slinde Ulla Svantesson Lena Hulthn Peter S Magnusson Lina Bunketorp-Kll 《Journal of Physical Therapy Science》2021,33(3):250
[Purpose] To examine the effects of age and gender in an ageing population with respect to functional decline and the relationship between muscle power and functional capacity. [Participants and Methods] The cohort (N=154) was subdivided into youngest-old (65–70 years.; n=62), middle-old (71–75 years.; n=46), and oldest-old (76–81 years.; n=46). Measures of mechanical muscle function included countermovement jump height, muscle power, leg strength and grip strength. Functional performance-based measures included heel-rise, postural balance, Timed Up and Go, and gait speed. [Results] The oldest-old performed significantly worse than the middle-old, whereas the youngest-old did not outperform the middle-old to the same extent. Increased contribution of muscle power was observed with increasing age. Males had consistently higher scores in measures of mechanical muscle function, whereas no gender differences were observed for functional capacity. [Conclusion] The age-related decline in functional capacity appears to accelerate when approaching 80 years of age and lower limb muscle power seems to contribute to a greater extent to the preservation of functional balance and gait capacity at that stage. Males outperform females in measures of mechanical muscle function independent of age, while the findings give no support for the existence of gender differences in functional capacity.Key words: Stretch-shortening cycle muscle power, Physical function, Ageing 相似文献
18.
Seiichi Takemasa Ryoma Nakagoshi Masayuki Uesugi Yuri Inoue Makoto Gotou Hideki Koeda Susumu Naruse 《Journal of Physical Therapy Science》2015,27(11):3429-3431
[Purpose] This study aimed to examine the quality of life (QOL) of community-dwelling
elderly women with musculoskeletal disorders and factors that affect it. [Subjects] The
subjects were 27 community-dwelling elderly women with musculoskeletal disorders (mean
age: 76.3 ± 7.4 years). Their physical and psychological conditions, QOL, and other
characteristics were researched. [Methods] The Japanese version of Life-Space Assessment
was used to assess the subjects’ daily life activities; the Japanese version of Fall
Efficacy Scale (FES), to assess their fear of falling; the Geriatric Depression Scale (GDS
15), to assess their depression status; and the Life Satisfaction Index K (LSIK), to
assess their QOL. [Results] The results indicated that the number of family members living
together, degree of pain, fear of falling, and depression affect the LSIK scores of the
community-dwelling elderly women with musculoskeletal disorders. [Conclusion] The study
results suggest that the LSIK scores of community-dwelling elderly women with
musculoskeletal disorders can be improved by easing their pain, improving their physical
abilities to prevent falls, and improving their mobility. The results also suggest that
continuing rehabilitation treatment is required.Key words: Quality of life (QOL), Life satisfaction, Community dwelling elderly women with musculoskeletal disorders 相似文献
19.
IntroductionOnly a small number of clinical trials were designed to investigate Mental Practice (MP)'s use for gait rehabilitation in individuals in the early subacute post-stroke phase. This trial aims to investigate the effect of mental practice on mobility rehabilitation in the early subacute phase after a stroke in comparison to a control group.MethodsRandomized controlled clinical trial with 16 individuals diagnosed with a stroke between 50 and 80 years of age. Mobility was evaluated using Timed Up and Go and the Five-Minute Walk Test. In addition, lower extremity muscular strength, Timed Up and Go Assessment of Biomechanical Strategies, quality of life, and depression were evaluated.ResultsBefore and after intervention (within-subjects), mental practice group showed improved mobility in Timed Up and Go (p = 0.01,r = 0.59), muscular strength for bending the right hip (p = 0.04, r = 0.50), for right knee bending (p = 0.03,r = 0.53), and in biomechanical performance of Timed Up and Go Assessment of Biomechanical Strategies(p = 0.01,r = 0.63). Control group showed improvement in neither mobility nor in muscular strength after intervention. Comparing the scores between the groups after intervention (between-subjects), no differences were found for any of the study's outcomes. In the analysis of deltas (gains), it was observed that mental practice group volunteers had a reduction in Timed Up and Go (p = 0.27,r = 0.29) and an increase in total Timed Up and Go Assessment of Biomechanical Strategies scores (p = 0.14,r = 0.36).ConclusionMental Practice was not associated with mobility, muscular strength, mental health, and quality of life improvement for patients in the early subacute post-stroke phase as compared to a control group. 相似文献
20.
Dae-Hyouk Bang Won-Seob Shin Hyeon-Jeong Noh Myung-Soo Song 《Journal of Physical Therapy Science》2014,26(11):1689-1691
[Purpose] The purpose of this study was to determine the effects of unstable surface
training (UST) on walking ability in chronic stroke patients. [Subjects] The subjects were
12 stroke patients who were randomly divided into experimental (n1=6) and
control (n2=6) groups. [Methods] The Subjects in both groups performed
treadmill training for 30 minutes. The Subjects in the experimental group also performed
UST after treadmill training, with the UST being performed for 10 minutes, five times per
week, for four weeks. All subjects were evaluated with a 10-meter walk test, Timed Up and
Go test and 6-minute walk test. The pared t-test was performed to test the significant
differences between before and after the intervention. The independent t-test was
conducted to test the significant differences between groups. [Results] Following the
intervention, the experimental group showed significant differences in the Timed Up and Go
test and 6-minute walk test. [Conclusion] The results of the study suggest that UST is an
effective method for improvement of walking ability in chronic stroke patients.Key words: Stroke, Unstable surface training, Walking ability 相似文献