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Relationship between shoulder joint horizontal adductor muscle strength and lung function in community-dwelling elderly
Get PDF本研究の目的は，大胸筋を主動作筋とする肩関節水平内転筋力と肺機能の関連を調査することである．地域在住高齢者36名を対象に，検者1名によって肩関節水平内転筋力および肺機能検査を実施した．肩関節水平内転筋力は，0.27±0.08kgf/kgだった．%VCは147.4±5.0％，%FVCは128.3±17.9％，%FEV1.0は129.8±20.4％，FEV1.0%は78.1±7.7％であった．肩関節水平内転筋力と肺機能の相関分析において，FEV1.0（r=0.56），VC（r=0.42），FVC（r=0.50）と有意な正の相関を認めた．%VC，%FVC，%FEV1.0は100%以上であったことから高い肺機能を有しており，%VCは80%以上，FEV1.0%が70%以上であったことから正常な肺機能を認めた．高い肺機能を有する高齢者において，肩関節水平内転筋力は呼気および吸気と関連し，主動作筋である大胸筋が換気に関与することが示唆された．The purpose of this study was to investigate the relationship between shoulder joint horizontal adductor muscle strength and lung function. Shoulder joint horizontal adductor muscular strength and pulmonary function tests were conducted by one examiner using 36 Community-dwelling elderly people participated as subjects. Shoulder joint horizontal adductor muscle strength was 0.27±0.08 kgf/kg. %VC was 147.4±5.0%. %FVC was 128.3±17.9%. %FEV1.0 was 129.8±20.4%. FEV1.0% was 78.1±7.7%. Correlation analysis of shoulder joint horizontal adductor muscle strength and lung function revealed a significant positive correlation with FEV 1.0 (r = 0.56), VC (r = 0.42) and FVC (r = 0.50). As a result of lung function, %VC, %FVC and %FEV1.0 were greater than 100%, and FEV1.0% was greater than 70%. The subjects’ lung function was normal range to high. Therefore, the shoulder joint horizontal adductor muscular strength of elderly people with high lung function was associated with expiration and inspiration,suggesting that the pectoralis major muscle, which is the main acting muscle, is involved in ventilation.departmental bulletin pape
Vulnerability, care and moral education
Get PDF本論文は，新たに（小学校では2018年度，中学校では2019年度から）スタートする「特別の教科 道徳」で道徳の授業をする際に，どのような人間観や視点をもつ必要があるのかを明らかにする．そのために，まず人間が抱える根源的な「脆弱性（vulnerability）」を原理的に考察し，そこから相互依存関係にある「関係的で脆弱な個人」概念を，新学習指導要領が前提としている人間観と対比するかたちで，導き出す．次に，人間の脆弱性から必然的に生じる「ケア（care）」がもつ道徳的な含意を，ノディングス（Noddings, N.）によりながら明らかにする．最後に，以上の分析を踏まえて，道徳教育を行う上で留意すべきポイントをいくつか提起する．This paper purposes to clarify the key viewpoints we must have in teaching the new “special subject morals”, starting in 2018 at elementary schools. Firstly, we consider the “vulnerability” that human beings have in principle, to deduce the concept of “relational and vulnerable individual” from this consideration and also to compare it to the view of humans from the New COURSES OF STUDY . Secondly, we clarify the moral implications of care that arise from human vulnerability necessarily, referencing the work of Noddings. Finally, we suggest several viewpoints that we should pay attention to, when students learn “special subject morals”.departmental bulletin pape
The actual situation on the practice goal attainment and the practice satisfaction level in elderly nursing practice
Get PDF本研究は，本学看護学科における高齢者看護学実習の実習目標達成度と実習満足度の実態を明らかにすることを目的とした．対象は，高齢者看護学実習を履修した3年次生で研究の同意が得られた者92名である．高齢者看護学における病院実習と高齢者施設実習終了後に実習要項に掲載されている実習目標について「十分達成できた」から「全く達成できなかった」の4段階で，実習満足度については「とても満足」から「全く不満足」の4段階での自己評価とした．結果，実習目標ごとに達成度に違いがあり達成度の高い目標と低い目標が明らかになった．また，実習満足度は，概ね高い評価であったが，病院実習と施設実習で若干の差異がみられた．本学看護学科では，高齢者看護学実習が始まり3年が経過し，実習目標や実習方法の見直しや評価の時期にきている．今回の調査結果から今後の高齢者看護学実習の構築に関する示唆を得ることができた．This study aimed to clarify the actual situation on the practice goal attainment and the practice satisfaction level in elderly nursing practice in Department of Nursing of Ryotokuji University. Subjects who agreed to participate in this investigation, were ninety-two persons of 92 third year students completed courses of elderly nursing practice. After the hospital practice and the elderly facilities practice, the students had a selfassessment with regards practice goal attainment which was divided into four scales from “completely achieved” to “totally non-achieved,” based on essential points of elderly nursing practice, and for the satisfaction level which was divided into four scales from “very satisfied” to “totally dissatisfied”. The results showed differences in attainment of each practice goal, and revealed the existence of high goals attainment and low goals attainment. Also, practice satisfaction levels were generally high however they showed slight differences in the hospital practice and the facilities practice. Three years have passed since the beginning of elderly nursing practice in the Department of Nursing at Ryotokuji University, and we should revise and evaluate for practice objectives and practice methods. We got a suggestion on the construction of future elderly nursing practice from the results of this study.departmental bulletin pape
Is perceived fear of being thrown related to changes in breakfall kinematics in novice judokas? : A preliminary study
Get PDFPerceived fear of being thrown could be detrimental in breakfall kinematics and may even increase the risk of judorelated head injuries. The aim of this study was to investigate the association between perceived fear during the breakfall movement and its kinematics in novice judokas. Eight experienced and 10 novice judokas volunteered to participate. The novice participants were assigned to “fear” or “no-fear” groups using a 5-rank Likert scale. The breakfall motion data was collected at 500 Hz using three-dimensional motion analysis. Neck, trunk, right/left hip, and right/left knee joint angles in the sagittal plane and peak neck extension momentum were calculated, as described previously. A Kruskal–Wallis test with pairwise comparison was performed for group comparison (P < 0.05). We did not find significant differences in all but left knee angles between the two groups of novice judokas, while there were significant differences in most of the selected kinematic parameters among novice judokas and the experienced judokas. There was also no significant difference in the peak neck extension momentum between the groups of novice judokas. This study indicates that a perceived fear of the breakfall movement may not be greatly associated with the breakfall kinematics or possible risk of injury in novice judokas.大外刈に対する恐怖感は適切な受け身動作の習得を妨げ, 頭部外傷発生のリスクを高める可能性がある.本研究の目的は, 柔道初心者における大外刈への恐怖感の有無と受身動作のキネマティクスとの関連を明らかにすることであった. 10人の男子大学生柔道初心者および8人の柔道熟練者が本測定に参加した. 大外刈に対する受け身動作を3次元動作解析装置により測定し,頸部, 体幹, 股関節, 膝関節の矢状面角度変化および頸部伸展運動量を算出した. また, 大外刈への恐怖感を5段階のリッカート尺度で回答させ, 初心者の対象を「恐怖感有り」群, 「恐怖感無し」群, に群分けした. Kruskal–WallisテストおよびSteel-Dwass法による対比較により各測定変数を3群間で比較した（P < 0.05）. 初心者群間では左膝角度を除き, 受け身動作時の関節角度の有意な違いは認められなかった. また, 最大頸部伸展運動量についても初心者群間において恐怖感の有無による差は認められなかった. 本研究の結果, 柔道初心者において大外刈に対する恐怖感と受け身動作のキネマティクスとの関連は認められなかった．departmental bulletin pape
Factors affecting the overcoming of difficulties during the implementation of the family psychoeducation program
Get PDF精神科病院での家族心理教育プログラム実施前に職員が認識していたプログラム実施に関する困難感について，プログラムの実施を通して，困難感の克服に影響を及ぼした要因を明らかにし，心理教育を普及する方法についての示唆を得ることを目的とし，初めてプログラムの運営に参加する病院職員6名を対象に半構成化面接を行った．
プログラム実施前に抱いていた【効果への疑念】は【効果の実感】により解消されていた．また，プログラムの実施を通して【日常の臨床への活用】及び【職員自身のモチベ―ジョン向上】にもつながっていた．プログラム実施前の【運営に関する不安】は【運営方法の習得】によって克服されていた．一方で，【運営の難しさ】に関する困難感は残っていた．
【プログラム継続に向けての課題】はプログラム実施前後で存在していた．運営方法の習得及び施設内でのプログラムの普及のために，院内外での研修及び多職種の職員との交流を通して，家族同様職員もエンパワメントされる体験を得られることがプログラム継続に向けて必要であることが示唆された．The aims of this study are to make clear the factors that helped psychiatric staff members overcome their difficulties with the implementation of a family psychoeducation program and to derive suggestions from them as to how psychoeducation should be carried out. Semi-structured interviews were conducted with six hospital staff members who had participated in the management of a program for the first time.
【Suspicion to the effect】 of psychoeducation before we start the program was dispelled by【 feeling of effect】and through the implementation of the program, it also led to 【daily clinical application】 and 【enhancement of staff's own motivation】.
【Their anxiety about the management】 was removed by【 learning a number of techniques】, although【 the difficulty they felt in conducting the program】 remained to be coped with.
【The issue of the continuation of psychoeducation programs】 was brought up both before and after the six members put one into practice. In order for the staff to learn how to manage programs and for psychoeducation programs to last long enough and to be familiarized, it was suggested that through multidisciplinary workshops and interactions among personnel both in and outside of the hospital, not only patients and their families, but also medical workers accumulate experiences that empower them.departmental bulletin pape
Reproducibility of Isometric Muscle Strength Measurement of the elbow flexio Using a Hand-held Dynamometer and Belt
Get PDF［目的］肘関節屈曲筋力の徒手筋力測定における再現性の問題に対して，定量的測定値を得るためにハンドヘルドダイナモメーターを徒手で用いる従来の方法と，考案したハンドヘルドダイナモメーターをベルトで固定した方法における再現性を検討した．［対象］若年健常成人31名の利き手である右上肢31肢であった．［方法］ハンドヘルドダイナモメーターを徒手で固定する従来の方法とベルトで固定する方法による肘関節屈曲筋力測定を行い，測定値を比較，検討した．［結果］ハンドヘルドダイナモメーターをベルトで固定した方法における検者内の級内相関係数は0.90であり，Bland-Altman分析では，1回目と2回目の測定値において系統誤差を認めなかった．［結論］1回練習をした後，1回目，2回目の測定値を採用することで，考案したハンドヘルドダイナモメーターをベルトで固定した肘関節屈曲筋力測定方法は，臨床使用が可能な再現性を有することが示唆された．[Purpose] The purpose of this study was to examine the reliability of the method of elbow flexion muscle strength measurement, in which a hand-held dynamometer was fixed with a belt. The subjects were 31 young healthy adults. [Methods] Two methods were examined. One is a conventional method in which the hand-held dynamometer was fixed on manipulative. In the other method, the hand-held dynamometer was fixed with a belt. [Results] In the latter method, the intraclass correlation coefficient was 0.90. Bland-Altman analysis did not produce a system error. [Conclusion] The result suggested that clinical use of method be possible since there was reproducibility in the 1st and 2nd measurement after the 1st practice.departmental bulletin pape
The tendency in the national examinations general clinical medicine for Judo Therapy Practioners
Get PDF【目的】柔道整復師国家試験における教育効果の向上を目的として，第14回～第24回柔道整復師国家試験で出題された一般臨床医学の出題傾向の分類を行った．
【対象】第14回～第24回の柔道整復師国家試験において出題された一般臨床医学の問題264問（必修問題24問，一般問題242問）を対象とした．対象とした264問について，柔道整復師国家試験出題基準に基づき分類した．
【結果】第14回～第24回において出題された264問のうち，総論からの出題が125問（47.3%），各論からの出題が139問（52.7%）であった．総論で最も多く出題された項目は視診の59問（47.2%），各論で最も出題数が多かった項目は消化器疾患の21問（15.1%）であった．
【考察】今回の調査では，総論の項目で視診が最も多く出題されていた．総論の国家試験対策を考える上で，まずは視診を学習することが重要であると考えられる．The purpose of this study was to analyzed tendency in the National Examinations for General Clinical Medicine for Judo Therapy Practioners．We analyzed the 14th-24th national examinations for judo therapist of the 264 questions． The national examinations standard was based on， and 264 questions was classified． The result revealed that the most questions of the general remarks was inspection 47.2%， and most questions of the each argument was gastrointestinal disease 15.1%．In this investigation, the most questions was inspection in the general remarks. In considering the general examination of national examination, it is considered important to learn the inspection.departmental bulletin pape
Relationship between the locomotive syndrome test and bone mineral density in community-dwelling women
Get PDF本研究の目的は，高齢化率の低い都市部に暮らす高齢女性のロコモの傾向を検討することおよび骨密度との関連を検討することである．65歳以上の女性31名（平均年齢75.5±6.4歳）を対象に，基本情報収集，ロコモテスト，骨密度測定を行った．ロコモ25，立ち上がりテスト，2ステップテストの結果より対象者を非ロコモ群，ロコモ群の2群に分けMann-Whitney検定を用いて比較したところ，ロコモ25のみ有意差を認めた（p＜0.05）．またYAM( Young Adults Mean )70%をカットオフ値とし，両群の低骨密度者の割合をχ2検定を用いて比較したところ有意差は認めなかった．本研究対象者のロコモ該当率，低骨量者の割合は一般の住民を対象とした先行研究と同等であったが，2ステップテストおよびYAMの平均値はやや低下していた．ロコモと骨密度の関連は見られなかった．The purpose of this study was to investigate the relationship between the locomotive syndrome test and bone mineral density (BMD). The subjects were community-dwelling 31elderly women (age 75.5±6.4 years). We measured heel BMD, locomotive syndrome test, and researched basic information by the questioner. Subjects were classified into 2groups by the result of the locomotive syndrome test．We compared between all data of the two groups and investigated the relationships between BMD and other factors. Locomo group showed significant low locomo25 (p<0.05). On the other hand locomo and BMD showed no significant difference between two groups. To make clear the regional characteristics, we should to conduct a follow up survey.departmental bulletin pape