Ϥ
ΥڡǤϡŪʲͽɻȤײ褹ݤ˻ͤˤʤ븦Ҳ𤷤ƤޤȤϤϿεǽǤ顢εǽˤϷǯɸͽˡ˴ؤ븦ФäƤޤȤϤƼϤʬˡȤɤϤ櫓ǤϤޤ轵1ĤʸҲ𤹤뤳Ȥɸˤޤʤ٤ؽѸȤʤ褦˵ĤޤΤǡɤĤơ裱žͽɤ˴ؤ븦Ҳ𤷤ޤžݤϹԤομפװǤΤǡžݤͽɤ뤳Ȥϲͽɤľ뤷ƤȤޤϤˤҲ𤹤ʸžͽɤ˴ؤŪӥ塼ǤŪӥ塼Ȥϡۤʤ̤̤θ椫ƳФˡ¸θ̤ηŪ礹ŪˡǤפˡäʸǤϸ̤ʤȤäƤ뤬äʸǤϸ̤ȤƤ褤ΤʬʤȤˡĤʸƳˡǤ
줫¿ʸҲ𤷤ƤޤޤκǸ˻ʤΰոʬ䤹ޤȤƤޤΤǻͤˤƤ鹬Ǥ
Ϸ縦ꡡͽɶ۵к
ʻȸɡ͵Ƿ
žͽɤ˴ؤŪӥ塼ξҲ
ŵGillespie LD, Gillespie WJ, et al: Interventions for preventing falls in elderly people (Cochrane Review). Cochrane Library 4, 2001.ʸΤޤȤ ϰ߽ԤоݤȤžͽɤ˸Ūˡ餫ˤʸǤǺǤΤŪӥ塼ΤҤȤĤȤޤη̤Ǥϡоݤ˱ưʤϤ㲼ͤˤ϶ϥȥ졼˥»ܤ硢žݤδϸ뤳Ȥ餫ˤޤɤоݤˤƱưԤ롼Ǥžͽɤθ̤ǧƤޤη̤顢žͽɶоݼԤɾ˰ͤʱưԤäƤΤǤϡžͽɤθ̤ʤȤȤ狼ޤޤưΤߤβꡢغŪʤʿοͤؤˡ¿Ūʤ¦̤롧ȤĴᡢưȲĴʤɡˤ˲Ԥ礭žͽɸ̤뤳Ȥ餫ȤʤäƤޤäơԤžݤͽɤ뤿ˤŪоݼԤεǽɾФԤȤפǤȤޤ
͵ǷۤԤžͽɤФ̡2002; 36: 315-322.
Dr.ޥΥ
ʸǤŪʥץǤŪǤꡢưǤžͽɤȤƤޤ⤽⸽߹ԤƤžͽɤΤαưϡڤΤ褦ʤΤήǤꡢǤϵǽβȴޤǤ顢äȸŪʱưˡõƤɬפȻפޤ
žͽɤФŪӥ塼
Frailty and Injuries: Cooperative Studies of Intervention Techniques [FICSIT]
ŵProvince MA, Hadley EC, et al: The effects of exercise on falls in elderly patients: A preplanned meta-analysis of the FICSIT trials. JAMA 1995; 273: 1341-1347.ʸΤޤȤ
FICSITϹԤžݤˤͽɤ뤿αư̤Ĵ٤뤿ˡƹ8ϰǹԤäޤȤŪӥ塼Ǥη̡ưʳβ̡ʲȲĴĴˤޤǤ϶϶Хˤžͽɸ̤ǧƤޤưʳβ̤ȥХΤߤˤžͽɸ̤ǧ졢Ȥ˷ʤäȤưˤžͽɤ˹⤤̤ȯ𤵤Ƥޤ
Dr.ޥΥ
˷ϥХǽ夵ȤȤ˶Ϥ俴ٵǽθ¥ȤΤǤʣŪʥȥ졼˥ˡǤꡢԤεǽܤƤޤžݤϤĤޤŤäꤷƵ뤳Ȥ¿Ф®Х뤳ȤɬפǤ®Х褦ɬפǤ礦
ŪХȥ졼˥θ̡ʤ֤ѡ1
ŵۤϰ߽ԤоݤȤžݻɷդȥåɥߥȥ졼˥ΥХǽ. ˡ 2003; 30 suppl: 10ʸΤޤȤ
θϲͽɶ۵кĹθǤžݤΤۤȤɤϤĤޤŤʤɤդʻɷ㤬ääȤ˵뤳Ȥ顢Τ褦ʻɷФ뤳ȤˤäơХä̤ΤǤоݼԤϰ˽ีԤǤϥȥåɥߥȤ٥Ȥξ⤯ȤΥ٥Ȥޤ˸®Ƴäž֤褦ʻɷФƤޤε䤿ϡ֤֤פȸƤǤޤ֤ȥ졼˥1ֹԤä̡Хǽβǧ졢ȤưŪХβǧޤ
Dr.ޥΥ
ưŪХžݤͽɤ뤿ˤȤ˽פʵǽȤƤޤΤǡ֤ȥ졼˥žͽɤФ̤ԤǤȹͤޤžͽɤФ̤θڤԤäƤɬפȹͤޤ
֤桡ѡ2
ŵŵ͵ǷѹԤФžݻɷդȥåɥߥθ. ˡ 2003; 30 suppl: 10.ʸΤޤȤ
θϻ䤬ԤäǤ˾Ҳ𤷤ˤĤƻߤѤʹԤŬǤɤˤ⤱٤ιԤ6֤֤ȥ졼˥ԤȶϡХǽԵǽȿ֤βǧޤ
Dr.ޥΥ
1ĤǤޤޤʵǽβޤ졢лĻθ̤ǧƤޤˡ¿λߤǹԤ뤳ȤäƤޤžͽɤؤθ̤ƤƤޤ
Ԥˤžݤδ
ŵ͵ǷǥǥӥǤǤ롪žͽɤΤεǽݻưοʤ. ̽ꥱʰ
žݤװˤΤƤޤޤȤȰʲΤ褦װʬǤޤޤĤϿװǤפʤΤˤ϶Ϥ㲼ХԵǽ㲼졢Ūǽ㲼פװȤΤƤޤ2ĤϴĶװǤˤϾ㳲ʪʤɤʪŪĶͤߤȤäŪĶƵʴĶѲžݤ˱ƶޤޤ2ĤװĤʤ碌ܤγưԤȤˤäžݤꡢžݤˤäƹޤʤɤβäꡢޤž֤ΤݤʤäƳФʤʤȤäݴޤ餬˿װ뤳ȤȤʤꡢ۴Ĥ˴٤ޤ žݤʣװ߹ä뤳Ȥ¿ᡢͽɤΤˤϳ̤ŪžݤδҤĴ٤褷ƤȤɬפǤ礦
žȯװȰ۴Ĥη
žݴҤοװͭԤ۴Ĥdzư뤳Ȥˤžݤ롣
žݤˤޤ䶲ݴ鵡ǽ㲼ư̤װ
žݤδޤȤä۴Ĥ롣
϶žͽɡ
ŵBuchner DM, Cress ME, et al: The effect of strength and endurance training on gait, balance, fall risk, and health services use in community-living older adults. J Gerontol 1997; 52A: M218-M224.ʸΤޤȤ
Buchnerϰ˺߽105̾оݤȤơž֤ʥեåȥ֤ͥˤ꼰žֱưˤȲ϶Ⱦǯ֡3٤ǹԤä̡žݤδ0.53ܤ˸Ȥ餫ˤƤޤ
Dr.ޥΥ
θǹԤäưϡ϶˼ȡ1Ǻ˻夲Ť5075ζ٤ƥȥ졼˥ԤäƤޤԤˤȤäƤϤʤ꤭ĤưȤ뤫⤷ޤ˴餷ƤȤǹԤǤ⤳Τ褦ʶ٤αưʬǽǤꡢžͽɸ̤ǧƤޤΤǡžͽɤΤβԤäƤǤҼ٤ˡȹͤޤ
ǤμŪưžݤͽɤǤ뤫
ŵCampbell AJ, Robertson MC, et al: Randomized controlled trial of a general practice program of home based exercise to prevent falls in elderly women. BMJ 1997; 315: 1065-9.ʸΤޤȤ
Campbellϰ˺߽233̾ιԤоݤȤƸ̤˽줿⼫Ȳ1ǯ֡3٤ǹԤä̡ư»ܤͤϤʤäͤӤơžݤ0.68ܤ˸𤷤Ƥޤ
Dr.ޥΥ
ƤϤ˶϶ȥХǤˡΡʥϥӥơ翦DZưǽϤβΥڥꥹȡˤ̤˽ȤžͽɤˤĤʤäΤȹͤƤޤïˤǤƱưžͽɶʤɤǤϡžͽɤͭǧƤޤΤǡͽɻȤˤƤžͽɻȤη֤ľɬפ뤫⤷ޤ
ĶĴžͽɡ
ŵCumming RG, Thomas M, et al: Home visits by am occupational therapist for assessment and modification of environmental hazards. A randomized trial of falls prevention. J Am Geriatr Soc 1999; 47: 1397-1402.ʸΤޤȤ
Cummingϲ褹532̾ιԤоݤȤơ㳲ʪʺʤɤδĶɾȲƳԤä̡žݤδ0.81ܤ˸뤳Ȥ餫ˤޤ
Dr.ޥΥ
δĶɾԤäΤϺˡΡʥϥӥơ翦Ǥꡢ赡ǽΥڥꥹȡˤǤꡢĶǤʤξ㳲ȤδطθDzƳȤ褤̤ΤȹͤޤԤ㳲ԤδĶĴϡ繩ƤäȼꤹĤƤ餦ȤäȤǤϸŪȤϤʤǤ礦
肥満·ポイント·パワー·プレゼンテーション
Ūɾˤžͽ
ŵTinetti ME, Baker DI, et al: A multifactorial intervention to reduce the risk of falling among elderly people living in the community. N Eng J Med 1994; 331: 821-827.ʸΤޤȤ
Tinettiϰ߽301̾оݤȤơžݤδҤФƳԤä̡žݤδ0.69ܤˤʤ𤷤ƤޤƳƤˤϡŪADLĶĴǤμޤޤƤŪƤȤʤäƤޤ
Dr.ޥΥ
žݤδҤ¿ͤǤ顢¿ŪоݼԤɾбɬפޤθϡŪʥץͭʳŪ˸ڤͭפʸȤޤ
žͽɤˤ˷θ
ŵWolf SL, Barnhart HX, et al: Reducing frailty and falls in older persons: An investigation of Tai Chi and computerized balance training. J Am Geriatr Soc 1996; 44: 489-497.ʸΤޤȤ
Wolf264̾ιԤоݤ˷ηưǤäȤ餫ưѤˤȥԥ塼ѤХ̡ηǹԤä̡˷Ԥäˤžݤδ0.51ܤ˸𤷤Ƥޤ
Dr.ޥΥ
ԤžͽɤΤαưȤ˷ͭ餫ˤʸǤ4βǶä٤̤ƤޤܤˤƤեåȥ֤ͥϰΥ롼׳ưʤɤ˷Ԥ褦ˤʤäƤޤޤоݤȤʤäƤʤ褦ǤԤŬѤɻ郎ǤԤɬפȹͤޤ
ڥȥθ̡1ޥû
ŵAdes, P A. Ballor, D L. Ashikaga, T. Utton, J L. Nair, K S.Weight training improves walking endurance in healthy elderly personsAnn Intern Med 1996124568-572ʸΤޤȤ
Ф餯٤ߤƤޤӥ塼Ƴפޤ϶ϥȥ졼˥ˤĤĴ٤ƻޤθǤ65аʾθ24̾Ф12֤ζϥȥ졼˥»ܤƤޤư٤1˻夲Ť5080Ǥ顢˶٤ȤޤΤ褦ʱưԤä̡ԻϤϤ夷ԤηʤΤͭפǤȷƤޤ
Dr.ޥΥ
12֤Ȥû֤ǶϤǽϤθǧ줿ȤȤʳŪ˾Ǥ24̾Ⱦʤˤ⤫餺ͭդʸ̤Ƥꡢ礭ʸ̤ԤǤȥ졼˥ȹͤޤ
ڥȥθ̡2ޥĹ
ŵMcCartney, N. Hicks, A L. Martin, J. Webber, C E.Long-term resistance training in the elderly: effects on dynamic strength, exercise capacity, muscle, and boneJ Gerontol 199550B97-104ʸΤޤȤ
θ10֡Ϥ5080ι٤Ƕ϶ΤǤоݿ¿142̾ιԤ˻äƤޤ٤Ĺ³̡ʿѤƶϤ65徺ƤޤϤǤʤԻϤ夷ƹԤˤȤäͭפǤȤƤޤ
Dr.ޥΥ
Ȥȥ졼˥֤ƹԤȡԤǤ७७ˤʤ뤳ȤʸǤ3֤Ǥʿ47ζϸ夬ǧ뤿ᡢи̤ͤȡư֤ϹθɬפǤ礦
ڥȥθ̡3ڤĹ
ŵEttinger Jr, W H. Burns, R. Messier, S P. Applegate, W. Rejeski, W J. Morgan, T. Shumaker, S. Berry, M J. O'Toole, M. Monu, J. Craven, T.A randomized trial comparing aerobic exercise and resistance exercise with a health education program in older adults with knee osteoarthritis. The Fitness Arthritis and Seniors Trial (FAST)JAMA 199727725-31ʸΤޤȤ
θɨɤͭ60аʾϰ߽439̾оݤˤ絬ϤʸǤưϽŤȤä椯餤ζ٤αưǤ1ǯȾԤȶץΤߤ»ܤԤ䤽¾αưǽˤߤڤʤ뤳Ȥ狼ޤ
Dr.ޥΥ
θϡʵȤʤȤ֤ƶϥȥ졼˥Ԥи̤뤳ȤΩڤƤޤϰ¿ͿιԤ˱ưƤ餦ˤϡΤ褦ʴñˤǤ뱿ưޤʤɤǹԤư⤭³и̤Ф뤳ȤɤܤǤ
ˤߤȤ뤿ˤϡ
ŵViljanen M. Malmivaara A. Uitti J. Rinne M. Palmroos P. Laippala P. Effectiveness of dynamic muscle training, relaxation training, or ordinary activity for chronic neck pain: randomised controlled trial. BMJ 2003; 327(7413): 475.
ʸΤޤȤ
ˤߤ393̾ͤϥȥ졼˥Ԥȥ饹ʶۤ褦˥åˤԤ⤷ʤȤ̵٤ʬ12֤βԤޤη̡Ʒ֤Ǽˤߤ˺ǧޤǤ⤷ʤäưϰϤϲƤޤ
Dr.ޥΥ
ˤߤϤʤ٤Ȥ鷺˼ΤǤǰʤ麣βˡǤϸ̤ƤޤθǤζϥȥ졼˥13kgΥ٥ʤΤǡ⤦ٶ٤ƸɤΤ褦ʷ̤ˤʤΤ̣Τ勞ȤǤ
ͽɤ˥ҥåץץƥ
ŵMeyer G. Warnke A. Bender R. Muhlhauser I. Effect on hip fractures of increased use of hip protectors in nursing homes: cluster randomised controlled trial. BMJ 2003; 326(7380):76
ʸΤޤȤ
ߤꤷƤԤ942̾ФơҥåץץƥȤۼѥĤϤƤ餤žݾѻǤηǤϥҥåץץƥ˴ؤԤ¾ηǤʤȡۤΨ⤤ȤʬޤޤȯΨͭպǧƤޤ
Dr.ޥΥ
ߤꤷƤ㳲äԤưפžݡޤʤɤ礭ʾ㳲˻礬¿ޤͽɤΤ˥ҥåץץƥ¿λߤƳϤޤΨ㤤Ȥ꤬ޤθǤԤȤΨ夹뤳Ȥ餫ˤƤޤΤǡҥåץץƥƳݤˤϽʬɬפȤޤ
ҥåץץƥͭפ
ŵBirks YF, Hildreth R, Campbell P, Sharpe C, Torgerson DJ, Watt I. Randomised controlled trial of hip protectors for the prevention of second hip fractures. Age Ageing. 2003; 32(4): 442-444
ʸΤޤȤ
θ366̾ϰ˽Ԥоݤ˥ҥåץץƥͽɤͭפɤĴ٤Ǥη̡14֤ιߤȡҥåץץƥ失ȤĤʤä֤Ǥι٤κƤޤ
Dr.ޥΥ
θǤϥҥåץץƥ失褦˻ƳƤ뤬14ȤĹ桢ҥåץץƥ失ƤΤǤ״ΨĴоݼԤؤѻƳʤɤɬפȻפޤ
ҥåץץƥͭפ
㳲٤ζԤоݤˤ
ŵ Cameron ID, Venman J, Kurrle SE, Lockwood K, Birks C, Cumming RG, Quine S, Bashford G. Hip protectors in aged-care facilities: a randomized trial of use by individual higher-risk residents. Age Ageing 2001; 30(6):477-481
ʸΤޤȤ
θ¿ߤˤ錄äơ3ʬ2оݼԤʡԡ˥ҥåץץƥιͽɸ̤Ĵ٤Ǥη̡θǤҥåץץƥ失ȤĤʤä֤Ǥι٤κƤޤ
Dr.ޥΥ
θΥݥȤϥҥåץץƥΨܤȤǤҥåץץƥ夹뷲ιޤΤ٤Ƥҥåץץƥ夷ƤʤȤ˵äƤޤޤҥåץץƥΨߤ50ʤᡢޤǤΥҥåץץƥθ椬˥ҥåץץƥθ̤ɽƤʤΤǤϤʤȤˤĤʤ뼨ͿƤ븦Ǥ
ӥߥʡ
ŵKenny AM, Biskup B, Robbins B, Marcella G, Burleson JA. Effects of vitamin D supplementation on strength, physical function, and health perception in older, community-dwelling men. J Am Geriatr Soc 2003; 51 (12): 1762-1767
ʸΤޤȤ
65̾ϰ߽ԤоݤȤƥӥߥDӥ륷ޤѤ뷲ȥ륷ΤߤΤෲȤʬ6ִѻ̡ӥߥD佼ǤϿӥߥäþۥ㲼ѻ줿Ϥ˴ؤƺǧޤǤ
Dr.ޥΥ
ӥߥD佼ˤäϤѲߤʤäϤʤɤνǤˤƸηǧޤθǤоݼԤοͿ65ͤȾʤǤ뤿ͭպߤʤäǽꡢоݼԤοͿ䤷ƤκƸƤɬפǤȻפޤ
外傷性脳脳震盪傷害訴訟の評決を投稿する
ӥߥDȥ륷ǹͽɡ
ŵHarwood RH, Sahota O, Gaynor K, Masud T, Hosking DJ. A randomised, controlled comparison of different calcium and vitamin D supplementation regimens in elderly women after hip fracture: The Nottingham Neck of Femur (NONOF) Study. Age Aging. 2004; 33(1): 45-51
ʸΤޤȤ
ܹιޤȤΤ150̾оݤȤơӥߥĤΤ佼뷲ӥߥġ1/Υ륷佼뷲̤Υӥߥġ1/Υ륷佼뷲佼ʤη4ʬष1ǯ֤ĴԤޤη̡佼ʤʳ3ĤηǤϿӥߥäþۥ(PTH)ޤä˥ӥߥĤȥ륷ʣ礷佼Ǥ褤̤Ƥޤơ佼ʤη٤¾3ι̩٤4.6äͭպǧޤ
Dr.ޥΥ
ӥߥDȥ륷Ѥäޤͽɤ뤳ȤǤޤžݤδ佼ʤȥӥߥѷȤδ֤ǺꡢѤͭդžݤδȤƤޤʤΰ̴طϤ褯ǤޤˡޤɤˤϡץȤŬѡžͽкʤŪкɬפǤȹͤޤ
ӥߥDǹͽɡ絬ϽĤǤʬ
ŵTrivedi DP, Doll R, Khaw KT. Effect of four monthly oral vitamin D3 (cholecalciferol) supplementation on fractures and mortality in men and women living in the community: randomised double blind controlled trial. BMJ 2003; 326: 469
ʸΤޤȤ
6585Ф2686̾ϰ߽Ԥоݤ˥ӥߥĤѤ뷲ȥץ饻ܡʵˤ4Ѥ뷲ȤʬƹѻǤη̡ӥߥĤѤ뷲Τۤޤȯ22뤳ȤǤȤƤ롣
Dr.ޥΥ
θϥӥߥDιͽɸ̤Ƥʤ絬Ϥ̵ٲоȻǤ롣ӥߥD佼ˡޤͽɤǤ뤳Ȥ餫ȤŤʸȻפޤ
ǢؤФưˡθ
ŵSubak, L L. Quesenberry, C P. Posner, S F. Cattolica, E. Soghikian, K. The effect of behavioral therapy on urinary incontinence: a randomized controlled trial. Obstet Gynecol 2002; 100: 72-78
ʸΤޤȤ
μؤФ㶯ٹưˡθ̤θƤŪȤǤˡϰ콵֤˰ʾμؤä55аʾϰ߽оݤˤơ̵ٲоȻԤޤϹưˡȥȥ뷲̵٤˿ʬޤưˡˤĤƤζȸĿͤǢͽפ6֤ˤ錄äƼ»ܤޤȥ뷲ϲԤ鷺Ǣ6ֵϿޤη̡1֤ǢεϿꡢʿѼزϥȥ뷲Ӥƹưˡͭդ˸6ݻƤޤΤ31ϼز100ޤؤΥסʢˤˤ̤ΰ㤤ϤޤǤ
Dr.ޥΥ
ǢؾɾФꥹ㥳Ȥưפ˻Ϥ뤳ȤǤưˡ̵ͭٲоȻˤ꼨ͥƤޤ
̵ٲоݻ̴ط椹ѻФơ٤θ̤ƶĴ٤븦ȸޤäֳؤѤ̵ٲоȻޤ 뼣ˡθ̤ΤΤͥƤ롢뤤ϤǤ롢ȤȤˤϡޤΤΤĴ٤ˡӤ뤳ȤϤޤޤǡӤ룲Ĥμˡï˹ԤȤȤȤʤޤΤˤϡоݼԤŤ뼣ŷȽμŤоȷ˿ʬɬפޤդȸƤӤޤγդ˺ݤưνĤιоݼԤФäΤǤäʤ顢λ̤ˣԤӤƤȤϸʤʤޤΤˡ̵ٲԤΤǤ ذضţ£ȣøɥۡڡ
ŵɷǢͽɡ
ŵGoode, P S. Burgio, K L. Locher, J L. Roth, D L. Umlauf, M G. Richter, H E. Varner, R E. Lloyd, L K. Effect of behavioral training with or without pelvic floor electrical stimulation on stress incontinence in women: a randomized controlled trial. JAMA 2003; 290: 345-352
ʸΤޤȤ
θǤϡǢؤͭϰ߽оݤˡŵɷPFESˤư˸̤⤿餹ɤƤ뤳ȡоݤ40С78Ф뤤ϺǢء̡ͥˤͭ롢ԲǽΤʤϰ߽200̾Ǥ84ˤιư84ˤιưPFESѥեåȤѤưˡʥȥ뷲ˤ3̵٤˳դƤޤ̤ϡزʿѤǹư68.6%ưPFESǤ71.9%ȥ뷲52.5%ޤƷȤ̤ͥʸ̤ޤƷθ̤δ֤ͭպϤߤޤǤ
Dr.ޥΥ
ưܤȤŪǢؤФƸ̤ΤȤƤŵɷȤȤ߹碌ǼŸ̤ƤѤФƼ٤ฦǤθǤϹŵɷΤߤθ̤餫ȤƤޤ
ΤʤԤǢͽɤθ
ŵBurgio, K L. Goode, P S. Locher, J L. Umlauf, M G. Roth, D L. Richter, H E. Varner, R E. Lloyd, L K. Behavioral training with and without biofeedback in the treatment of urge incontinence in older women: a randomized controlled trial. JAMA 2002; 288: 2293-229
ʸΤޤȤ
Ǣؤͭϰ߽ιФưˤơХեɥХå̤ˤĤƸƤʸǤоݤʤԲǽǡ뤤ϺǢؤͭϰ߽ǯ55С92С222̾Ǥ8֤ΥХեɥХåѤưʵѤˡ73̾ˡ8֤ΥեɥХåʤιư紤οǤˤؼͿˡ74̾ˡѥեåȤѤưˡʥȥ뷲75̾ˤ3̵٤˳դޤη̡زʿѸΨϡХեɥХåιư63.1%ƬˤեɥХåǤ69.4%ѥեåȤѤưǤ58.6%ǤꡢΨ˷֤ǤͭպϤߤޤǤ
Dr.ޥΥ
եɥХå뤳ȤǼΨ㴳⤯Ƥ뤬ѥեåȤΤߤηͭդʺޤǤи̤ϥХեɥХåפȤʤޤ줬ä鼺ؤоݼԤΤǤСħ餫ˤƤɬפޤ
ſޤȤäˡθ
ŵPauliina Aukee, Paula Immonen, Jorma Penttinen, Pekka Laippala and Olavi Airaksinen. Increase in pelvic floor muscle activity after 12 weeks' training: a randomized prospective pilot study. Urology 2002; 60: 1020-1023
ʸΤޤȤ
ʢǢؽФ롢ڶϥȥ졼˥θ̤ſޤѤХեɥХå̵ͭӤǤоݤ±γ贵Ԥν30̾ǯ31Ф69Сˤ2ʬषƹԤäƤޤХեɥХå϶ſޥեɥХåˤڥȥ졼˥Ϻǹڥȥ졼˥ΤߤԤޤ٤ƤоݼԤˤϡ520ʬη12ֹԤ褦˻ؼƤޤη̡ϳؿϥХեɥХåͭդ˸ڥȥ졼˥ǤѲߤ줺Ǣ̥ƥȤ˴ؤƤξȤͭդ˸֤ͭդʺϤߤƤޤ
Dr.ޥΥ
ڶϥȥ졼˥˥ХեɥХå뤳ȤǤ⤤̤뤳Ȥ餫ˤƤޤ
ưˡʪˡɤä֡
ŵPatricia S. Goode, Kathryn L. Burgio, PhD, Julie L. Locher, PhD, Mary G. Umlauf, L. Keith Lloyd, and David L. Roth. Urodynamic Changes Associated with Behavioral and Drug Treatment of Urge Incontinence in Older Women. JAGS 50; 808-816
ʸΤޤȤ
θǤǢؤФưˡʪˡǽǢ٤˵ڤܤѲ餫ˤ뤳ȤȡѲǢؤ٤ͿƶĴ٤ƤޤоݼԤϥ˥åγ贵105̾Բǽʿǯ67Фϰ߽ԡˤǡǢؤΥסΤߤ뤤ʢκ緿ˤǢؤνž٤ˤä̵٤˿ʬƸƤƤޤϡ8֤ˤ錄ưˡˤХեɥХåȡʪˡʥ֥ˤԤäƤޤη̡̤ʪˡˤ68.9mlưˡˤ17.3mlͭդäޤǢ٤Ϲưˡʪˡξˤͭդ˸ƤޤزθΨϹưˡˤʿ82.3%ʪˡǤ78.3%Ǥ
Dr.ޥΥ
Ͽ197̾ΤæԤ92̾ʼŤ³Ǥʤä28̾ɾݤ64̾ˤޤϰŬäơæ¿ȤʤǤ礦ޤθǤϹưˡʪˡȤ˹⤤̤夲ƤޤæԤ¿ᡢˤϸ³ޤˡϤɤΤ褦οͤ˲뤫θƤɬפȹͤޤ
不況ガラス"黄色"
ХեɥХåϤ夵Τ
ŵSiv Morkved MSc, Kari Bo PhD and Toril Fjortoft. Effect of adding biofeedback to pelvic floor muscle training to treat urodynamic stress incontinence. OBSTETRICS & GYNECOLOGY 2002; 100: 730-739
ʸΤޤȤ
ʢǢؤͭʿǯ46.6С3070СˤоݤˡХեɥХåȼڶϥȥ졼˥ȼʤڶϥȥ졼˥θ̤ӤǤˡΤλƳβ13103åȤιڶϥȥ졼˥6ԤäƤޤ6Υȥ졼˥塢ХեɥХå̵ͭ˴ؤ餺ѥåɥƥȤˤǢϳ̤ͭդ˸ޤ֤ͭդʺϤߤޤǤ
Dr.ޥΥ
ԤϥХեɥХåѤθ̤ΤҤȤĤ˥ȥ졼˥ưդ䤭äƤ뤬̤˴ؤƤϵ郎ʤƤƱ٤ǤưŤޤ̤˴ؤ륨ӥǥɬפǤ礦
ȥ졼˥ȹڥȥ졼˥ɤ֡
ŵHae S. Yoon, Hae H. Song and You J. Ro. A comparison of effectiveness of bladder training and pelvic muscle exercise on female urinary incontinence. International Journal of Nursing Studies 2003; 40: 45-50
ʸΤޤȤ
θǤϡǢؤͭФȥ졼˥ȹڶϥȥ졼˥θ̤ӤƤޤξȤ⥳ȥ뷲ӤƲǧƤޤڤΥȥ졼˥ǤϡϤä긲Ǥꡢȥ졼˥ǤǢ٤θǢ̤ä긲Ǥ
Dr.ޥΥ
ξȥ졼˥Ȥ˸̤줿ɤ餬Ǣؤβ˸ŪǤ뤫餫Ȥʤʤä
ǤǼͽɲǽ
ŵPages IH, Jahr S, Schaufele MK, Conradi E. Comparative Analysis of Biofeedback and Physical Therapy for Treatment of Urinary Stress Incontinence in Women. Am J Phys Med Rehabil 2001; 80: 494-502
ʸΤޤȤ
ʢǢؽФ롢ŪˡץPTˤȼʥХեɥХåȥ졼˥BFˤˤ̤ӤԤäǤ٤ʢǢؤͭ40̾2̵٤˿ʬPTBFˤ줾ۡץȤƹԤäƤޤ4֤ΥۡץˤPTBFŤʢǢؤФŪǤꡢͭդ֤Ǣ٤Ūɾޤޤ֤Ǣ٤PTΤߤǸBFǤϼؤ˴ؤŪɾ뷹ǧޤ
Dr.ޥΥ
ǢؤФˡץȥХեɥХåץμŸ̤˴ؤơȤ˰¤ۡݥȤƸƤƤͥƤޤˡץˤʢڡضڤζϥȥ졼˥˲äߥ䥵ϥ䥹ʤɤͭDZưޤǤꡢˤϼʴβǹԤƤ뤿ᡢˡθ̤ȤΤ⤷ޤ
ǢͽɤĹ
ŵMichael W. Weinberger, Brain M. Goodman, and Molly Carnes. Long-Term Efficacy of Nonsurgical Urinary Incontinence Treatment in Elderly Women. J Gerontol 1999; 54A: M117-121
ʸΤޤȤ
ڥȥ졼˥ȥ佼ˡХեɥХåˡǽŪŵɷˡʪˡޤŪŤ60аʾϰ߽оݤ˼ŤĹ̤ƤʸǤĴ1991ǯ41994ǯ1δ֤ξƤǶ1ǯ˥˥åǤˡǢؤλ³Ÿֳ̡ˡQOLɾ뤿μѻˤۤƹԤäƤޤ81̾Τ53̾65%ˤֿʿǯ76Сˡʿѥեå״֤21ǡȸߤǢؾɾ٤ȡξɾͭդ˲Ƥޤ
Dr.ޥΥ
ǢؤФ͡¸ˡĹ̤θϾʤפʸǤȤǤ礦ġμŤνʣ伣Ƥκۤ˴ؤƤ餫ǤʤᡢƼ̤θƤɬפȤʤǤ礦
ԶǤ뤫
ŵKARIBO, TRYGVETALSETH, ANNEVINSNES. Randomized controlled trial on the effect of pelvic floor muscle training on quality of life and sexual problems in genuine stress incontinent women. Acta Obstet Gynecol Scand 2000; 79: 598-603
ʸΤޤȤ
θǤϡʢǢؤͭФƹڥȥ졼˥QOLͼ˵ڤܤƶƤƤޤоݤʢǢؤȿǤ줿59̾ڥȥ졼˥ȥȥ뷲2̵٤˳դޤȥ졼˥ϡڤκ˶ᤤ̤8123åȹԤ1֤Τ45ʬ֥롼פDZưԤäƤޤ6β塢ȥ졼˥Ǥϡ衢Ҳ衢γư˴ؤƤοͭդ˸ޤ
Dr.ޥΥ
ǢؤͽɤŪȤơư̤äޤʤʤǢؤȳФΤ¤ϰϤ뤫ǤǢؤˤȤɤޤ餺ˤޤޤªȤˤθΰյޤ
ǤϡǢؤ˴ؤ̤ˤĤƤʸҲ𤷤ޤ
Ǣءurinary incontinenceˤȲ(interventionˤɤȤMedlineӰ狼鸡1990ǯʹߤʸΤ3ʳκμAƷ100̾ʾ̵ٲӻ(RCT)BƷ100̤̾RCTޤRCTǤϤʤӻCˤΤ줫˳ΤˤĤƤޤȤޤ
ʤιϡкο͡ôޤ
ǢؤβФEBM (Evidence-Based Medicine)
ǢؤμŤˤϹưˡˡʪˡꡢưˡϹ˼3Ĥʬवޤ
ڷ
ϤΤڤФ뼣Ÿ̤ˤĤƳ⤷ޤ
ڷμ
Kegel
ǢƻϡɼϤοնڡǢƻڡڡˤä뤳ȤˤꡢǢƻĺᡢ¡λٻ䶯ʢȿŪǢƻĺ륳Ĥޤ
ХեɥХåʻѤڷ
⥳Ѥڷ
˥ڤ̤롣ν̤Ѳ뤳ȤǼäϤޤ
ŵɷˤڷ
ڷФEBM
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Millards RJ(2004)Ǣش480̾Фʪˡ(tolterodine)ΤߤηʻѤӤ̡ʻѷز1ǢޤAˡ
Bo K(2003)ʢǢؽ52̾45.4СˤФ6ܹԤ̡ȾμԤ˶áزθǧ졢ཪλ̤³ޤCˡ
Turkan A(2005)ʢǢؽ48̾Ф515åܹԤ̡زϤäޤCˡ
Theofrastous JP(2002)Ǣؽ134̾Ф12ܹԤӤ̡زϤηˤƤ⸺ޤෲǤ細äޤBˡ
Bo K(1990)ʢǢؽ49.5С107̾Ф̾ࡢŵɷ㡢紥θ̤Ӥ̡ෲ¾ϤäǢؤβޤBˡ
Yalicin I(2004)16ν(24-83)1738̾ФʪˡDulixetineˤʻѤθ̤Ƥ̡ץ饻ܷǤΤʻѤزޤAˡ
Wells TJ(1991)ϰ߽ʢǢؽ(5590)157̾Ф̾ʪˡ(ե˥ץץʥߥ)θ̤6Ӥ̡ηˤƤǢز٤夷ޤBˡ
ХեɥХåͭ
Sung MS(2000)ʢǢؽ60̾ФȥХեɥХå6ֻܹԤ̡ηϤäǢزΨϥХեɥХå礭ʤޤBˡ
Bales GT(2000)ΩŦͽ괵100̾Ф˥ХեɥХå14ݣܹԤ뷲ΥѥեåȤϤӤ̡Ѹ1,2,3,4,6ΤˤƤֺⷲϸޤǤBˡ
紥ͭ
Arvonen T(2001)Ǣؽ(25-65)37̾Ф̾紥ܡѤ4ֹԤä̡ηˤƤ⼺زϤزβΨ紥ܡ뷲礭ʤޤBˡ
ŵɷͭ
Good PS(2003)ʢǢؽ200̾(40-78)Фෲŵɷ㷲оȷʬ8ָӤ̡ෲŵɷ㷲ˤƤǼز2֤˺ϸޤǤФ뼫٤ŵɷ㷲ɹǤޤBˡ
Yamanashi T(1997)Ǣشԡ6̾38̾63СˤФŵɷȥߡŵɷ15ʬ4ֻܹԤ̡ŵɷ㷲ˤǢز٤⤯ʤޤB)
Amoro JL(2005)Ǣؽ40̾Фŵɷ20ʬ37ֻܹԤץ饻ŵɷ㷲Ӥ̡ηˤƤǢθáزθ졢ֺϤޤǤBˡ
Amaro JL(2003)ʢǢؽ54С30̾Фŵɷ314ֻܹԤ̡ǢزϤäޤBˡ
Herrmann V(2003)ʢǢؽ(49)22̾Фŵɷ20ʬ28ֻܹԤ̡ηˤƤǢزޤBˡ
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Parkkinen A(2004)ʢǢؽ33̾ФХեɥХå紥ܡ뷱12ܹԤ̡ηˤƤ⼺ؤФŪҴŪɸ5ǯ̤³ƤޤBˡ
Ankee P(2005)ϰ߽ʢǢؽ35̾Ф̾ȥХեɥХå512ֻܹԤ̡ηˤƤǢز1ǯ̤³ƤޤBˡ
Spruijt J(2003)Ǣؤͭ빹ǯ㳲35̾Фŵɷ8ֻܹԤ̡ηˤƤϤäزޤֺϸޤǤBˡ
Wille S(2003)ΩŦнѸ崵139̾Ф̾ࡢХեɥХåŵɷܹԤ̡ηˤƤǢزֺϸޤǤBˡ
Goode PS(2003)ϰ߽ʢӺǢؽ40-78С200̾Ф跱跱ܼѥեåۤΤߤηӤ̡ηǢزޤֺϸޤǤBˡ
Seo JT(2004)Ǣؽ120̾ФХեɥХå2ܹԤ紥ѤӤ̡ηˤƤǢزޤBˡ
SmithJJ 3rd(1996)ϰ߽Ǣؽ57̾Ф̾ࡢŵɷ㡢ޤθ̤Ӥ̡ηǢϳŪʵǽ˲ޤBˡ
Burns PA(1993)ϰ߽γ135̾Ф̾ࡢХեɥХå1åȡ8ֻܹԤ̡ХեХåˤΤ߶ſͭդʲޤǢزϤηǤ졢6ޤǸ̤³ޤBˡ
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Alewijnse(2003)ʢǢؽ129̾ФǤ̾ȷץ(30ʬ1422)ؤλäʻѤӤ̡ץʻѷǢز1ǯ̤³ƤޤBˡ
Stach-Lempinen B(2004)Ǣؽ82̾Ф緱٤ȳư1ǯ˥ե̡25.6μԤ3ʾ己³Ƥޤ;˳ư̤ι⤤ԡʣMETSʾˤǢزʤBMI㤤֤ǤCˡ
Sugaya(2003)Ǣؽ41̾ФѥեåȤϤΤߤη13ͶƳΤΥ㥤Ĥ餹Ӥ̡㥤Ĥ餷ˤǢزФ٤48¾10ˤǤ(B)
Ǥϡ˴ؤ̤ˤĤƤʸҲ𤷤ޤ
(dementia)Ȳ(interventionˤɤȤMedlineӰ狼鸡1990ǯʹߤʸΤ3ʳκμAƷ100̾ʾ̵ٲӻ(RCT)BƷ100̤̾RCTޤRCTǤϤʤӻCˤΤ줫˳ΤˤĤƤޤȤޤ
ʤιϡкο͡ôޤ
βФEBM (Evidence-Based Medicine)
βˤRO(reality orientation)ˡˡˡʤɤΤƤޤϤ濴˳⤷ޤ
㾾ľ(1999)MMSE10ʾ楢ĥϥޡ23̾¿ȯ12̾Ф3֤ROˡʽ11֡ˤͭӤ̡¿ȯǤ3MMSEͭդ˲ޤĥϥޡǤϷǺޤǤޤоȷΥĥϥޡ3MMSEͭդ㲼ƤޤBˡ
(2001)Ǿ46̾ĥϥޡ64̾緿4̾80.6СˤФ11֡ROˡȲˡʻѤ3ܹԤ̡60ǤHDS-RMMSEͭդ˲ޤCˡ
Hanley (1981)Ϸݷ16̾41̵̾Ф줿28̾Ф饹롼ROˡ412ֻܹԤ̡ǤǧεǽKoskela testˤͭդ˲ޤưѲϸޤǤBˡ
Baines S(1987)ϰ߽ι15̾(81.5)ROˡˡʷ⡢4֡ˡˡROˡоݷ3Ӥ̡ROˡԤäǧ̤ޤBˡ
Metitieri T(2001)ĥϥޡγ贵74̾Ф4010ˤROˡܹԤ1Τä28̾оȷˤ2ʾ廲ä46̾ʲˤη̤ǽROŸ30ܤӤ̡ˤǧεǽ㲼ʤäCˡ
Wallis GG(1983)Ĺ60̾ROˡȵ餷Ūˡ2ʬष̤Ӥ̡ηˤƤǧ̤βޤιư̤ˤѲޤǤBˡ
Goldwasser AN(1987)ʡۡΥĥϥޡ6̾¿ȯɷ11̾ѡ¤ʤɤˤŪ10̾Фˡʽ230ʬˡ¾μšʸߤӾơޤˤǥåˡоȷ3ʬष5Ӥ̡ǧ̤ӹư̤ΤˤƤ̤ⷱޤǤBˡ
Lai CK(2004)ʡۡοҲŪɹϷ101̾Фˡ6ֻܹԤ̵̡ͭˤ㤤ϸޤǤBˡ
ͭͳ(2003)ϷǯԤФ115ʬε568ֻܹԤ̡DisabilityɾRBMT쥯ꥨؤλäưޤCˡ
ػ(2001)٥ĥϥޡγ贵20̾Τ15̾ФȳǤε6ܹԤ̡GBS䵭ˤϲ̤ϸޤǤADLɾǤDADΤ߰ݻƤޤ
Clare L(2000)ĥϥޡ(MMSE18ʾ)6̾ФʤؽܹԤ̡6̾5̾MMSEͭդ˲λ6ޤǸ̤³ޤCˡ
ն(2003)Υĥϥޡ33̾Ǿ17̾Фˡ11֡2ֻܹԤ̡ѰɲˡɾɽD-EMSˤȯҲιܤͭդ˲ޤCˡ
ն(2001)Υĥϥޡ61̾Ǿ59̾ФˡȺˡƱ˹Ԥˡΰ㤤ѰɲˡɾɽD-EMSˤѤӤ̡ˡϺˡ٤ǧΡȯɽ𡢼ҲιܤɹǤޤBˡ
û(2002)̱Υĥϥޡ14̾Фڡܱưˡѡܱưˡڡˡ6ֻܹԤ̡ѡܲˡǤWAIS-Rͭդ˲ˡ줿2ǤưIQˤͭդ˲ޤCˡ
ڡߤ(2003)Υĥϥޡ12̾Ǿ11̾Τ10̾Фˡ1֡28ֻܹԤ̡ˤMMSEθ졢MOSEܤιܤD-EMSμҲξαưͭդ˲ޤBˡ
Hanser SB(1994)ľɾι30̾(67.9)1ˬˤ벻ˡΤߤβˡоȷʬ8ָӤ̡ˡܹԤ2оȷ١ľ֡ǺߡɾʬιܤˤƲ9ָ̤³ޤB.
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Wood RT(1979)14̾ROˡҲˡоȷ3ʬष30ʬη5ܹԤ̡ROˡ¾٤Ƶʤɤǧεǽͭդ˲ޤBˡ
Reeve W(1985)㳲20̾3ROˡ2ʽ31θ塢21ˡROˡ1ʽ3ˡоȷ3Ӥ̡ROˡܹԤ2оȷǧΡưɾͭդ˲3ָ̤³ޤBˡ
ڡߤ(2003)5̾ȥ롼ץۡ1̾ФڥåȷܥåȤ4ֻѤ̡GDSͭդ˲SF-36 VTͭդ˲ޤCˡ
Laurin D(2001)65аʾϰ߽9008̾Фư̵ͭ5ǯȯɤȤδϢˤĤƸƤ̡3ʾαưԤäƤԤǤǧξ㳲ȯΨʤޤCˡ
Ǥϡܤ˴ؤ̤ˤĤƤʸҲ𤷤ޤ
(malnutrition)(supplement)ɤȤMedlineӰ狼鸡1990ǯʹߤʸΤ3ʳκμAƷ100̾ʾ̵ٲӻ(RCT)BƷ100̤̾RCTޤRCTǤϤʤӻCˤΤ줫˳ΤˤĤƤޤȤޤ
ʤιϡкο͡ôޤ
ܤβФEBM (Evidence-Based Medicine)
ͿˤܲˤĤƤʸ⤷ޤ
Ϥ(2001)ܥꥹ20̾ФƦʬȤʤʬȤʤ3ݼ褷̡Ʀ֥ߥ3.6g/dlˤʤä礬¿νŤäޤBˡ
Gazzotti C(2003)(75аʾ)80̾Ф12ʹ250kcalˤܤͿӸη̡оȷ٤νŤݻ졢ܥMNAˤɹǤޤBˡ
Potter(2001)381̾Ф13ʹ540kcalˤܤ16-18ͿӸη̡νŤȥͥ륮ݼ̤ϲͭդäޤ֥ߥͤˤϺޤǤAˡ
Hickson M(2004)Ϸ±ԡ65аʾ592̾Фܤ16ͿӸη̡Ǥоȷ٤ƹޤޤܾ֡BIϡ˴Ψ˺ϤޤǤAˡ
Wouters-Wesseling W(2003)Ϸͥۡ(82)101̾Ф1250kcalܤͿӸη̡֥ߥͤȿεǽ˺ϸޤǤˤνŤͭդä̲꤬ɹˤʤޤBˡ
Bonnefoy M(2003)ϷͥۡεϷ(83)57̾Фܡܱưˡܡܵץ饻ܱܡܱưˡץ饻ܱܡܵ4ʬ9ܹԤ̡ܡܱưˡԤäˤơȶϤͭդ˲ޤBˡ
Gall MJ(1998)143̾Ф1966kcalܤͿӸη̡ˤƥͥ륮ݼ̤äޤ˺ϸޤǤBˡ
Lauque S(2001)ʡۡ(65аʾ)88̾Ф1300500kcalܤ60ͿӸη̡ǤϱܥMNAˤνŤͭդäޤBˡ
Wouters-Wesseling W(2001)Ϸ±60аʾδ35̾Фܤ12ʹ270kcalˤ12ͿӸη̡αܾ֤ͭդ˲ޤBˡ
Fiatarone MA(1994)ʡۡε(87)100̾Ф10֤ܤȶ϶θ̤ˤĤӤܡܶ϶Τtotalͥ륮ݼ̤ͭդäޤBˡ
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