ο ADL a Body Mass Index(kg/m 2 ) SAKAI SE 23120R 160mm65g 1fl 2fl0 90 3fl HE CJES20K 45cm 43.5cm

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Transcription:

Vol14 No1 2004 145 156 Λ1 Λ2 ADLActivities of Daily Living 26670.1 ± 6.9 BMIBody Mass Index ADL ADLActivities of Daily Living 1) ADL 2) BBSBerg Balance Scale 3) ADL 4;5) Λ1 Λ2 921 8013 1-6-2 145

146 1 60ο89266 1 ADL 60106701288032 1 a Body Mass Index(kg/m 2 ) 2 2.1 SAKAI SE 23120R 160mm65g 1fl 2fl0 90 3fl 90 120 1 20 2.2 HE CJES20K 45cm 43.5cm 24.5cm78cm 105 4 11.5ο50cm 90 2 Carrot 30/ DV DV DVgate 2 Windows Move Tr32/2D 2 DLTTwo dimensional Direct Linear Transformation Method 4 4cm 1fl2fl 3fl 4fl 5m

147 1 1m 1 2 2 1 2 ff 3 2 2 2 DLT VTR 2.3 20 2.4 90 3 20 1fl2fl3fl10m 4flROMRange of Motion 4 2 kg ROM

148 2 1 2 2 ff 1 2 3 ROM 10 1fl 90 2fl 90 90 3fl90 90 4fl90 0 10m /10m 1 ROM 1 0 SPSSDrSPSS for WindowsSPSS 11.0J Base SystemAmos5.0

149 Kruskal Wallis Mann Whitney χ 2 ward ff 5% 1 F=221.0p<0.05ff=0.995 2 266 6624.8%75 28.2%12547.0% BMI BMI 2 3 1 2 4 1 2 1 2 4 1 2 I 10ο20 II 21ο30 III 31ο40 IV 41ο50 V 51ο60 VI 61ο70 IοVI 1 IIοV 5 6 ff ff II III IV V III IV V 3 100% 266 7 2.6% 2910.9%,23086.5% 230 55 23.9%, 65 28.3% 110 47.8% 4 100% 2 Kruskal Wallis Mann Whitney

150 3 a Kruskal Wallis n.snot significant 4 a Kruskal Wallis Mann-Whitney 266 145 54.5% 76 28.6%45 16.9% ( 7 5 a a b 1 c I VI 5 8 60 7080 10m ROM 9 6 5 0:55 0.410.35 0.45

151 4 a Ward 10 1 0 ο VII 2 0 ο 7 0 10 11 20 21 30 31 40 41 50 51 60 61 70 71 80 1 0 I II III IV V VI VII 2 0 1 2 3 4 5 6 7 6 a ff a b 266IIοV Kruskal Wallis Mann Whitney 0:27 0.510.7210m 0:71 ROM 0.53 0.360.31 0.27 7 x 2

152 8 a b 1 048 Kruskal Wallis Mann Whitney 9 x 2 1 266 200 75.2% 66 24.8% 60ADL BMI 1 2 6)

153 5 10m ROM 2 7) 1 2 1 IIοV IV ROM 8) 2 8) 90 ff II ff IIIοV

154 90 3 26623086.5% 60ADL TKR ROM 9 12) ADL 13;14) ADL 15) 4 266 145 54.5% 60 ADL 5 16) 10m ROM 6070 80 17;18)

155 ADL 19) 1Chaffin DBAndersson GBJ and Martin BJOccupational Biomechanics 3rd edjohn Wiley & SonsNew York181 2771999 2Horak FBShupert CL and Mirka AComponents of postural dyscontrol in the elderlya reviewneurobiol Aging 106727 7381989 3Berg KWood Dauphinee S and Williams JIThe balance scalereliability assessment with elderly residents and patients with an acute strokescand J Rehabil Med 27127 361995 4Chiu AYAu Yeung SS and Lo SKA comparison of four functional tests in discrimination fallers from non fallers in older peopledisabili Rehabil 25145 502003 5Reuben DB and Siu ALAn objective measure of physical function of elderly outpatientsthe physical performance testj AmGeritr Soc 38101105 11121990 6 1999 731121 282004 8Janssen WGMBussmann HBJ and Stam HJDeterminants of the sit to stand movementa reviewphys Ther 829866 8792002 9 APDL 16259 632001 10TKR 255308 3171998 11 209829 8331992 12, 10989 10251967 131982 14 18145 501990 152003 16 4 1989 17 3110731 7351994 181996 194190 922001 16 6 5

156 Study on Forward Trunk Inclination Posture in the Elderly while Picking Up an Object from the Floor Kazuo MARUTA and Susumu WATANABE (Accepted Jun. 5, 2004) Key words : picking up an object from the floor, forward trunk inclination posture, activities of daily living, elderly Abstract The purpose of this study was to clarify the factors that effect the forward trunk inclination posture of the elderly while picking up an object from the floor. Two hundred and sixty six elderly female subjects (70.16.9 yrs.), who can perform the activities of daily living (ADL) independently, participated in this study. The activity ofpicking up an object from the floor was classified into three patterns; 1fla stooping pattern, 2fla semi squatting pattern, and 3fla squatting pattern. Observation variables were physical attributes, such as age, and the Body Mass Index (BMI), the angle of forward trunk inclination posture during sit to stand, the pattern of standing up from the floor, and the pattern of leg crossing while sitting on a chair. The latent variables were the forward trunk inclination posture, physical fitness, and the living environment. The results showed that the squatting pattern was used significantly more than the others. The results also clarified that the forward trunk inclination posture is related to the latent factors of the stooping pattern and the semi squatting pattern. Significant associations were found between the forward trunk inclination posture and the angle of the forward trunk inclination posture during sit to stand, the pattern of standing up from the floor, and the pattern of leg crossing while sitting on a chair. The results suggested that for the elderly the forward trunk inclination posture which has been habitually formalized in many ADL situations might be the latent factors which has influence upon the activity of picking up an object from the floor. Correspondence to : Kazuo MARUTA Malta Research Institute, Restorative Science and Healthy Longevity Kanazawa, 921-8013, Japan (Kawasaki Medical Welfare Journal Vol.14, No.1, 2004 145 156)