Abstract:The cushion, the upper extremity function training device, the simple ankle plantar flexion and knee extension and flexion training devices, the flexible leg brace, the RAKU walker and the shower chair combination Raku walker with stoppers to get over a step with the slides were developed and used. By using these devices, the movement of the functioning extremity accompanies the movement of the impaired extremity. The painless motivative exercise improves the impaired extremity with extension of the range of motion or ROM instead of the passive exercise. Disabled bedridden patients who were adapted for ROM exercise depending on own general conditions were taken out to the training room by using the wheelchair. Passive exercise on mats as ROM exercise in the training room has been never done for them. The motivative exercise reinforces the muscle force of trunk and extremities and extends gradually ROM of the knee and foot by one's own pace without pain. 59 people in 193 inpatients have acquired walking from bedridden by the rehabilitation that was based on the motivative exercise.
Elderly cases offered Takizawa method as one of the rehabilitation techniques were evaluated statistically. Initially we clarified the characteristics of the total FIM (Functional Independent Measure) score and the relation between the number of improved items and of worsened ones. Furthermore, we investigated the multidimensional relevance of 18 FIM items to explain the characteristics of improvement or aggravation clear, and obtained four factors by factor analysis and classified into six groups by cluster analysis, and then extracted some specific cases. Finally, we statistically verified the effect about the 18 FIM evaluation items using the t-test, a sign test and the Wilcoxon signed rank sum test, and several items in the FIM were turned out to be significantly effective.
Purpose: The assessment of rehabilitation by the Takizawa Method in which one physical therapist rehabilitates many patients by individual contact at a time. In a facility, although there were many person of a remarkable decline in the body function and/or person with severe dementia, the evaluation has been described individually. Because one therapist rehabilitated a lot of patients at a time, she had a big burden to report the evaluation. Since Takizawa Method rehabilitation will be carried out in multiple facilities and it was necessary to reduce the burden of a physical therapist, a common functional evaluation chart that could be used by all institution involved is needed. Method: We conducted the analysis of available data, taking into account the real situation, in a standardized manner in order to find out what kind of training was used, the number of training times, etc. Result: The functional evaluation chart named the Motivative Report was created, which enabled to standardize the records and which could be verified by a developed formula. We divided items of the functional evaluation chart into the head, trunk, lower limbs, and transfer and movement, in order to evaluate them and illustrate in the chart. We were able to demonstrate contracture, having or not agnosia, the ability to keep the standing position, walking as well as the number of times of training.
Conclusion:The chart made it possible for a physical therapist to resolve the problem of patient's evaluation and to introduce short-and long-term markers of rehabilitation progress. The chart saves time and labor for the physical therapist and may be used in many facilities for the evaluation purpose.
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