Microsoft Word - No.1武村.doc

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1 1) 1) 1) 2) 2) 2) 1) 2) % 23.1% () ( ) ( ) 2 BMI (FIM ) (p=0.66) (p=0.39) (P<0.05) (p=0.33) (p=0.36) (p=2.22E-19) (p=1.21E-10) (p=1.52E-11) (p=2.23E-12) 65~99 75~99 60~ % % % 11 goal

2 MD Ewing 16cm 12 MMT MMT 1~ T MMT ISOLS cm 13 MMT 1 1~2 19 MMT T MMT 2 2 ISOLS 50 3:70 20cm 8 MMT MMT T MMT ISOLS T %

3 1 2 2 Tossy 70 Tossy Ideberg Type3 k-wire k-wire tension band wiring screw 5 k-wire Tossy 7 90stooping ex 10 ROM PT Tossy

4 1) 2) 2) 3) 4) 1) 2) 3) 4) Self locking pin and circumferential wiring( ) 60 Gustilo A 10 1 Rom Rom Rom 6 Rom lag0 Rom 6 Rom

5 MSMC Mcmurray s test Anterior drawer test Lachman s test Patella apprehension test FTA170 ROM Leg-heel angle 10 MMT 3 4 Duchenne Duchenne 10 squat MMT 4 Duchenne Duchenne

6 FIM (Flow-FIM) , FIM Flow-FIM 2010 FIM FIM Flow-FIM Flow-FIM 45 (FIM ) FIM Flow-FIM FIM Flow-FIM Flow-FIM intraclass correlation coefficient ICC weighted ICC weighted Flow-FIM Flow-FIM ICC 0.97~ Weighted Flow-FIM Weighted 1 Flow-FIM FIM Flow-FIM Flow- FIM FIM FIM Flow-FIM

7

8 cm 56.5kg BMI20.8 (Gb) (Gm) (Gc) n= g 2kg 42cm BIODEX 3 p<0.05 Gb Gm Gb p< Gb Gm p< deg/sec 3 Gb p< deg/sec 3 Gb Gm p< deg/sec Gb p< deg/sec Gb Gm Gb p<0.05 Gb 120deg/sec 120deg/sec 120deg/sec 180deg/sec 120deg/sec

9

10 p< % 1km 1km 3 p< km p<0.02 p< km km 1km

11 BRS MMT 5 () 4 3/10 1/10 2/5() 3 ( ) 10m =9.26m/min =34 cadence=31.48step/min (2 ) BRS 8/10 2/10 5/5() 10m =15.15m/min =28 cadence=42.4step/min 3 ( ) FBS 37/56

12 MD 1 2 ADL ADL (Th6 ) ( ) ADL FIM69 ( ) MMT 4 2 ( / )Hip F1/1 E2/2 Knee F2/3 E3/3 Ankle T.A.2/2 (Th4~L5)(L4,5) ( EDSS Expanded Disability Status Scale in MS) 7.5/10 Dr Nrs MSW OT ADL 1 ADL 3 (4 ) ADL ADL FIM105 ( ) MMT 5 4 ( / )Hip F2/3 E2/3 KneeF2/4 E4/4 AnkleT.A.3 /4 100m m/ 27.7cm EDSS 6.5/10

13 Neumann

14 COPD ) ) ) (COPD) X 12 COPD 3 60 COPD SpO cm 3.0cm SpO 95 3

15 1 ADL Br.stage ADL FIM85 16 MSW MSW 21 FIM85 29 BP180/75 ADL FIM67 MSW Br.stage ADL FIM116 ADL

16

17 Functional Reach Test 1) 1) 1) 1) 1) 1) 1) 1) 1) (MD) 1) (MD) 1) 2) 2) 1) 2) Functional Reach Test(,FRT) Duncan. (, ), (2011), A,.,FRT,., FRT. FRT FRT Duncan, G-620. FRT, ( ), 20 3, 2., 10,Functional Reach (,FR ), (,), (,). FRT,,,3. 3 (Tukey-kramer ) FRT FR,, Spearman, 5%.,. FR 15.82cm, 14.95cm, 8.78cm, (p=0.003), (p=0.002). FR FR r 0.807,p ,5,4. FRT, FR,.,19, FRT. FRT. FRT FR. FRT FR,,FR.,.

18 3cm

19 Brunnstrom stage FIM G-6100 Cross test Cross test 10 10m spearman km/h rs 0.52 p<0.05 rs =0.31 p=0.22 rs =0.22 p=0.37 rs =0.54 p<0.05 4

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