SummaryIn recent years, the lifespan of patients with spinal cord injury (SCI) in Japan has been markedly prolonged, resulting in changes in the pattern of diseases developing after SCI and causes of death. We carried out a questionnaire survey on these problems and obtained the following results:1. Disease pattern in SCI patients. The morbidity during 3 days in October 1987 and the past history after SCI were investigated in 426 SCI patients, and the results were compared with those in the national health survey carried out by the Japanese government in 1984.The incidence of urological complications and pressure ulcer was high, as was to be expected. In addition, the incidence of diabetes, hypertension, skin diseases, peptic ulcer, and hepatic disease were also significantly higher in the SCI patients.2. Causes of death in SCI patients. Causes of death were analysed in 522 SCI patients who died, and the results were compared with those of the survey undertaken in 1967.The major causes of death were urinary tract infections and respiratory dysfunc tion in the early stage of cervical cord injury. Comparision with the results of the survey in 1967 showed a significant decrease in deaths from urinary tract infection; and a significant increase in those from CV A. Key words: Spinal cord injury; Japan; Aging; Morbidity; Cause of death.With recent advances in the treatment of spinal cord injury (SCI) in the early stage, the lifespan of SCI patients has been markedly prolonged. This has resulted in changes in the pattern of complications developing after SCI, such as an increase in diseases of adults and the resulting changes possibly resulting in death.To evaluate these changes, we carried out a questionnaire survey.
[Purpose] For 55 cerebrovascular hemiplegic patients, muscle strength of both of the affected and nonaffected limbs, Brunnstrom stage of lower limbs, deep sensation, and the weight-bearing rate on both of the affected and non-affected limbs were studied for correlation with the 6-minute walk distance.[Subjects] The average age of the patients was 65.1 years, the average time from the onset of stroke was 98.7 days. [Methods] The correlations between the 6-minute walk distance and the above variants were analyzed with stepwise multiple regression analysis. [Results] The weight bearing rate on the affected limb correlated significantly with the 6-minute walk distance. Thirty-four out of the 36 patients with more than 80% weight-bearing rate on the affected limb achieved a 6-minute walk distance of more than 300 m, and all of the patients who had more than 90% weight-bearing rate on the affected limb achieved a 6-minute walking distance of more than 500 m. [Conclusion] We concluded that the weight-bearing rate on the affected limb correlated most significantly with the 6-minute walk distance. Key words: 6-minute walk distance, weight bearing rate on the affected limb, cerebrovascular hemiplegic patients 要旨: 〔目的〕本研究は,脳血管障害片麻痺患者における 6 分間歩行距離と麻痺側・非麻痺側膝伸展筋力,下肢 Brunnstrom stage,深部感覚障害の有無,麻痺側・非麻痺側下肢荷重率の関連について検討を行った。 〔対象〕脳血 管障害片麻痺患者 55 名で,調査時平均年齢 65.1 歳,発症からの平均期間98.7 日であった。 〔方法〕6 分間歩行距離と 上記項目の関連について Stepwise 重回帰分析を用い分析した。 〔結果〕6 分間歩行距離には,調査項目の中でも麻痺 側下肢荷重率が強く 6 分間歩行距離に関連した。6 分間歩行距離 300 m 以上では,36 例中 34 例が麻痺側下肢荷重率 80%以上,500 m 以上では 9 例全てが麻痺側下肢荷重率 90%以上であった。 〔結語〕6 分間歩行距離には,麻痺側下 肢荷重率が強く関連することが示唆された。 キーワード:6分間歩行距離,麻痺側下肢荷重率,脳血管障害片麻痺患者 1) 厚生年金高知リハビリテーション病院 リハビリテーション科:高知県高知市神田317-12(〒780-8040)
The purpose of this study was to estimate the relationship between physical function at hospitalization and falls after discharge. [Subjects] The participants were 79, community-dwelling patients with stroke who had independent gait. [Methods] Physical function was measured by Brunnstrom Recovery Stage, one-leg standing time, and 10-m walking time. Subjects recorded experiences of falls for one year after discharge from rehabilitation. [Results] Sixty-three per cent of people (50/79) had a fall accident in the year after discharge. The fall group showed lower Brunnstrom Recovery Stage, lower one-leg standing, weaker knee extensor strength, lower Barthel Index and higher 10-m walking time than the no-fall group (p<0.05). Logistic regression analysis also indicated that the fall group had lower one-leg standing time than the no-fall group (95% CI: 0.829-0.981). The cutoff value for the one-leg standing time in predicted fall was 3.5 sec (sensitivity 86.0%, specificity 69.0%). [Conclusion] One-leg standing time during hospitalization was associated with falls for one year after discharge from rehabilitation, suggesting that this test is effective at predicting fall accidents for patients with stroke.
This study investigated the importance of weight bearing rate on the affected limb for independent going up and down stairs in 110 stroke patients. Age, Body Mass Index, period after onset, muscle strength of the nonaffected lower limb, Brunnstrom stage, deep sensation, weight bearing rate on each of the non-affected and affected limbs were used as variables. The logistic regression analysis showed that only the weight bearing rate on the affected limb was a critical factor influencing the ability of going up and down stairs. Furthermore, 84% weight bearing rate on the affected limb gave a precise, clear cutoff value for independent going up and down stairs.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
customersupport@researchsolutions.com
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.