{"@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/1390282680718944256.json","@type":"Article","productIdentifier":[{"identifier":{"@type":"DOI","@value":"10.14930/jshowaunivsoc.74.216"}},{"identifier":{"@type":"URI","@value":"https://showa.repo.nii.ac.jp/records/374"}},{"identifier":{"@type":"NDL_BIB_ID","@value":"025856532"}},{"identifier":{"@type":"URI","@value":"http://id.ndl.go.jp/bib/025856532"}},{"identifier":{"@type":"URI","@value":"https://ndlsearch.ndl.go.jp/books/R000000004-I025856532"}},{"identifier":{"@type":"NAID","@value":"130004692162"}},{"identifier":{"@type":"URI","@value":"https://search.jamas.or.jp/link/ui/2015014449"}}],"resourceType":"紀要論文(departmental bulletin paper)","dc:title":[{"@language":"en","@value":"AMBULATION RISK ASSESSMENT IN PATIENTS WITH VERTEBRAL METASTASES"},{"@language":"ja","@value":"転移性脊椎腫瘍症例における離床時の安全評価の検討"},{"@language":"ja-Kana","@value":"テンイセイ セキツイ シュヨウ ショウレイ ニ オケル リショウジ ノ アンゼン ヒョウカ ノ ケントウ"}],"dc:language":"ja","description":[{"type":"abstract","notation":[{"@language":"en","@value":"Currently, there are no defined criteria for ambulation in patients with vertebral metastases. Therefore, patients are managed according to the protocols of individual hospitals and institutions. At our hospital, from 2011 to 2013, orthopedic surgeons were asked to determine if ambulation was possible for some patients with metastatic vertebral tumors. The results showed that irrespective of the lack of limitations imposed by the attending orthopedic surgeon regarding the degree of bed rest in the hospital, delayed ambulation was unavoidable for several patients. We thus evaluated ambulation risk assessment using the Spinal Instability Neoplastic Score (SINS). Among the patients who were judged as fit for ambulation by an orthopedic surgeon, those with a SINS score of ≥ 7 had significantly delayed ambulation. In addition, significant differences were observed in the scores for the SINS items for pain, vertebral collapse, and posterolateral infiltration in patients with delayed ambulation. Our results suggested that before starting ambulation, sufficient assessment is necessary in patients with a SINS score of ≥ 7. In the clinical setting, it is possible for healthcare workers to use SINS for ambulation risk assessment in patients with vertebral metastases after consultation with the attending orthopedic surgeon."},{"@language":"ja","@value":"現在，転移性脊椎腫瘍症例の明確な離床基準は存在しない．ゆえに各病院および施設において，個別に対応を行っているのが現状である．2011年から2013年，当院では転移性脊椎腫瘍症例の離床依頼に際し，整形外科医に離床判断を依頼した症例が存在した．その結果，主治医による病棟安静度の指示は制限なしであるにもかかわらず，離床を延期せざるをえない症例を多数経験した．そこでSpinal Instability Neoplastic Score（以下SINS）を用いて離床時の安全評価の検討をした．結果，整形外科医による離床判断を行った症例は，SINS 7点以上で離床延期になる症例が有意に多かった．ゆえにSINS 7点以上の症例では，離床を行う際には十分な検討が必要であると思われる．また離床延期となった症例は，SINS内の各項目では，疼痛の有無，評価に採用した椎体の圧潰および後側方浸潤の項目に有意差を認めた．SINSによる離床時の安全評価は，臨床の現場において，医療従事者が脊椎疾患担当医に相談するひとつの根拠として利用が可能と考えられた．"}],"abstractLicenseFlag":"disallow"}],"creator":[{"@id":"https://cir.nii.ac.jp/crid/1410001205565589121","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000413469627"},{"@type":"NRID","@value":"9000391779606"},{"@type":"NRID","@value":"9000345237586"},{"@type":"NRID","@value":"9000410476904"},{"@type":"NRID","@value":"9000258363869"},{"@type":"NRID","@value":"9000258374063"},{"@type":"NRID","@value":"9000263467113"},{"@type":"NRID","@value":"9000283754131"},{"@type":"NRID","@value":"9000006497398"},{"@type":"NRID","@value":"9000258356556"},{"@type":"NRID","@value":"9000391784204"},{"@type":"NRID","@value":"9000258355307"},{"@type":"NRID","@value":"9000391782585"},{"@type":"NRID","@value":"9000345232036"},{"@type":"NRID","@value":"9000413469805"},{"@type":"NRID","@value":"9000263046121"},{"@type":"NRID","@value":"9000283756058"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/pt_research"}],"foaf:name":[{"@language":"en","@value":"IGUCHI Akihiro"},{"@language":"ja","@value":"井口 暁洋"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Rehabilitation Center, Showa University Northern Yokohama Hospital"},{"@language":"ja","@value":"昭和大学横浜市北部病院リハビリテーション室"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001205568049028","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000258356716"}],"foaf:name":[{"@language":"en","@value":"SAITO Tetuya"},{"@language":"ja","@value":"齊藤 哲也"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Rehabilitation Center, Showa University Northern Yokohama Hospital"},{"@language":"ja","@value":"昭和大学横浜市北部病院リハビリテーション室"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009221132762112","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000263046123"}],"foaf:name":[{"@language":"en","@value":"AOKI Idumi"},{"@language":"ja","@value":"青木 いづみ"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Rehabilitation Center, Showa University Northern Yokohama Hospital"},{"@language":"ja","@value":"昭和大学横浜市北部病院リハビリテーション室"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001204949337477","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000003154405"},{"@type":"NRID","@value":"9000021084271"},{"@type":"NRID","@value":"9000252895747"},{"@type":"NRID","@value":"9000403966345"},{"@type":"NRID","@value":"9000345232037"},{"@type":"NRID","@value":"9000021080874"},{"@type":"NRID","@value":"9000392141027"},{"@type":"NRID","@value":"9000020923275"},{"@type":"NRID","@value":"9000263046124"},{"@type":"NRID","@value":"9000258296466"},{"@type":"NRID","@value":"9000010447606"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/read0142556"}],"foaf:name":[{"@language":"en","@value":"KII Yoshitaka"},{"@language":"ja","@value":"城井 義隆"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Rehabilitation Medicine, Showa University Northern Yokohama Hospital"},{"@language":"ja","@value":"昭和大学横浜市北部病院リハビリテーション科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410001204374137984","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000413469634"},{"@type":"NRID","@value":"9000406218873"},{"@type":"NRID","@value":"9000001438600"},{"@type":"NRID","@value":"9000410476910"},{"@type":"NRID","@value":"9000405853488"},{"@type":"NRID","@value":"9000413358853"},{"@type":"NRID","@value":"9000412234152"},{"@type":"NRID","@value":"9000402908926"},{"@type":"NRID","@value":"9000258296344"},{"@type":"NRID","@value":"9000412657293"},{"@type":"NRID","@value":"9000398131902"},{"@type":"NRID","@value":"9000404853382"},{"@type":"NRID","@value":"9000413358886"},{"@type":"NRID","@value":"9000403547094"},{"@type":"NRID","@value":"9000412661614"},{"@type":"NRID","@value":"9000409006802"},{"@type":"NRID","@value":"9000399938670"},{"@type":"NRID","@value":"9000409524012"},{"@type":"NRID","@value":"9000411368639"},{"@type":"RESEARCHMAP","@value":"https://researchmap.jp/oshita"}],"foaf:name":[{"@language":"en","@value":"OSHITA Yusuke"},{"@language":"ja","@value":"大下 優介"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Orthopaedic Surgery, Showa University Northern Yokohama Hospital"},{"@language":"ja","@value":"昭和大学横浜市北部病院整形外科"}]},{"@id":"https://cir.nii.ac.jp/crid/1410009221132762117","@type":"Researcher","personIdentifier":[{"@type":"NRID","@value":"9000263046126"}],"foaf:name":[{"@language":"en","@value":"OMATA Hiroaki"},{"@language":"ja","@value":"尾又 弘晃"}],"jpcoar:affiliationName":[{"@language":"en","@value":"Department of Orthopaedic Surgery, Showa University Northern Yokohama Hospital"},{"@language":"ja","@value":"昭和大学横浜市北部病院整形外科"}]}],"publication":{"publicationIdentifier":[{"@type":"PISSN","@value":"2187719X"},{"@type":"EISSN","@value":"2188529X"},{"@type":"ISSN","@value":"2187719X"},{"@type":"NDL_BIB_ID","@value":"024297279"},{"@type":"LISSN","@value":"2187719X"},{"@type":"NCID","@value":"AA12635661"}],"prism:publicationName":[{"@language":"en","@value":"Journal of The Showa University Society"},{"@language":"ja","@value":"昭和学士会雑誌"},{"@language":"en","@value":"J Showa Univ Soc"},{"@language":"ja","@value":"昭和学士会誌"}],"dc:publisher":[{"@language":"en","@value":"The Showa University Society"},{"@language":"ja","@value":"昭和大学学士会"}],"prism:publicationDate":"2014","prism:volume":"74","prism:number":"2","prism:startingPage":"216","prism:endingPage":"222"},"url":[{"@id":"https://showa.repo.nii.ac.jp/records/374"},{"@id":"http://id.ndl.go.jp/bib/025856532"},{"@id":"https://ndlsearch.ndl.go.jp/books/R000000004-I025856532"},{"@id":"http://id.nii.ac.jp/1670/00000366/"},{"@id":"https://search.jamas.or.jp/link/ui/2015014449"}],"availableAt":"2014","foaf:topic":[{"@id":"https://cir.nii.ac.jp/all?q=vertebral%20metastases","dc:title":"vertebral metastases"},{"@id":"https://cir.nii.ac.jp/all?q=ambulation","dc:title":"ambulation"},{"@id":"https://cir.nii.ac.jp/all?q=risk%20assessment","dc:title":"risk assessment"},{"@id":"https://cir.nii.ac.jp/all?q=Spinal%20Instability%20Neoplastic%20Score","dc:title":"Spinal Instability Neoplastic Score"},{"@id":"https://cir.nii.ac.jp/all?q=rehabilitation","dc:title":"rehabilitation"},{"@id":"https://cir.nii.ac.jp/all?q=%E8%BB%A2%E7%A7%BB%E6%80%A7%E8%84%8A%E6%A4%8E%E8%85%AB%E7%98%8D","dc:title":"転移性脊椎腫瘍"},{"@id":"https://cir.nii.ac.jp/all?q=%E9%9B%A2%E5%BA%8A","dc:title":"離床"},{"@id":"https://cir.nii.ac.jp/all?q=%E3%83%AA%E3%82%B9%E3%82%AF%E8%A9%95%E4%BE%A1","dc:title":"リスク評価"},{"@id":"https://cir.nii.ac.jp/all?q=Spinal%20Instability%20Neoplastic%20Score","dc:title":"Spinal Instability Neoplastic 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