人工股関節全置換術術後患者における退院時から退院後1ヵ月の歩数変化量と身体機能，疼痛，自己効力感との関係
〔目的〕術前から退院後1ヵ月までの歩数を客観的に評価し，退院時から退院後1ヵ月の変化量に影響する要因を検討する．〔対象と方法〕女性初回片側人工股関節全置換術20例とした．1日当たりの平均歩数，自己効力感，膝関節伸展筋力，timed up and go testおよび疼痛を術前，退院時，退院後1ヵ月の計3回測定し，歩数変化量との相関関係を検討した．〔結果〕歩数は術前，退院後1ヵ月と比べて退院時で有意に低値を示したが，術前と退院後1ヵ月では有意差がみられなかった．歩数変化量は，自己効力感のみに有意な正の相関があった．〔結語〕人工股関節全置換術後の歩数は退院後1ヵ月で術前値と同程度になることが明らか...
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| Published in | 理学療法科学 Vol. 34; no. 6; pp. 743 - 748 |
|---|---|
| Main Authors | , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
理学療法科学学会
2019
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1341-1667 2434-2807 |
| DOI | 10.1589/rika.34.743 |
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| Abstract | 〔目的〕術前から退院後1ヵ月までの歩数を客観的に評価し，退院時から退院後1ヵ月の変化量に影響する要因を検討する．〔対象と方法〕女性初回片側人工股関節全置換術20例とした．1日当たりの平均歩数，自己効力感，膝関節伸展筋力，timed up and go testおよび疼痛を術前，退院時，退院後1ヵ月の計3回測定し，歩数変化量との相関関係を検討した．〔結果〕歩数は術前，退院後1ヵ月と比べて退院時で有意に低値を示したが，術前と退院後1ヵ月では有意差がみられなかった．歩数変化量は，自己効力感のみに有意な正の相関があった．〔結語〕人工股関節全置換術後の歩数は退院後1ヵ月で術前値と同程度になることが明らかとなり，歩数変化量は自己効力感変化量に関連する可能性が示された． |
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| AbstractList | 〔目的〕術前から退院後1ヵ月までの歩数を客観的に評価し，退院時から退院後1ヵ月の変化量に影響する要因を検討する．〔対象と方法〕女性初回片側人工股関節全置換術20例とした．1日当たりの平均歩数，自己効力感，膝関節伸展筋力，timed up and go testおよび疼痛を術前，退院時，退院後1ヵ月の計3回測定し，歩数変化量との相関関係を検討した．〔結果〕歩数は術前，退院後1ヵ月と比べて退院時で有意に低値を示したが，術前と退院後1ヵ月では有意差がみられなかった．歩数変化量は，自己効力感のみに有意な正の相関があった．〔結語〕人工股関節全置換術後の歩数は退院後1ヵ月で術前値と同程度になることが明らかとなり，歩数変化量は自己効力感変化量に関連する可能性が示された． 「要旨」 : 〔目的〕術前から退院後1ヵ月までの歩数を客観的に評価し, 退院時から退院後1ヵ月の変化量に影響する要因を検討する. 〔対象と方法〕女性初回片側人工股関節全置換術20例とした. 1日当たりの平均歩数, 自己効力感, 膝関節伸展筋力, timed up and go testおよび疼痛を術前, 退院時, 退院後1ヵ月の計3回測定し, 歩数変化量との相関関係を検討した. 〔結果〕歩数は術前, 退院後1ヵ月と比べて退院時で有意に低値を示したが, 術前と退院後1ヵ月では有意差がみられなかった. 歩数変化量は, 自己効力感のみに有意な正の相関があった. 〔結語〕人工股関節全置換術後の歩数は退院後1ヵ月で術前値と同程度になることが明らかとなり, 歩数変化量は自己効力感変化量に関連する可能性が示された. |
| Author | 山口, 智也 白井, 智裕 矢倉, 千昭 加藤木, 丈英 岸田, 俊二 |
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| References | 14) Brembo EA, Kapstad H, Van Dulmen S, et al.: Role of self-efficacy and social support in short-term recovery after total hip replacement: a prospective cohort study. Health Qual Life Outcomes, 2017, 15: 68. 32) Nagai K, Ikutomo H, Tagomori K, et al.: Fear of falling restricts activities of daily living after total hip arthroplasty: a one-year longitudinal study. Clin Gerontol, 2018, 41: 308-314. 33) Leung PM, Ejupi A, van Schooten KS, et al.: Association between sedentary behaviour and physical, cognitive, and psychosocial status among older adults in assisted living. BioMed Res Int, 2017, 2017: 9160504. 29) 厚生労働省：平成29年国民健康・栄養調査結果の概要．https://www.mhlw.go.jp/content/10904750/000351576.pdf （閲覧日2019年5月12日） 31) Webster F, Perruccio AV, Jenkinson R, et al.: Understanding why people do or do not engage in activities following total joint replacement: a longitudinal qualitative study. Osteoarthritis Cartilage, 2015, 23: 860-867. 9) Elhakeem A, Hannam K, Deere KC, et al.: Correlates of high-impact physical activity measured objectively in older British adults. J Public Health, 2017, 171: 1-11. 2) Nüesch E, Dieppe P, Reichenbach S, et al.: All cause and disease specific mortality in patients with knee or hip osteoarthritis: population based cohort study. BMJ, 2011, 342: d1165. 22) Tinetti ME, Richman D, Powell L: Falls efficacy as a measure of fear of falling. J Gerontol, 1990, 45: 239-243. 28) Keele KD: The pain chart. Lancet, 1948, 2: 6-8. 17) Luna IE, Kehlet H, Peterson B, et al.: Early patient-reported outcomes versus objective function after total hip and knee arthroplasty: a prospective cohort study. Bone Joint J, 2017, 99-B: 1167-1175. 15) 東島直生，藤江亮太，北島 将・他：人工股関節全置換術後の身体活動量に影響を及ぼす要因．Hip Jt, 2015, 41: 180-182. 24) Katoh M, Yamasaki H: Comparison of reliability of isometric leg muscle strength measurements made using a hand-held dynamometer with and without a restraining belt. J Phys Ther Sci, 2009, 21: 37-42. 12) Büla CJ, Monod S, Hoskovec C, et al.: Interventions aiming at balance confidence improvement in older adults: an updated review. Gerontology, 2011, 57: 276-286. 8) Almeida GJ, Khoja SS, Piva SR: Physical activity after total joint arthroplasty: a narrative review. Open Access J Sports Med, 2018, 9: 55-68. 4) Höll S, Blum A, Gosheger G, et al.: Clinical outcome and physical activity measured with StepWatch 3™ Activity Monitor after minimally invasive total hip arthroplasty. J Orthop Surg, 2018, 13: 148. 18) Bendich I, Chung C, Hwang K, et al.: Changes in prospectively collected longitudinal patient-generated health data are associated with short-term patient-reported outcomes after total joint arthroplasty: a pilot study. Arthroplast Today, 2019, 5: 61-63. 21) Hill KD, Schwarz JA, Kalogeropoulos AJ, et al.: Fear of falling revisited. Arch Phys Med Rehabil, 1996, 77: 1025-1029. 20) Trost SG, McIver KL, Pate RR: Conducting accelerometer-based activity assessments in field-based research. 2005, 37: 531-543. 5) Crizer MP, Kazarian GS, Fleischman AN, et al.: Stepping toward objective outcomes: a prospective analysis of step count after total joint arthroplasty. J Arthroplasty, 2017, 32: S162-S165. 7) Arnold JB, Walters JL, Ferrar KE: Does physical activity increase after total hip or knee arthroplasty for osteoarthritis? A systematic review. J Orthop Sports Phys Ther, 2016, 46: 431-442. 11) Bandura A: Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev, 1977, 84: 191-215. 16) 佃 岳，永松香穂，奥田直樹・他：自己効力感や疼痛の破局的思考が人工股関節全置換術術後の早期歩行自立に及ぼす影響．Hip Jt, 2017, 43: 244-246. 25) Kamimura A, Sakakima H, Tsutsumi F, et al.: Preoperative predictors of ambulation ability at different time points after total hip arthroplasty in patients with osteoarthritis. Rehabil Res Pract, 2014, 2014: 861268. 1) Fujita K, Makimoto K, Tanaka R, et al.: Prospective study of physical activity and quality of life in Japanese women undergoing total hip arthroplasty. J Orthop Sci, 2013, 18: 45-53. 27) 島田裕之，古名丈人，大渕修一・他：高齢者を対象とした地域保健活動におけるTimed Up & Go Test の有用性．2006, 33: 105-111. 3) Judd DL, Dennis DA, Thomas AC, et al.: Muscle strength and functional recovery during the first year after THA. Clin Orthop Relat Res, 2014, 472: 654-664. 19) 中田由夫，大河原一憲，大島秀武・他：3軸加速度計Active Style Proを用いた身体活動量評価においてepoch lengthが解析結果に及ぼす影響．運動疫学研究，2012, 14: 143-150. 23) 近藤 敏，宮前珠子，石橋陽子・他：高齢者における転倒恐怖．総合リハビリテ－ション，1999, 27: 775-780. 30) Veenhof C, Huisman PA, Barten JA, et al.: Factors associated with physical activity in patients with osteoarthritis of the hip or knee: a systematic review. Osteoarthritis Cartilage, 2012, 20: 6-12. 10) Jefferis BJ, Sartini C, Lee IM, et al.: Adherence to physical activity guidelines in older adults, using objectively measured physical activity in a population-based study. BMC Public Health, 2014, 14: 382. 26) Podsiadlo D, Richardson S: The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc, 1991, 39: 142-148. 13) Magklara E, Burton CR, Morrison V: Does self-efficacy influence recovery and well-being in osteoarthritis patients undergoing joint replacement? A systematic review. Clin Rehabil, 2014, 28: 835-846. 6) Harding P, Holland AE, Delany C, et al.: Do activity levels increase after total hip and knee arthroplasty? Clin Orthop Relat Res, 2014, 472: 1502-1511. |
| References_xml | – reference: 15) 東島直生，藤江亮太，北島 将・他：人工股関節全置換術後の身体活動量に影響を及ぼす要因．Hip Jt, 2015, 41: 180-182. – reference: 28) Keele KD: The pain chart. Lancet, 1948, 2: 6-8. – reference: 20) Trost SG, McIver KL, Pate RR: Conducting accelerometer-based activity assessments in field-based research. 2005, 37: 531-543. – reference: 27) 島田裕之，古名丈人，大渕修一・他：高齢者を対象とした地域保健活動におけるTimed Up & Go Test の有用性．2006, 33: 105-111. – reference: 29) 厚生労働省：平成29年国民健康・栄養調査結果の概要．https://www.mhlw.go.jp/content/10904750/000351576.pdf （閲覧日2019年5月12日）． – reference: 19) 中田由夫，大河原一憲，大島秀武・他：3軸加速度計Active Style Proを用いた身体活動量評価においてepoch lengthが解析結果に及ぼす影響．運動疫学研究，2012, 14: 143-150. – reference: 6) Harding P, Holland AE, Delany C, et al.: Do activity levels increase after total hip and knee arthroplasty? Clin Orthop Relat Res, 2014, 472: 1502-1511. – reference: 24) Katoh M, Yamasaki H: Comparison of reliability of isometric leg muscle strength measurements made using a hand-held dynamometer with and without a restraining belt. J Phys Ther Sci, 2009, 21: 37-42. – reference: 12) Büla CJ, Monod S, Hoskovec C, et al.: Interventions aiming at balance confidence improvement in older adults: an updated review. Gerontology, 2011, 57: 276-286. – reference: 2) Nüesch E, Dieppe P, Reichenbach S, et al.: All cause and disease specific mortality in patients with knee or hip osteoarthritis: population based cohort study. BMJ, 2011, 342: d1165. – reference: 10) Jefferis BJ, Sartini C, Lee IM, et al.: Adherence to physical activity guidelines in older adults, using objectively measured physical activity in a population-based study. BMC Public Health, 2014, 14: 382. – reference: 11) Bandura A: Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev, 1977, 84: 191-215. – reference: 22) Tinetti ME, Richman D, Powell L: Falls efficacy as a measure of fear of falling. J Gerontol, 1990, 45: 239-243. – reference: 30) Veenhof C, Huisman PA, Barten JA, et al.: Factors associated with physical activity in patients with osteoarthritis of the hip or knee: a systematic review. Osteoarthritis Cartilage, 2012, 20: 6-12. – reference: 21) Hill KD, Schwarz JA, Kalogeropoulos AJ, et al.: Fear of falling revisited. Arch Phys Med Rehabil, 1996, 77: 1025-1029. – reference: 14) Brembo EA, Kapstad H, Van Dulmen S, et al.: Role of self-efficacy and social support in short-term recovery after total hip replacement: a prospective cohort study. Health Qual Life Outcomes, 2017, 15: 68. – reference: 31) Webster F, Perruccio AV, Jenkinson R, et al.: Understanding why people do or do not engage in activities following total joint replacement: a longitudinal qualitative study. Osteoarthritis Cartilage, 2015, 23: 860-867. – reference: 26) Podsiadlo D, Richardson S: The timed “Up & Go”: a test of basic functional mobility for frail elderly persons. J Am Geriatr Soc, 1991, 39: 142-148. – reference: 5) Crizer MP, Kazarian GS, Fleischman AN, et al.: Stepping toward objective outcomes: a prospective analysis of step count after total joint arthroplasty. J Arthroplasty, 2017, 32: S162-S165. – reference: 4) Höll S, Blum A, Gosheger G, et al.: Clinical outcome and physical activity measured with StepWatch 3™ Activity Monitor after minimally invasive total hip arthroplasty. J Orthop Surg, 2018, 13: 148. – reference: 9) Elhakeem A, Hannam K, Deere KC, et al.: Correlates of high-impact physical activity measured objectively in older British adults. J Public Health, 2017, 171: 1-11. – reference: 32) Nagai K, Ikutomo H, Tagomori K, et al.: Fear of falling restricts activities of daily living after total hip arthroplasty: a one-year longitudinal study. Clin Gerontol, 2018, 41: 308-314. – reference: 17) Luna IE, Kehlet H, Peterson B, et al.: Early patient-reported outcomes versus objective function after total hip and knee arthroplasty: a prospective cohort study. Bone Joint J, 2017, 99-B: 1167-1175. – reference: 33) Leung PM, Ejupi A, van Schooten KS, et al.: Association between sedentary behaviour and physical, cognitive, and psychosocial status among older adults in assisted living. BioMed Res Int, 2017, 2017: 9160504. – reference: 7) Arnold JB, Walters JL, Ferrar KE: Does physical activity increase after total hip or knee arthroplasty for osteoarthritis? A systematic review. J Orthop Sports Phys Ther, 2016, 46: 431-442. – reference: 25) Kamimura A, Sakakima H, Tsutsumi F, et al.: Preoperative predictors of ambulation ability at different time points after total hip arthroplasty in patients with osteoarthritis. Rehabil Res Pract, 2014, 2014: 861268. – reference: 18) Bendich I, Chung C, Hwang K, et al.: Changes in prospectively collected longitudinal patient-generated health data are associated with short-term patient-reported outcomes after total joint arthroplasty: a pilot study. Arthroplast Today, 2019, 5: 61-63. – reference: 16) 佃 岳，永松香穂，奥田直樹・他：自己効力感や疼痛の破局的思考が人工股関節全置換術術後の早期歩行自立に及ぼす影響．Hip Jt, 2017, 43: 244-246. – reference: 8) Almeida GJ, Khoja SS, Piva SR: Physical activity after total joint arthroplasty: a narrative review. Open Access J Sports Med, 2018, 9: 55-68. – reference: 3) Judd DL, Dennis DA, Thomas AC, et al.: Muscle strength and functional recovery during the first year after THA. Clin Orthop Relat Res, 2014, 472: 654-664. – reference: 1) Fujita K, Makimoto K, Tanaka R, et al.: Prospective study of physical activity and quality of life in Japanese women undergoing total hip arthroplasty. J Orthop Sci, 2013, 18: 45-53. – reference: 13) Magklara E, Burton CR, Morrison V: Does self-efficacy influence recovery and well-being in osteoarthritis patients undergoing joint replacement? A systematic review. Clin Rehabil, 2014, 28: 835-846. – reference: 23) 近藤 敏，宮前珠子，石橋陽子・他：高齢者における転倒恐怖．総合リハビリテ－ション，1999, 27: 775-780. |
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| Snippet | 〔目的〕術前から退院後1ヵ月までの歩数を客観的に評価し，退院時から退院後1ヵ月の変化量に影響する要因を検討する．〔対象と方法〕女性初回片側人工股関節全置換術20例とした．1日当たりの平均歩数，自己効力感，膝関節伸展筋力，timed up and go... 「要旨」 : 〔目的〕術前から退院後1ヵ月までの歩数を客観的に評価し, 退院時から退院後1ヵ月の変化量に影響する要因を検討する. 〔対象と方法〕女性初回片側人工股関節全置換術20例とした. 1日当たりの平均歩数, 自己効力感, 膝関節伸展筋力, timed up and go testおよび疼痛を術前, 退院時,... |
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| Title | 人工股関節全置換術術後患者における退院時から退院後1ヵ月の歩数変化量と身体機能，疼痛，自己効力感との関係 |
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| ispartofPNX | 理学療法科学, 2019, Vol.34(6), pp.743-748 |
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