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Relationship of Pedoscope Planta Contact Points and Injury in High School Track and Field Athletes
Get PDF高校陸上大会において行っているトレーナーブースを利用した競技者に対し，ピドスコープを用いて接地足蹠撮影装置を実施し，同時に傷害調査及びセルフコンディショニングの実施状況及び認識について調査した．傷害発生の部位は70％以上が下肢に発生していた．傷害発生時期は，53.7％が高校で発症しており，半数は完治していると回答したが，その半数近くは再発を繰り返していた．セルフケアの実施状況は，筋力トレーニングやストレッチング，アイシングなど必要性は認識しているにも関わらず，実施率は認識率を下回った．接地足蹠測定では，足蹠指数は陸上競技者が左右平均3.33本，コントロール群3.29本と陸上選手と同世代の一般学生で差は見られなかった．蹠指数と下肢の傷害の関係は，股の障害の有無と左右足の接地蹠指数の差は右足のみ蹠趾数が少ないほど有意に股関節と大腿前面の傷害発生数が多かった．（股関節ｔ(28.0)=2.25, p<.05）（大腿前面 t(26.0)=1.89, p<.10），すねの傷害と蹠指数とは，両側とも足蹠趾数が少ないほど有意に脛部の傷害発生が多く，両者の関連性が示唆された．足指の把持筋力については，傷害発生率との有意な関連性はみられなかった．陸上選手と同世代の一般学生との足底荷重部分の違いについては，陸上選手が有意に足部前方に荷重していた．We used a pedoscope to photograph plantar contact points of athletes who visited the trainer’s booth at a high school track and feald event. We also conducted a survey on injury and athletes' current implementation and awareness of self-conditioning. Over 70% of injured areas corresponded to the lower extremities. 53.7% of injuries were sustained in high school, with a half of the respondents reporting that the injuries healed; however, almost a half of the respondents reported that their injuries were recurring. In spite of the fact that athletes were aware of the necessity of self-care like muscle training, stretching, and icing, the rate of its implementation was less than that of respondents who were awere of the importance of self-care. Footfall measurements by pedoscope showed that track and field athletes had an average left and right contact of 3.33, while the control group had an average of 3.29, so there was no significant difference found between athletes and regular students in the same generation. With respect to the relationship between footfall and injuries of the lower extremities, only the right foot was found to have a significant relationship on the presence of injury, with fewer footfall on the right foot correlating with greater rate of injury of the femoral joints and frontal femorals. (Femoral joints: ｔ(28.0)=2.25, p<.05)(Frontal femorals: t(26.0)=1.89, p<.10). For the lower legs, both sides showed significant correlation between fewer footfalls and increased rate of calf injury, with a correlation shown in both groups. In terms of grasping strength in the toes, no significant correlation was found with the rate of injury. In terms of load-bearing on the planta of track and field athletes and regular students in the same generation, track and field athletes showed a significantly higher incidence of bearing load on the forepart of the planta.departmental bulletin pape
ストレスフリー療法®の変形性膝関節症への有効性の検討
Get PDFThis study was aimed to develop a novel, non-invasive treatment system, named ” pinpoint planter long-wavelength infrared light irradiation (PP-LILI)”, which may be able to reduce pain, and improve visual analogue scale (VAS) scores in patients with knee osteoarthritis (OA).The study involved 10 female patients with knee OA (Japanese adults: average age, 75.0 ± 5.8 years). All patients received PP-LILI 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 and, range of motion (ROM) were 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. In response to therapy, VAS decreased significantly after the 4-week program in the conservative treatment plus PP-LILI group. As for ROM, no statistically significant differences were observed in any of the phases. JOA scores increased significantly after the 4-week program in the conservative treatment plus PP-LILI group. This study suggests that the PP-LILI system can improve VAS and JOA scores of patients with knee OA, reduce pain, and contribute to the treatment of knee OA.ピンポイント遠赤外線照射（PP－LILI）を用いるストレスフリー療法®は末梢深部体温を上昇させ，血圧やストレスマーカーを減少させることが証明されている．今回我々は，変形性膝関節症（以下、膝OA）患者にストレスフリー療法®を施行し，有効性を検討した．大学関連クリニックで保存治療を受けている膝OAの患者，女性6例（計10膝）（平均年齢75.0±5.8歳）を対象として検討した．ストレスフリー療法®治療器（遠赤外線波長9000～12000nm/出力30mW）にて，中脘・足三里・F点（足底）の4か所に30分間の照射を行った．各Phase 0，2，4週間目に施療直前・直後の関節可動域（以下，ROM），Visual Analogue Scale(以下，VAS)を測定した．JOA scoreは各Phaseの0週の施療前，4週の施療前に測定した．VASは保存治療にPP-LILIを併用した群で有意な改善を認めた．ROMは統計的有意差を認めなかった．JOA scoreは保存治療にPP-LILIを併用した群で有意な改善を認めた．膝OA患者において保存治療にPP-LILIと併用した群でVASとJOA scoreで有意な改善を認めた．ストレスフリー療法®は今後，膝OAの臨床症状の改善を期待できる有効な治療法になる可能性があることが示唆された．departmental bulletin pape
Reliability of Respiratory Muscle Strength Tests
Get PDF本研究の目的は，呼吸筋力測定における絶対信頼性を検証し，測定回数および採用値について検討することである．若年健常成人50名を対象とし，気流量変化を伴わない口腔内圧法によって得られた最大口腔内圧を呼吸筋力とした．検者および補助者は各1名とした．目標肺気量位は機能的残気量（FRC），残気量（RV），全肺気量（TLC）とした．最大吸気筋力（MIPS）はFRC，RVの2点で測定し，最大呼気筋力（MEPS）はFRC，TLCの2点で各3回測定した．絶対信頼性は，Bland-Altman分析を用いて検証した．1回目と2回目の測定値の間には系統誤差を認めなかった．1・2回目の最大値と3回目の測定値の間には固定誤差を認めた．従って，1回の測定で信頼性があることが示された．しかしながら，誤差を考慮すると2回測定を実施し，最大値を採用値とすることが示唆された．The purpose of this study was to reveal the absolute reliability of respiratory muscle strength tests in order to examine the adapted value and determine the appropriate repetition for measurements. Subjects were 50 healthy young adult. Respiratory muscle strength was the maximum mouth pressure obtained by the mouth pressure method without changes of flow. Target positions used to measure lung volume were functional residual capacity (FRC), residual volume (RV) and total lung capacity (TLC). Measurements of the following four differing measurements were performed three times; a) static maximum inspiratory pressure (MIPS) efforts at FRC, b) MIPS efforts at RV, c) static maximum expiratory pressure (MEPS) efforts at FRC, d) MEPS efforts at TLC. Reliability was verified using Bland–Altman analysis. No systematic bias was observed between the first and second measurement values. A systematic bias between the maximum values obtained in the first and second measurements and the third measurement value was observed. Therefore, single measurement of respiratory muscle strength is reliable. However, it was suggested that, considering there might be a bias in measurement, measurement values should be used the maximum value by two trials.departmental bulletin pape
A Comparison of the Challenges of Nursing Practice that Students Perceived before and after Integrated Nursing Practice
Get PDFこの研究の目的は，統合実習前後で学生が捉えた看護課題を明確にし，統合実習の指導に関する示唆を得ることである．対象は看護学科4年次73名で，統合実習前のレポートと最終カンファレンス資料から学生が看護課題と思われる内容を抽出し分析をおこなった．
統合実習前に学生が捉えた「看護課題」は，【看護管理について理解する】【看護・医療におけるチームワークの重要性】【複数患者を同時に受持つことへの課題】【看護観につながる目指す看護師像】【看護実習生としての自己課題】の5カテゴリーに分類された．
統合実習後の「看護課題」は，【病院内の看護管理の理解】【チームワークを発揮した看護の質を維持向上させる実践】【看護展開のプロセスに基づく看護実践】【患者を中心とした関わりと信頼に応える実践】【状況変化に対応する実践】【時間を効率よく管理する能力】【専門職の役割と責務を認識した看護師像】の7カテゴリーに分類された．
統合実習前後の看護課題の内容を比較した結果実習後は実習前の約2倍のコード数があり，より具体的な看護課題が記載されていることが明らかになった．The purpose of this study was to clarify the challenges to nursing practice that students perceived before and after integrated nursing practice, in order to obtain suggestions about the teaching of practice. The subjects were fourth-year 73 students of a nursing department. The content that appeared to be challenges were, extracted, from their pre-practice reports and their final conference documents, and subjected to content analysis.
Five categories were induced from the pre-practice report: understanding of nursing management, the importance of team work in nursing and medical care, challenges to be in charge of more than one patient at the same time, an ideal image of a nurse, the self- improvement as a nursing student.
Seven categories were induced from the final conference documents: understanding of nursing management in a hospital, nursing practice to maintain and improve the care of a quality by teamwork, clinical practice based on the process of nursing deployment, nursing practice to respond to the trust and relationship centered on patients, nursing practice that corresponds to the situation change, the efficient time management skills, a nurse image by recogning the professional roles and responsibilities.
The final conference documents contain twice as many codes as the pre-practice reports. The challenges of nursing practice were specified through this study.departmental bulletin pape
Handgrip Strength Endurance Evaluation for Judo Athletes : A Fundamental Study
Get PDF本研究では，反復ハンドグリップ運動における運動量・時間，運動後の休息時間と握力発揮値の関係を
明らかにし，柔道競技者の把握筋持久力の評価法を構築するための基礎データを得ることを目的とした．
被験者は，体育系男子15名（年齢22.0 ± 2.0歳，身長177.4 ± 7.0 cm，体重77.9 ± 9.7 kg）であった．被験
者に反復ハンドグリップ運動（60回／分，運動1分とインターバル30秒を1セット，5セット）を実施させて，
握力発揮値を計測した．得られたデータは，運動量・時間と運動後の休息時間のそれぞれを因子とした分
散分析（1因子ANOVA）を行い，有意な差がみられた場合は多重比較検定（Tukey-Kramer法）を行った．
その結果，握力の発揮値は，運動量・時間の影響を受けて低下していた．2セット目の握力は，それ以降の
握力と有意な差がみられなかった．また，運動後の握力の発揮値は，休息時間の影響を受けて上昇してい
た．運動後5分の握力発揮値は，それ以降の発揮値と有意な差がみられなかった．2セットの運動時と運動
後5分の発揮値で，筋力発揮の顕著な変化が捉えられることが示唆された．The objective of the present study was to investigate the effect of exercise in repetitive handgrip tasks
and recovery time on peak hand grip strength. The result of the study will help us to establish better
evaluation of Judo athletes’ handgrip endurance ability. Fifteen collegiate athletes（age 22.0 ± 2.0 years,
standing height 177.4 ± 7.0cm, mass 77.9 ± 9.7 kg）volunteered to attend the study. First, the participants
were instructed to perform 5 sets of repetitive handgrip motion for every second for 60 seconds [i.e. 60
times in each set] with 30 seconds’ rest between each set in the exercise period. They were then asked
to take 15-min recovery period after the final set was completed. Peak hand grip strength was measured
with at rest as the base line, after each set of the handgrip task during the exercise period, and every 5 min
during the recovery period. One-Way analysis of variance（One-way ANOVA）followed by Tukey-Kramer
test was used for comparison of the peak strength among each the period（P < 0.05）．The current study
demonstrated that the peak handgrip strength was significantly and progressively decreased until the end of
second sets of the exercise period; however, there were no significant change in the peak strength in the
rest of the exercise period. In addition, the peak handgrip strength was significantly increased after 5 min
recovery; however, no significant increase was found in the rest of the recovery period. The results suggest
that we may be able to utilize the peak handgrip value after the second set in the exercise period and at 5
min in the recovery period in the repetitive hand grip task to evaluate the handgrip endurance ability for
judo athletes.departmental bulletin pape
Factors in Maintaining the Health of Pensioners in Chichibu City, Saitama
Get PDF高齢期が来ても健康で末永く住み慣れた地域で安心して自立した生活をだれもが願っている.
今回, 秩父市在住で定年退職まで就業した高齢者が,年金受給生活において, 現職時代の就業体制から退
職後, どのようにソーシャル・ネットワーク等を活用し, 健康維持増進に努めているのかをインタビュー形
式で5名調査し, その因果関係について探索した.
5人が共通して言える健康づくりの要因は, 現職時代に培った得意, 友人等との関係の持ち方, つながり
が現在の健康づくりに役立っているということである. 現職時代に培ったものは高齢期, 健康の要因とし
て活かされている現状があることが分かった．Everyone hopes to live a healthy and independent life comfortably in a familiar environment for a long
time even in the advanced age.
This study investigated the casual relationship among five persons through interview about how elderly
persons who live in Chichibu city and worked until retirement have tried to maintain and promote their
health via social network in life with a pension since their retirement, away from working system in the
incumbent's period.
Factors that are commonly shown in 5（five）persons to maintain their health are their pride cultivated
in the incumbent's period, how to establish relationship with their friends and the connection, which
contribute to maintain their current health. This study showed current status that what they have cultivated
in the incumbent's period is utilized as factor of elderly period and health.departmental bulletin pape
The Relationship Between Freshmen's Degree of Recognition of Student Counseling Office and the Effect of Counselor Taking Charge of the Lecture
Get PDF本研究は，学生相談員が授業を担当することが，ある大学の新入生が学生相談室や学生相談員をどの程度認知しているのかということに影響するかを検討することを目的とする．2015年の7月に調査を実施した．調査対象者は医療系学科の学生243名であった．結果は，新入生たちは学生相談員を，授業を通して知っていた。それ以外では，学生相談室の存在は，大学のアナウンスや教員の紹介で知っていた．しかし，学生相談室の場所までは分かっていなかった．さらに，個々の相談員のことは，授業で出会う以外ではほとんど知る機会がなかった．このため，相談員が様々なアウトリーチ活動を行う余地があるものと考えられる．In this study, the goal is to examine the relationship between fresh person’s degree of recognition of the student counseling office and the effect of taking charge of the lecture by counselor. In July of 2015,243 fresh persons in Faculty of Health Science were investigated. As a result, they knew a student consultancy one through a session. Besides, by announcement of the Faculty office or teachers, they knew the students counseling office existed. However, they didn’t know where it was. There were few opportunities that the students met counselors. Therefore, it's necessary for counselors to bolster some outreach activities.departmental bulletin pape
Report of a Result of Questionary Survey of the Clinical Training
Get PDF【背景】本年度Ａ保育園の要請により実施した「専門職のチームと保育園の協力による研究及び実践の試み；園児の運動発達について」について報告する．本年度は第一段階として．保育園の園児を対象として発育，園での運動遊び，自由遊び時間の過ごし方，家庭での過ごし方と食事，習い事について，スタッフへの聞き取りおよび保護者への連絡帳による調査を試みた．【方法】Ａ保育園４歳児クラス23名と5歳時クラス22名を対象とし，保育園スタッフへの聞き取り調査及び，保育園担任による保護者への生活状況調査を実施した．【結果1】園児の体格について；厚生労働省が平成22年に行った乳幼児身体発育調査との比較では，男女とも全国平均より身長，体重共に高値を示した．【結果2】園児の運動時間について;１日に30分～40分の戸外遊びの時間が設けられていたが強制的な運動の時間は設けられていなかった．【結果3】各園児の戸外遊び時間の内容；運動遊びとごっこ遊びなど身体活動を伴う遊びを中心に，集団遊びを行う園児が半数を占めた．【結果4】家庭での運動時間；半数が運動をほとんどしないと答えており，平均30分程度の運動遊びを行う園児を上回った．【結果5】運動系の習い事の有無と推定運動時間の関係；運動系の習い事をしている園児がが運動系習い事をしていない園児にくらべ有意に推定総運動時間が多かった．【結果6】家庭での過ごし方と食事；5歳児クラスの園児の平均就寝時刻は21時39分であった．このうち就寝時刻が22時を過ぎる園児が26.1%，23時を過ぎる園児もあった．食事の様子については，計44％の園児に好き嫌いや小食，アレルギー，欠食，過食などの食事に関する問題があった．This study reports on the outcomes of collaborative attempts of a professional team and a nursery schoolto study and to practice the motor development of kindergarten children, which was implemented at therequest of Kindergarten A 2015. The objective of the first stage of this project in 2015, was acquiring anunderstanding of the reality of kindergarten children, We conducted interviews of the kindergarten staff andasked parents about the following matters: the children's development, exercise-games at the kindergarten,how they spent their free periods, how they spent their time at home, their meals and their lessons. Methodology: We interviewed the kindergarten staff, and carried out living conditions a survey ofkindergarten children using contact notes, which ware being used in communication between the nurseryschool and the parents. Result 1: Physique of children: Compared with the results of the survey conducted by the Ministry ofHealth, Labor and Welfare in 2010, our results indicated that the height and their weight of the subjectswere greater than the national average. Result 2: Children’s exercise time in the kindergarten: The time for playing outdoors lasting from 30minutes to 40 minutes was provided, but no time for compulsory exercises was provided.Result 3: The contents of the outdoor play of children: More than half of the children physical activities,such as exercise-games and games. Resullt 4 : Exercise time at home: Parents’answers indicated that about half of the children hardly didany exercises and the number of the children exceeds that of the children who did exercise for 30 minuteson average. Result 5: The relation between the presence or absence of lessons in the motor system and the totalestimated exercise time: The children who took lessons in the motor system had significantly more totalestimated exericse time than the children who did not. Result 6: Bedtime and meals: The average time when the children in the five-year old class went to bedwas 9:39pm. 26.1% of the children went to bed after 10:00pm. Some went to bed even after 11:00pm.Regarding meals, parents’answers indicated that half of the children had some kind of problem such as theirlikes and dislikes, snacks, allergies, skipping meals and over-eating.departmental bulletin pape
Relationship Between High School Students' Dental and Oral Health and Their Self-Management Skills
Get PDF本研究は，高校生の歯と口の健康に関わる要因と自己管理スキルとの関連を検討することを目的とした。研究の対象は，高等学校１校に在籍する1年生男子147名，女子134名，計281である。調査は2012年5月，記名での自記式質問紙調査で行った。調査内容は，生活習慣，食習慣，歯肉の自己診断，ブラッシング技術，歯科受診行動，歯と口についての知識，セルフエスティーム，ブラッシング行動スキル，自己管理スキルである。また，定期健康診断の時に歯周疾患要注意者（GO）と診断された生徒59名に対して学校歯科医がPMA指数を表し歯肉の状態を評価した。分析は，歯肉炎あり59名と歯肉炎なし177名に分けて行った。研究の結果，歯肉炎は，ブラッシング行動スキルが乏しい，歯肉の自己診断が悪い，歯科受診行動が望ましくない，ことと関連性があった。自己管理スキルと歯肉炎との間には関連がなかった。ブラッシング行動スキルと歯肉炎に負の関連があることから，行動ごとの個別のスキルの方が，一般性の高い認知的スキルより，歯肉炎を防ぐ要因となり得る可能性が示唆された。The present study aimed to clarify the relationship between the factors relating to high school students’ dental and oral health and their self-management skills. The study comprised a total of 281 first-year students (147 males and 134 females) in a high school. A self-completed questionnaire was administered to the subjects in May 2012. The questionnaire inquired about the subjects’ lifestyles, dietary habits, self-diagnosis of periodontal health, skills in brushing teeth, their state of consultation with a dentist, knowledge regarding the mouth and teeth, self-esteem, brushing habits, and self-management skills. In addition, using the PMA Index, the dentist in charge of the investigated school evaluated the gum condition of 59 students who had been diagnosed as having gingivitis for observation (GO) in a periodic health checkup. Analyses were performed of students with (n=59) and without (n=177) gingivitis separately. As a result, the presence of gingivitis was correlated with poor brushing habits, unfavorable self-diagnoses of gums, and infrequent consultations with a dentist. No correlation was found between self-management skills and gingivitis. The negative correlation between brushing habits and gingivitis suggests that, compared with general cognitive skills, behavior-specific individual skills play a more important role in preventing gingivitis.departmental bulletin pape