8．パーキンソン病 理学療法診療ガイドライン

1 8 1 521 2 522 3 523 4 531 5 544 545 553 521 1 Parkinson s disease 50 60 10 100 150

2 L- wearing-off on-off 2002 Hoehn & Yahr H&Y stage I 1966 2001 EBM randomized control trial.

3 RCT 1990 2010 3 522 2 1 1 1) 2 2, 3) 1 2002 KNGF 1) 2003 2) Plant R, Walton G, Ashburn A, et al.

4 : Guidelines for physiotherapy practice in Parkinson s disease. Newcastle, , University of Northumbria, Institute of rehabilitation, 2001. 3) KNGF guidelines for physical therapy in patients with Parkinson s disease. Supplement of the Dutch journal of physiotherapy 114(3), 2004. 2 1) PubMed 2) CINAHL 3) PEDro 4) Cochrane Library 5) 523 3 1-4)

5 1 4 190 1990 2010 3 PubMed CINAHL PEDro Cochrane Database of Systematic Reviews 4 Parkinson disease effect randomized control trial intervention physical therapy training 116 1 Hoehn & Yahr stage 85 unified Parkinson s disease rating scale UPDRS 45 44 36 23 Parkinson s disease questionnaire PDQ-39 17 timed up & go test TUG 15 12 11 Berg balance scale BBS 10 H&Y stage UPDRS TUG BBS PDQ-39 524 1 1990 2010 116

6 1 Hoehn & Yahr stage 85 2 UPDRS 45 3 44 4 36 5 23 6 Parkinson's disease questionnaire PDQ-39 17 7 timed up & go TUG 15 8 12

7 9 11 10 Berg balance scale 10 11 6 8 12 10 m 8 13 8 14 5

8 15 5 16 EuroQol-5D 5 17 Webster rating scale for Parkinsonnian disabilities 4 18 Beck's depression inventory scale 4 19 4 20 4 21 functional independence measure FIM 4 22 hospital anxiety and depression scale HADs 4 23

9 Functional reach 4 24 Nottingham extended activities of daily living index 4 25 falls efficacy scale 4 26 4 27 1 3 28 2