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Japanese Occupational Therapy Research Volume 28, Issue 6 （December 2009）

作業療法 28巻6号（2009年12月発行）

Japanese English

◆研究論文

身体障害者における残存歯数および義歯の有無と姿勢バランスとの関連について—ファンクショナルリーチテストを用いて Relationship between the number of remaining teeth and/or denture usage and body balance : Applying the Functional Reach Test to the physically impaired ピラヤ洋子 ¹ , 今井信行 ² , 岩崎テル子 ³ , 岡村太郎 ⁴ Yoko Pihlaja ¹ , Nobuyuki Imai ² , Teruko Iwasaki ³ , Taro Okamura ⁴ ¹前所属:新潟医療福祉大学医療技術学部作業療法学科 ²新潟医療福祉大学医療技術学部言語聴覚学科，新潟リハビリテーション病院歯科・歯科口腔外科 ³前所属:目白大学保健医療学部作業療法学科 ⁴千葉県立保健医療大学健康科学部リハビリテーション学科作業療法学専攻 ¹Former affiation; Department of Occupational Therapy, Faculty of Medical Technology, Niigata University of Health and Welfare ²Department of Speech Therapy, Faculty of Medical Technology, Niigata University of Health and Welfare, Niigata Rehabilitation Hospital ³Former affiation; Department of Occupational Therapy, Faculty of Health Science, Mejiro University ⁴Division of Occupational Therapy, Department of Rehabilitation Sciences,Faculty of Health Care Sciences, Chiba Prefectural University of Health Sciences キーワード：口腔機能 , 平衡機能 , ADL , (身体障害者) , Oral function , Postural control , ADL , Physically impaired people Keyword: 口腔機能 , 平衡機能 , ADL , (身体障害者) , Oral function , Postural control , ADL , Physically impaired people pp.637-645

発行日 2009年12月15日 Published Date 2009/12/15

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要旨：リハビリテーション実施中の身体障害者における歯と姿勢バランス能力との関連を検討した．病院入院患者と通所リハビリテーション利用者52名を対象とし，Functional Reach Test(以下，FRT)，残存歯数，義歯の有無を調べた．％FR値を説明変数，残存歯数4分位各群を目的変数とするロジスティック回帰分析の結果，座位％FR値が良好な者ほど残存歯数が23本以上(オッズ比1.03；95％Cl，1.00-1.06，p＝0.039)，または15本以上(オッズ比1.03；95％Cl，1.01-1.06，p＝0.009)である確率が有意に高くなることが示された．

　The aim of this study was to determine the relationship between the number of remaining teeth and/or denture usage and body balance with physically impaired people.

　The participants were 52 people (age 53〜92, mean±SD 72 ±9.9) who were hospitalized or regularly treated at a rehabilitation center. We evaluated the number of remaining teeth, denture usage and body balance using the Functional Reach Test (FRT), and the Functional Independence Measure (FIM).

　Logistic regression analyses found that the number of remaining teeth in groups 1〜3 (0〜22, in each quartile groups) and group 4 (23〜29) while sitting % FR was significant (O.R. 1.03 95% CI, 1.00-1.06, p = 0.039). Also, the number of remaining teeth in groups 1 ＆ 2 (0〜14, in each quartile groups) and groups 3 ＆ 4 (15〜29) while sitting % FR was significant (O.R. 1.03 95% CI, 1.01-1.06, p=0.009). The Spearman's rank correlation (p), (alpha = 0.05) analyses found that FIM correlated with standing % FR (ρ = 0.87, p = 0.003).

　The results indicate a relationship between the number of remaining teeth and functional reach and, therefore, a connection to posture control. Also, recognizing the connection between FR value and FIM, the results support a relationship between functional reach and ADL. Moreover, in addition to the relationship between the number of remaining teeth and FR value, we speculate that persons with many teeth have a satisfactory reach range and ADL.