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大学・研究所にある論文を検索できる 「EFFICACY OF CATEGORIES IN PHYSICAL THERAPY FOR IMPROVING MOTOR FUNCTION OF PATIENTS WITH STROKE」の論文概要。リケラボ論文検索は、全国の大学リポジトリにある学位論文・教授論文を一括検索できる論文検索サービスです。

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EFFICACY OF CATEGORIES IN PHYSICAL THERAPY FOR IMPROVING MOTOR FUNCTION OF PATIENTS WITH STROKE

Yoshida, Yuichi 吉田, 勇一 ヨシダ, ユウイチ Yanagawa, Takashi 柳川, 堯 ヤナガワ, タカシ 九州大学

2023

概要

The study aims to evaluate the efficacy of each category in physical therapy for improving motor function of patients with stroke, focusing on physical therapy alone. 106 patients who received the str

参考文献

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therapy or five-day a week circuit class therapy. Disability and Rehabilitation, 38(14),

1397–1406.

Bernhardt, J., Dewey, H., Thrift, A., and Donnan, G. (2004). Inactive

and

alone:

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1005–1009.

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of

therapy activities across length of stay and impairment levels: peering inside the

“black box” of inpatient stroke rehabilitation. Archives of Physical Medicine and

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therapy increase physiotherapy time, but not patient activity: early results from the

CIRCIT trial. Stroke, 45(10), 3002–3007.

Jette, D. U., Latham, N. K., Smout, R. J., Gassaway, J., Slavin, M. D., et al. (2005).

Physical therapy interventions for patients with stroke in inpatient rehabilitation

facilities. Physical Therapy, 85(3), 238–248.

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Effectiveness of intensive rehabilitation therapy on functional outcomes after stroke:

Efficacy of categories in physical therapy for improving motor function of patients with stroke

a propensity score analysis based on Japan rehabilitation database. Journal of

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Appendix

Consider causal relationship between Z and Y , where Z is the cause and Y is the effect.

Let X be the third variable.

Definition. X is not a confounder in the relationship of Z → Y if and only if

(i) the relationship of Z → Y does not depend on X = x, and

(ii) X and Y are conditionally independent conditioned on Z, or X and Z are

conditionally independent conditioned on Y .

Proposition 1. Suppose that (X, Y, Z) follows three-dimensional normal distribution. Then ρzx = 0, or ρxy = 0 if X is not a confounder in the Z → Y relationships,

where ρzx and ρxy are Pearson correlation coefficients between X and Z, and X and Y ,

respectively.

Proof. Suppose that X is not a confounder in the Z → Y relationship, then by the

definition the conditional Pearson correlation coefficient between Y and Z conditioned on

X = x, denoted by ρ(y, z|x), does not depend on X = x and X and Y are conditionally

10

Y. Yoshida and T. Yanagawa

independent conditioned on Z, or ρ(y, z|x), does not depend on X = x and X and

Z are conditionally independent conditioned on Y . Since X and Y are conditionally

independent conditioned on Z if and only if ρxy = ρyz ρzx , it follows that

1 − ρ2zx

ρyz − ρxy ρzx

ρ(y, z|x) = √

= ρyz

1 − ρ2yz ρ2zx

(1 − ρ2 )(1 − ρ2 )

xy

zx

Thus, ρ(y, z|x) does not depend on X = x if and only if ρzx = 0. Next, suppose

that ρ(y, z|x), does not depend on X = x and X and Z are conditionally independent

conditioned on Y . Then, similarly as above we may show ρxy = 0. (QED)

The proposition shows that if ρzx ̸= 0 and ρxy ̸= 0, then X is the confounder in the

relationship of Z → Y . Furthermore, we have the following proposition in the context

of regression of Y on Z and X.

Proposition 2. Suppose that (X, Y, Z) follows three-dimensional normal distribution. Then, X and Y are conditionally independent conditioned on Z if and only if

E(Y |z, x) = E(Y |z), where E(Y |z, x) is the conditional expectation of Y given Z = z

and X = x, and E(Y |z) is the conditional expectation of Y given Z = z.

Proof. Let µx , µy and µz be expectations of X, Y and Z, respectively, and σx , σy

and σz be standard deviations of X, Y and Z, Then

σy (ρyz − ρxy ρzx )

σy (ρxy − ρyz ρzx )

(x − µx ) + ( )

(z − µz ),

σx

(1 − ρ2zx )

σz

(1 − ρ2zx )

E(Y |z, x)

µy + (

E(Y |z)

σy

ρyz (z − µz )

σz

Thus, if X and Y are conditionally independent conditioned on Z, that is ρ(x, y|z) =

ρxy − ρzx ρyz = 0, then E(Y |z, x) = E(Y |z). The reverse is trivial. (QED).

Received: February 21, 2023

Revised: March 2, 2023

Accept: March 4, 2023

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