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脳卒中片麻痺者における後ろ歩きの動作解析に関する研究
http://hdl.handle.net/10129/6105
http://hdl.handle.net/10129/6105206d6bae-7adb-4432-a5ae-b3de8b84db09
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論文要旨 (554.1 kB)
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本文 (2.9 MB)
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| Item type | 学位論文 / Thesis or Dissertation(1) | |||||||
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| 公開日 | 2017-07-10 | |||||||
| タイトル | ||||||||
| タイトル | 脳卒中片麻痺者における後ろ歩きの動作解析に関する研究 | |||||||
| 言語 | ||||||||
| 言語 | jpn | |||||||
| キーワード | ||||||||
| 主題Scheme | Other | |||||||
| 主題 | 脳卒中 | |||||||
| キーワード | ||||||||
| 主題Scheme | Other | |||||||
| 主題 | 片麻痺 | |||||||
| キーワード | ||||||||
| 主題Scheme | Other | |||||||
| 主題 | 後ろ歩き | |||||||
| 資源タイプ | ||||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||||
| 資源タイプ | doctoral thesis | |||||||
| アクセス権 | ||||||||
| アクセス権 | open access | |||||||
| アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||||
| 著者 |
牧野, 美里
× 牧野, 美里
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| 著者(ヨミ) | ||||||||
| 識別子Scheme | WEKO | |||||||
| 識別子 | 16291 | |||||||
| 姓名 | マキノ, ミサト | |||||||
| 著者別名 | ||||||||
| 識別子Scheme | WEKO | |||||||
| 識別子 | 16292 | |||||||
| 識別子Scheme | 研究者総覧 | |||||||
| 識別子URI | http://hue2.jm.hirosaki-u.ac.jp/html/100000240_ja.html | |||||||
| 識別子 | 100000240 | |||||||
| 姓名 | Makino, Misato | |||||||
| 著者所属 | ||||||||
| 弘前大学大学院保健学研究科 | ||||||||
| 抄録 | ||||||||
| 内容記述タイプ | Abstract | |||||||
| 内容記述 | [Chapter 1] Review of backward walking Purpose: The purpose of this study was to review existing literature on gait analysis and physical therapy related to backward walking (BW). Methods: English language and Japanese language studies were identified through searches of CiNii, PubMed and the Internet. Results: Fifty-five studies were identified. Conclusion: While some studies concluded that the joint movement patterns in BW and forward walking (FW) are similar, several studies reported that these patterns in BW and FW are different. [Chapter 2-1] Comparison of forward walking and backward walking in healthy young adults Purpose: The purpose of this study was to compare the characteristics of BW and FW in healthy young adults. Subjects: Fourteen healthy young adults. Methods: Subjects were required to walk over a 5-m walkway at a self-selected pace. Results: Walking speed, stride length, and cadence were significantly lower in BW than in FW. The peak hip extension, knee flexion, ankle plantar flexion, and the peak hip and 77 knee joint moments were also significantly lower in BW. Conclusion: We conclude that BW is not a simple reverse reproduction of FW. [Chapter 2-2] Effects of ankle push-off during backward walking on ankle and hip joints Purpose: The purpose of this study was to investigate the differences in the kinetic and kinematic factors of different ankle push-offs during BW. Subjects: Fourteen healthy young adults. Methods: Subjects were required to walk over a 5-m walkway at a self-selected pace under three conditions: Natural Push-off BW, Increased Push-off BW, and Decreased Push-off BW. Results: Walking speed and stride length increased in the order of Decreased Push-off BW, Natural Push-off BW, and Increased Push-off BW. The peak value of the hip extension angle was higher in Increased Push-off BW than in Decreased Push-off BW. Conclusion: Ankle push-off can help increase the walking speed and improve the propulsive force of the ankle joint in BW. Hip joint movement plays an important role in BW to accommodate for the disadvantage ankle strategies have in this type of walking. [Chapter 3] Motion analysis of backward walking in stroke patients with hemiplegia Purpose: The purpose of this study was to investigate the features of BW in stroke patients with hemiplegia. Subjects: Nine stroke patients. Methods: Participants performed FW and BWalong a 5-m walkway. Walking speed and stride length were self-selected. Results: On the paretic side, walking speed, stride length, and cadence were significantly lower in BWthan in FW. Peak hip extension was significantly lower in BW, and peak hip flexion moment, knee extension moment, and both ankle dorsiflexion and plantar flexion 78 moments were lower in BW. Conclusion: Unlike FW, BW requires conscious extension of the hip joint, which is difficult for stroke patients with hemiplegia. Therefore, the range of hip joint movement was smaller in BW, and walking speed and stride length were decreased. The peak ankle plantar flexion moment was significantly lower in BW than in FW, and it was difficult to generate propulsion power in BW. These difficulties also affected the walking speed. |
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| 書誌情報 | 発行日 2017-03-23 | |||||||
| 著者版フラグ | ||||||||
| 出版タイプ | ETD | |||||||
| タイトル（ヨミ） | ||||||||
| その他のタイトル | ノウソッチュウ ヘンマヒ シャ ニオケル ウシロ アルキ ノ ドウサ カイセキ ニカンスル ケンキュウ | |||||||
| NIIサブジェクト | ||||||||
| 主題Scheme | Other | |||||||
| 主題 | 厚生・福祉 | |||||||
| 資源タイプ | ||||||||
| 値 | Thesis | |||||||
| 学位名 | ||||||||
| 学位名 | 博士（保健学） | |||||||
| 学位授与機関 | ||||||||
| 学位授与機関名 | 弘前大学 | |||||||
| 学位授与年月日 | ||||||||
| 学位授与年月日 | 2017-03-23 | |||||||
| 学位授与番号 | ||||||||
| 学位授与番号 | 甲061 | |||||||
