{"title":"分析中风偏瘫患者在如厕时抬起下身衣物的动作：重点分析瘫痪侧的操作。","authors":"Yuki Kuroda , Naoyuki Motojima , Sumiko Yamamoto","doi":"10.1016/j.clinbiomech.2024.106364","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Movements to raise lower garments in patients with stroke and hemiplegia consist of downward reach, non-paretic-side manipulation, and paretic-side manipulation. In this study, we focused on paretic-side manipulation, which is particularly difficult, and investigated the factors that make it challenging.</div></div><div><h3>Methods</h3><div>Forty-eight patients with stroke and hemiplegia (23 and 25 patients in independent and dependent groups, respectively) participated in this study. First, we investigated the difficulty of each manipulation using a visual analog scale to confirm the usefulness of focusing on paretic-side manipulation. Characteristics of the paretic side manipulation were compared between the dependent and independent groups using a three-dimensional motion analysis system.</div></div><div><h3>Findings</h3><div>The dependent group showed greater difficulty in manipulation on the paretic side compared to manipulation on the non-paretic side. The dependent group had a lower paretic limb loading ratio (<em>p</em> < 0.01), greater pelvic rotation angle (p < 0.01), and longer paretic side manipulation time (p < 0.01) than those in the independent group.</div></div><div><h3>Interpretation</h3><div>The factors that contributed to greater difficulty in manipulating the paretic side were a lower limb loading rate and larger pelvic rotation angle toward the paretic side. These factors make it difficult to reach the lower garment and result in inefficient manipulation of the paretic side.</div></div>","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":null,"pages":null},"PeriodicalIF":16.4000,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Analysis of movements involved in raising lower garments during toileting in patients with stroke and hemiplegia: An analysis focused on manipulation on the paretic side\",\"authors\":\"Yuki Kuroda , Naoyuki Motojima , Sumiko Yamamoto\",\"doi\":\"10.1016/j.clinbiomech.2024.106364\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Background</h3><div>Movements to raise lower garments in patients with stroke and hemiplegia consist of downward reach, non-paretic-side manipulation, and paretic-side manipulation. In this study, we focused on paretic-side manipulation, which is particularly difficult, and investigated the factors that make it challenging.</div></div><div><h3>Methods</h3><div>Forty-eight patients with stroke and hemiplegia (23 and 25 patients in independent and dependent groups, respectively) participated in this study. First, we investigated the difficulty of each manipulation using a visual analog scale to confirm the usefulness of focusing on paretic-side manipulation. Characteristics of the paretic side manipulation were compared between the dependent and independent groups using a three-dimensional motion analysis system.</div></div><div><h3>Findings</h3><div>The dependent group showed greater difficulty in manipulation on the paretic side compared to manipulation on the non-paretic side. The dependent group had a lower paretic limb loading ratio (<em>p</em> < 0.01), greater pelvic rotation angle (p < 0.01), and longer paretic side manipulation time (p < 0.01) than those in the independent group.</div></div><div><h3>Interpretation</h3><div>The factors that contributed to greater difficulty in manipulating the paretic side were a lower limb loading rate and larger pelvic rotation angle toward the paretic side. These factors make it difficult to reach the lower garment and result in inefficient manipulation of the paretic side.</div></div>\",\"PeriodicalId\":1,\"journal\":{\"name\":\"Accounts of Chemical Research\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":16.4000,\"publicationDate\":\"2024-10-18\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Accounts of Chemical Research\",\"FirstCategoryId\":\"5\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0268003324001967\",\"RegionNum\":1,\"RegionCategory\":\"化学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"CHEMISTRY, MULTIDISCIPLINARY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Accounts of Chemical Research","FirstCategoryId":"5","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0268003324001967","RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"CHEMISTRY, MULTIDISCIPLINARY","Score":null,"Total":0}
Analysis of movements involved in raising lower garments during toileting in patients with stroke and hemiplegia: An analysis focused on manipulation on the paretic side
Background
Movements to raise lower garments in patients with stroke and hemiplegia consist of downward reach, non-paretic-side manipulation, and paretic-side manipulation. In this study, we focused on paretic-side manipulation, which is particularly difficult, and investigated the factors that make it challenging.
Methods
Forty-eight patients with stroke and hemiplegia (23 and 25 patients in independent and dependent groups, respectively) participated in this study. First, we investigated the difficulty of each manipulation using a visual analog scale to confirm the usefulness of focusing on paretic-side manipulation. Characteristics of the paretic side manipulation were compared between the dependent and independent groups using a three-dimensional motion analysis system.
Findings
The dependent group showed greater difficulty in manipulation on the paretic side compared to manipulation on the non-paretic side. The dependent group had a lower paretic limb loading ratio (p < 0.01), greater pelvic rotation angle (p < 0.01), and longer paretic side manipulation time (p < 0.01) than those in the independent group.
Interpretation
The factors that contributed to greater difficulty in manipulating the paretic side were a lower limb loading rate and larger pelvic rotation angle toward the paretic side. These factors make it difficult to reach the lower garment and result in inefficient manipulation of the paretic side.
期刊介绍：
Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance.
Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.
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