Investigation into the Effectiveness of an Intervention Utilizing Applied Behavior Analysis for hip Osteoarthritis Patients a Case Study of Improvements in Pain and Walking Ability

Bibliographic Information

Other Title
  • 変形性股関節症患者に対して応用行動分析学を用いた介入の有効性に関する検討  ―痛みと歩行能力向上を認めた一症例検討―
  • 症例研究 変形性股関節症患者に対して応用行動分析学を用いた介入の有効性に関する検討--痛みと歩行能力向上を認めた一症例検討
  • ショウレイ ケンキュウ ヘンケイセイ コカンセツショウ カンジャ ニ タイシテ オウヨウ コウドウ ブンセキガク オ モチイタ カイニュウ ノ ユウコウセイ ニ カンスル ケントウ イタミ ト ホコウ ノウリョク コウジョウ オ ミトメタ イチ ショウレイ ケントウ
  • a Case Study of Improvements in Pain and Walking Ability
  • ─痛みと歩行能力向上を認めた一症例検討─

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Abstract

[Purpose] We investigated the results of an intervention based on applied behavior analysis for a case presenting with difficulty in walking and hip joint pain. [Subjects] The subject was a 52-year-old female who was finding it increasingly difficult to walk because of increasing pain arising from osteoarthritis of both hips, who visited us as an outpatient 4 months after hospitalization at another facility. [Method] We performed behavior analysis after baseline measurements of pain experienced during walking and number of steps taken each day. We made a behavioral intervention of keeping a personal record and sticking to the prescribed target for the number of steps to be taken every day. We investigated the effectiveness of the intervention over 7 sessions with approximately 3 months between sessions through use of walking aids, pain experienced during walking and number of steps taken. [Results] As the intervention progressed, the dispersion in the number of steps taken and the pain experienced in walking decreased; walking aids changed from two crutches to a T-cane. [Conclusion] The present intervention, utilizing applied behavior analysis for a case experiencing chronic intense pain when walking due to hip osteoarthritis, of daily step limits directed by a physical therapist was observed over the long term, and we consider it influenced the improvement of walking ability and pain.<br>

Journal

  • Rigakuryoho Kagaku

    Rigakuryoho Kagaku 25 (3), 473-479, 2010

    The Society of Physical Therapy Science

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