@article{oai:ryotokuji-u.repo.nii.ac.jp:00000472,
 author = {荒井, 沙織 and Arai, Saori and 加藤, 宗規 and Katoh, Munenori},
 issue = {15},
 journal = {了德寺大学研究紀要, The Bullentin of Ryotokuji University},
 month = {},
 note = {本研究は，症例数を追加し脳卒中片麻痺患者のトイレ介助に必要な立位保持時間を明らかにすること，麻痺側下肢運動機能の関連性について，高次脳機能障害と立位保持時間の差について検討した．対象は35名（男性17名，女性18名）， SIAS下肢点数（初期最終），失語症，注意障害，構成障害，半側空間無視の評価結果を先行研究に則カルテ抽出した．
　結果，立位保持時間は，33.7 ± 3.3秒であった．立位保持時間と下肢SIAS点数に強い負の相関が認めた（p<0.01)．また，立位高値群と全ての障害で有意な差を認めた（p<0.01）．更に立位高値群と失語症，注意障害の重度群で有意な差を認めた（p<0.01）．よってトイレ介助が可能となる立位保持時間は30～36秒であり，高次脳機能障害を有する場合は，その中でも長めの保持時間が必要と考えられた．, Purpose: The purpose of this study was to identify the amount of assistance and time requirements for the stroke hemiplegic patients to maintain the safe standing balance for the toileting. The study was focused upon examining the paralyzed lower limb mobilities and higher brain dysfunctions for maintaining the safe and functional standing balance. Method: The study was carried out with the 35 participants, including 17 males and 18 females. The participants were evaluated for the following criteria such as the SIAS leg scores, aphasia, attention disorder, constitutive disorder and unilateral spatial neglect. The selection of the participants was also referred to the medical records to assure the appropriateness for this study. Results: The standing retention time was 33.7 ± 3.3 seconds. Discussion and Conclusion: The standing retention time for the safe toileting and the lower SIAS scores did not show the correlation (p <0.01). This was because the physical abilities to merely maintain the standing position could be different from demonstrating the safe and functional toileting (p <0.01). Moreover, there was a clear difference that the participants with the high abilities to retain standing had less severe cognitive dysfunctions. On the other hand,the participants with the severe aphasia and attention disorders showed less abilities to retain safe standing position (p <0.01) because the safe and functional toileting would require the higher cognitive abilities. In summary, the abilities to maintain the safe standing balance for the toileting was 30 to 36 seconds. The amount of assistance would be more required as the higher brain dysfunctions became more severe.},
 pages = {167--174},
 title = {脳卒中片麻痺患者におけるトイレ動作介助に必要な立位保持時間 －身心機能評価と立位保持時間の関係性－},
 year = {2021},
 yomi = {アライ, サオリ and カトウ, ムネノリ}
}