背景與目的：近幾年台灣居家物理淆療腺務需求因緣「長_彌顧十年計劃」的锥爾师有所發辰,*本 研究目的是調查接受長期照顧十年計劃之居家物理治療服務個案狀況■■並且進一__估居考翁理 渚療成效'。方法：調查研究對象來自民國100年期間_雄市長照:中也照管專賃雄芾物理治= 療師公會長照團隊接受居家物理涪療個案'並以至少接受完成:六次埸上居家物理胬療値案逢翁成 效評估•<>結果：100年度接受居家物理治療個案共計221位，其中141 _少餐受六次以上居_ 理治療並且完成治療前後成效評量。雜用德暫t檢定拒關個案巴氏量表(徽評：27.9±29.9 ；複評 36.5±33.5 ; p<.05_)與Motricity)窶表下肢主要肌.肉群觀衷^得負#1比較（46.4±.27.4 vs. 55:6±29.3， p<.05) >統計上皆呈現顯著差異。观量簡曷無伯格填平衡量表:ft分和_案5公$5走_能力’ _ 療前後並未達統計上顯著差異。結論：現行「長期照顧十年計剷」給予六次以上居象物理治療對於 改善個案日常生活功能和增進下肢主要肌肉群肌力有所助益。臨床意義：逭些結果初步可以提供 後續推動_「長期照顧十年計劃」居家物理治療政策施行的參考\"(物理治療2012;37(4):329-337 )

Background and Purpose: The need of home physical therapy services has been rising during recent years with the endorsement of the Ten-Year Plan for Long-term Care. This study aimed to investigate the condition for the clients using the home physical therapy services provided by the Ten-Year Plan for Long-term Care project and evaluate the effects of home physical therapy. Methods: All subjects who had been referred by the care managers of the Kaohsiung Long-Term Care Resource Management Center to the Long-Term Care Team of Society of Kaohsiung Physical Therapist were received at least 6 times of the home physical therapy services during 2011. Results: During 2011，there were 221 clients received home physical therapy for at least 6 times. Only 141 of the clients had completed both assessments before the commencement and after the completion of physical therapy services. Paired t-test was used to determine the difference between the first and final assessments in activities of daily living (ADL) function (Barthel Index, BI), balance performance (short form Berg Balance Scale), muscle strength (Motricity Index, MI) and walking velocity (timed 5-meter walking test). Significant improvement was found in both ADL function (BI: 27.9±29.9 vs. 36.5±33.5,p<.01) and muscle strength of lower extremity (MI: 46.4±27.4 vs. 55.6±29.3,芦<.01)，but not in the balance performance or walking speed. Conclusion: Six times or more home physical therapy provided by the current Ten-Year Plan for Long-term Care project is effective in improving ADL and muscle strength of lower limb. Clinical implications: The preliminary finding can provide insights into issues related to home physical therapy services provision in the future project planning. (FJPT 2012;37(4):329-337)