脳卒中片麻庫患者における手すり支持30秒椅子立ち上がりと日常生活活動との関係

　椅子からの立ち上がり動作は, 高齢者や身体障害者における日常生活活動(ADL)の重要な要素のひとつである｡本研究の目的は, 維持期脳卒中片麻痺患者の手すり支持30秒椅子立ち上がり(HSCS-30) テストとADL能力との関係について検討した｡対象は65名の維持期脳卒中片麻痺患者(男性37名, 女性28名), 平均年齢72.9歳であった｡HSCS-30テストは, 平行棒の手すりを把持し, 高さ40 cmの台から30秒間の立ち上がり回数を使って評価した｡ADL能力はBarthel Indexで評価し, その総得点(Barthel score) で表した｡また, 10 m歩行時間は全対象のうち40名が測定された｡Barthel scoreは立ち上がり回数と高い相関があった(r＝0.74, p＜0.01)｡また, 性別, 年齢, 身長, 体重, 下肢のBrunnstorm stage, 日常生活における移動方法で調整された重回帰分析においてもBarthel scoreは立ち上がり回数と関連していた(p＜0.01)｡維持期脳卒中片麻痺に対するHSCS-30テストはADL能力の簡便な臨床テストとなる可能性がある｡
Chair stand performance is an important factor in activity of daily living (ADL) in elderly and handicapped people. The purpose of this study was to examine relationship between handrail support 30-sec chair stand (HSCS-30) test and ADL abilities in patients with chronic stroke. Subjects were sixty-five chronic stroke patients (male: 37, female: 28) with mean age 72.9 years. HSCS-30 test was evaluated using the frequency of chair stand for 30 sec from the 40 cm height chair, with holding parallel bars. The ADL was assessed by the Barthel Index, and expressed the total seore. 10 m walking time was also measured for forty of the total subjects. Barthel score was
high significantly correlated with chair stand times(r=0.74, p<0.01) Barthel score was
significant and independent predictor of HSCS-30 test after multiple regression analysis by adjusting for sex, age, height, weight, lower extremity Brunnstorm
stage, locomotion methods in daily life. These findings indicate that, in patients with chronic stroke, HSCS-30 test may be simple and easy-to-use clinical measure of ADL abilities test.