{"@context":{"@vocab":"https://cir.nii.ac.jp/schema/1.0/","rdfs":"http://www.w3.org/2000/01/rdf-schema#","dc":"http://purl.org/dc/elements/1.1/","dcterms":"http://purl.org/dc/terms/","foaf":"http://xmlns.com/foaf/0.1/","prism":"http://prismstandard.org/namespaces/basic/2.0/","cinii":"http://ci.nii.ac.jp/ns/1.0/","datacite":"https://schema.datacite.org/meta/kernel-4/","ndl":"http://ndl.go.jp/dcndl/terms/","jpcoar":"https://github.com/JPCOAR/schema/blob/master/2.0/"},"@id":"https://cir.nii.ac.jp/crid/1390282680539194752.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.14900/cjpt.2005.0.c0389.0"}},{"identifier":{"@type":"HDL","@value":"http://hdl.handle.net/2237/11685"}},{"identifier":{"@type":"URI","@value":"https://nagoya.repo.nii.ac.jp/records/9877"}},{"identifier":{"@type":"NAID","@value":"110004994750"}},{"identifier":{"@type":"NAID","@value":"130004579318"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2006175223"}}],"resourceType":"学術雑誌論文(journal article)","dc:title":[{"@language":"ja","@value":"全人工膝関節置換術を行なった症例の膝蓋骨可動性と膝関節屈曲角度の関連"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"ja","@value":"【背景・目的】膝関節疾患に対する従来の膝蓋骨可動性評価は非定量的評価であった。そのため、臨床上多く経験する膝関節屈曲制限と膝蓋骨可動性低下との関連性は推測の域を出ない。そこで、われわれは2nd Asia Pacific Conference on Biomechanics 2005において膝蓋骨可動性測定器の紹介とそれによる定量的評価の再現性を報告した。そこで今回TKAを施行した症例にその評価方法を応用し術前、術後の膝蓋骨可動性と膝関節屈曲角度との関連を検討した。<BR>【方法】当院にて平成17年1月25日以降TKAを施行され術後2か月を経過した症例13名14膝、内訳は男性3名、女性10名、関節リウマチ(RA)　9膝、変形性膝関節症(OA)　5膝を対象とした。評価は膝蓋骨可動性、膝関節屈曲角度を術前・術後1か月・2か月で測定した。膝蓋骨可動性評価には、われわれの作製した膝蓋骨可動性測定器（PFA: Patellofemoral Arthrometer）を使用した。PFAは大腿骨顆部に固定され、前額面上で膝蓋骨の側方可動性をmm単位で経皮的に測定することができる。測定肢位は、背臥位、膝関節30度屈曲位、股関節内外旋0度で、膝蓋骨可動性は3回測定の平均値を代表値とした。今回、膝蓋骨可動性は膝蓋骨可動距離を膝蓋骨幅で補正したPatellar mobility index(%)：PMI=(膝蓋骨可動距離/膝蓋骨幅)×100を求め使用した。膝関節屈曲角度は背臥位にて自動運動で、盲検法を用い膝蓋骨可動性測定者と異なる理学療法士が測定した。本研究は豊橋市民病院倫理委員会の承認を受けており、測定前に被験者に対しインフォームドコンセントを行った。統計処理には相関係数を用いた。<BR>【結果】膝関節屈曲角度の推移は術前121±17度、術後1か月98±15度、術後2か月106±17度であった。外側・内側PMIはそれぞれ術前16.3±3.2%、14.0±3.9%、術後1か月16.5±5.2％、14.4±3.3%、術後2か月15.9±3.8％、13.8±3.9％であった。膝関節屈曲角度と膝蓋骨外側可動性との相関係数は術前、術後1か月、2ヶ月でそれぞれ0.69**、0.58*、0.75**であり、内側可動性との相関は0.28、0.68**、0.31であった(*p<0.05, **p<0.01)。<BR>【考察】膝蓋骨外側可動性はTKA術前・術後の膝関節屈曲可動域と関連があると考えられた。本研究結果はTKA術後の膝関節屈曲制限に対して膝蓋骨可動性改善を目的とした理学療法が有効であるエビデンスになると考えられた。<BR>【まとめ】膝蓋骨外側可動性はTKA術前後で膝関節屈曲角度と有意な相関を認めた。"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410282680539194753","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000258347992"}],"foaf:name":[{"@language":"ja","@value":"太田 進"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"豊橋市民病院"},{"@language":"ja","@value":"名古屋大学医学部保健学科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282680539194757","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000005791379"},{"@type":"NRID","@value":"9000258347993"}],"foaf:name":[{"@language":"ja","@value":"中島 猛"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"豊橋市民病院"}]},{"@id":"https://cir.nii.ac.jp/crid/1030003658380656512","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"90135137"},{"@type":"NRID","@value":"1000090135137"},{"@type":"NRID","@value":"9000005792867"},{"@type":"NRID","@value":"9000256542707"},{"@type":"NRID","@value":"9000239586184"},{"@type":"NRID","@value":"9000254858770"},{"@type":"NRID","@value":"9000254351548"},{"@type":"NRID","@value":"9000258347994"},{"@type":"NRID","@value":"9000258711120"},{"@type":"NRID","@value":"9000256542558"},{"@type":"NRID","@value":"9000258588198"},{"@type":"NRID","@value":"9000003160755"},{"@type":"NRID","@value":"9000258361448"},{"@type":"NRID","@value":"9000003595798"},{"@type":"NRID","@value":"9000254858144"},{"@type":"NRID","@value":"9000258342739"},{"@type":"NRID","@value":"9000345291459"},{"@type":"NRID","@value":"9000253540139"},{"@type":"NRID","@value":"9000008067586"},{"@type":"NRID","@value":"9000398279984"},{"@type":"NRID","@value":"9000258339144"},{"@type":"NRID","@value":"9000258348768"},{"@type":"NRID","@value":"9000008154628"},{"@type":"NRID","@value":"9000009005047"}],"foaf:name":[{"@language":"ja","@value":"八木 了"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"豊橋市民病院"}]},{"@id":"https://cir.nii.ac.jp/crid/1410282680539194755","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000258347995"}],"foaf:name":[{"@language":"ja","@value":"大石 幸由"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"豊橋市民病院"}]},{"@id":"https://cir.nii.ac.jp/crid/1030003658324036994","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"30186150"},{"@type":"NRID","@value":"1000030186150"},{"@type":"NRID","@value":"9000345265292"},{"@type":"NRID","@value":"9000258361791"},{"@type":"NRID","@value":"9000258347996"},{"@type":"NRID","@value":"9000253541643"},{"@type":"NRID","@value":"9000258356591"},{"@type":"NRID","@value":"9000258345668"},{"@type":"NRID","@value":"9000392013136"},{"@type":"NRID","@value":"9000283758414"},{"@type":"NRID","@value":"9000309576692"},{"@type":"NRID","@value":"9000258361170"},{"@type":"NRID","@value":"9000258374796"},{"@type":"NRID","@value":"9000239586181"},{"@type":"NRID","@value":"9000367056343"},{"@type":"NRID","@value":"9000345235807"},{"@type":"NRID","@value":"9000392010908"},{"@type":"NRID","@value":"9000009237857"},{"@type":"NRID","@value":"9000283769797"}],"foaf:name":[{"@language":"ja","@value":"河村 守雄"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"名古屋大学医学部保健学科"}]},{"@id":"https://cir.nii.ac.jp/crid/1030003658324036992","@type":"Researcher","personIdentifier":[{"@type":"KAKEN_RESEARCHERS","@value":"10115529"},{"@type":"NRID","@value":"1000010115529"},{"@type":"NRID","@value":"9000002572813"},{"@type":"NRID","@value":"9000398162105"},{"@type":"NRID","@value":"9000253543967"},{"@type":"NRID","@value":"9000258590335"},{"@type":"NRID","@value":"9000257981347"},{"@type":"NRID","@value":"9000003157608"},{"@type":"NRID","@value":"9000003211196"},{"@type":"NRID","@value":"9000243888967"},{"@type":"NRID","@value":"9000252830456"},{"@type":"NRID","@value":"9000258589635"},{"@type":"NRID","@value":"9000362199960"},{"@type":"NRID","@value":"9000253259742"},{"@type":"NRID","@value":"9000258350162"},{"@type":"NRID","@value":"9000347064759"},{"@type":"NRID","@value":"9000254349935"},{"@type":"NRID","@value":"9000258347997"},{"@type":"NRID","@value":"9000258588940"},{"@type":"NRID","@value":"9000006496587"},{"@type":"NRID","@value":"9000020544323"},{"@type":"NRID","@value":"9000255966399"},{"@type":"NRID","@value":"9000008430820"},{"@type":"NRID","@value":"9000253541642"},{"@type":"NRID","@value":"9000283691757"},{"@type":"NRID","@value":"9000347065642"},{"@type":"NRID","@value":"9000403837322"},{"@type":"NRID","@value":"9000005811207"},{"@type":"NRID","@value":"9000283756188"},{"@type":"NRID","@value":"9000305639449"},{"@type":"NRID","@value":"9000258334787"},{"@type":"NRID","@value":"9000253393311"},{"@type":"NRID","@value":"9000398160323"},{"@type":"NRID","@value":"9000398157932"},{"@type":"NRID","@value":"9000254858933"},{"@type":"NRID","@value":"9000253542774"},{"@type":"NRID","@value":"9000253259016"},{"@type":"NRID","@value":"9000258344213"},{"@type":"NRID","@value":"9000403837077"},{"@type":"NRID","@value":"9000283745824"},{"@type":"NRID","@value":"9000253259590"},{"@type":"NRID","@value":"9000392010907"},{"@type":"NRID","@value":"9000258381971"},{"@type":"NRID","@value":"9000398160511"},{"@type":"NRID","@value":"9000252830467"},{"@type":"NRID","@value":"9000283756583"},{"@type":"NRID","@value":"9000253259065"}],"foaf:name":[{"@language":"ja","@value":"猪田 邦雄"}],"jpcoar:affiliationName":[{"@language":"ja","@value":"名古屋大学医学部保健学科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"02893770"},{"@type":"NCID","@value":"AN10146032"}],"prism:publicationName":[{"@language":"en","@value":"Congress of the Japanese Physical Therapy Association"},{"@language":"ja","@value":"理学療法学Supplement"}],"dc:publisher":[{"@language":"en","@value":"Japanese Physical Therapy Association(Renamed Japanese Society of Physical Therapy)"},{"@language":"ja","@value":"日本理学療法士協会（現 一般社団法人日本理学療法学会連合）"}],"prism:publicationDate":"2006","prism:volume":"2005","prism:number":"0","prism:startingPage":"C0389","prism:endingPage":"C0389"},"dcterms:accessRights":"http://purl.org/coar/access_right/c_abf2","url":[{"@id":"https://nagoya.repo.nii.ac.jp/records/9877"},{"@id":"https://search.jamas.or.jp/link/ui/2006175223"}],"availableAt":"2006","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=%E8%86%9D%E8%93%8B%E9%AA%A8%E5%8F%AF%E5%8B%95%E6%80%A7","dc:title":"膝蓋骨可動性"},{"@id":"https://cir.nii.ac.jp/all?q=%E5%AE%9A%E9%87%8F%E7%9A%84%E8%A9%95%E4%BE%A1","dc:title":"定量的評価"},{"@id":"https://cir.nii.ac.jp/all?q=%E4%BA%BA%E5%B7%A5%E8%86%9D%E9%96%A2%E7%AF%80%E5%85%A8%E7%BD%AE%E6%8F%9B%E8%A1%93","dc:title":"人工膝関節全置換術"}],"dcterms:subject":[{"subjectScheme":"Other","notation":[{"@value":"膝蓋骨可動性"}]},{"subjectScheme":"Other","notation":[{"@value":"定量的評価"}]},{"subjectScheme":"Other","notation":[{"@value":"人工膝関節全置換術"}]}],"dataSourceIdentifier":[{"@type":"JALC","@value":"oai:japanlinkcenter.org:1003381026"},{"@type":"IRDB","@value":"oai:irdb.nii.ac.jp:01152:0001453025"},{"@type":"CIA","@value":"110004994750"},{"@type":"CIA","@value":"130004579318"}]}