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On the system of cooperation between University Educators and a Nursery School regarding early childhood motor development.（Follow-up report）
Get PDF本研究は，保育園と，園児の運動発達についての研究及び実践のための教育学，心理学，スポーツ健康科学，理学療法などの大学教育者による研究チームとの協力体制の試みについて報告する．昨年度実施した第１報の研究に続き，本稿では保育園５歳児クラス（第１報における４歳児クラス）に対して，体格，運動能力の評価および保育園スタッフへの聞き取り調査を行い，介入すべき点を検討することを研究目的とした．調査内容は，園児の体格，運動能力，自由な遊び時間におけるからだを動かす遊びの頻度，遊び場所，遊びの様子，遊ぶ友達の人数とした．調査の結果，Ａ保育園の5歳児の体格については，身長，体重とも全国平均値を上回っていたが，カウプ指数を統計学的にみると正常が41%,肥満ぎみが18%，やせぎみが41%と，やせぎみな体格の園児が半数近くを占めた．Ａ保育園男子の運動能力は，文部科学省における調査報告書に記載の実践園と比較して，男子は捕球と足連続跳び越しの２種目において，女子は足連続跳び越し，体支持持続時間において実践園1年目の平均値を下回った．運動能力と聞き取り調査結果の関係は，自由な遊びのとき活発に身体を動かす遊びの頻度が高いものほど両足連続跳び越しと体支持時間の評定が高く運動経験の量により影響を受けることが示唆された．また，園児のカウプ指数と運動能力測定結果では，立ち幅跳びの結果のみやせ気味の群が正常の群より有意に高値を示し幼児期の運動能力は筋力発揮を要する種目においては体重の影響を受けることが示唆された．Ａ保育園に対して，運動能力の課題である多様な動きを含む遊びの経験を増やす必要性が示唆された．This study follows the previously presented, "About a system of cooperation of the professional teams and nursery schools for early childhood motor development" which reported on an attempt at cooperation between a nursery school and a team of professionals from fields such as pedagogy, psychology, sports health science, physical therapy, etc. on research and implementation regarding childhood motor development. After conducting evaluations of the physical fitness of the 5-year-old class（ 4-year-olds in the first study） and interviews with nursery school staff, we were able to understand the physiques, physical fitness, frequency of opportunities to move their bodies during free play time, play areas, the nature of their play, and number of playmates. For each survey item, we showed the the actual situation and causal relationships, and carried out research for the purpose of preparing basic materials for a study on intervention methods. In regard to physique, at Nursery School A, both height and weight were above the national average, but looking at the Kaup index individually, 41% were normal, 18% tending toward overweight, 41% tending toward underweight, and the underweight. The physical fitness, the boys at Nursery School A were above the national average in the 25m run, standing wide jump, ball throwing, and duration of body support, but below average in the two-footed continuous jump and ball catching. The girls were above average in the 25m run, standing wide jump, ball throwing, duration of body support, and ball catching, but below average in the two-footed continuous jump. It was suggested to necessary to increase the experience of their play which is a task of exercise capacity.departmental bulletin pape
Conservative treatment of the middle phalangeal neck fracture using dorsal splint immobilization: a case report
Get PDF今回，我々は初回整復後に再転位を生じた右小指中節骨頚部骨折に対し再整復を行い，背側からのアルフェンス・ポリキャストを織り交ぜたシーネ固定を用い経過観察したところ，良好な結果を得た症例を経験したため報告する．症例は16歳，男子．平成28年1月29日，バスケットボールにてパスを受けそこない右小指にボールがぶつかり受傷．受傷後1週間経過したが腫脹が軽減せず，右小指の運動制限を認めたため，船堀整形外科に来院した．初診時XPで骨折の掌側凸変形を認めたため，近位骨片に合わせるように指を屈曲して整復し，屈曲位を保持するためMP関節・PIP関節・DIP関節を良肢位とし，環指と共に掌側よりシーネ固定を行った．初回整復1週間後のXPで再転位を認めたため再整復を行い，掌側凸方向へ転位している近位骨片へ遠位骨片を整復するようMP・PIP・DIP関節を最大屈曲位とし，背側よりシーネ固定を行った．固定範囲は指尖から前腕遠位とした．再整復4週間後まで指関節を最大屈曲位での固定を行い，再整復4週間後のXPで仮骨を確認し，バディテープのみの固定へ変更し積極的な指のリハビリテーションを行った．受傷8週後（再整復7週間後）のXP画像で骨癒合を認め，回旋変形もなく受傷10週後のMP・PIP・DIP関節可動域は屈曲健側対比100%，伸展健側対比100%，MP・PIP・DIP関節の疼痛も認めなかった．XPで仮骨を確認後，最低限の固定への早期変更をすることにより，日常生活動作もリハビリの一貫として行ったことが良好な可動域の確保に繋がったと考える．Middle phalanx fractures are common injuries, but middle phalangeal neck fracture is an unusual injury.Phalangeal neck fracture occurs almost exclusively in children. Middle phalangeal neck fracture is an uncommon fracture of the hand that is often difficult to treat. We report on fixation of the middle phalangeal neck fracture of a 16-year-old man. X-rays showed fracture of the middle phalangeal neck fracture. The man with fracture of the middle phalangeal neck was managed with palmar splint immobilization after closed bone reduction. After 1 week, X-rays showed the displacement of the fracture. Re-reduction was done, and the middle phalangeal neck fracture was managed with dorsal splint immobilization. After 7 weeks from re-reduction, X-rays showed bone union. As a result, a good range of motion was preserved. We consider that the dorsal splint immobilization had been a reliable form of treating fractures of the middle phalangeal neck fracture.departmental bulletin pape
Phonetic realization of a sequence with “and” and a word beginning with a vowel
Get PDFIn teaching pronunciation of a sequence with “and” and a word beginning with a vowel, teachers usually tell their students to link the /d/ in “and” to the following vowel and to pronounce it as a single word. However, many examples that the /d/ in “and” is lost and the /n/ preceding it is linked to a following vowel were found in a few teaching materials. Therefore, we investigated how the sequence with the /d/ in “and” plus a following vowel realized using a movie Hairspray as a material. It was found that more sequences were pronounced as [n] plus a vowel, which means that the /d/ in “and” was lost and the preceding /n/ was linked to the following vowel, than those not using the structure being examined. Sequences in which the /d/ in “and” was pronounced and linked to the following vowel were only about 25% of all the sequences. This tendency did not change depending on the speaker’s age, gender, or kinds of a vowel following the /d/. Therefore, teachers need to teach their students that the /d/ in “and” can be lost and the preceding /n/ will be linked to the following vowel.日本人英語学習者に連続した単語の発音を指導する際，先行語の語末の子音と後続語の語頭の母音を切らずにつなげて発音するように意識させることが一般的である．したがって，andの後に母音で始まる単語が続くときには，andの/d/と後続母音をつなげて発音するように指導してきた．しかしながら，andの/d/が発音されずに，その前の/n/が後ろの母音とつながる例が学習者用の教材にもいくつか見られた．そこでandの/d/と後続母音の連続がどのように実現されるのかを映画Hairsprayを題材に調査した．その結果，今まで学習者に指導してきた/d/と母音の連続よりも，/d/が脱落して/n/と後続母音が連続する例のほうがかなり多く見られた．この実現の傾向は，発話者の年齢，ジェンダー，後続母音の種類によって変わることはなかった．したがって，andの後に母音で始まる単語が続く場合，学習者には/d/が脱落して/n/と後続母音がつながる発音があることも指導していく必要があると結論付けた．departmental bulletin pape
The influence of gait and balance ability due to difference in exercise frequency in middle and elderly people with periodic exercise habits
Get PDF【目的】定期的な運動習慣のある中・高齢者における1週間の運動頻度の違いが歩行・バランス能力に及ぼす影響について検討した．【対象と方法】対象は地域在住で定期的な運動習慣を有する中・高齢者54名とした．対象を1週間の運動頻度により，週1～2日群，週3～5日群，週6日以上群の3群に分けた．測定項目は前方歩行速度，後方歩行速度，前方2ステップテスト，後方2ステップテスト，横歩き時間，Timed upand go test（TUG），Functional reach test（FR）の7項目とした．【結果】すべての測定項目で3群間に有意な差はみられなかった．【考察】各測定項目の結果から，対象者の身体機能が高い状態のため，現在実施している地域の体操教室などの運動強度では，運動頻度に関わらず，これ以上のバランス能力向上や歩行速度向上などは望めない可能性がある．【結論】定期的な運動習慣のある中・高齢者は高い身体機能を有し，1週間の運動頻度の違いによる歩行・バランス能力の変化は認められなかった．[Purpose] The purpose of this study was examined influence of gait and balance ability due to difference in exercise frequency in a week in middle and elderly people with periodic exercise habits. [Subjects and methods] Subjects were 54 middle and elderly people with periodic exercise habits. The subjects were divided into 3 groups (1~2 days/week, 3~5 days/week, 6 days over/week) by exercise frequency in a week. We measured was gait speed with forward and backward, two-step test with forward and backward, sideways walking time, Timed Up and Go test and Functional reach test. [Results] It was no significant difference among 3 groups with all measurement results. [Discussion] The subjects in this study had high physical function because of their periodic exercise habits. Therefore, the periodic exercise of this study that subjects conducted were suggested possibility not enough exercise strength. The middle and elderly people having high physical function show no change in gait and balance ability.departmental bulletin pape
Effectiveness of Stress-Free Therapy on knee osteoarthritis: A Case Report - Focus on inflammatory cytokine-
Get PDFストレスフリー療法（以下SF療法）は体表点に遠赤外線波長で50℃未満の熱刺激を間欠的に与えることでストレス反応を低減させる新しい治療法である．今回，変形性膝関節症（以下膝OA）に対してSF療法を行い，臨床症状の改善・関節液中の炎症性サイトカイン値の変化を認めた症例を経験した．症例は75歳男性．平成24年10月から膝痛を認め，平成24年初診．膝OAの診断で治療を受けていた．既往歴に慢性腎不全がある．この症例に対し，SF療法治療器で照射を行った．各Phase 0，2，4週（Ｗ）に痛みの指標となるVisual Analogue Scale（以下VAS）を測定した．Phase 1（保存療法）とPhase 3（保存療法＋SF療法）0w，4w後に採取した関節液中のTNFα・IL6値をEIA（enzyme immunoassay）法で測定した．JOA score（膝関節の疾患に対しての整形外科的な身体機能の判定基準）は各Phase0W，4Wの施療前に測定した．VAS・JOA scoreはPhase 3 4wで改善を認めた．関節液中TNFα・IL6値は，Phase 1 4wで上昇を認め，Phase 3 4wで低下を認めた．本症例では保存療法にSF療法を併用することで炎症性サイトカインを抑制し臨床症状の改善が期待できることが示唆された．This study was aimed to develop a novel, non-invasive treatment system, named ”Stress-Free Therapy® (SFTherapy)”,which may be able to reduce pain, and improve visual analogue scale (VAS) scores in patients with knee osteoarthritis (OA).We reported a 75-year-old man with knee OA. He received SF-Therapy on the foot for 30 min once a week for four weeks using a stress- free apparatus (infrared wavelength, 9,000– 12,000 nm; power, 30 mW). VAS was evaluated at 0 and 4 weeks before and after treatment. Japanese Orthopaedic Association (JOA) score was evaluated at 0 and 4 weeks just before the start of the program. Synovial fluid cytokines (TNFα・IL6) were evaluated at 0 and 4 weeks after treatment. In response to therapy, VAS decreased after the 4-week program in the conservative treatment plus SF-Therapy group. JOA scores increased after the 4-week program in the conservative treatment plus SF-Therapy group. Synovial fluid cytokines (TNFα・IL6) decreased after the 4-week program in the conservative treatment plus SF-Therapy group. This study suggests that the conservative treatment plus SF-Therapy system can suppress the inflammatory cytokines of patients with knee OA，and improve VAS and JOA scores．departmental bulletin pape
2015 Report on student counselling usage
Get PDF本稿は，2015年度1年間の学生相談室の利用状況を報告するものである．2012年に非常勤相談員が全員交代したことと，芸術学部の募集が停止となったことの影響で減少していた利用件数が，徐々に増加している．相談内容は，人間関係に関するものが最も多かった．来談経路は学生の自主的な来談が最も多かったが，相談員の授業を受けたことがあることを理由に挙げる学生も多かった．In this study, we examined the use of student counselling during 2015. Overall there has been an increase even though it had previously been in decline due to change in part time counsellors and recruitment of the art department was suspended. Most of the students’ consultation was about the human relationship. Most of the students came to the counseling of their own volition, however some students came to the counseling as part of their own studies.departmental bulletin pape
Exploring the skill of the certified care workers by mixed research methods
Get PDF混合研究法とは，量的研究と質的研究を組みあわせる研究法のことである．一方の研究の結果を他方で補完し合うことで現象をより深く理解しようとするものである．この混合研究法によって介護福祉士の熟練さの特徴を表すことを試みた事例をここに紹介する．この事例を通して混合研究法の保健学領域での活用について述べる．Mixed methods research is a research method combining quantitative survey and qualitative survey. It complements the results of one study with another to try to understand the phenomena more deeply. A case where attempting to express the characteristics of skills of the certified care workers by this mixed methods research is introduced here. Through this case we will describe the application of mixed methods research in the field of health.departmental bulletin pape
Trend of Questions of National Examination for Judo Therapy Practitioners: -Special Attention paid to Anatomy-
Get PDF柔道整復師国家試験（以下，柔整国試）は現在まで24回実施されている. 第24回柔整国試においては受験者数が7122名で合格率は64.3％であった.柔道整復師を養成する学校において，最終目的は国家試験合格による免許取得にある．当大学においても合格率100％を目指して国家試験対策に取り組んでいる現状があり，教科ごとの出題傾向の把握は必要不可欠となった．柔整国試は必修問題30問と一般問題200問で構成されている. 解剖学は柔道整復理論に次ぐ問題数の多い科目であり，国試対策においても大変重要な科目として位置づけられている．本調査では第14回～第24回までの柔道整復師国家試験科目・解剖学における出題傾向を明らかにすることを目的とした．方法は柔道整復師教科ガイドラインに沿った全国柔道整復学校協会監修の解剖学の目次に倣い分類し，出題数を必修問題と一般問題に分けて調べた. 結果は必修問題で最も多く出題されていたのは骨格系であった. 次いで筋系, 心脈管系の順であった. 一般問題で最も多く出題されていたのは筋系であった. 次いで骨格系, 末梢神経系の順であった. 今回の結果から解剖学では柔道整復師の業務の特性を考慮した問題が出題されていることがわかった．今後は解剖学の出題傾向に対応した授業や問題演習を行うことで，国家試験合格に向けた学習の質の向上につなげていきたいと考える．The national examination for judo therapy practitioners has been carried out 24 times to date． In the 24th national exam，the number of examinees was 7122 and the passing rate was 64.3%． The objective for educational institutions is for the students to pass the national examination and acquire their license．At our university as well, we are currently working on national examination measures aiming at a passing rate of 100%，so comprehension of the questions in each subject has become indispensable．The national exam consists of 30 questions on compulsory issues and 200 questions on general issues．Judo therapy related theoretical questions appeared most frequently followed by anatomical based questions．The purpose of this survey is to clarify the tendency of anatomy based question in the national examination from the 14th to the 24th．The method is classified according to the table of contents of the anatomical textbook supervised by the National Judo Doctor School Association according to their guidelines．We examined the number of questions divided into compulsory questions and general questions．In the compulsory questions，those referring to the skeletal system was most frequently asked．Then the muscular system and the cardiovascular system followed descending in frequency in the compulsory section．It was the problem of the musculature based question appeared with the most frequency followed by the skeletal system，then the peripheral nervous system in the general section of analyzed exams．Based on the results of this study，it was found that there was a high tendency towards anatomical based Judo therapy questions occurred regularly during the examined．In the future，I would like to improve the quality of learning towards passing the national exam by giving the students exercises corresponding for an anatomical nature．departmental bulletin pape