{"created":"2023-05-15T11:33:35.731348+00:00","id":4084,"links":{},"metadata":{"_buckets":{"deposit":"ddd0ea0a-3e25-4079-8bb2-e1cc1b36d71b"},"_deposit":{"created_by":1,"id":"4084","owners":[1],"pid":{"revision_id":0,"type":"depid","value":"4084"},"status":"published"},"_oai":{"id":"oai:nsg.repo.nii.ac.jp:00004084","sets":["6:10:13"]},"author_link":["15466","15459","15467","15473","15469","15465","15474","15476","15470","15471","15464","15475","15462","15468","15461","15460","15463","15472"],"item_19_biblio_info_8":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"1998-11","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"7","bibliographicPageEnd":"420","bibliographicPageStart":"413","bibliographicVolumeNumber":"25","bibliographic_titles":[{"bibliographic_title":"理学療法学"}]}]},"item_19_description_16":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_19_description_45":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"論文(Article)","subitem_description_type":"Other"}]},"item_19_description_6":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"第6胸髄損傷完全麻痺患者に対し, 貫皮電極を用いた機能的電気刺激(functional electrical stimulation: FES)による起立・歩行機能の再建を試みた。FESによる起立を開始する前に, 約1ケ月間下肢の筋力増強, 筋疲労の耐性, 痙性の軽減などを目的に治療的電気刺激(therapeutic electrical stimulation: TES)を行った。TESを行った期間が長くなるにつれてFESによる立位保持時間は延長し, TESを行ってがら3年後には約1時間の立位保持が可能となった。これによって, トイレでのズボンの上げ下ろしや高所に置いてある物をとるなどの動作が可能となり, ADLの拡大を得ることができた。FESによる歩行動作の再建は平行棒内歩行より開始し, 安定した歩行ができることを確認した後, 歩行器による歩行訓練を行なった。その後, 刺激パターンや制御スイッチに改良を加え, TES開始後3年を経た現在では, 歩行器を使用して自宅で歩行訓練ができるまでに至った。本研究によって, 下肢装具を使用することなくFESにより, 実用的な起立動作および訓練的な歩行動作の再建が可能であることが判明した。","subitem_description_type":"Abstract"},{"subitem_description":"Functional electrical stimulation (FES) using percutaneous intramuscular wire electrodes was applled to restore standing and walking ability for a Patient with T6 complete paraplegia. Before using FES, a therapeutic electrical stimulation (TES) was applied to the paralyzed lower extremities to reduce spasticity and to increase strength and fatigue resistance of the muscles. Control of standing by FES was started after one month from the start of TES. After 3-year TES program, he could tolerate to stand by FES for more than one hour, and thus, utilizing this Standing activity for his daily tasks after discharge. Walking by FES without using any orthoses was firstly achieved in a parallel bar, and then we tried control of walking by FES under the usage of a rolling walker. During this trial, the stimulation pattern was improved and control switches attached to the walker's arm were developed. After confirming reliability and safety of walking by FES, his walking has been challenged by the circumstances of his life. It is suggested that our FES system could supply practical standing and walking ability for the paraplegic.","subitem_description_type":"Abstract"}]},"item_19_publisher_35":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本理学療法士協会"}]},"item_19_relation_53":{"attribute_name":"異版である","attribute_value_mlt":[{"subitem_relation_type":"isVersionOf","subitem_relation_type_id":{"subitem_relation_type_id_text":"http://ci.nii.ac.jp/naid/110003994628","subitem_relation_type_select":"URI"}}]},"item_19_rights_14":{"attribute_name":"権利","attribute_value_mlt":[{"subitem_rights":"日本理学療法士協会"},{"subitem_rights":"本文データは学協会の許諾に基づきCiNiiから複製したものである"}]},"item_19_source_id_11":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN10146032","subitem_source_identifier_type":"NCID"}]},"item_19_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0289-3770","subitem_source_identifier_type":"ISSN"}]},"item_19_text_1":{"attribute_name":"Title in 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峰生"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"松村, 康弘"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"伊橋, 光二"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"八木, 了"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"半田, 康延"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"古山, 智子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"吉田, 忠義"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"半田, 郁子"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Onishi, Hideaki","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Oyama, Mineo","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Matsumura, Yasuhiro","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Ihashi, Koji","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yagi, Ryo","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Handa, Yasunobu","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Furuyama, Tomoko","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Yoshida, Tadayoshi","creatorNameLang":"en"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"Handa, Ikuko","creatorNameLang":"en"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-10-30"}],"displaytype":"detail","filename":"039_onishi_h.pdf","filesize":[{"value":"1.9 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T6 Complete Paraplegia by Functional Electrical Stimulation","subitem_title_language":"en"}]},"item_type_id":"19","owner":"1","path":["13"],"pubdate":{"attribute_name":"公開日","attribute_value":"2013-08-30"},"publish_date":"2013-08-30","publish_status":"0","recid":"4084","relation_version_is_last":true,"title":["第6胸髄損傷完全麻痺に対する機能的電気刺激による起立・歩行機能再建"],"weko_creator_id":"1","weko_shared_id":-1},"updated":"2023-05-15T12:19:27.870230+00:00"}