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Trend analysis and countermeasures of athletic trainer certification examination by Japan Sports Association.
Get PDF本研究ではアスレティックトレーナー専門科目検定試験理論試験（以下，AT 試験）で出題される問題を公認アスレティックトレーナー専門科目テキストの項目に沿って分類し，AT 試験問題の出題傾向の調査および試験対策の考察を踏まえ報告する．
対象は平成24年度から平成29年度のAT 試験問題とした．出題されている問題を①アスレティックトレーナーの役割，②運動器の解剖と機能，③スポーツ外傷・障害の基礎知識，④健康管理とスポーツ医学，⑤検査・測定と評価，⑥予防とコンディショニング，⑦アスレティックリハビリテーション，⑧救急処置，⑨スポーツと栄養の9冊のテキストのそれぞれの項目に分類をした．最も多く出題されているのは⑥予防とコンディショニングであり，次いで③スポーツ外傷・障害の基礎知識であった．出題数が多い項目は実技の内容であることが多いことから普段の実技の授業にて学生にAT 試験を見据えさせる必要があると考えられる．しかし，その他の項目からも幅広く出題されているため，テキストを熟読し理解するといった勉強方法も必要である．The purpose of the research is to study the questions in the recent athletic trainer certification examination (AT exam) and discuss about the contents so that we may be able to provide students the study guide for the exam. We classified the questions of the AT exam from the 2012 to 2017 according to the contents of the nine textbooks published by Japan Sports Association: “Roles of athletic trainers”, “Anatomy and function of the musculoskeletal system”, “Basic knowledge of sports injuries”, “Health care and sports medicine”, “Test, measurement, and evaluation”, “Prevention and conditioning”, ”Athletic rehabilitation”, “Emergency treatment”, and “ Sports nutrition”.
Our study found that the greatest number of questions were drawn from the “ Prevention and conditioning”, followed by “ Basic knowledge of sports injuries”. Because many questions were associated with the practical skills required for athletic trainers, not only their academic work, the students also need to pay a great attention to their practical work on the sports field. In the meantime, the AT exam have widely covered all the contents; therefore, the students need to understand the textbooks in detail to be ready for taking the examination.departmental bulletin pape
Noninvasive Therapy for Left Medial Malleolus Fracture; A Case Report
Get PDF今回我々は手術療法を選択することの多い足関節内果骨折の症例に対して，保存療法を行い良好な結果を経験したため報告する．症例は30歳男性，雨の日に転倒した際，左足を外反強制して受傷．診察時，左足関節部の疼痛，腫脹および運動制限を認め，歩行不能であった．X 線上，左脛骨内果部の骨折を認めた．徒手整復術を行なったが，翌日再転位．再整復を施したが転位は残存した．骨片転位が軽度だったことにより，保存療法を選択した．2週間後に骨折部の矯正を目的とした固定法を施した．骨折部の沈子を厚めにし，足関節に内転強制をかけて，底屈位固定とした．その後転位が矯正され，11週間後には骨癒合が良好となり，関節面の不整も認められなかった．物理療法と理学療法を併用した結果，18週間後には，筋力低下や感覚障害は認められず，関節可動域は足関節背屈20°，底屈40°まで回復した．This case report was about a 30 year-old male (TS) with the left medial malleolus fracture. Radiographs showed the fracture of the medial malleolus. The closed reduction of the fracture was performed; however, a bone chip derangement was remained inside of the medial compartment. A noninvasive therapy was chosen for TS because the bone chip derangement did not cause harm or disabilities.
Furthermore, a fixation method was applied in two weeks later. The ankle was corrected with slight inversion and fixed with plantar flexion. The bone chip derangement was gradually improved. 11 weeks later, the fracture was formed a union and the joint surface was healed.18 weeks later, muscle strength and sensory disturbance recovered; the range of motion returned to ankle dorsiflexion 20 degrees, plantar flexion 40 degrees.departmental bulletin pape
The Tendencies in the Types of Questions Given on Hygiene and Public Health in the National Examination for the Judo Therapy Practitioners.
Get PDF本研究の目的は柔道整復師国家試験科目である衛生学・公衆衛生学の出題傾向を分類することである．対象は第14回～第26回の柔道整復師国家試験において出題された衛生学・公衆衛生学の問題164問であり，対象とした164問について，公益社団法人全国柔道整復師学校協会監修の衛生学・公衆衛生学に記載されている目次に基づき分類した．最も出題頻度が高かった項目は生活環境・食品衛生活動で，次いで感染症の予防，消毒，環境衛生の順に出題数が多かった．過去，国家試験で出題された問題を分類，分析することは国家試験対策を考える上で重要である．今回の分類で出題数の多かった項目を学習することで国家試験合格率の向上が期待できると考えられた．The purpose of this study was to classify what types of questions were frequently given on the subjects of Hygiene and Public Health in the National Examination. The 164 questions were chosen from the 14th to 26th national examinations for the analysis. Those questions were further categorized based on the table of contents of the editorial publication, “Hygiene and Public Health” issued by the Foundation for the Judo Therapy Practitioners Association. The result revealed that the most frequently asked questions were about the Living Environment·Education for Food
Hygiene. Then, Prevention of infectious Diseases was questioned next most often. Understanding the tendencies of the questions could help improve efficiency of preparing for the national examination.departmental bulletin pape
Report on the intervention of the elderly with teams through cooperation of universities and regional resources – Efforts of the Senior Wellness Salon –
Get PDF我々は2018年度，本学ウェルネストレーニングセンターと，地域包括支援センター，社会福祉協議会などの地域資源のスタッフがチームとなり地域高齢者に運動介入の取り組みを行ったのでその取り組みを報告する．当該サロンは、本学健康科学部教員と地域包括支援センター職員，社会福祉協議会推進委員が地域高齢者の生き生きとした生活を送る為に必要と考えられる包括的な運動プログラムを吟味し，サロン活動の形式で行った運動介入を試みた。本研究は、その活動内容を報告するとともに，その効果や地域高齢者における更なる課題について検討する事を目的とした．参加者の体力テストの結果は個人差を有し，年齢と体力は相関関係がなかった．The Dementia Assessment Sheet For Community-based Integrated Care System-21（以下DASC21）の評価項目の種別ごとの平均点と体力要素の関係は握力と記憶に負の相関があり，握力が弱いほど，記憶に何らかの問題を感じていた．また，開眼片脚立ちと判断力に負の相関があり，バランスが悪いほど判断力に何らかの問題を感じていた．その他最大歩行速度と家庭外Instrumental Activity of Daily Living（以下IADL）にも負の相関があり歩行が遅いほど，家庭外IADL に何らかの問題を感じていた．これらの結果から，高齢者における運動機能が認知機能，生活機能と密接に関連しており，高齢者介護予防における運動介入が認知機能，生活機能も含めたフレイル予防の有効な手段である事が示唆された．また，教室参加のきっかけや参加理由から，包括支援センターや社会福祉協議会のスタッフの声掛け，告知が重要な役割を果たしている事もわかった．The purpose of this research was to report and examine the effects and issues of the fitness program for the elderly people in a community. In this fiscal year, the intervention for the community elderly wellness was attempted with the leadership of the University Health Science Department (UHSD). In addition, a cooperative effort was made to organize a team with the regional Comprehensive Support Center (CSC) and Social Welfare Council (SWC). Then, the elderly wellness salon was planned by the team members of UHAD, CSC and SWC. The team attempted to operate a comprehensive exercise program for the elderly to become lively. The physical fitness test was held. The results of the participants revealed the individual differences; there were no correlation between age and physical fitness. There was a negative correlation between grip strength and memory. The participants with the weaker grip strength showed some types of memory problems. Moreover, the participants with the difficulties in keeping balance when attempting a one-leg standing with eyes opened showed the problems in ability to judge. Furthermore, the slower the maximal speed of gait, the more issues in the IADL out-side home environment was noticed.
In conclusion, the quality of the motor functions in the elderly would be closely related to the quality of the cognitive and life functions. The fitness program would suggest that the exercise intervention prevented the elderly people from becoming frail. The research also revealed that the CSC and SWC played a significant role for promoting the participation of the elderly people and publicity.departmental bulletin pape
Effectiveness for a Manual Reduction of an Anteriorly Dislocated Femoral Component of a Total Hip Replacement: A Case of Manual Reduction Report
Get PDF後方進入後の人工股関節置換術後後方脱臼の報告は散見するが，後方進入後の前方脱臼の報告，さらに徒手整復の報告は少ない．今回我々は後方侵入による人工股関節置換術後前方脱臼に対し，徒手整復を行い良好な結果を得た症例を経験したため報告する．対象は64歳女性．主訴は右股関節痛．平成27年9月から右股関節痛を認め， 1本杖歩行となった．平成27年10月他院受診．右変形性股関節症の診断で保存的に経過を見ていたが，痛みが軽減せず，平成28年9月1日後方進入による人工股関節置換術を施行した．
経過良好であったが，平成29年2月25日台所での立ち仕事の際に後屈した瞬間「ガクン」となり，同日救急搬送された．初診時，右股関節痛，立位不能，右下肢短縮・外転・外旋を認めた． XP 上前方脱臼を認め，静脈麻酔下，徒手整復を行った．立位時に骨盤後傾が増悪した結果cup の前方開角が増加し，腰部を伸展した瞬間にstem 頚部と骨盤との間の impingement，もしくはstem 頚部と臼蓋cup 後縁での impingement が起き，impingement が生じた部位を支点にして，右人工股関節前方脱臼が生じた可能性があると考えられた．Dislocation remained a common cause of failure after a total hip arthroplasty (THA). In this failure, an anterior dislocation of THA was rare. This case was about a 64 -year-old female who received a manual reduction of the anterior dislocation of THA. She was diagnosed with osteoarthritis of the right hip. She was operated on a posterior approach indicated for severe pain with a restriction of the joint movement and limp during the gait. After six months from the surgery, She had sudden severe right hip pain. X-rays revealed the anteriorly dislocated femoral component.
To correct the dislocation, the manual reduction technique and the skin traction were performed. As a result, a significant reduction of the right hip pain was recognized. Further systematic trial would be required to determine whether or not the manual reduction provided significant pain relief.departmental bulletin pape
