新YYCはじめに

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1 YES, YOU CAN! Paralyzed Veterans of America PVA Yes, You Can! (1989 ) 2000 A Yes, You Can!

2 PVA PVA Yes, You Can! - 2 -

3 Yes, You Can! VAMC 1986 VAMC PVA PVA 50 PVA Yes, You Can! PVA PVA ETF ETF VAMC Yes, You Can! PVA Yes, You Can! Copyright 2000, Paralyzed Veterans of America (PVA) Original body of text Produced by the Seattle Veterans Affairs Medical Center. Yes, You Can! : A Guide to Self -care for Persons with Spinal Cord Injury. 3rd ed

4 Cervical C C C CC C C C C C T (Thoracic : )

5 12 cauda equina

6 (UMNs : upper motor neurons) (LMNs : lower motor neurons) UMNs LMNs ( ) (motor portion of the nerve) dermatome - 3 -

7 - 4 - SCIspinal cord injury

8 - 5 -

9 UMNs LMNs

10 - 7 -

11 - 1 -

12 30-2 -

13 - 3 - ACEB

15 - 5-6

16 - 6 -

18 cc 177cc 29.6cc 97% 10

20 mg 1

22 - 12 -

23 - 13 -

24 - 14 -

25 - 1 -

26 - 2 -

27 - 3 -

28 DVT ( 33 ) enoxaparin Love-nox - 4 -

29 - 5 - (Cou-madin)

30 50-6 -

31 - 1 -

32 - 2 -

33 - 3 -

35 ( ) - 1 -

36 ( )

37 PROMself passive range-of-motion

38 SAM SAM S: Starting position A: Attendant s action/position M: Movement S A M S A M - 4 -

39 S A M S A M ( ) S A M S A M - 5 -

40 - 6 - ( ) S A M ( ) S A M S A M

41 10 S A M 11 S A M S A M - 7 -

42 S A M 14 S A M 15 S A M 16 S 90 A M

43 17 S A M 18 S A M 19 S A M 20 S A M - 9 -

44 21 S A M 22 S A M 23 S A M 24 S A M

45 - 1 -

46 KUB X - 2 -

47 IVP IVP X X IVP 24 BUN - 3 -

48 ICP ml 1500cc 500cc - 4 -

49 ) 500cc /

50 T 11 X - 6 -

51 - 1 -

52 7A - 2 -

53 Biphosphate Muciloid DOSS - 3 -

54 ICP

55 11-5 -

56 - 6 -

57 - 7 -

58 - 8 -

59 - 1-40

60 A - 2 -

61 0.5 kg 0.5 kg - 3 -

62 - 4 -

63 - 5 - ( ) 1.

64 B

65 180360cc) cc) cc - 7 -

66 - 1 -

67 - 2 - /

68 - 3 -

69 R ) (refill information) - 4 -

70 - 5 -

71 - 1 - ( ) ( ) ( ) ( ) ( ) ( ) ( ) (! )

72 - 2 - canal ( )

73 (Neurogenic heterotopis ossification: NHO) X

74 (Deep vein thrombosis; DVT) (NHO) 1. NHO 2. NHO NHO 3. NHO (Didronal) - 4 -

75 - 5 - ( ) ( ) ( ) ( )

76 - 6 -

77 T 11A 11. )

79 T T T

80 11 T

81 cm1 2.5cm cm 130 cm 10mmg 10 10mmg 10 10mmg - 5 -

82 [ ] [ ] [ ] [ ] - 1 -

83 12A

84 - 3 - I nayd splint 12B betadine Duoderm Restore Comfeel

85 - 4 -

86 - 5 -

87 - 1 -

88 - 2 -

89 - 3 - S

90 - 4 -

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93 - 7 -

94 - 8 -

95 - 9 -

96 - 10 -

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98 - 12 -

99 - 13 -

100

101 - 15 -

102 - 16 -

103 Americans with Disabilities Act ADA

104 SSDI SSI

105 ADA ADA TDD ADA

106 TDD A ( ) A B

107 (advance care directives)

108 - 22 -

109 - 1 -

110 - 2 -

111 - 3 -

112 - 4 -

113

114 - 6 - T12 20 PGE1 E1 FDA FDA ED

115 8-7 -

116 - 8 - PTOT AIDS

117 - 9 - T

118 - 10 -

119 - 11 -

120 - 1 -

121 - 2 - ) DVR DVR

122 - 3 - DVR SSA (SSDI) (SSI) SSDISSI

123 - 4 - SSDI SSDI SSI 65 SSI

124 - 5 - ADA

125 - 6 -

126 - 7 - ADA 48 ADA ( )

127 ADA ADA ADA ADA ADA ADA - 8 -

128 - 1 -

129 - 2 -

130 - 3 -

131 - 1 -

132 - 2-1

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134 - 4 - YMCAYWCA

135 Disabled Sports USA Hungerford Drive, Suite 100 Rockville,MD20850 (301) Wheelchair Archely, USA* c/o Wheelchair Sports, U.S.A E. Fountain Boulevard,SuiteL-l Colorado Springs, CO80910 (719) Canadian Wheelchair Basketball Association James Naismith Drive Gloucester, Ontario K1 B 5N4 Canada (613) International Wheelchair Basketball Federation 142 Villa Maria Lane Hazelwood, MO (314) National wheelchair Basketball Association* Queensbury Loop winter Garden, FL (407) National wheelchair Poolplayers Association Puritan Street Livonia, MI (734) American Wheelchair Bowling Association N. Andrews Avenue Ft, Lauderdale, FL (954) Freedom, s Wings International 1832 Lake Avenue Scotch Plains, NJ (908)232-_6354 1nternational Wheelchair Aviators PO. Box 2799 Big Bear City; CA (909) Universal Wheelchair Football Association U.C. Raymond Walters College Disability Services Office 9555 Plainfield Road Cincinnati, OH 45236_1096 (513) Association of Disabled American Golfers PO.Box2647 Littleton, CO 80! (303) adag@usga.org Crank Chair Racing Association Maude Street Stockton, CA (209)982-_9093 United States Handcycling Federation E. Fountain Boulevard, Suite L-l Colorado Springs, CO (831)

136 American Sled Hockey Association 21 Summerwood Court Buffalo, NY l4223 (716) American Competition Opportunities for Riders with Disabilities(ACORD),Inc Falter Road SanJose, CA (408) North American Riding for the Handicapped Association PO. Box Denver. CO (800)369-RIDE Casa Colina Adaptive Sportsand Outdoor Adventures N. Garey Avenue Pomona, CA (909) Disabled Sports USA Hungerford Drive, Suite 100 Rockville, MD (301) United States Cerebral Palsy Athletic Association, Inc W Independence Way Kingston, RIO 2881 (401) Wheelchair Sports, U.S.A E Fountain Boulevard, Suite L-1 Colorado Springs, CO (719) World T.E.A.M. Sports South Boulevard, Suite 101 Charlotte, NC (704) quad sports Power Soccer Bay Area Outreach Recreation Program(BORP) Bancroft Way Berkeley, CA (510) United States Quad Rugby Association White Cypress Drive Lake Worth, FL (561) International Tennis Federation (Wheelchair Tennis Department) Bank Lane Roehampton London SWI 55XZ, England (011) United States Tennis Association 70 W Red Oak Lane White Plains, NY (914) National Handicap Motorcyclist Association 404 Maple Avenue Upper Nyack, NY (914) National Park Service C St., NW Washington, DC (202) Turning POINT(Paraplegics On Independent Nature Trips) 411 N. Central Expressway, Suite 130 Dallas, TX (414) Wheelchair Track and Field-USA (WTFUSA)* Parkwood Road Snellville. GA (770)

137 National Wheelchair Shooting Federation* 102 Park Avenue Rockledge, PA l9046 (215):379-_2359 NRA Disabled Shooting Services Waples Mill Road Fairfax, VA (703) Disabled Sports USA Hungerford Drive, Suite 100 Rockville, MD (301) Ski For Life, Inc Carole Lane GreenBay WI (920) US Disabled Alpine Ski Team PO Box 100 Park City UT (801) National Wheelchair Softball Association l616 Todd Court Hastings, MN (651) American Wheelchair Table Tennis Association* 23 Parker Street Port Chester, NY (914) Wheelchair Track and Field-USA (WTFUSA)* Parkwood Road Snellville, GA (770) Access to Sailing 6475 E-Pacific Coast Highway Long Beach, CA (562) American Canoe Association 7432 Alban Station Boulevard, Suite B-232 Springfield, VA (703)451-0l41 Handicapped Scuba Association 1l04 El Prado San Clemente, CA (949) U.S. Rowing Association S. Capitol Avenue, Suite 400 Indianapolis, IN (317) U.S. Wheelchair Swimming, Inc. c/o Wheelchair Sports, U.S.A E. Fountain Boulevard,SuiteL-1 Colorado Springs, CO (719)574_1150 Water Skiers with Disabilities Association U.S. Water Ski 799 0verlook Drive Winter Haven, FL (800) United States Wheelchair Weightlifting Federation* 39 Michael Place Levittown, PA (215)

138 - 1 - ODRS

139 - 2 -

140

141

142 - 5 - NMEDA

143 - 6-50km 20 G

144

145 1

146 19B 2

147 3

148 19-1 4

149 NPO 5

150 6

151 7

152 8

153 9

154 10

155 11

156 12

157 13

158 14 19C

159 W-4 SS-4 EIN 942 a) 50 b) c) (FICA-942 ) a) , , a) b) c) W- ( ) W2 a) 131 W2-15

160 16

161 1

162 2

163 3 cm 150cm cm 90cm 180cm 90cm 150cm cm cm10cm 3.75cm 5cm 105cm 150cm 80cm 90cm 13mm

164 4

165 5 90 cm cm 90cm105cm

166

167 RN 24

168 A. B. C. D. E. F

169 - 3 -

170 - 4 -

171 - 5 -

172 - 6 -

173 - 7 -

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175 - 9 -

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192 * * * * - 5 -

193 - 1 -

194 - 2 -

195 - 3 -

196 - 4 -

197 - 5 -

198 - 6 -

199

200 % 6 15% 1,

201 BSE: Breast Self Exam 1-3 -

202 V V HIV DES:Diethylstilbestrol DES DES DES 1, Pap Pap - 4 -

203 1% American Academy of Family Physicians Subcommittee for Male Patients TSE Testicular Self-Examination TSE 1 TSE TSE - 5 -

204 BPH 40 80% 95% PSA PSA 1 4 PSA BPH 95% PSA 10% - 6 -

205 - 7-5 ( )

206 - 8 -

207 - 1 -

208

209

210 - 4 - ASIA ASIA( )

211 - 5 -

212 - 6 - Ligament

213 - 7 - Neurogenic

214 - 8 - Registered nursern Smoker s robot

215 VAU.S. Department of Veterans Affairs VBAVeterans Benefit Administration Ventilator - 9 -

216 www,healthpages.org/ahp/library/hlthtop/misc/bedsore.htm in Skin & Wound Care Annual Clinical Synposium on Advances in Skin & Wound Care

217 Autonomic Dysreflexia :What You Should Know ADA JAN New Horizons: Information for the Air Traveler with Disability The ADA : Your Personal Guide to the Law. The Air Carrier Access Act: Make in Work for You. Access-AbleTravel Source Access Amtrak Transportation Association of America ADA Travel Service Arthur Frommer ADA

218 ACTION Accessible Traveler's Database and Advocacy Centers Canadian Wheelchair Basketball Associationwww.cwba.ca National Wheelchair Basketball Associationwww.nwba.org National Wheelchair Poolplayers Association (billards) American Wheelchair Bowling Associationwww.awba.org International Wheelchair Aviators (fly-ing) Universal Wheelchair Football Associationdept.kent.edu/stuorg/AUWorld/UWF.html Association of Disabled American Golferswww.adag.com Crank Chair Racing Association United States Handcrycling Federationwww.ushf.org American Sled Hockey Association North American Riding for the Handicapped Associationwww.narha.org Casa Colina Adaptive Sports and Outdoor Adventureswww.casacolina.org Disabled Sports USAwww.dsusa.org United States Cerebral Palsy Athletic Association World T.E.A.M. Sportswww.worldteamsports.org Power Soccer Bay Area Outreach Recreation Program(BORP) United States Quad Rugby Association International Tennis Federation(Wheel-chair Tennis Department) National Park Servicewww.nps.gov Wheelchair Track and Field-USA Disabled Sports USAwww.dsusa.org National Wheelchair Softball Association ed-web3.educ.msu.edu/kin866/spsoftball.htm U.S. Rowing Associationwww.us-rowing.org U.S. Wheelchair Swimming, Inc. Water Skiers with Disabilities Association United States Wheelchair Weightlifting Federationwww.dsusa.org

219 AAA AAA ADED RESNAwww.resna.org RESNA Managing Personal Assistants: A Consumer Guide NFCA Kitchen Design for the Wheelchair User Purchase The Center for Universal Design Trace Research and Development Centerwww.trace.wisc.edu

220 Health News Online FDA

新YYC支援組織

新YYC支援組織 - 1 - - 2 - www.spinalcord.org www.pva.org www.spinalcord.uab.edu - 3 - - 4 - ASIA ASIA( ) - 5 - - 6 - Ligament - 7 - Neurogenic - 8 - Registered nursern Smoker s robot VAU.S. Department of Veterans Affairs