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BACKGROUND The spread of COVID-19 has affected stroke rehabilitation. Given that inpatient visits are restricted in most institutions, alternative ways of providing information to family members are imperative. Informing families about patients’ rehabilitation progress via the Internet may help involve families in the rehabilitation process, enhance patients’ motivation to continue rehabilitation, and contribute overall to improvement of activities of daily living (ADL) in patients. OBJECTIVE We aimed to investigate the feasibility of an Internet-based rehabilitation information provision (IRIP) intervention for families of stroke patients at a rehabilitation hospital and to examine the effect of IRIP on patients’ ADL improvement. METHODS In this case-control study, participants were inpatients at a rehabilitation hospital between March 2020 and April 2021. The intervention group (ICT group) included patients and families who requested IRIP, which consisted of a progress report on patients’ rehabilitation using text, photos, and movies. Those who did not receive Internet-based information were included in the non-ICT group. The control group, matched with the ICT group based on a 1:1 propensity score, was selected from the non-ICT group. The covariates for calculating the propensity score were patients’ age, sex, and motor and cognitive scores on the Functional Independence Measure (FIM) at admission. The main outcome was the degree of ADL improvement during hospitalization. Multiple regression analysis (forced entry method) was performed to confirm the impact of ICT use on ADL improvement. The independent variables were the presence of intervention, length of hospital stay, and the number of days from onset to hospitalization. RESULTS Sixteen groups of patients and families participated in the IRIP. The mean age of patients was 78.6±7.2 and 78.6±8.2 years in the ICT and control groups, respectively. The median total FIM difference was 28.5 (interquartile range 20.3-53.0) and 11.0 (2.8-30.0) in the ICT and control groups, respectively, and the ICT group showed significant improvement in ADL function (p=0.019). In the multiple regression analysis of the ICT and control groups, the unstandardized regression coefficients and 95% confidence intervals were 11.97 (0.09 to 23.84) for ICT use. These results indicate that ICT use was independently and significantly associated with improvement in ADL. CONCLUSIONS This study examined the effect of IRIP for family members to improve ADL of hospitalized stroke patients. The results showed that IRIP promotes improvement of patients’ ADL regardless of their age, sex, and motor and cognitive functions at admission, and length of hospital stay. CLINICALTRIAL This study was approved by the Research Ethics Committee at Osaka Prefecture University (2018-118).

This study examined whether the number of steps taken by frail older adults increased after two types of interventions (custom-made daily routine [CDR] vs. exercise) were conducted over 12 weeks. The participants were 36 frail older adults aged 84.5 ± 6.0 years who attended a day-care center. They were assigned to one of three groups: CDR (n = 13), home-based exercise (HE,n = 10), or control (CON,n = 13). A wrist-worn accelerometer was used to measure their step count in 24 hr for 6 days. The CDR group demonstrated a daily step count change of approximately 25%, which was significantly higher than that of the CON group (effect size [r] = .51,p = .040). There were no significant changes in the HE group. Thus, a CDR might be useful for increasing the number of steps in frail older adults.

This multicenter, preliminary, randomized controlled trial investigated the effect of a tailored fall-prevention program using home floor plans for discharged orthopedic patients aged ≥65 years who experienced ≥1 fall(s) in the past year (n = 72) at five acute-care hospitals. The control group received standard care (exercise to prevent recurrent falls), whereas the intervention group received a tailored fall-prevention program in addition to usual care. A physical therapist conducted the tailored education program using each patient’s home floor plans before discharge. A follow-up survey of falls and near-falls at home was performed using a monthly fall calendar for the 1-month period after discharge. Data on 81.5% of participants remained for the final analyses. No falls occurred in the intervention group; however, 4.3% of those in the control group experienced a fall. Near-falls were reported by 3.7% and 26.9% of the participants in the intervention and control groups, respectively. The proportion of participants who did not experience near-falls in the 1st month after discharge was lower in the intervention than in the control group (p = 0.018). In conclusion, the tailored fall-prevention program using home floor plans in multiple acute-care hospitals was effective in reducing falls and near-falls in discharged orthopedic patients.

We provided fall prevention programs using home floor plans for older adult patients discharged from an acute-care hospital and verified the fall prevention measures’ effectiveness six months after discharge. The research design was a preliminary randomized controlled trial. Orthopedic patients with a falls’ history were randomized to the control (n = 30) or the intervention groups (n = 30). Before discharge, the control group was treated with general physiotherapy for their disease characteristics. The intervention group received the same programs before discharge; additionally, a simple house evaluation was conducted using the subject’s home floor plan. A six-month follow-up survey was conducted on falls and near-falls after discharge, completed by 51 of the 60 subjects (85%). Within two months, falls occurred in 7.7% of the control group but not in the intervention group, after which, falls occurred in the intervention group, and no significant difference was noted between the two groups (three-month (p = 0.322) and six-month (p = 0.931) follow-ups). The intervention group had significantly fewer near-falls than the control group within three months (p = 0.034), but no significant difference was observed after three months. The results suggested that our program effectively expanded the role of an acute care hospital for discharged patients who need to transition from hospital care to home health care.

Cryptomeria japonica is a major forestry tree species in Japan. Male sterility of the species is caused by a recessive gene, which shows dysfunction of pollen development and results in no dispersed pollen. Because the pollen of C. japonica induces pollinosis, breeding of pollen-free C. japonica is desired. In this study, single nucleotide polymorphism (SNP) markers located at 1.78 and 0.58 cM to a male sterility locus (MS1) were identified from an analysis of RNA-Seq and RAD-Seq, respectively. SNPs closely linked to MS1 were first scanned by a method similar to MutMap, where a type of index was calculated to measure the strength of the linkage between a marker sequence and MS1. Linkage analysis of selected SNP markers confirmed a higher efficiency of the current method to construct a partial map around MS1. Allele-specific PCR primer pair for the most closely linked SNP with MS1 was developed as a codominant marker, and visualization of the PCR products on an agarose gel enabled rapid screening of male sterile C. japonica. The allele-specific primers developed in this study would be useful for establishing the selection of male sterile C. japonica.

[Purpose] Reportedly, males take fewer steps than females among frail older adults. The step count of frail older adults may be influenced by domestic roles in the instrumental activities of daily living. In this study, we aimed to investigate the association between instrumental activities of daily living and the number of steps in frail older females. [Participants and Methods] In this cross-sectional study, we included 27 frail older females aged 84.4 ± 6.5 years who attended a day-care center. We used the Fillenbaum’s instrumental activities of daily living screener and measured the number of steps using an accelerometer, functional independence measure, grip strength, and short physical performance battery. We investigated the association between instrumental activities of daily living and daily steps. Furthermore, we compared the outcomes of the differences in the independence using a subscale of instrumental activities of daily living. [Results] Instrumental activities of daily living and step counts showed a significant correlation. Participants dependent on meal preparation and housework took significantly fewer steps per day. The dependence of their activities also caused low functional independence measure and weak grip strength. [Conclusion] In frail older females, decreased ability for instrumental activities of daily living were associated with fewer steps. Domestic roles may increase the daily steps in frail older adults.

[Purpose] The purpose of this study was to verify the effects of a 3-month multicomponent home-based rehabilitation program developed on the basis of the reevaluation of older people with restricted life-space mobility. [Participants and Methods] The participants were residents in Japan aged ≥65 years who had Life-Space Assessment scores ≤52.3. Multicomponent home-based rehabilitation was conducted by physical and occupational therapists. Each visit included 40-60 min of combined exercise, practicing activities of daily living, improving the home environment, and caregiver support. The programs were developed in accordance with a flow diagram. The primary outcome was life-space mobility evaluated using the Life-Space Assessment score. [Results] Overall, 30 participants completed the intervention. The mean age of the participants was 82.4 ± 7.5 years. Three months after the intervention initiation, the Life-Space Assessment scores significantly improved from 12.0 to 30.5. The proportion of participants at maximal life-space level 5 (unlimited mobility) doubled from 16.7% at baseline to 33.3%. The functional independent measure score, fall efficacy scale score, and lower limb strength associated with standing up also significantly improved. We found no significant changes in the geriatric depression scale 5 and self-rated good health scores. [Conclusion] Multicomponent home-based rehabilitation can improve life-space mobility in older people with restricted life-space mobility.

[Purpose] Seated side tapping test (SST) performance is associated with mobility impairment in the elderly. Although this test was developed to assess trunk function, interpretation of its results may be confounded by the upper-limb movements in its protocol. Here, this study aimed to validate the association between trunk function and gait function by means of the Arms Crossed SST (AC-SST), a modified version of the SST in which the arms are crossed over the chest, to exclude the effects of the upper limbs. [Subjects and Methods] A total of 116 community-dwelling elderly people were enrolled in the study (mean age: 75.1 ± 5.5 yrs). Measurement categories were gait function (gait speed and TUG), lower extremity strength (knee extension and flexion strength), trunk muscle endurance (trunk extension and flexion endurance), and trunk function (SST and AC-SST). [Results] AC-SST performance significantly correlated with gait function items, as did SST performance. Moreover, AC-SST was one of the significant predictor variables of gait function selected in stepwise multiple regressions. [Conclusion] Gait function associated with performance on the AC-SST, a test of trunk function in which the effects of upper limb function were excluded, reinforcing the importance of trunk function to elderly mobility.

Reducing sitting time, independent of physical activity, is important for health. However, few reports have been published regarding physical activity of housewives compared to that of employed women. We examined strategies to shorten housewives' sitting time using a single-blind randomized controlled trial. Forty-eight housewives (38.0 ± 4.5 years old) were randomly assigned to one of three groups: pamphlet, self-feedback, and tailored feedback groups. All participants received a pamphlet describing the risks of prolonged sitting. The self-feedback and tailored feedback groups were also given feedback on sitting time by a smartphone application. The tailored feedback group received individual suggestions regarding lifestyle to shorten sitting time. We measured physical activity using an accelerometer and health-related quality of life using the Short-Form 8. The longest prolonged sitting time significantly decreased over time, a significant reduction was observed after the intervention only in the tailored feedback group. Vitality, mental health, and role emotional components of health-related quality of life showed a significant improvement with time but no significant differences were observed among the study groups. We suggested an easy approach to shortening prolonged sitting time in housewives using a pamphlet and feedback by smartphone. However, tailored consulting was necessary to yield a more effective result.

Background: Trunk extension endurance and strength are important factors related to mobility and balance in older adults. However, few studies have evaluated the effect of trunk exercises in the sitting position. Objective: This study aims to assess the effect of sitting trunk exercises on trunk extension endurance and strength, standing balance, and mobility. Methods: This was a single-center, uncontrolled study conducted at a community-center. Sixteen community-dwelling older adults participated in the study (mean age, 73 years). Participants received sitting trunk exercises program of 60 minutes once a week and daily home program, for 2 months. Trunk extension endurance and strength, trunk flexion endurance and strength were measured as trunk muscle attributes. Balance and mobility were evaluated by the functional reach test, four square step test, and maximum effort 5-m walk test. Lower limb muscle strength and five-repetition sit-to-stand test were performed to clarify the findings of primary outcome measures. Results: There were significant improvements in trunk extension endurance (difference, 138.5 sec, P

Background. The improvement of quadriceps strength is one of the main target of the rehabilitation early after TKA. This is based on the premise that the relationship between gait function and quadriceps strength is strong. However, many patients show the different improvement trends between gait function and quadriceps strength. We aimed to evaluate the relationship between the improvements of quadriceps strength and gait function early after TKA. Methods. This was a prospective observational study. Forty-nine patients who scheduled to undergo unilateral TKA (76.4 years) participated in this study. We measured gait function (gait speed and timed up and go test (TUG)), bilateral quadriceps strengths, and pain. All measurements were performed at pre-operatively and post-operatively at one, two and three weeks. Results. The correlation between gait function and quadriceps strength of the operated side were significantly at pre-operative and 3weeks after surgery. Quadriceps strength of the non-operated side was significantly with gait speed and TUG at all time points, except for TUG at 1weeks. In multiple regression analyses, quadriceps strength of the non-operated side was identified as significant factor of gait functions, whereas quadriceps strength of the non-operated side was not selected as an independent variable at all time points. Furthermore, there was a large gap between the decreasing rate of the gait function and quadriceps strength of the operated side at all time points. Conclusions. Quadriceps strength of the operated side is not a crucial factor in determining the gait function early after TKA.

Objective: Lower limb movement velocity is a good predictor of mobility in older adults. The movement velocities of the trunk and upper limbs are also good determinants of mobility. However, the reason for this is not clear, possibly because the basic characteristics of the movement velocities are still unclear. To investigate these characteristics, we evaluated the associations between the movement velocities of all three body regions and between these velocities and mobility measurements. Methods: One hundred twelve community-dwelling older adults (mean age 74.1 years) participated in this study. We measured the movement velocities (lower limbs, upper limbs and trunk), muscle strength (knee extensor, trunk extensor and plantar flexor), mobility measures (gait speed and timed up and go test (TUG)), and gait parameters (step length and cadence). Results: All movement velocities were moderately correlated with each other (r=-0.42 to 0.61). All movement velocities were also significantly associated with mobility to the same degree as muscle strength (gait speed r=-0.42 to 0.51, TUG r=-0.37 to 0.57). A stepwise regression analysis revealed that the movement velocities of the upper and lower limbs were significant predictors of gait speed, while that of the trunk was an independent predictor of TUG. Movement velocities were associated with step length more than with cadence. Conclusion: These findings indicate that movement velocities can be treated as individual values and considered good indicators of mobility in older adults, regardless of body region.

Cryptomeria japonica is a major forestry tree species in Japan. Male sterility of the species is caused by a recessive gene, which shows dysfunction of pollen development and results in no dispersed pollen. Because the pollen of C. japonica induces pollinosis, breeding of pollen-free C. japonica is desired. In this study, single nucleotide polymorphism (SNP) markers located at 1.78 and 0.58 cM to a male sterility locus (MS1) were identified from an analysis of RNA-Seq and RAD-Seq, respectively. SNPs closely linked to MS1 were first scanned by a method similar to MutMap, where a type of index was calculated to measure the strength of the linkage between a marker sequence and MS1. Linkage analysis of selected SNP markers confirmed a higher efficiency of the current method to construct a partial map around MS1. Allele-specific PCR primer pair for the most closely linked SNP with MS1 was developed as a codominant marker, and visualization of the PCR products on an agarose gel enabled rapid screening of male sterile C. japonica. The allele-specific primers developed in this study would be useful for establishing the selection of male sterile C. japonica.

Toe-out angle alternation is a potential tactic for decreasing the knee adduction moment during walking. Published reports have not examined the medial knee contact force during the toe-out gait, although it is a factor affecting knee articular cartilage damage. This study investigated the effects of increased toe-out angle on the medial knee contact force, using musculoskeletal simulation analysis. For normal and toe-out gaits in 18 healthy subjects, the muscle tension forces were simulated based on the joint moments and ground reaction forces with optimization process. The medial knee contact force during stance phase was determined using the sum of the muscle force and joint reaction force components. The first and second peaks of the medial knee contact force were compared between the gaits. The toe-out gait showed a significant decrease in the medial knee contact force at the second peak, compared with the normal gait. In contrast, the medial knee contact forces at the first peak were not significantly different between the gaits. These results suggest that the toe-out gait is beneficial for decreasing the second peak of the medial knee contact force.

Summary Background A better understanding of why gait speed declines with aging is necessary. Since the center of pressure (COP) controls the forward progression of the body during gait and the kinematic changes with aging are often observed during initial contact and toe-off phase, the forward COP velocities of these phases may have important roles for predicting gait speed. Methods Sixty-eight community dwelling older females (mean age 72.3 years) participated. The COP was measured using an F-scan pressure-sensitive insole system, and the anterior-posterior displacements versus time were quantified. The foot was divided into three regions (rear, mid, and forefoot), and the forward COP velocity was calculated at each region (Velocity 1, Velocity 2, and Velocity 3). Gait speed, double support phase (DSP), and cadence were also measured. Correlations and multiple regression analysis were performed. Results Gait speed was significantly associated with age ( r = −0.46), DSP ( r = −0.51), cadence ( r = 0.41), Velocity 1 ( r = 0.29), and Velocity 2 ( r = 0.61). However, no correlation was found between Velocity 3 and gait speed. In multiple regression analysis using gait speed as a dependent variable, age, DSP, and Velocity 2 were significant predictors of gait speed, with Velocity 2 being the most significant predictor. Conclusion The COP velocity of the midfoot is an important factor for predicting gait speed, suggesting that the mobility of the COP during the single stance phase has a significant effect on gait speed in older adults.

[Purpose] The purpose of this preliminary study was to assess the trade-off relationship between the hip and ankle joints after plantarflexor training in children with spastic hemiplegic cerebral palsy (CP). [Subjects and Methods] Three boys aged 9, 10, and 13 years with spastic hemiplegic CP participated in the study. Gait analysis was performed using a three-dimensional motion analysis device and a floor reaction force detection device before and after plantarflexor training. Data on gait speed and stride length for both sides were collected. Peak hip and ankle powers in the sagittal plane and ankle-to-hip power ratio (A2/H3 ratio) were calculated. Plantarflexor training comprised heel raises and exercise band resistance at the participant's home (3 times/week for 12 weeks). [Results] The A2/H3 ratio increased significantly on both sides in two of three subjects after training. Peak A2 power increased significantly on both sides in subject 3 and on the affected side of subject 2. Peak H3 power decreased significantly on the non-affected side of subjects 1 and 2. [Conclusion] This study confirmed that two of three subjects demonstrated a trade-off relationship between the hip and ankle joints during gait after plantarflexor training.

OBJECTIVE: The tissue destruction around knee joint is considered to involve medial knee contact force overload. However, no report has examined the relationship between the medial knee contact force and dysfunction. In this study, we investigated the medial knee contact force during gait in elderly subjects using musculoskeletal model-based simulation analysis and revealed its connection with pain and dysfunction. METHODS: We separated 122 elderly participants into 2 groups, the pain group and non-pain group, according to the existence of knee pain. Medial knee contact force was calculated based on the previously published inverse dynamics solution for normal walking. The muscle and joint reaction forces were used to determine the medial knee contact force during the stance phase. Japanese knee osteoarthritis measurement was used to assess the severity of symptoms for knee pain subjects. RESULTS: The medial knee contact force was significantly correlated with total Japanese knee osteoarthritis measurement scores and subscale dysfunction scores for pain subjects, although there was no difference in the medial knee contact force between the 2 groups. CONCLUSION: An increased medial knee contact force during gait might relate to dysfunction among elderly individuals with knee pain.

Liquid crystalline semiconductor is an interesting category of organic electronic materials and also has been extensively studied in terms of "Printed Electronics". For the wider diversity in research toward new applications, one can consider how to use a combination of miscibility and phase separation in liquid crystals. Here we report discotic liquid crystals in making a composite of which structural order is controlled in nano-scale toward photovoltaic applications. Discotic columnar LCs were studied on their resultant molecular order and carrier transport properties. Liquid crystals of phthalocyanine and its analogues which exhibit columnar mesomorphism with high carrier mobility (10-1 cm2/Vs) were examined with making binary phase diagrams and the correlation to carrier transport properties by TOF measurements was discussed. The shape-analogues in chemical structure shows a good miscibility even for the different lattice-type of columnar arrangement and the carrier mobility is mostly decrease except for a case of combination with a metal-free and the metal complex. For the mixtures with non-mesogenic C60 derivatives, one sees a phase-separated structure due to its immiscibility, though the columnar order is remained in a range of component ratio.Especially, in a range of the ratio, it was observed the phase separated C60 derivatives are fused into the matrix of columnar bundles, indicating C60 derivatives could be diffused in columnar arrays in molecular level.

External knee adduction moment has been studied as a surrogate for medial knee contact force. However, it is not known whether adduction moment is a rational measure for predicting medial knee contact force. The aim of this study was to investigate the correlation between knee adduction moment and medial knee contact force in older people, using musculo-skeletal simulation analysis. One hundred and twenty-two healthy older subjects participated in this study. Knee moment and medial knee contact force were calculated based on inverse dynamics analysis of normal walking. Muscle force and joint reaction force were used to determine the medial knee contact force during stance phase. The results showed that the maximum medial knee contact force was moderately correlated to the maximum knee adduction (r = 0.59) as well as the maximum extension moment (r = 0.60). The first peak of medial knee contact force had a significant strong correlation with the first peak of adduction moment and a moderate correlation with the maximum flexion moment. The second peak of medial knee contact force had a significant moderate correlation with both the second peak of adduction and the maximum extension moment. These results implied that the maximum adduction moment value could be used, to some extent, as a measure of the maximum medial knee contact force.

Aim A number of studies have shown that the maximum movement velocity of the lower limbs is a critical determinant of gait speed in elderly adults. However, it is still unclear whether gait speed is associated with the movement velocity of the lower limbs or the movement velocity itself. Therefore, we measured the movement velocity of upper limbs that would not have a direct effect on gait, and examined the relationship between the movement velocity and gait speed. Methods A total of 76 community-dwelling adults aged older than 60 years (mean age 73.3 years) participated in the study. We measured the movement velocity of the upper limbs, maximum gait speed, quadriceps strength, trunk muscle endurance and skeletal muscle mass index. Results A significant correlation was found between the movement velocity of the upper limbs and maximum gait speed (r = 0.47; P

[Purpose] The purpose of this study was to evaluate kinetic relationships between the ankle and hip joints during gait, in the late stance, in children with spastic cerebral palsy (CP). [Subjects] The subjects were 3 ambulant children with spastic hemiplegic CP (aged 10, 13, and 14: CP group) and 3 typically developing children with the same ages (control). [Methods] A three-dimensional gait analysis including force data was performed to compare the peak moment, power, and ankle/hip power ratio between the hemiplegic (uninvolved and hemiplegic) and the control groups. In the statistical analysis, mean values from 5 gait cycles for each of 3 conditions (uninvolved, hemiplegic and control) were used. The three conditions were compared by performing a Kruskal-Wallis test and Steel-Dwass multiple comparisons. [Results] The peak moments of ankle plantar flexors in the 10-year-old case, were significantly lower on the uninvolved and hemiplegic sides compared with the control group, respectively. The peak flexion moments of the hip on the hemiplegic side were significantly higher compared with the control in the 14- and 13-year-old cases. The peak of ankle power generation (A2) in the 13- and 10-year-old cases were significantly lower on the uninvolved and hemiplegic sides, respectively, compared with the control. The peaks of hip flexor power generation (H3) in the 14- and 13-year-old cases were significantly higher on the uninvolved and hemiplegic sides, respectively. The A2/H3 ratios were significantly lower on the uninvolved and hemiplegic sides compared with the control, and the ratio for the hemiplegic side was lower than that for the uninvolved side. [Conclusion] This study shows that propulsion of walking is generated by hip, rather than the ankle, on both the hemiplegic and involved sides.

A novel and safe performance test for measuring mobility is described. The test, which we have named the Seated Side Tapping test (Side Tapping test), requires the subjects to move their bodies laterally to the left and right in turn as quickly as possible whilst remaining in a seated position. We examined the associations between the results of the new test and those of other mobility tests, ADL, and the use of walking aids. The participants were 75 frail elderly people who were receiving rehabilitation services. Gait speed and the timed up and go (TUG) test were employed as mobility tests, and the participants' use of walking aids was recorded. The ADL score was assessed using the Barthel Index. Significant correlations were found between the side tapping test and gait speed (r=-0.59, p

Objective To investigate the effect of a tailored education program using home floor plans on falls prevention in discharged older patients. Design A single-center, parallel, pragmatic, pilot randomized controlled trial with equal allocation to the intervention and control groups. Setting Discharged hospital patients were followed-up in their home settings. Participants All discharged orthopedic patients aged ≥65 years who experienced ≥1 fall(s) in the past year (n = 60). Interventions Both groups received standard care (exercises) and the intervention group also received a tailored education program for falls prevention using home floor plans. Measurements Falls and near-falls at the participants’ homes using a 1-month fall calendar during the 1-month period after discharge. The evaluators were blinded at the baseline assessment. Results Nine participants were withdrawn from the study, leaving 51 of 60 (85%) participants for the final analyses. No falls occurred in the intervention group (n = 25) during follow-up. However, 2 participants (7.7%) fell in the control group (n = 26). Near-falls were reported by 7 participants (28.0%) in the intervention group and 13 participants (50.0%) in the control group. The intervention group had 75% less near-falls compared with the control group, as assessed using a Cox proportional hazards model (hazard ratio, 0.25; 95% confidence interval, 0.09–0.75). Conclusions The tailored education program using home floor plans at the hospital was effective for reducing falls and near-falls among discharged orthopedic patients. Registration of clinical trials: This study was registered with the Research Ethics Committee of University Hospital Medical Information Network (UMIN) Center (000018201).

専業主婦については、活動量や運動量の制限などが報告されている一方、若年期からの地域とのつながりにより外出頻度は維持されやすいと考えられる. そこで高齢者で報告されている外出頻度と主観的健康感との関連が専業主婦でもみられるのか、年齢による影響を明らかにすることを目的とした. 研究は大阪府堺市南区の一地区内の全世帯(3,069世帯)に無記名自記式の質問紙調査を行い、回答数1,820(回収率58.0%)の中から専業主婦701名を分析対象とした. 質問項目は最近1週間の外出頻度、主観的健康感について尋ねた. その結果、外出頻度は60代、70代後半、80代以上と段階的に減少した. 主観的健康感は加齢とともに不安あり群が増加した. 外出頻度と主観的健康感の関連は50代以上で外出頻度が減少するとともに主観的健康感が低下する傾向を認めた. 以上より、健康維持、増進のためには50代から年代ごとの取り組みが必要であることが示唆された., Physical activity levels and the amount of exercise in housewives are reportedly low; however, a high frequency of outings is likely to be maintained due to connection with local residents. This study aimed to identify the relationship between the frequency of outings and self-rated health in housewives, and investigate age-related effects. Anonymous self-administered questionnaires were distributed to 3,069 households in one district of Minami-ku, Sakai-shi, Osaka, and, of the 1,820 responses (response rate: 58.0%), 701 housewives were analyzed. Questionnaire items included the frequency of outings and self-rated health over the past one week. As the results of the questionnaire, the frequency of outings gradually decreased as the age advanced from their 60s to 80s or over. Regarding self-rated health, the number of subjects with anxiety increased with age. Among the subjects aged 50 or over, there was a decreasing trend in the frequency of outings and self-rated health. The findings suggest the need to take appropriate measures to maintain and promote the health of housewives aged 50 and over according to their age group.

Human multi-segmental motion is a complex task requiring motor coordination. Uncoordinated motor control may contribute to the decline in mobility; however, it is unknown whether the age-related decline in intersegmental coordination relates to the decline in gait performance. The aim of this study was to clarify the association between intersegmental coordination and gait speed in elderly females. Gait measurements were performed in 91 community-dwelling elderly females over 60 years old. Foot, shank, and thigh sagittal motions were assessed. Intersegmental coordination was analyzed using the mean value of the continuous relative phase (mCRP) during four phases of the gait cycle to investigate phase differences in foot-shank and shank-thigh motions during a normal gait. The results showed that foot-shank mCRP at late stance had negative correlations with gait speed (r=-0.53) and cadence (r=-0.54) and a positive correlation with age (r=0.25). In contrast, shank-thigh mCRP at late stance had positive correlations with gait speed (r=0.37) and cadence (r=0.56). Moreover, partial correlation, controlling age, height, and weight, revealed that foot-shank mCRP at late stance had negative correlations with gait speed (r=-0.52) and cadence (r=-0.54). Shank-thigh mCRP at late stance had a positive correlation with gait speed (r=0.28) and cadence (r=0.51). These findings imply that the foot-shank and shank-thigh coordination patterns at late stance relate to gait speed, and uncoordinated lower limb motion is believed to be associated with the age-related decline in cadence.

〔目的〕二関節筋に対するストレッチングにおいて，肢位を変化させることによって，伸張部位が変化するかを検討した。〔対象〕若年健常男性7名とした。〔方法〕全ての被験者に1）SLR，2）HFKEの二つのストレッチングを行った。超音波を用いて半腱様筋の近位部と遠位部の二部位について構造学的評価を行い，ストレッチング方法による差を検討した。〔結果〕近位部では筋長に対する腱画，坐骨結節間距離の割合がSLRよりもHFKEの方が大きくなり，遠位部では羽状角がHFKEよりもSLRの方が小さくなり，筋厚に差は認められなかった。〔結語〕近位部はHFKEの方が，遠位部はSLRの方が伸張されることが明らかとなり，伸張部位を関節角度によって変化させることが可能であることが明らかになった。

AIM The housebound state is a risk factor for disability. This prospective study aimed to determine factors predictive of houseboundedness in the elderly, with an ultimate goal of preventing this condition. METHODS A self-report questionnaire pertaining to mental, physical and social status was administered to 732 community-dwelling elderly persons (313 men, 419 women; age range, 65-85 years) in October 2000. All subjects independently performed both basic and instrumental activities of daily living, went out alone for long distances, and did not use long-term care insurance. They were followed up until March 2003. "Housebound" was defined as leaving the house once a week or less. A stepwise multiple logistic regression model, adjusted for age, was used to identity factors predictive of houseboundedness. Data were analyzed on the basis of gender. RESULTS By the end of the follow-up period, 14.4% of men and 26.0% of women had become housebound. Stepwise multiple logistic regression analysis showed that predictive factors for men were lack of frequent contact with friends, neighbors and relatives; symptoms of lower limb pain; and self-assessed weight or muscle loss; and predictive factors for women were lack of frequent contact with friends, neighbors and relatives; lower limb pain; and self-assessed deterioration in health. Limited social contact and the presence of lower limb pain were common predictive factors for houseboundedness in both men and women. CONCLUSION The findings from this study show that, among autonomous elderly persons, those who are socially isolated or who have physical pain are more likely to become housebound.

Our country already faces an aging society, but many care workers suffer from work-related musculoskeletal disorders and assistive devices have not been adopted in care-work sites. In order to evaluate the effectiveness of assistive devices, we conducted a study on care work-load; whether the assistive devices are used or not, and whether work posture is appropriate or not, on five female healthcare workers by measuring surface electromyography (SEMG) of biceps brachii, the trapezius (upper extremity) and lumbar paraspinals between L3 and L4 (low back), and the trunk inclination angle (TIA). Moreover, subjective evaluations both by the caregivers and also the care receivers were verified. The caregivers were asked to rate perceived exertion using the Borg scale and the care receiver was asked to rate dissatisfaction. Work condition 1: Repositioning of a supine patient towards the head of bed. Work condition 2: Transferring a patient from sitting on the bed to sitting in a wheelchair. Under the two work conditions there were five set tasks in which subjects used or did not use the assistive devices and worked with or without the appropriate procedure and posture. The representative value adopted was the 95 percentile value. SEMG: Under both work conditions and at all measurement sites, we observed the statistically significant effectiveness of the appropriate procedure and posture as compared to manual handling. When the assistive devices were used improperly, or in work with low bed height, there was no reduction in workloads on the upper extremities. TIA: In both work conditions we observed statistically significant effectiveness of the appropriate procedure and posture as compared to not only manual handling but also working with improper assistive devices and with low bed heights. Findings of the subjective evaluations: The caregiver's perceived exertion and care receiver's dissatisfaction, showed statistical significance in satisfaction with the appropriate procedure and posture as compared to manual handling. Therefore, to reduce workload, and prevent work-related musculoskeletal disorders of caregivers, it is necessary not only to provide assistive devices but also to supervise the proper procedures and work postures and to improve the work environment.