Evaluation of the nutritional condition and the physical fitness of the stroke rehabilitation patients and the hemodialyzed renal failure patients, and exercise therapy for the improvement of their ADL and QOL

脑卒中康复患者和血液透析肾功能衰竭患者的营养状况和体质评估及运动疗法改善其ADL和QOL

基本信息

  • 批准号:
    11835016
  • 负责人:
  • 金额:
    $ 2.37万
  • 依托单位:
  • 依托单位国家:
    日本
  • 项目类别:
    Grant-in-Aid for Scientific Research (C)
  • 财政年份:
    1999
  • 资助国家:
    日本
  • 起止时间:
    1999 至 2000
  • 项目状态:
    已结题

项目摘要

Not only the impairment level but also the nutritional condition, and in addition, the physical fitness should be considered at the approach to rehabilitation, inclusive of ADL and QOL, of stroke patients and/or hemodialyzed patients caused by renal failure. Though the latter two factors also influence the rehabilitation goal, few people might pay attention to this fact.Because of their few consent, data on the nutritional condition have been few and inadequate to analyze. However, some analyses of the physical fitness of patients were performed.The improvement of the oxygen deficit and the τon, the significant increase of peak-V^^< >O2 and max-WR, and the gnificant decrease of ΔV^^< >O2/Δ WR were attained after the endurance exercise at the anaerobic threshold for 8 weeks. These data also indicated that exercise testing by a ramp test combined with a steady rate exercise stress test are useful to evaluate the physical fitness. Next, the characteristics of the physical fitness of patients with spinal cord injury were revealed by the exercise testing using the handergometer.Regarding the renal failure patients, few data were obtained. This reason seemed to be that most of the patients would not like the exercise training for lack of the motivation to the improvement of their poor health condition. As one of the studies, the endotoxine-filter was applied in the dializer to prevent some of the complications caused by hemodyalysis. This trial was effective, and might be useful for bringing the better outcome. Few data of the maximal V^^< >O2 and the blood chemical analysis were briefly summarized. The farther research will be continued.
对脑卒中和/或肾功能衰竭血液透析患者进行康复治疗时,不仅要考虑患者的损伤程度,还要考虑患者的营养状况,同时还要考虑患者的体能状况,包括ADL和QOL。虽然后两个因素也影响康复目标,但很少有人注意到这一事实,因为他们很少同意,营养状况的数据很少,分析不足。结果表明,无氧阈下耐力运动8周后,氧亏度和τon明显改善,最大V^^O2和max-WR明显增加,Δ V^^O2/Δ WR明显降低。这些数据还表明,通过坡道试验结合恒定速率运动负荷试验的运动测试是有用的,以评估身体素质。其次,通过使用手力计的运动试验,揭示了脊髓损伤患者的身体素质特征,但关于肾功能衰竭患者,获得的数据很少。这似乎是因为大多数患者缺乏改善其不良健康状况的动力,不喜欢运动训练。作为研究之一,将内毒素过滤器应用于透析器中,以预防血液透析引起的一些并发症。这次试验是有效的,可能有助于带来更好的结果。最大V^^< >O2和血液化学分析的一些数据进行了简要总结。进一步的研究将继续进行。

项目成果

期刊论文数量(6)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
傳秋光: "呼気ガス分析を併用した運動負荷試験による脊髄損傷リハビリテーション患者の体力評価"神戸大学医学部保健学科紀要. 15. 29-39 (1999)
Akimitsu Den:“通过运动压力测试结合呼出气体分析评估脊髓损伤康复患者的身体素质”神户大学医学院健康科学系通报15. 29-39(1999)。
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    0
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TSUTOU,Akimitsu: "Physical fitness of male patients with spinal cord injury evaluated by a handergometer"KOBE DAIGAKU IGAKUBU HOKENGAKKA KIYOU. VOLUME 15. 29-39 (1999)
TSUTOU,Akimitsu:“通过手力计评估男性脊髓损伤患者的身体素质”KOBE DAIGAKU IGAKUBU HOKENGAKKA KIYOU。
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    0
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KATO,Junichi: "Oxygen deficit and exercise efficiency of stroke hemiplegic patients during the exercise testing"THE JAPANESE JOURNAL OF REHABILITATION MEDICINE. VOLUME 37-NUMBER 11. 738-738 (2000)
加藤淳一:“中风偏瘫患者运动试验中的缺氧与运动效率”日本康复医学杂志。
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    0
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加藤順一: "脳卒中片麻痺患者における運動負荷時酸素摂取応答と運動効率に関する検討"リハビリテーション医学. 37. 738-738 (2000)
加藤纯一:“中风偏瘫患者运动应激时摄氧反应和运动效率的研究”康复医学37. 738-738(2000)。
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    0
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加藤順一: "脳卒中片麻痺患者における運動負荷時酸素摂取応答と運動効率に関する検討"リハビリテーション医学. 37巻11号. 738-738 (2000)
加藤淳一:“中风偏瘫患者运动应激时的摄氧反应和运动效率的研究”《康复医学》第37卷,第11期。738-738(2000)。
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