地域在住⾼齢者への背部筋強化エクササイズ1 年後の姿勢アライメント，背部筋⼒，⾝体パフォーマンス，健康関連QOL の変化
【⽬的】⾼齢者への6 ヵ⽉間の背部筋強化エクササイズ介⼊が，1 年後の姿勢アライメント，背部筋⼒，⾝体パフォーマンス，健康関連QOL に影響するか，コントロール（全⾝運動）群の変化と異なるかを確認した。 【⽅法】姿勢アライメント（"usual"と"best"姿勢の脊柱弯曲⾓度，頭部位置，膝屈曲⾓度），背部筋⼒，5 回⽴ち上がりテスト（SS-5），⽚脚⽴位保持時間，5 m 最⼤歩⾏速度，⽇本版physical performance test（以下，JPPT），SF-8 を評価し，全対象者，適切に介⼊を終えた対象者に分け，時期間と群間の差を⽐べた。【結果】...
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| Published in | 運動器理学療法学 Vol. 1; pp. 15 - 23 |
|---|---|
| Main Authors | , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本運動器理学療法学会
2022
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 2436-8075 |
| DOI | 10.57281/jofmpt.1.0_15 |
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| Abstract | 【⽬的】⾼齢者への6 ヵ⽉間の背部筋強化エクササイズ介⼊が，1 年後の姿勢アライメント，背部筋⼒，⾝体パフォーマンス，健康関連QOL に影響するか，コントロール（全⾝運動）群の変化と異なるかを確認した。 【⽅法】姿勢アライメント（"usual"と"best"姿勢の脊柱弯曲⾓度，頭部位置，膝屈曲⾓度），背部筋⼒，5 回⽴ち上がりテスト（SS-5），⽚脚⽴位保持時間，5 m 最⼤歩⾏速度，⽇本版physical performance test（以下，JPPT），SF-8 を評価し，全対象者，適切に介⼊を終えた対象者に分け，時期間と群間の差を⽐べた。【結果】適切に介⼊を終えた対象者でも"usual"姿勢の腰椎弯曲⾓が増加し，頭部が前⽅化した。背部筋⼒とSS-5は低下し， 5 m 最⼤歩⾏速度とJPPT は維持された。いずれも群間差はなかった。【結論】背部筋強化エクササイズが，1 年後の姿勢アライメントに影響を与えるとはいえない。 |
|---|---|
| AbstractList | 【⽬的】⾼齢者への6 ヵ⽉間の背部筋強化エクササイズ介⼊が，1 年後の姿勢アライメント，背部筋⼒，⾝体パフォーマンス，健康関連QOL に影響するか，コントロール（全⾝運動）群の変化と異なるかを確認した。 【⽅法】姿勢アライメント（"usual"と"best"姿勢の脊柱弯曲⾓度，頭部位置，膝屈曲⾓度），背部筋⼒，5 回⽴ち上がりテスト（SS-5），⽚脚⽴位保持時間，5 m 最⼤歩⾏速度，⽇本版physical performance test（以下，JPPT），SF-8 を評価し，全対象者，適切に介⼊を終えた対象者に分け，時期間と群間の差を⽐べた。【結果】適切に介⼊を終えた対象者でも"usual"姿勢の腰椎弯曲⾓が増加し，頭部が前⽅化した。背部筋⼒とSS-5は低下し， 5 m 最⼤歩⾏速度とJPPT は維持された。いずれも群間差はなかった。【結論】背部筋強化エクササイズが，1 年後の姿勢アライメントに影響を与えるとはいえない。 |
| Author | 対⾺, 栄輝 福⽥, 敦美 |
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| References | 5) Fukuda A, Harada K, Nihei K, et al.: Relationship of spinal curvature with physical functions and history of falls in elderly Japanese women. Phys Ther Japan 2013; 40: 465–472. 7) Miyakoshi N, Itoi E, Kobayashi M, et al.: Impact of postural deformities and spinal mobility on quality of life in postmenopausal osteoporosis. Osteoporos Int 2003; 14: 1007–1012. 9) Bergström I, Bergström K, Grahn K, et al.: Back extensor training increases muscle strength in postmenopausal women with osteoporosis, kyphosis and vertebral fractures. Adv Physiother 2011; 13: 110–117. 23) ⼤村沙弥花，廣瀬圭⼦，拔井周⼦，他：2 種類の椅⼦からの⽴ち上がりテストと等速性膝伸展筋⼒との関係．理学療法─臨床・研究・教育 2011; 18: 67–70 13) Pawlowsky SB, Hamel KA, Katzman WB: Stability of kyphosis, strength, and physical performance gains 1 year after a group exercise program in community-dwelling hyperkyphotic older women. Arch Phys Med Rehabil 2009; 90: 358–361. 16) 遠藤達⽮，対⾺栄輝，⼩俣純⼀，他：脊柱後弯症を呈する⾼齢者を対象としたハンドヘルドダイナモメーターを⽤いた体幹伸展筋⼒測定法の信頼性．東北理学療法学 2014; 26: 172–176. 3) Hirose D, Ishida K, Nagano Y, et al.: Posture of the trunk in the sagittal plane is associated with gait in community-dwelling elderly population. Clin Biomech 2004; 19: 57–63. 17) Csuka M, McCarty DJ: Simple method for measurement of lower extremity muscle strength. Am J Med 1985; 78: 77–81. 22) 福⽥敦美，原⽥和宏，⼆瓶健司，他：⼥性⾼齢者における脊柱弯曲⾓度と⾝体諸機能・転倒歴の関連性．理学療法学 2013; 40: 465–472. 24) Schultz AB, Haderspeck-Grib K, Sinkora G, et al.: Quantitative studies of the flexion-relaxation phenomenon in the back muscles. J Orthop Res 1985; 3: 189–197. 10) Ball JM, Cagle P, Johnson BE, et al.: Spinal extension exercises prevent natural progression of kyphosis. Osteoporos Int 2009; 20: 481–489. 19) Fukuhara S, Suzukamo Y: Manual of the SF-8 Japanese version, Institute for Health Outcomes & Process Evaluation research, 2004, Kyoto. 15) Gelb DJ, St Laurent RT: Alternative calculation of the global clinical dementia rating. Alzheimer Dis Assoc Disord 1993; 7: 202–211. 20) ⽔本 篤，⽵内 理：研究論⽂における効果量の報告のために―基礎的概念と注意点―．英語教育研究 2008; 31: 57–66. 6) Kado DM, Huang MH, Nguyen CB, et al.: Hyperkyphotic posture and risk of injurious falls in older persons: the Rancho Bernardo Study. J Gerontol A Biol Sci Med Sci 2007; 62: 652–657. 21) Kasukawa Y, Miyakoshi N, Hongo M, et al.: Age-related changes in muscle strength and spinal kyphosis angles in an elderly Japanese population. Clin Interv Aging 2017; 12: 413–420. 2) Katzman WB, Wanek L, Shepherd JA, et al.: Age-related hyperkyphosis: its causes, consequences, and management. J Orthop Sports Phys Ther 2010; 40: 352–360. 8) Kado DM, Browner WS, Palermo L, et al.: Vertebral fractures and mortality in older women: a prospective study. Osteoporotic Fractures Research Group. Arch Intern Med 1999; 159: 1215–1220. 4) Kado DM, Huang MH, Barrett-Connor E, et al.: Hyperkyphotic posture and poor physical functional ability in older community-dwelling men and women: the Rancho Bernardo study. J Gerontol A Biol Sci Med Sci 2005; 60: 633–637. 14) Fukuda A, Tsushima E, Wada K, et al.: Effects of back extensor strengthening exercises on postural alignment, physical function and performance, self-efficacy, and quality of life in Japanese community-dwelling older adults: A controlled clinical trial. Phys Ther Res 2020; 23: 132–142. 1) Kado DM, Prenovost K, Crandall C: Narrative review: hyperkyphosis in older person. Ann Intern Med 2007; 147: 330–338. 11) Benedetti MG, Berti L, Presti C, et al.: Effects of an adapted physical activity program in a group of elderly subjects with flexed posture: clinical and instrumental assessment. J Neuroeng Rehabil 2008; 5: 32. 12) Katzman WB, Sellmeyer DE, Stewart AL, et al.: Changes in flexed posture, musculoskeletal impairments, and physical performance after group exercise in community-dwelling older women. Arch Phys Med Rehabil 2007; 88: 192–199. 18) Morala D, Shiomi T: Assessing reliability and validity of physical performance test for the Japanese elderly. J Phys Ther Sci 2004; 16: 15–20. |
| References_xml | – reference: 5) Fukuda A, Harada K, Nihei K, et al.: Relationship of spinal curvature with physical functions and history of falls in elderly Japanese women. Phys Ther Japan 2013; 40: 465–472. – reference: 10) Ball JM, Cagle P, Johnson BE, et al.: Spinal extension exercises prevent natural progression of kyphosis. Osteoporos Int 2009; 20: 481–489. – reference: 18) Morala D, Shiomi T: Assessing reliability and validity of physical performance test for the Japanese elderly. J Phys Ther Sci 2004; 16: 15–20. – reference: 23) ⼤村沙弥花，廣瀬圭⼦，拔井周⼦，他：2 種類の椅⼦からの⽴ち上がりテストと等速性膝伸展筋⼒との関係．理学療法─臨床・研究・教育 2011; 18: 67–70． – reference: 3) Hirose D, Ishida K, Nagano Y, et al.: Posture of the trunk in the sagittal plane is associated with gait in community-dwelling elderly population. Clin Biomech 2004; 19: 57–63. – reference: 13) Pawlowsky SB, Hamel KA, Katzman WB: Stability of kyphosis, strength, and physical performance gains 1 year after a group exercise program in community-dwelling hyperkyphotic older women. Arch Phys Med Rehabil 2009; 90: 358–361. – reference: 8) Kado DM, Browner WS, Palermo L, et al.: Vertebral fractures and mortality in older women: a prospective study. Osteoporotic Fractures Research Group. Arch Intern Med 1999; 159: 1215–1220. – reference: 22) 福⽥敦美，原⽥和宏，⼆瓶健司，他：⼥性⾼齢者における脊柱弯曲⾓度と⾝体諸機能・転倒歴の関連性．理学療法学 2013; 40: 465–472. – reference: 11) Benedetti MG, Berti L, Presti C, et al.: Effects of an adapted physical activity program in a group of elderly subjects with flexed posture: clinical and instrumental assessment. J Neuroeng Rehabil 2008; 5: 32. – reference: 24) Schultz AB, Haderspeck-Grib K, Sinkora G, et al.: Quantitative studies of the flexion-relaxation phenomenon in the back muscles. J Orthop Res 1985; 3: 189–197. – reference: 14) Fukuda A, Tsushima E, Wada K, et al.: Effects of back extensor strengthening exercises on postural alignment, physical function and performance, self-efficacy, and quality of life in Japanese community-dwelling older adults: A controlled clinical trial. Phys Ther Res 2020; 23: 132–142. – reference: 1) Kado DM, Prenovost K, Crandall C: Narrative review: hyperkyphosis in older person. Ann Intern Med 2007; 147: 330–338. – reference: 21) Kasukawa Y, Miyakoshi N, Hongo M, et al.: Age-related changes in muscle strength and spinal kyphosis angles in an elderly Japanese population. Clin Interv Aging 2017; 12: 413–420. – reference: 4) Kado DM, Huang MH, Barrett-Connor E, et al.: Hyperkyphotic posture and poor physical functional ability in older community-dwelling men and women: the Rancho Bernardo study. J Gerontol A Biol Sci Med Sci 2005; 60: 633–637. – reference: 16) 遠藤達⽮，対⾺栄輝，⼩俣純⼀，他：脊柱後弯症を呈する⾼齢者を対象としたハンドヘルドダイナモメーターを⽤いた体幹伸展筋⼒測定法の信頼性．東北理学療法学 2014; 26: 172–176. – reference: 17) Csuka M, McCarty DJ: Simple method for measurement of lower extremity muscle strength. Am J Med 1985; 78: 77–81. – reference: 6) Kado DM, Huang MH, Nguyen CB, et al.: Hyperkyphotic posture and risk of injurious falls in older persons: the Rancho Bernardo Study. J Gerontol A Biol Sci Med Sci 2007; 62: 652–657. – reference: 19) Fukuhara S, Suzukamo Y: Manual of the SF-8 Japanese version, Institute for Health Outcomes & Process Evaluation research, 2004, Kyoto. – reference: 9) Bergström I, Bergström K, Grahn K, et al.: Back extensor training increases muscle strength in postmenopausal women with osteoporosis, kyphosis and vertebral fractures. Adv Physiother 2011; 13: 110–117. – reference: 12) Katzman WB, Sellmeyer DE, Stewart AL, et al.: Changes in flexed posture, musculoskeletal impairments, and physical performance after group exercise in community-dwelling older women. Arch Phys Med Rehabil 2007; 88: 192–199. – reference: 2) Katzman WB, Wanek L, Shepherd JA, et al.: Age-related hyperkyphosis: its causes, consequences, and management. J Orthop Sports Phys Ther 2010; 40: 352–360. – reference: 15) Gelb DJ, St Laurent RT: Alternative calculation of the global clinical dementia rating. Alzheimer Dis Assoc Disord 1993; 7: 202–211. – reference: 7) Miyakoshi N, Itoi E, Kobayashi M, et al.: Impact of postural deformities and spinal mobility on quality of life in postmenopausal osteoporosis. Osteoporos Int 2003; 14: 1007–1012. – reference: 20) ⽔本 篤，⽵内 理：研究論⽂における効果量の報告のために―基礎的概念と注意点―．英語教育研究 2008; 31: 57–66. |
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| SubjectTerms | 介⼊1 年後 姿勢 背部筋強化 齢者 |
| Title | 地域在住⾼齢者への背部筋強化エクササイズ1 年後の姿勢アライメント，背部筋⼒，⾝体パフォーマンス，健康関連QOL の変化 |
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