介護老人保健施設入所者における食堂の座席での反復起立テストと日常歩行，バランス機能，歩行耐久性の関係

Assessing Correlations among Repetitive Standing Test on a Dining Room Seat, Daily Walking, Balance Function, and Walking Endurance in Geriatric Health Services Facility Residents

要旨　目的：介護老人保健施設入所者の食堂の座席での反復起立テスト（食席起立テスト）と日常歩行，バランス機能，歩行耐久性の関係を明らかにすることを目的とした．

方法：介護老人保健施設入所者86名を，Functional Independence Measureの歩行で車いす群，介助群，修正自立群，自立群に分けて食席起立テストを比較し，連続する群間に有意差があった場合はカットオフ値を求めた．また，食席起立テストとBerg Balance Scale（BBS），6分間歩行距離（6MD）の相関を求めた．

結果：食席起立テストは車いす群より介助群，介助群より修正自立群で高値であり，カットオフ値はそれぞれ5回と20回であった．また，食席起立テストはBBS，6MDと強い正の相関があった．

結論：介護老人保健施設入所者の食席起立テストはバランス機能，歩行耐久性と関連し，5回が介助歩行，20回が修正自立歩行の目安になる．

Abstract　Objective：To evaluate the relationship among repetitive standing tests in a dining room seat, daily walking, balance function, and walking endurance in geriatric health service facility residents.

Methods： Eighty-six geriatric health service facility residents. Participants were categorised into wheelchair, assistance, modified independence, and independent groups based on walking in the functional independence measure. The repetitive standing test in a dining room seat was compared. Cut-off values were determined based on differences between consecutive groups. Correlations among the repetitive standing test on a dining room seat, Berg balance scale score, and 6-minute walk distance were determined.

Results：The repetitive standing test on a dining room seat was higher in the assistance group than in the wheelchair group and higher in the modified independence group than in the assistance group, with cut-off values of 5 and 20 times, respectively. The repetitive standing test on a dining room seat was positively correlated with the Berg balance scale and 6-minute walk distance.

Conclusion：The repetitive standing test on a dining room seat was correlated with balance function and walking endurance. Five and twenty repetitions of the standing test on a dining room seat were needed for assisted and modified independent walking, respectively.