[Purpose] The present study aimed to quantitatively evaluate and characterize the physical activities of people with Parkinson’s disease (PD) receiving nursing care at home, as well as to clarify the factors that affect the amount of physical activity and the ability of people with PD to perform activities. [Subjects] Nine PD patients participated in this study. [Methods] The physical activities of subjects were measured over a 24-h period using an accelerometer and an activity meter simultaneously. [Results] The average total impulse value of PD patients was approximately equal to that of elderly people, and was lower than that of young adults reported in other studies. Over the 24-h study period, PD patients spent 43.6% of the time in a sitting position. Patients with milder PD were more physically active, had higher activities of daily living, had better balance ability in a standing position, were able to stand for longer periods, and showed more frequent posture changes; however, their frequency of falls tended to increase. [Conclusion] To increase physical activities and prevent falls among home-bound PD patients, it is important to practice standing balance and walking exercises.
（在宅パーキンソン病（PD）患者の身体活動を定量的に評価し、その特徴を明らかにするとともに、身体活動量および活動能力に影響を与える要因を検討したその結果、PD患者の平均力積値は高齢者とほぼ同等であり、先行研究で報告されている若年成人の総力積値よりも低かった。24時間の調査期間中、PD患者は43.6％の時間を座位で過ごした。軽度のPD患者は身体活動が活発で、日常生活動作が高く、立位でのバランス能力が高く、長時間立っていることができ、姿勢の変化が頻繁に見られたが、転倒の頻度は増加する傾向があった。
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pp.509-513
HIDEYUKI NAKAE, HITOSHI TSUSHIMA
