{"id":1497,"date":"2020-11-05T18:46:35","date_gmt":"2020-11-05T09:46:35","guid":{"rendered":"https:\/\/rehasaku.net\/labo\/?p=1497"},"modified":"2022-12-16T13:25:14","modified_gmt":"2022-12-16T04:25:14","slug":"%e3%83%aa%e3%83%8f%e3%82%b5%e3%82%af%e3%81%ae%e8%a8%98%e9%8c%b2%e6%a9%9f%e8%83%bd%e3%82%92%e6%b4%bb%e7%94%a8%e3%81%97%e3%81%9f%e5%8a%b9%e6%9e%9c%e7%9a%84%e3%81%aa%e6%b2%bb%e7%99%82%e3%81%b8%e3%81%ae","status":"publish","type":"post","link":"https:\/\/rehasaku.net\/labo\/exercise\/1497\/","title":{"rendered":"\u30ea\u30cf\u30b5\u30af\u306e\u8a18\u9332\u6a5f\u80fd\u3092\u6d3b\u7528\u3057\u305f\u52b9\u679c\u7684\u306a\u6cbb\u7642\u3078\u306e\u691c\u8a3c"},"content":{"rendered":"

\u3010\u8abf\u67fb\u80cc\u666f\u3011<\/h2>\n

\u30db\u30fc\u30e0\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u306f\u3001\u5c02\u9580\u5bb6\u306b\u3088\u308b\u6cbb\u7642\u8eab\u4f53\u6a5f\u80fd\u306e\u6539\u5584\u304a\u3088\u3073\u9664\u75db\u306b\u52b9\u679c\u7684\u3067\u3042\u308b\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u308b1-3)<\/sup>\u3002\u5c02\u9580\u5bb6\u306e\u65b9\u3005\u306f\u3001\u51e6\u65b9\u3057\u305f\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u3092\u5bfe\u8c61\u8005\u304c\u81ea\u5b85\u3067\u3082\u5b9f\u65bd\u3057\u7d9a\u3051\u3066\u3044\u308b\u304b\u628a\u63e1\u3059\u308b\u3053\u3068\u3082\u5fc5\u8981\u3067\u3042\u308b\u3002<\/p>\n

\u30ea\u30cf\u30b5\u30af\u306f\u3001\u5229\u7528\u8005\u304c\u5b9f\u65bd\u3057\u305f\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u306e\u5185\u5bb9\u3084\u65e5\u6570\u306b\u52a0\u3048\u3066\u3001\u75db\u307f\u306e\u5ea6\u5408\u3044\u306b\u3064\u3044\u3066\u3082\u8a18\u9332\u3059\u308b\u3053\u3068\u304c\u53ef\u80fd\u3067\u3042\u308b\u3002\u307e\u305f\u5c02\u9580\u5bb6\u306e\u65b9\u3005\u306f\u3001\u5229\u7528\u8005\u304c\u8a18\u9332\u3057\u305f\u5185\u5bb9\u3092\u57fa\u306b\u3001\u6cbb\u7642\u306e\u5185\u5bb9\u3092\u691c\u8a0e\u3059\u308b\u3053\u3068\u3082\u3067\u304d\u308b\u3002<\/p>\n

 <\/p>\n

\u3010\u8abf\u67fb\u6982\u8981\u3011<\/h2>\n

\u5bfe\u8c61\u306f\u3001\u30ea\u30cf\u30b5\u30af\u3092\u5c0e\u5165\u3057\u3066\u3044\u308b\u65bd\u8a2d\u3067\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u306e\u51e6\u65b9\u3092\u53d7\u3051\u3001\u75db\u307f\u3092\u8a18\u9332\u3057\u305f\u521d\u65e5\u304b\u308990\u65e5\u4ee5\u4e0a\u75bc\u75db\u304c\u7d99\u7d9a\u3057\u3066\u3044\u308b10\u4ee3\u304b\u308970\u4ee3\u307e\u3067\u306e241\u540d\u3068\u3057\u305f\u3002\u5bfe\u8c61\u30c7\u30fc\u30bf\u306b\u304a\u3044\u3066\u3001\u91cd\u8907\u3057\u3066\u62bd\u51fa\u3055\u308c\u305f\u5bfe\u8c61\u8005\u306e\u30c7\u30fc\u30bf\u306f1\u540d\u5206\u3068\u3057\u3066\u30ab\u30a6\u30f3\u30c8\u3057\u305f\u3002\u307e\u305f\u30c7\u30fc\u30bf\u306e\u8a18\u9332\u304c\u306a\u3044\u5834\u5408\u306f\u5bfe\u8c61\u304b\u3089\u9664\u5916\u3057\u305f\u3002<\/p>\n

\u672c\u8abf\u67fb\u3067\u306f\u3001\u30ea\u30cf\u30b5\u30af\u304b\u3089\u62bd\u51fa\u53ef\u80fd\u3067\u3042\u308b\u30c7\u30fc\u30bf\u3092\u57fa\u306b\u4e0b\u8a186\u9805\u76ee\u3092\u8a2d\u5b9a\u3057\u305f\u3002<\/p>\n

 <\/p>\n\n\n\n\n\n\n\n\n
\u904b\u52d5\u8a18\u9332\u7387<\/td>\n\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u3092\u8a18\u9332\u3057\u305f\u65e5\u6570\uff0f\u5229\u7528\u671f\u9593<\/td>\n<\/tr>\n
\u5e74\u9f62<\/td>\n\u30ea\u30cf\u30b5\u30af\u5229\u7528\u6642\u306e\u5e74\u9f62<\/td>\n<\/tr>\n
\u5229\u7528\u671f\u9593<\/td>\n\u75db\u307f\u3092\u8a18\u9332\u3057\u305f\u521d\u65e5\u304b\u308990\u65e5\u4ee5\u4e0a\u7d4c\u904e\u3057\u3066\u3044\u308b\u75db\u307f\u306e\u7d4c\u904e\u65e5\u3067\u6700\u3082\u65e5\u4ed8\u304c\u65e9\u3044\u65e5\u4ed8<\/td>\n<\/tr>\n
\u521d\u56de\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u51e6\u65b9\u6570<\/td>\n\u75db\u307f\u3092\u8a18\u9332\u3057\u305f\u521d\u65e5\u306e\u76f4\u524d\u306b\u9001\u4fe1\u3055\u308c\u305f\u904b\u52d5\u30e1\u30cb\u30e5\u30fc\u6570<\/td>\n<\/tr>\n
\u7d2f\u8a08\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u51e6\u65b9\u6570<\/td>\n\u8a08\u6e2c\u671f\u9593\u304c\u7d42\u4e86\u3059\u308b\u65e5\u4ed8\u307e\u3067\u306b\u9001\u4fe1\u3055\u308c\u305f\u904b\u52d5\u30e1\u30cb\u30e5\u30fc\u6570\u306e\u5408\u8a08<\/td>\n<\/tr>\n
\u521d\u56deNRS<\/p>\n

\uff08Numerical Rating Scale\uff09<\/td>\n

\u8a18\u9332\u958b\u59cb\u3057\u305f\u521d\u65e5\u306e\u75db\u307f\u309211\u6bb5\u968e\u3067\u8a55\u4fa1<\/p>\n

\uff10\uff1a\u307e\u3063\u305f\u304f\u75db\u307f\u304c\u306a\u3044<\/p>\n

\uff11\uff10\uff1a\u4eca\u307e\u3067\u7d4c\u9a13\u3057\u305f\u3053\u3068\u304c\u306a\u3044\u75db\u307f<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

\u672c\u8abf\u67fb\u3067\u306f\u3001\u904b\u52d5\u8a18\u9332\u7387\u3068\u4e0a\u8a185\u9805\u76ee\u306e\u95a2\u9023\u3092\u691c\u8a0e\u3059\u308b\u305f\u3081\u3001\u91cd\u56de\u5e30\u5206\u6790\u3092\u7528\u3044\u3066\u5206\u6790\u3092\u884c\u3063\u305f\u3002\u305d\u306e\u5f8c\u3001\u904b\u52d5\u8a18\u9332\u7387\u306e\u9ad8\u3044\u5bfe\u8c61\u8005\u306e\u7279\u5fb4\u3092\u660e\u3089\u304b\u306b\u3059\u308b\u305f\u3081\u306b\u3001\u904b\u52d5\u8a18\u9332\u7387\u304c65\uff05\u4ee5\u4e0b\u306e\u5bfe\u8c61\u8005\u306865\uff05\u4ee5\u4e0a\u306e\u5bfe\u8c61\u8005\u306b\u5206\u985e\u3057\u3001\u30ed\u30b8\u30b9\u30c6\u30a3\u30c3\u30af\u56de\u5e30\u5206\u6790\u3092\u884c\u3063\u305f\u3002<\/p>\n

 <\/p>\n

\u300c\u5206\u6790\u65b9\u6cd5\u306e\u8aac\u660e\u300d<\/h3>\n

\u30fb\u91cd\u56de\u5e30\u5206\u6790\u3068\u306f<\/h4>\n

\u7269\u4e8b\u306e\u7d50\u679c\u3092\u8868\u3059\u76ee\u7684\u5909\u6570\u306b\u5bfe\u3057\u3066\u539f\u56e0\u3092\u8868\u3059\u8907\u6570\u306e\u8aac\u660e\u5909\u6570\u304c\u3001\u3069\u306e\u7a0b\u5ea6\u5f71\u97ff\u3057\u3066\u3044\u308b\u304b\u4e88\u6e2c\u3092\u3059\u308b\u5206\u6790\u65b9\u6cd5\u3067\u3042\u308b\u3002<\/p>\n

\u76ee\u7684\u5909\u6570\uff08\u7d50\u679c\uff09\u306b\u5bfe\u3057\u3066\u3069\u306e\u8aac\u660e\u5909\u6570\uff08\u539f\u56e0\uff09\u306e\u5f71\u97ff\u304c\u5927\u304d\u3044\u304b\u3092\u6bd4\u8f03\u3059\u308b\u969b\u306f\u3001\u6a19\u6e96\u504f\u56de\u5e30\u4fc2\u6570\u3092\u57fa\u306b\u6bd4\u8f03\u3059\u308b\u3002\u6a19\u6e96\u504f\u56de\u5e30\u4fc2\u6570\u306e\u7d76\u5bfe\u5024\u306e\u5927\u304d\u3055\u306f\u76ee\u7684\u5909\u6570\u3078\u306e\u5f71\u97ff\u529b\u3092\u793a\u3057\u3066\u3044\u308b\u3002<\/p>\n

\u307e\u305f\u4e88\u6e2c\u5f0f\u304c\u3001\u30c7\u30fc\u30bf\u306e\u8aac\u660e\u3092\u3069\u306e\u7a0b\u5ea6\u3067\u304d\u3066\u3044\u308b\u304b\uff08\u4e88\u6e2c\u5f0f\u306e\u7cbe\u5ea6\uff09\u8868\u3059\u5024\u3068\u3057\u3066\u6c7a\u5b9a\u4fc2\u6570\u3092\u7528\u3044\u308b\u3002\u6c7a\u5b9a\u4fc2\u6570\u306f0\u304b\u30891\u307e\u3067\u306e\u5024\u3092\u3068\u308a\u30011\u306b\u8fd1\u3044\u307b\u3069\u4e88\u6e2c\u5f0f\u306e\u7cbe\u5ea6\u304c\u9ad8\u3044\u3053\u3068\u3092\u8868\u3059\u3002\u5909\u6570\u304c\u591a\u3044\u5834\u5408\u306b\u306f\u3001\u88dc\u6b63\u3057\u305f\u81ea\u7531\u5ea6\u8abf\u6574\u6e08\u307f\u6c7a\u5b9a\u4fc2\u6570\u3092\u7528\u3044\u308b\u3002<\/p>\n

\u30fb\u30ed\u30b8\u30b9\u30c6\u30a3\u30c3\u30af\u56de\u5e30\u5206\u6790\u3068\u306f<\/h4>\n

\u8907\u6570\u3042\u308b\u539f\u56e0\u304b\u3089\u7d50\u679c\u3092\u4e88\u6e2c\u3059\u308b\u5206\u6790\u65b9\u6cd5\u3067\u3001\u4e88\u6e2c\u3059\u308b\u7d50\u679c\u304c1\u3068\u306a\u308b\u78ba\u7387\u3092\u793a\u3059\u3002<\/p>\n

\u91cd\u56de\u5e30\u5206\u6790\u3068\u7570\u306a\u308b\u70b9\u306f\u3001\u91cd\u56de\u5e30\u5206\u6790\u304c\u539f\u56e0\u304b\u3089\u7d50\u679c\u306e\u5024\u3092\u4e88\u6e2c\u3059\u308b\u306e\u306b\u5bfe\u3057\u3066\u3001\u30ed\u30b8\u30b9\u30c6\u30a3\u30c3\u30af\u56de\u5e30\u5206\u6790\u3067\u306f\u7d50\u679c\u3092\u300c\u6709\u304b\u7121\u300d\u306e\u3088\u3046\u306b\u300c0\u304b1\u300d\u306e2\u5024\u3067\u6349\u3048\u7d50\u679c\u304c\uff11\u306b\u306a\u308b\u78ba\u7387\u3092\u4e88\u6e2c\u3059\u308b\u3053\u3068\u3067\u3042\u308b\u3002<\/p>\n

\u30ed\u30b8\u30b9\u30c6\u30a3\u30c3\u30af\u56de\u5e30\u5206\u6790\u3067\u306f\u3001\u30aa\u30c3\u30ba\u6bd4\u3092\u6307\u6a19\u3068\u3059\u308b\u3002\u30aa\u30c3\u30ba\u3068\u306f\u3001\u7d50\u679c\u304c\u8d77\u3053\u3089\u306a\u3044\u78ba\u7387\uff081-p\uff09\u306b\u5bfe\u3059\u308b\u7d50\u679c\u304c\u8d77\u3053\u308b\u78ba\u7387\uff08p\uff09\u306e\u6bd4\u7387\u306e\u3053\u3068\u3067\u3042\u308b\u30022\u7fa4\u306e\u30aa\u30c3\u30ba\u304c\u76f8\u5bfe\u7684\u306b\u4f55\u500d\u306b\u306a\u308b\u304b\u793a\u3057\u305f\u5024\u3092\u30aa\u30c3\u30ba\u6bd4\u3068\u547c\u3076\u3002<\/p>\n

 <\/p>\n

\u3010\u8abf\u67fb\u7d50\u679c\u3011<\/h2>\n

\u8abf\u67fb\u5bfe\u8c61\u306f\u3001\u9664\u5916\u57fa\u6e96\u306b\u8a72\u5f53\u3057\u306a\u304b\u3063\u305f147\u540d\uff08\u7537\u6027\uff1a71\u540d\u3001\u5973\u6027\uff1a76\u540d\uff09\u3067\u3042\u3063\u305f\u3002<\/p>\n

\u904b\u52d5\u8a18\u9332\u7387\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u8981\u56e0\u306b\u3064\u3044\u3066\u5206\u6790\u3057\u305f\u7d50\u679c\u3001\u5e74\u9f62\u3068\u5229\u7528\u671f\u9593\u304c\u63a1\u629e\u3055\u308c\u305f\u3002\u5f71\u97ff\u529b\u306f\u3001\u5e74\u9f62\u3068\u6bd4\u8f03\u3057\u5229\u7528\u671f\u9593\u306e\u65b9\u304c\u5927\u304d\u3044\u3053\u3068\u304c\u793a\u3055\u308c\u305f\u3002\u307e\u305f\u3001\u4e88\u6e2c\u5f0f\u306e\u7cbe\u5ea6\u3092\u793a\u3059\u81ea\u7531\u5ea6\u8abf\u6574\u6e08\u307f\u6c7a\u5b9a\u4fc2\u6570\u306f0.25\u3067\u3042\u3063\u305f\uff08\u8868\uff11\uff09\u3002<\/p>\n

\u30ed\u30b8\u30b9\u30c6\u30a3\u30c3\u30af\u56de\u5e30\u5206\u6790\u306e\u7d50\u679c\u306f\u3001\u5229\u7528\u671f\u9593\u3068\u521d\u56deNRS\u304c\u6709\u610f\u306a\u5909\u6570\u3068\u3057\u3066\u63a1\u629e\u3055\u308c\u305f\uff08\u88682\uff09\u3002<\/p>\n

 <\/p>\n

\u88681\uff0e\u904b\u52d5\u8a18\u9332\u7387\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u8981\u56e0<\/p>\n\n\n\n\n\n
<\/td>\n\u6a19\u6e96\u504f\u56de\u5e30\u4fc2\u6570<\/td>\np\u5024<\/td>\n<\/tr>\n
\u5e74\u9f62<\/td>\n0.25<\/td>\n**<\/td>\n<\/tr>\n
\u5229\u7528\u671f\u9593<\/td>\n-0.40<\/td>\n**<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

**: p<0.01<\/p>\n

 <\/p>\n

\u8868\uff12\uff0e\u904b\u52d5\u8a18\u9332\u738765%\u4ee5\u4e0b\u306865%\u4ee5\u4e0a\u306e\u30ed\u30b8\u30b9\u30c6\u30a3\u30c3\u30af\u56de\u5e30\u5206\u6790<\/p>\n\n\n\n\n\n
<\/td>\n\u30aa\u30c3\u30ba\u6bd4<\/td>\n95\uff05\u4fe1\u983c\u533a\u9593<\/td>\n<\/tr>\n
\u5229\u7528\u671f\u9593<\/td>\n0.19<\/td>\n0.08 \u2013 0.44<\/td>\n<\/tr>\n
\u521d\u56deNRS<\/td>\n0.73<\/td>\n0.59 \u2013 0.92<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

 <\/p>\n

\u3010\u5206\u6790\u8005\u304b\u3089\u30e6\u30fc\u30b6\u30fc\u69d8\u3078\u306e\u30b3\u30e1\u30f3\u30c8\u3011<\/h2>\n

\u904b\u52d5\u8a18\u9332\u7387\u306b\u5f71\u97ff\u3092\u4e0e\u3048\u308b\u8981\u56e0\u306f\u3001\u5229\u7528\u671f\u9593\u3068\u5e74\u9f62\u3067\u3042\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u305f\u3002\u672c\u8abf\u67fb\u306e\u5bfe\u8c61\u8005\u306f\u3001\u30ea\u30cf\u30b5\u30af\u306e\u5229\u7528\u671f\u9593\u304c\u9577\u304f\u306a\u308b\u306b\u3064\u308c\u3066\u30a8\u30af\u30b5\u30b5\u30a4\u30ba\u3092\u8a18\u9332\u3059\u308b\u65e5\u6570\u304c\u6e1b\u5c11\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u5206\u304b\u3063\u305f\u3002\u307e\u305f\u3001\u672c\u8abf\u67fb\u3067\u306f\u3001\u521d\u56deNRS\u304c\u4f4e\u3044\u5bfe\u8c61\u8005\u306f\u904b\u52d5\u8a18\u9332\u7387\u304c\u9ad8\u304f\u306a\u308b\u3053\u3068\u3082\u793a\u3055\u308c\u305f\u3002<\/p>\n

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    \n
  • Dell\u2019Isola A, et al. Education, Home Exercise, and Supervised Exercise for People With Hip and Knee Osteoarthritis As Part of a Nationwide Implementation Program: Data From the Better Management of Patients With Osteoarthritis Registry. Artgritis Care Res (Hoboken) 72(2): 201-207,2020.<\/li>\n
  • Suzuki Y, et al. Home exercise therapy to improve muscle strength and joint flexibility effectively treats pre-radiographic knee OA in community-dwelling elderly: a randomized controlled trial. Clin Rheumatol 38(1): 133-141, 2019.<\/li>\n
  • Kuukkanen T, et al. Effectiveness of a home exercise programme in low back pain: a randomized five-year follow-up study. Physiother Res Int12(4):213-24, 2007.<\/li>\n<\/ul>\n

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