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KAKEN_26350586seika.pdf
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Download
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:Sep 21, 2017 |
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リンパ浮腫の包括的評価法の計量心理学的分析と評価セットの作成に関する研究
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リンパ フシュ ノ ホウカツテキ ヒョウカホウ ノ ケイリョウ シンリガクテキ ブンセキ ト ヒョウカ セット ノ サクセイ ニ カンスル ケンキュウ
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Rinpa fushu no hokatsuteki hyokaho no keiryo shinrigakuteki bunseki to hyoka setto no sakusei ni kansuru kenkyu
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Study on analysis of psychometric property of the comprehensive measurement and the assessment set in patients with lymphedema
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辻, 哲也
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ツジ, テツヤ
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Tsuji, Tetsuya
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慶應義塾大学・医学部・准教授
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Research team head
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科研費研究者番号 : 90245639
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田沼, 明
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タヌマ, アキラ
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Tanuma, Akira
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静岡県立静岡がんセンター(研究所)・その他の部署・研究員
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Research team member
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科研費研究者番号 : 50306817
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森田, 恵美子
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モリタ, エミコ
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Morita, Emiko
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2017
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科学研究費補助金研究成果報告書
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2016
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目的は下肢リンパ浮腫患者を対象に運動耐容能(シャトルウォーキングテスト : SWT), 脚パワー(階段昇降テスト : SCPT), 下肢筋力(患側大腿四頭筋筋力体重比 : QUAD)を評価しリンパ浮腫が運動機能への影響を明らかにすることである。対象は下肢リンパ浮腫患者42名。浮腫重度群では有意にSWT歩行距離が短く, SCPT時間が長く, QUADが低かった。浮腫重度群でQUAD40％未満の患者では, 有意にSWT歩行距離が短く, SCPT時間が長かった。リンパ浮腫の重症化と浮腫側下肢筋力の低下が運動機能低下の主要因の一つであった。本研究で使用した評価項目のリンパ浮腫の運動機能の評価セットとしての有用性が示された。
The aim is to evaluate exercise tolerance (Shuttle walking test : SWT), leg power (stair climbing power test : SCPT), lower Limb muscle strength (the ratio of quadriceps muscle strength to body weight on the affected side : QUAD) and clear negative effects of lymphedema on motor function. Subjects were 42 patients with lymphedema. In severe edema group, there were significantly shorter in SWT distance, longer in SCPT time, and lower in QUAD than in mild one. Patients below 40% of QUAD in severe edema group, SWT distance was shorter and SCPT time was longer significantly. Severer lymphedema and lower muscle strength on the affected side were one of the main factor of decreases in motor function. We showed that evaluation items of our study were useful as the assessment set of motor function in patients with lymphedema.
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研究種目 : 基盤研究(C)(一般)
研究期間 : 2014～2016
課題番号 : 26350586
研究分野 : 悪性腫瘍(がん)リハビリテーション, リンパ浮腫の評価と治療
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