Rising from the bed or supine position: mainly in healthy people and hemiplegic patients with stroke

起き上がり動作は，寝返り動作に次いで最も低い位置から垂直方向（上方）に重心を移す基本的動作であり，障害を有する者や高齢者において，引き続いての立ち上がり動作後の車椅子への移乗，または歩行につながるための重要な動作である．本総説の目的は，起き上がり動作の問題に関する臨床的推論に加えて，著者らの研究で得た知見と他の研究者による知見をまとめ，さらに介入効果についての研究成果を示すことである．起き上がり動作の種類と相について説明した上で，特に健常者と脳卒中片麻痺患者を対象とした起き上がり動作の分析と介入について概観した．セラピストによって，対象者の起き上がり動作について適切に評価され，障害構造が的確に統合・解釈され，有効な介入方法が検討される必要がある．著者らの研究成果を含めたこれまでの知見が臨床で活用されること，起き上がり動作の向上に寄与するさらなる検討がなされることが望まれると考える．Rising from the bed or supine position is a basic motion of shifting the center of gravity in the vertical direction (upward) from the lowest position following a rolling motion, and in persons with disabilities and the elderly, transfer to a wheelchair or walking after standing motion. It is an important operation to connect various motions. The purpose of this review is to summarize the findings of this study and those in the literature, in addition to clinical reasoning about the problem of rising from bed or supine position, and to present research results on the effects of various interventions. After explaining the types and phases of rising from a bed or supine position, we reviewed the analysis and interventions of rise from a bed or supine position, especially for healthy subjects and hemiplegic patients with stroke. Therapists should properly evaluate, accurately integrate, and interpret the disability structure and consider effective intervention methods for the patients to rise from the bed or supine position. Findings so far can be clinically utilized. Further studies should be conducted to contribute to the improvement of rising from a bed or supine position