@article{oai:toyama.repo.nii.ac.jp:00002658,
 author = {寺境, 夕紀子 and 安田, 智美 and 吉井, 忍 and 坂曽, 由香里 and 柴田, 絢子},
 issue = {1},
 journal = {富山大学看護学会誌},
 month = {Oct},
 note = {application/pdf, The purpose was to clarify a relationship between maximum body surface pressure and arthrogryposis, and an area where showed maximum body surface pressure. Three groups were compared, six people with hard arthrogryposis (Group Ⅰ), four people with slight arthrogryposis (Group Ⅱ), and eight people without arthrogryposis (Group Ⅲ). The body pressure dispersion index was calculated. The formula was as follow. Index = (maximum body surface pressure) / (weight / the body supporting area). This index implicated a disproportion of body surface pressure. As a result, the Group Ⅰ showed significantly higher index than the other groups using two-way ANOVA. In addition, the part where surface pressure was the highest was the posterior iliaca rea. We measured the body surface pressure by some body pressure dispersion mattresses. However, the body surface pressure was not relieved even if we used body pressure dispersion mattresses in Group Ⅰ. We supposed these results were caused by instability of the physical balance and prominence of the bone by arthrogryposis. To prevent pressure ulcers in people with hard arthrogryposi-s, it is important to measure the body surface pressure in the bone-protruding area and examine the best body position to dispersed surface pressure., これまで関節拘縮を有する寝たきり高齢者の体圧分散についての実態調査がほとんど行われていないため，膝関節に90度以上の屈曲拘縮を有する患者（高度拘縮あり群）6名，90度未満の屈曲拘縮を有する患者（軽度拘縮あり群）4名，拘縮のない患者（拘縮なし群）8名に各種マットレスを使用し，仰臥位・30度側臥位における体支持面積と体圧を測定した．体圧の不均衡さを示す体圧分散指標を算出し，二元配置分散分析を行ったところ，高度拘縮あり群は他の2群よりも体圧分散指標が有意に高く，体圧が集中しやすいことがわかった．さらに，最高体圧部位は後腸骨部が多く，体圧分散マットレスを使用しても除圧できないケースが存在した．これらは身体のバランスの不安定さと，屈曲拘縮による骨突出の悪化などが理由として考えられた．膝関節の拘縮が強い患者には，実際に体圧を測定しながら，体圧が分散される体位を検討していく必要がある．, Article, 富山大学看護学会誌, 第8巻1号, 2008.10., page 41-49},
 pages = {41--49},
 title = {膝関節拘縮を有する寝たきり高齢者の体圧分散の実態},
 volume = {8},
 year = {2008}
}