@article{oai:shijonawate-gakuen.repo.nii.ac.jp:00000236, author = {Aoki, Osamu and 青木, 修 and Tsumura, Nobuhiro and 津村, 暢宏 and Okuyama, Soh and 奥山, 聡 and Kimura, Aiko and 木村, 愛子}, journal = {四條畷学園大学リハビリテーション学部紀要, Annual reports of Faculty of Rehabilitation, Shijonawate Gakuen University}, month = {}, note = {本研究では、全人工膝関節置換術(以下、TKA)施工予定の変形性膝関節症(以下、OA)患者に対して、入院の約2ヶ月前にホームストレッチエクササイズを指導し、TKA前後の膝関節可動域(以下、膝ROM)に与える影響について調査した. TKA施行予定の膝OA患者24名24関節を対象とした. 被検者をランダムにストレッチ指導群、ストレッチ非指導群に振り分けた. 入院予約時に指導群はストレッチを指導し、非指導群は評価のみ行った. TKA術後は両群とも一般的な理学療法を実施した. 評価項目は膝ROM、疼痛および入院日数とした. 結果は指導群11関節、非指導群13関節であった. 入院日数は群間で有意差はなかった. 入院予約時と入院時の比較では膝ROM、疼痛ともに指導群で有意な改善がみられた. 一方、退院時と入院時の比較では両群とも有意な膝ROMの変化はなかった. 疼痛は入院時と退院時の比較では両群とも有意な改善がみられた., The purpose of this study was to evaluate the effect of pre-operative home stretching exercise on knee range of motion(ROM) after total knee arthroplasty(TKA) in knee osteoarthritis patients. Twenty-four joints of 24 patients were enrolled in this study. They were randomly allocated in two groups. The intervention group instructed to do the knee stretching exercise and the control group was not given any instructions to do at the time of reservation for admission to the hospital. The control group was taken a conventional rehabilitation as same as the intervention group after operation of TKA. Measurements were knee ROM, pain that was evaluated by visual analogue scale and the days from admission to discharge into the hospital. There were eleven joints of 11 patients in the intervention group and thirteen joints of 13 patients in the control group. The days in the hospital were not different between groups. Knee ROM and pain at the time of admission to the hospital showed statistically significant improvement when compared with those at the time of reservation. There was no change of knee ROM at the time of discharge when compared with that at the time of admission in both groups. And pain at the time of discharge improved significantly when compared with that at the time of admission in both groups., 原著, original}, pages = {1--7}, title = {変形性膝関節症患者に対する術前ホームストレッチエクササイズは全人工膝関節置換術後の膝ROMに効果があるか?}, volume = {8}, year = {2012}, yomi = {アオキ, オサム and ツムラ, ノブヒロ and オクヤマ, ソウ and キムラ, アイコ} }