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The therapeutic Effects of Pad-attached Orthotic Insoles Prescribed by Physiotherapists
Get PDF理学療法士が作成する足底挿板はどのような疾患に対して有効か, またどのような疾患が適応外かという傾向に関しては不明な点が多い. そこで今回, 理学療法士が作成するパッド貼付型足底挿板の治療効果にどのような傾向があるかを明らかにした.
対象は千葉こどもとおとなの整形外科リハビリテーション科にて,1名の理学療法士が2014年4月から2017年3月までの3年間に作成された足底挿板を対象に調査を実施した.
結果は膝関節（10名）, 足関節・下腿（12名）, 足部（18名）の3つ部位に分類して各部位での治療成績を示したところ, 膝関節は16名（70.0%）, 足関節・下腿は4名（91.2%）, 足部は14名（83.3%）の割合で症状の改善または消失が確認された. 疾患別で症例数が比較的多かったものを確認すると, 変形性膝関節症7名（4名改善）, 足関節捻挫6名（5名改善）, シンスプリント4名（全例改善）, 有痛性外脛骨4名（全例改善）,という結果であった.
変形性膝関節症の足底挿板の適応としては,Kellgren-Lawrence 分類Grade1までが効果を示せる可能性が考えられた. 下腿・足関節・足部に関しては骨折などの形態異常や明らかな機能不全がなければ効果は十分に期待できると考えられた.The purpose of this study was to investigate what types of disorders were indicated or contraindicated for orthotic insoles prescribed by a physiotherapist. The study specifically identified the effectiveness of the pad-attached orthotic insoles for the therapeutic activities. The study was conducted from April 2014 through March 2017 at Chiba Child and Adult Orthopedic Clinic （Rehabilitation Group）. The design of the study was categorized into three anatomical regions, which were 10 knee cases, 12 ankle/lower leg cases and 18 foot cases. The therapeutic outcomes were expressed as “improvement” or “disappearance” of the symptoms. The 70% （16 cases） of the knee cases showed positive results. The 91.2%（ 4 cases） of the ankle / lower leg symptoms were diminished. The 83.3% （14 cases） of the foot cases were improved. Disorders often seen were osteoarthritis of the knee （4/7 cases）, ankle sprain （5/6 cases）, shin splints （4/4 cases） and painful accessory navicular （4/4 cases）. The Kellgren Lawrence classification Grade 0 and 1 seemed to suggest that the use of the orthotic insoles in the knee arthritis was indicated. The orthotic insoles were also considered as effective on the ankle / lower leg and foot if there was neither abnormality in morphology, such as bone fracture, nor obvious dysfunctions.departmental bulletin pape
The Transition of the National Examinations standards of 2020 for Judo Therapy Practitioners - The Tendency of Compulsory Questions in the National Examinations -
Get PDF｢背景｣平成30年3月4日に柔道整復師国家試験（以下，柔整国試）が実施され，6,321名が受験した．第26回柔整国試の合格率は全体（新卒と既卒を合わせた）受験者では58.4％と過去最低の結果であった．さらに，2020年度から柔整国試の出題基準が改定され現在の出題基準からは大幅に変更となることから，柔整国試対策の実施が急務となる．
｢方法｣第1 ～第26回柔整国試を対象とした．柔整国試に出題された｢柔道整復施術の基礎｣についての問題を2020年度出題基準の通りに分類し，出題数を調査した．
｢結果・考察｣出題が最も多かったのは｢肩関節烏口下脱臼の診察および整復｣について39問であった．2番目は｢肘関節後方脱臼の診察および整復｣について31問出題されていた．それに対して出題が少なかったのは｢足関節外側側副靭帯損傷の固定｣，｢アキレス腱断裂の固定｣が0問，｢肩鎖関節脱臼の固定｣が1問であった．過去の必修問題では固定肢位や固定範囲などについて聞かれることは少ないことから，対策が必要な分野であることがわかった．Background; On March 4, 2018 the 26th National Examination for Judo Therapy (NEJT) was held.
Purpose; To improve education effect and the pass rate, we analyzed the tendency of the national examination standards of 2020. We focused on the theory of Judo Therapy in questions. The combined success rate of graduates, both new graduates and previous graduates, was 58.4%, the lowest success rate in the history of the NEJT.
26 NEJT have been administered so far. Following each NEJT, the questions from the examination are released and the information about the examination increases.
Method ; We analyzed from the 1th exam to the 26th exam.
We classified the question on ‘Fundamentals of judo therapy treatment’ which was entered on the Flexibility Tournament as the major item of the 2020 question criteria and the middle item class, and examined the number of questions.
Results / Discussion; I thought that by examining the examination criteria for the 2020 version of the examination criteria for the national exam, it becomes the national examination measure of the new standard. 39 questions were asked about “the consultation and reduction of anterior shoulder dislocation” which was most frequently asked. The second was 31 questions about “Medical examination and reduction of Elbow Joint Dislocation”. On the contrary, there were 0 questions on “fixation of ankle joint lateral collateral ligament injury” and “fixation of Achilles tendon rupture”. In the past compulsory problem, it is rare to be heard about the fixed limb position, the fixed range, etc. It turned out that it is a field that needs measures.departmental bulletin pape
The recognition of menstruation and the influence on practical training in the medical university students
Get PDF本研究の目的は，医療系大学生における男女の月経に対する認識を調査することであった．さらに，月経随伴症状が女子学生の学生生活，および実習に与える影響を明らかにすることであった．
対象は，有効回答の得られた147名（男性84名，女性63名，年齢21.1±0.7歳）とした．調査は無記名自記式質問紙を用いて，男女の月経のイメージ，月経随伴症状，月経痛への対処法，月経症状による学校生活と実習への影響ついて聴取した．分析は，人数及び割合の比較に関してはX2検定を，2群の比較に関しては、Mann-WhitneyのU検定、3群以上の比較に関してはFriedman検定を用いた．結果，回収率は83.5%であった．月経の認識は男女に差が生じ，月経随伴症状に対するセルフケアの知識は十分とはいえない結果となり，ウィメンズヘルスに対する教育の必要性が示唆された．月経随伴症状の強さによって、実施しているセルフケアの種類が異なる傾向となった．実習中は，月経随伴症状の増悪が認められ，セルフケアの指導や実習指導者による精神・身体的配慮が必要であることが示唆された．The purpose of this study was to investigate the recognition of university students studying physiotherapy for menstruation and to clarify the influence of female student's symptoms of menstruation on student life and clinical practice．The subjects were 147 students 84 males， 63 females， 21.1 ± 0.7 years of age．The survey was conducted using an unsigned self-administered questionnaire．“Image of menstruation”， “Symptoms of menstruation”， “How to care with menstrual pain”， “Effects of the menstruation accompanying symptoms on school life and clinical training” were investigated．
For the analysis， the X2 test was used for comparison of the number and proportion，the Mann-Whitney U test was used for the comparison of two groups, and the Friedman test was used for the comparison of three or more groups．
As a result， The response rate was 83.5%. Menstrual awareness differed between males and females， and selfcare knowledge on the menstruation accompanying symptoms was not sufficient．This suggested that education for women's health is necessary．The self-care being performed affects the strength of the symptoms associated with menstruation. The menstruation accompanying symptoms are expected to worsen during clinical training． Therefore， it was suggested that self-care guidance for the menstruation accompanying symptoms is necessary，and consideration to the spirit and body of female students by practical instructors is necessary．departmental bulletin pape
Students’ learning outcomes from school health practice
Get PDF本研究の目的は，2日間の学校保健実習を通して学士課程の保健師学生が得た学びの内容および実習施設（小学校または中学校）による学びの量の違いを明らかにすることである．4年次学生35名の課題レポートを質的帰納的に分析した結果，【学校保健活動の基盤】【養護教諭の役割と具体的な活動】【学校保健活動における連携の実際とその意義】【看護職としての気づき】の4つのカテゴリーが抽出された．次に得られた学びの数を実習施設別に量的に分析した結果，それらの違いは学びには影響しないことが示唆された．今後は本研究で得られた学びの妥当性や実習目標の妥当性，評価の視点等について討議していく必要がある．The purpose of this study was to clarify learning outcomes, which undergraduate students gained from twoday school health practice and the difference by facilities (elementary schools or junior high schools). As a result of qualitative analysis of 35 practice reports by fourth-year students, four categories were observed: foundation of school health activity, roles and activities of school nurse, actual cooperation in school health and its meaning and realization as a nurse. Second, we found no significance in the number of learning outcomes by the difference of facilities by quantitative analysis. In the future, it will be necessary to discuss the validity of these learnings, the validity of the practice targets and the evaluation framework.departmental bulletin pape
Considerations on oral care method ―Issues found from survey of tooth brushing―
Get PDF看護師は整容と口腔内の清潔を目的として口腔ケアを実施する．8020運動（平成27年度から，8020運動・口腔保健推進事業となる，以後，8020運動と略す）開始以降，歯垢が原因で発症する歯周病が糖尿病や心疾患等の，様々な疾患の発症に影響することの解明が進み，口腔ケアは歯垢を除去することが主目的となった．これからの口腔ケアは，歯垢が多く付着する歯間を丁寧に清掃しなければならない．その啓蒙のために，歯垢の除去を目的に行った調査結果と歯垢を容易に除去する方法を述べる．Nurses keep patients’ mouth clean． The purpose of mouth care is mainly in removing plaque because it is related to diseases caused by the periodontitis which results from plaque, such us: diabetes and heart disease． Nurses have to carefully clean interdental space where plaque adheres. Our investigation also includes how to remove plaque and the most effective number of gargling for cleaning．departmental bulletin pape
Activities of school counselors: Recognition and expectations of local governments
Get PDF本研究は，独自にスクールカウンセラー制度を導入しているある市（X市）が，スクールカウンセラー活動をどのように規定し，スクールカウンセラー活動の実際をどのように認識し，さらに期待しているかについて分析することを目的とする．このために，X市の教育委員会のスクールカウンセラーを担当する部署が，毎年度作成する統計，教育委員会や市議会の議事録等の閲覧可能な公文書や資料を通して，X市がスクールカウンセラーの仕事をどのように位置づけているかを調査した．
閲覧が認められた，学校ごとの相談件数の統計，及び市議会や教育委員会の議事録を分析した結果，スクールカウンセラーに相談室での個別対応に留まらずに，教職員や外部とも連携・協働して，幅広い活動を柔軟に行うことと，その前提として多様な知識や判断力を求めていた．具体的には，相談室の外での児童・生徒への声かけやアセスメント，教職員や学校全体への研修会や助言等が期待されているものと考えられる．This study analyzes how a school counselor is defined, how they are recognized for their actual activities, and what is expected from local governments by reviewing reports and statistics of a city（ City X） which independently incorporated a school counselor system. These reports are publicly available, and the records include conferenceminutes by the board of education and the city council.
After analyzing the non-restrictive material（ consultation statistics by schools and conference minutes of the city council and the board of education）, the following three aspects were expected of school counselors: 1） to not limit their operation to individual counseling in the counseling room; 2） to coordinate and cooperate with other faculty and outside resources; and 3） to conduct a wide range of activities based on the assumption that school counselors have diverse knowledge and judgment. In other words, school counselors are expected to converse with students outside the counseling room, make assessments, conduct training workshops, and provide advice to faculty in the entire school.departmental bulletin pape
Development of sustainable exercise play at nursery school
Get PDF本研究は，運動遊びを開発した過程を報告したものである．ある保育園からの依頼に基づいて，幼児および保育士が高い動機づけを維持して行うことができる身体活動のエクササイズを考案した．文部科学省の運動能力調査の6種目で行って，その結果から，低い点数だった能力に働きかける運動遊びを考案した．そして，考案した運動遊びを保育園で継続して実施してもらうこととした．園児に実施する前に，実施上の問題点を解消するために，保育園との話し合いを行った．This study reported the process of developing exercise play. Based on a request from a nursery school, we devised physical exercise play that infants and nursery teachers can maintain their own high motivation. Using six types of exercise capacity survey of MEXT as a reference, we devised exercise play that effective for a low exercise capacity. Then, we decided to continue the exercise play we devised in a target park. In order to solve the problem in practice, we discussed with the target park before implementing it at the nursery school.departmental bulletin pape