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  1. Dokkyo Journal of Medical Sciences
  2. 34(2) 2007

簡易腰椎可動域測定器の正確性と信頼性の検討

https://dmu.repo.nii.ac.jp/records/553
https://dmu.repo.nii.ac.jp/records/553
5030c5db-1979-434b-bc09-eeb7a5627f2a
名前 / ファイル ライセンス アクション
KJ00005058629.pdf KJ00005058629.pdf (2.1 MB)
Item type [ELS]学術雑誌論文 / Journal Article(1)
公開日 2017-05-24
タイトル
タイトル 簡易腰椎可動域測定器の正確性と信頼性の検討
タイトル
言語 en
タイトル Validation of Accuracy and Reliability of a Simple Measurement Device for the Lumbar Range of Motion : SMD-L-ROM
言語
言語 jpn
キーワード
主題 腰椎
キーワード
主題 可動域
キーワード
主題 計測機器
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
雑誌書誌ID
収録物識別子 AA00629581
論文名よみ
タイトル カンイ ヨウツイ カドウイキ ソクテイキ ノ セイカクセイ ト シンライセイ ノ ケントウ
著者 加藤, 仲幸

× 加藤, 仲幸

WEKO 2201

加藤, 仲幸

ja-Kana カトウ, ナカユキ

Search repository
藤原, 淳

× 藤原, 淳

WEKO 2202

藤原, 淳

ja-Kana フジワラ, アツシ

Search repository
本田, 俊夫

× 本田, 俊夫

WEKO 2203

本田, 俊夫

ja-Kana ホンダ, トシオ

Search repository
種市, 洋

× 種市, 洋

WEKO 2204

種市, 洋

ja-Kana タネイチ, ヒロシ

Search repository
Kato, Nakayuki

× Kato, Nakayuki

WEKO 2205

en Kato, Nakayuki

Search repository
Fujiwara, Atsushi

× Fujiwara, Atsushi

WEKO 2206

en Fujiwara, Atsushi

Search repository
Honda, Toshio

× Honda, Toshio

WEKO 2207

en Honda, Toshio

Search repository
Taneichi, Hiroshi

× Taneichi, Hiroshi

WEKO 2208

en Taneichi, Hiroshi

Search repository
著者所属(日)
獨協医科大学整形外科学
著者所属(日)
獨協医科大学整形外科学
著者所属(日)
獨協医科大学整形外科学
著者所属(日)
獨協医科大学整形外科学
著者所属(英)
en
Dept. of Orthop., Dokkyo Medical University School of Medicine
著者所属(英)
en
Dept. of Orthop., Dokkyo Medical University School of Medicine
著者所属(英)
en
Dept. of Orthop., Dokkyo Medical University School of Medicine
著者所属(英)
en
Dept. of Orthop., Dokkyo Medical University School of Medicine
記事種別(日)
内容記述タイプ Other
内容記述 原著
記事種別(英)
内容記述タイプ Other
内容記述 Original
抄録(日)
内容記述タイプ Other
内容記述 【目的】腰椎可動性の評価は腰痛性疾患の診断や治療効果判定に際し重要である.簡単な取り付け器具で体幹に装着し, X線撮影なしに腰椎可動域を評価できる簡易腰椎可動域測定器を開発し,測定データの正確性および信頼性を評価したので報告する.【方法】簡易腰椎可動域測定器は,金属製の固定板,その中央に垂直に取り付けられた計測バー,固定板を体幹に確実に固定するゴムバンドより構成されている.第12胸椎と仙骨上の体幹背面に装着した測定器による可動域と実際の腰椎可動域をX線およびCTを用いて計測し,正確性,測定者間および測定者内の一致度および再現性を検討した.【結果】前後屈および回旋可動域に関しては測定値とX線計測値はよく相関し,かつ,その平均値に有意差はないことから正確性は良好であった.一方,前後屈の各体位における測定値とX線計測値には有意差があること,各回旋位の計測値の相関関係にはばらつきが多かったことから,本測定器は腰椎の肢位をX線と同様に捉えていなかった.また,側屈可動域に関しては,測定値とX線計測値の相関は前後屈や回旋より劣り,かつ,その計測値にも有意差が見られたことから,側屈可動域に関する本測定器の正確性は不十分であった.さらに,測定者間および測定者内一致度はすべての項目で高く再現性も認められた.【結論】前後屈および回旋可動域は簡易腰椎可動域測定器により低コストで簡便に測定でき,その正確性や信頼性も優れていた.
抄録(英)
内容記述タイプ Other
内容記述 Purpose : It is important to evaluate mobility of the lumbar spine for assessment of lumbar spinal disorders and their therapeutic effects. We developed a simple measurement device for the lumbar range of motion (SMD-L-ROM) which can be installed on the trunk. SMD-L-ROM allows to evaluate mobility of the lumbar spine without x-ray exposure. Accuracy and reliability of the measurement device was assessed in this article. Method : SMD-L-ROM comprises two metallic immobilization plates (IPs) with a vertically installed bar and a rubber band for fixation of IP to the trunk. Two IPs were installed at the level of Th12 and the sacrum. Range of motion (ROM) of the lumbar spine was measured by using SMD-L-ROM and radiographic modalities (X-ray and CT). Consistency of the measured values by both of SMD-L-ROM and radiographic modalities was evaluated. Furthermore, inter- and intra-observer agreement of measured values by SMD-L-ROM was assessed. Results : Regarding measurement of ROM, there was a high correlation between SMD-L-ROM and X-ray/CT especially in the sagittal and axial plane. There was no significant difference in the average values of ROM between the two methods. On the other hand, SMD-L-ROM did not detect accurate position of the lumbar spine in all dimensions. There were no inter- and intra-observer errors of measured values by SMD-L-ROM. Conclusion : ROM of the lumbar spine was simply and economically measured with SMD-L-ROM. Accuracy and reliability of SMD-L-ROM was good enough for ROM measurement in the lumbar spine.
書誌情報 Dokkyo journal of medical sciences

巻 34, 号 2, p. 85-93, 発行日 2007-07-01
ISSN
収録物識別子 03855023
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