{"created":"2023-05-15T12:11:36.718228+00:00","id":123,"links":{},"metadata":{"_buckets":{"deposit":"07aba4a3-1730-45c1-9827-3afdf79c0d42"},"_deposit":{"created_by":4,"id":"123","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"123"},"status":"published"},"_oai":{"id":"oai:morinomiya.repo.nii.ac.jp:00000123","sets":["1:18"]},"author_link":["346","349","350","352","351","345","347","348"],"item_10002_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-03-20","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"62","bibliographicPageStart":"45","bibliographicVolumeNumber":"13","bibliographic_titles":[{"bibliographic_title":"森ノ宮医療大学紀要"},{"bibliographic_title":"Bulletin of Morinomiya University of Medical Sciences","bibliographic_titleLang":"en"}]}]},"item_10002_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"関節リウマチは関節滑膜に起きる原因不明の慢性炎症と多発関節炎を来す自己免疫疾患である。抗リウマチ薬の登場により、RA治療は大きく変化したが、依然リハビリテーションは重要であることが2014年の日本のRAガイドラインで報告されている。本論文では、2015年にLambらにより報告された関節リウマチの手に有効なエクササイズプログラムStrengthening and Stretching for Rheumatoid Arthritis of the Hand：SARAHについて紹介する。SARAHエクササイズプログラムは、12週間合計6回の外来訓練で実施可能である。安価で、かつその効果が12カ月維持することがイギリスのNICE（National Institute for Health and Care Excellence）ガイドラインで認められた優れたホームエクササイズプログラムである。SARAH開発の経緯と、SARAHエクササイズプログラムを実施する際の注意点について記載する。日本の作業療法士、理学療法士らセラピストにとって、根拠のある関節リウマチの手に対するリハビリテーション治療の一環として活用していただくことを目的としている。 ","subitem_description_type":"Abstract"},{"subitem_description":"Rheumatoid arthritis(RA) is a chronic autoimmune disease that can cause persistent joint pain and damage. Although the application of non-physical therapies such as disease-modifying antirheumatic drugs(DMARDs) and biological agents has caused a paradigm shift in the treatment of RA, the importance of physical rehabilitation approaches has been strengthened in Japanese guidelines since 2014.\nThis paper introduces an effective hand exercise program called SARAH - Strengthening and Stretching for Rheumatoid Arthritis of the Hand. SARAH is a tailored, progressive treatment program for people with hand problems due to RA which provides 6 sessions in 12 weeks.\nThe effectiveness of SARAH was evaluated and confirmed at 12 months post-treatment in a large clinical trial. Because SARAH was shown to be cost- and clinically effective, it is recommended by the National Institute for Health and Care Excellence(NICE) guidelines in England for people who have hand issues due to rheumatoid arthritis. The aim of this paper is to promote the SARAH exercise program to the therapists so that SARAH can be successfully implemented in Japan.","subitem_description_type":"Abstract"}]},"item_10002_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"森ノ宮医療大学 紀要編集部会"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"中村, めぐみ"},{"creatorName":"ナカムラ, メグミ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"345","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"谷村, 浩子"},{"creatorName":"タニムラ, ヒロコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"346","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"荒木, 泰子"},{"creatorName":"アラキ, ヤスコ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"347","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"佐浦, 隆一"},{"creatorName":"サウラ, リュウイチ","creatorNameLang":"ja-Kana"}],"nameIdentifiers":[{"nameIdentifier":"348","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Nakamura, Megumi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"349","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Tanimura, Hiroko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"350","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Araki, Yasuko","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"351","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Saura, Ryuichi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"352","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-03-18"}],"displaytype":"detail","filename":"bmumss_13_45-62.pdf","filesize":[{"value":"9.0 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"bmumss_13_45-62.pdf","url":"https://morinomiya.repo.nii.ac.jp/record/123/files/bmumss_13_45-62.pdf"},"version_id":"01330880-f67f-4d36-bfdd-ba6217b6e642"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"関節リウマチ","subitem_subject_scheme":"Other"},{"subitem_subject":"ハンドエクササイズ","subitem_subject_scheme":"Other"},{"subitem_subject":"SARAHエクササイズプログラム","subitem_subject_scheme":"Other"},{"subitem_subject":"NICEガイドライン","subitem_subject_scheme":"Other"},{"subitem_subject":"リハビリテーション","subitem_subject_scheme":"Other"},{"subitem_subject":"Rheumatoid arthritis","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"SARAH exercise program","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"hand exercise","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"NICE guidelines","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Rehabilitation","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"関節リウマチの手に効果的なハンドエクササイズプログラムStrengthening and Stretching for Rheumatoid Arthritis of the Hand（SARAH）の紹介─セラピストによる活用にむけて─","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"関節リウマチの手に効果的なハンドエクササイズプログラムStrengthening and Stretching for Rheumatoid Arthritis of the Hand（SARAH）の紹介─セラピストによる活用にむけて─"},{"subitem_title":"The introduction of the effective hand exercise for Rheumatoid Arthritis：Strengthening and Stretching for Rheumatoid Arthritis of the Hand（SARAH）.The implementation process for therapists.","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"4","path":["18"],"pubdate":{"attribute_name":"公開日","attribute_value":"2019-03-20"},"publish_date":"2019-03-20","publish_status":"0","recid":"123","relation_version_is_last":true,"title":["関節リウマチの手に効果的なハンドエクササイズプログラムStrengthening and Stretching for Rheumatoid Arthritis of the Hand（SARAH）の紹介─セラピストによる活用にむけて─"],"weko_creator_id":"4","weko_shared_id":4},"updated":"2023-05-15T12:19:03.585664+00:00"}