��R��Ƃ́H

��R��Ƃ�
�@�^��ǌ�Q�F��R��e�B�u�V��h��[��̗��ł��B

��R��G�^��ǌ�Q�F��R��e�B�u�@�V��h��[��ilocomotive syndrome�j�Ƃ�
�u�^��̏�Q�v�ɂ��u�v��ɂȂ�v��X�N�̍��ԂɂȂ邱�Ƃł��B
��{��`�O�Ȋw��A�Q�O�O�V�N�i��P�X�N�j�ɁA�V��ɒ񏥂��܂��B�u��R��v�̒񏥂ɂ́A�u�l�Ԃ͉^��Ɏx��Đ��Ă��B�^��̌��N�ɂ́A��w�I�]��Ƒ΍􂪏d�v�ł��Ƃ��Ƃ��X�ӎ��Ăق��v�Ƃ��b�Z�[�W��߂��Ă��܂��B

��R��̌��
�u�^��̏�Q�v�̌��ɂ́A�傫��āA�u�^��펩�̂̎��v�ƁA�u��ɂ��^��@�\�s�S�v��܂��B

�P�j�^��펩�̂̎��i�؍��i�^��n�j
��ɔ��A�l�X�ȉ^��펾��B��Ƃ��Εό`��֐ߏǁA��e頏ǂɔ��~�w�A�Ս��ܐ��A�ό`��ҒŏǁA�Ғ��ǋ��ǂȂǁB��邢�͊֐߃��E�}�`�Ȃǂł́A�ɂ݁A�֐߉��搧��A�ؗ͒ቺ�A��ჁA��܁A�z��Ȃǂɂ��A�o��X�\�́A�̗́A�ړ��\�͂̒ቺ��܂��B

�Q�j��ɂ��^��@�\�s�S
��ɂ��A�g�̋@�\�͐��܂��B�ؗ͒ቺ�A��v�͒ቺ�A��ԉ��A�^��x�̒ቺ�A�I�k��ቺ�A�[��o�ቺ�A�o��X�\�͒ቺ�Ȃǂ��܂��B�u��v�ȂǂŁA�^��s��ɂȂ�ƁA��́u�ؗ́v��u�o��X�\�͂̒ቺ�v�ȂǂƁA��܂�A�u�^��@�\�̒ቺ�v��N��A�e�Ղɓ]�|��₷��Ȃ�܂��B�@

��R��͍��a�ł��B
�ό`��֐ߏǂƁA��e頏ǂɌ��Ă��A��v��Ґ��4700��l�i�j��2100��l�A��2600��l�j�Ƃ��Ă��܂��B��R��͂܂��a�Ƃ��Ă悢�ł��傤�B�g��T�q2009�N

��R��́A�u�˂��v��u�v��v�̎�v�Ȍ��ł��B
��R��́A�u��^�{�v��u�F�m�ǁv�ƕ��сA�u��N��̒Z�k�v�A�u�˂��v��ԁv�̂R��v��̂ЂƂɂȂ��Ă��܂��B
��̕��́A��́u��v��u�^��s��v�ɔ���A�u�g�̋@�\�̒ቺ�v��A�u�^��펾��v�ɂ��ɂ݂�A�Ս��ܐ��i�y��ȊO��ɂ�鍜�܁j�ȂǁA��l�ȗv��܂��āA���u��̘A��v�ɂ��A�o��X�\�́A�̗́A�ړ��\�͂̒ቺ��A��ɂ́A��ĕ��A�ߕ��̒��E��A�g�C��ȂǁA�Œ��̓��퐶��(ADL)��A��čs��Ȃ��Ȃ�A�u��N��̒Z�k�v�A��A�p�p�ǌ�Q��A�Q��Ȃǂ��u�v��ԁv�ɂȂ��Ă��܂��B

��^�{�ƃ��R��
��^�{�F��^�{��b�N�V��h��[��́A�S��]��ǂȂǂ��u��̕a�C�v�Łu��N��v��Z��Ȃ��u�v��ԁv�ɂȂ�̂ɑ΂��A��R��F��R��e�B�u�V��h��[��ł́A�u�^��̏�Q�v��ł��܂��B�u��R��v�Ɓu��^�{�v��u�F�m�ǁv��A��Ƃ��񍐂��܂��i�g��T�q2009�N�j�B��҂�total health�̊ϓ_��́A��L��Ή��􂪕K�v�ł��B�N��āA�Q��A�s��ɂȂ��āA�v��ƂȂ邱�Ƃ͂ł��邾��̂ł��B��́u��N��̉��L�v�A�u��@�\�ቺ�̖h�~�v�ɂ́A�\�h�A��E��d�v�ł��B

��R��e�B�u�FLocomotive
�u�^��́v�Ƃ��Ӗ��ł��B�u�@�֎ԁv�Ƃ��Ӗ��܂��B�\��I�ȈӖ��t�ŁA�u�^��v�͍L��u�l�̌��N�̍��ł��v�Ƃ��l��w�i�Ƃ��A�u�N��v�ɔے�I�ȃC��[�W��܂Ȃ��Ƃ��K�v��ƍl��āA�I�񂾂��̂ł��B

�^��ilocomotive organs�j�Ƃ�
�^��Ƃ́A��E�֐߁E�ՑсA�ҒŁE�Ґ��A�ؓ��E�F�A��_�o�ȂǁA�̂��x��(�x��)�A��(�^��E�ړ�)��튯�̑��̂ł��B

�`�c�k�i�G�[�f�B�[�G��jActivities of Daily Living�@��퐶��
��퐶��𑗂�̂Ɂu�Œ��K�v�ȁA��I�ȓ��v�̂��Ƃł��B�Ⴆ�΁C�Q�N��ړ��C�g�C��C�H��C��ւ��Ȃǂł��B�`�̓A�N�e�B�r�e�B�[�iactivity�j�œ��C�c�k�̓f�C��[��r��O(daily living)�œ��퐶��̈Ӗ��B��󂷂�΁C�u��퐶��̂��낢��ȓ��v�ł��B��҂��Q�҂̐g�̔\�͂�A��Q�̒��x��͂��A�d�v�Ȏw�W�ƂȂ��Ă��܂��B��ی��x�ł́A��̓��A�u�ł��A�ł��Ȃ��v�Œ��C��̌��ʂŁC��̐l�ɕK�v�ȉ�샌�x��߂Ă��܂��B��퐶��삪��Ă��̂ŁC�u�ʏ�̓��퐶��v��ƌ��ꍇ��܂��u�ʏ�̓��퐶��v�ł͂Ȃ��A��܂��u��퐶��𑗂邽�߂̍Œ��̓��v��w��Ă��܂��B

�v��̌��
�v��ɂȂ闝�R�͔]��i29��j�A�V��i15��j�A�F�m�ǁi13��j�A��܁E�]�|�i11��j�A�֐ߎ��i9��j�Ȃǂł��B
�v�x��̌��
��A�v�x��͘V��i22��j�A�֐ߎ��i18��j�A�]��i12��j�A��܁E�]�|�i11��j�A�S��a�i7��j�Ȃǂł��B
�i��16�N�x��J�ȍ��b��j

��N��Ƃ́i�v�g�n�F�Q�O�O�O�N�j
��N�œ��I�Ɂu��K�v�Ƃ��Ȃ��v�ŁA�u��ł��v��Ԃ̂��Ƃł��B��ώ��Z��B��ώ��(��ł��Ȃ�)��N��ɂȂ�܂��B��{�l�́u��N��v�́A�j��72.3�΁A��77.7�΁A�S�̂�75.0�΂ł��A��E��ʂł��B�i�v�g�n�F�Q�O�O�S�N�j

�p�p�ǌ�Q
�u��Ï�ԁv��A�u��ɑ��v��ɂ��ċN��A�S�g�̂��܂��܂ȁu�@�\�̒ቺ�v��w��܂��B�؈ޏk�A�֐ߍS�k�A��ጁA��e頏ǁA�N��ጌ��A��_�I��ǁA��؏�Q�i�֔�E�A�֎��ցj�Ȃǂ��N��܂��B

�u��R��F�^��ǌ�Q�v�Ɓu�^��s��ǁv�̂��
�u�^��s��ǁv�́A���u�]�|��X�N��܂��A�^��펾��v�Ƃ��܂��B��̓I�ɂ́A65�Έȏ�ł��邱�ƁA�^��@�\�ቺ��i�܂��͂��̊��j��݂��邱�ƁA��퐶��x��肪�A��NJ�܂��A�ł��邱�ƁA�^��@�\�]��e�X�g�̍��ڂ𖞂��ƁA��ł��B�f�f��́A�^��s��ǂƂ��Q�Ƃ��B

�u��R��F�^��ǌ�Q�v�́A��L��T�O�ł��B�u�^��̋@�\�s�S�v�݂̂Ȃ炸�A�u�v��샊�X�N�v��܂��Ԃ��܂��B��Ƃ��΁u�K�i��̂Ɏ肷�肪�K�v�ł��A�x��Ȃ��ɂ͈֎q��痧��オ��Ȃ��A15��炢��ĕ��Ȃ��A�]�|�ւ̕s��傫��A��1�N�Ԃœ]�񂾂��Ƃ��A�Б��ŌC��͂��Ȃ��A��f��M��œn�肫��Ȃ��A�Ƃ̂Ȃ��ł܂��芊��肷��v�ꍇ�Ȃǂ��܂܂�܂��B

�Q�l��
�^��s��ǂƂ��F��{�Տ��`�O�Ȋw��
��R��e�B�u�V��h��[��ĉ��H�@��f�B�J��2009�N3��

2009.11.12�@�L��񋟁@ ��{�Տ��`�O�Ȋw��@

���R���Ƃ́H

��R��Ƃ́H