Effects of thermal therapy and the exercise of limbs on the sympathetic nervous function

热疗及肢体锻炼对交感神经功能的影响

• 批准号: 20300197
• 负责人: WATANABE Ichiro
• 金额: $ 10.23万
• 依托单位: Aomori University of Health and Welfare
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (B)
• 财政年份: 2008
• 资助国家: 日本
• 起止时间: 2008 至 2010
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-20300197/
• 关键词: 肩手症候群; 疼痛閾値; 交感神経機能; 理学療法; 運動療法; 物理療法; 交感神経; 末梢循環; 知覚閾値; 脳卒中; 補装具; 末梢神経; 局所発汗

Shoulder hand syndrome was one of the severe complications in stroke patients. The reflex sympathetic dystrophy (RSD) was considered as the pathogenesis of shoulder hand syndrome, but a method of therapy has not been established. We analyzed the changes of sympathetic nervous function induced by thermotherapy of the shoulder and neck, and passive exercise of the paralytic limbs in stroke patients for 5min. <Methods> In 38 stoke patients suffering from shoulder hand syndrome, we monitored continuously the skin temperatures and frequency analysis of heart rates before and after the therapy was applied to shoulder/neck of the paralytic sides, and before and after the passive exercise of the paralytic lower limbs or upper limbs. <Results&Conclusion> The temperature of the paralytic fingers and HF (parasympathetic nervous function) components became significantly higher and heart rate became significantly lower after the thermal therapy. It was thought that the thermal therapy for the paralytic shoulder might reduce the sympathetic nervous function as well as the stellate ganglion block. The temperature of the paralytic fingers was significantly lower just after the passive paralytic arm exercise. It was thought the passive exercise of the paralytic arms might increase the sympathetic nervous function induced by micro injury and the pain of paralytic arms. There was a relationship between the autonomic nervous system and rehabilitation therapy of stroke.

肩手综合征是脑卒中患者的严重并发症之一。反射性交感神经营养不良（RSD）被认为是肩手综合征的发病机制，但治疗方法尚未建立。分析脑卒中患者经肩颈温热疗法和瘫痪肢体被动运动5min后交感神经功能的变化。<Methods>对38例斯托克脑卒中肩手综合征患者进行了患侧肩颈治疗前后及患侧下肢或上肢被动运动前后的皮温和心率频率分析。&lt;结果与结论&gt;热疗后麻痹手指的温度和HF（副交感神经功能）成分明显升高，心率明显降低。认为热疗对麻痹性肩关节的影响可能与星状神经节阻滞有关。麻痹手指的温度在被动麻痹手臂运动后明显降低。认为瘫痪上肢的被动运动可增强微损伤引起的交感神经功能，减轻瘫痪上肢的疼痛。自主神经系统与脑卒中的康复治疗有一定的关系。

项目成果

関節リウマチ治療新時代のリハビリテーション-温泉療法を含む水治療法

类风湿关节炎康复治疗新时代——水疗包括水疗

• 发表时间: 2010
• 期刊: Monthly Book Medical Rehabilitation 121
• 作者: Takahiro Yamanoi;他;渡部一郎;K.Motoi;渡部一郎
• 通讯作者: 渡部一郎

脳卒中肩手症候群に対する星状神経節近傍光線療法の効果

星状神经节附近光疗对中风肩手综合征的影响

• 发表时间: 2009
• 期刊: Biomedical Thermology 28(2)
• 作者: 渡部一郎;須郷麻衣子
• 通讯作者: 須郷麻衣子

The relationship between life style and the health condition in Japanese college students

日本大学生生活方式与健康状况的关系

• 发表时间: 2009
• 期刊: 5th World Congress of the ISPRM(International Society of Physical and Rehabilitation Medicine), Edizioni Minerva Medica
• 作者: T.Watanabe;A. Kon;I.Watanabe
• 通讯作者: I.Watanabe

Thermological analysis of the accelerated photoplethysmography of hemiplegic hands

偏瘫手加速光电体积描记法的热学分析

• 发表时间: 2009
• 期刊: Biomedical Thermology 76
• 作者: Ichiro Watanabe;et al
• 通讯作者: et al

Effects of irradiation of Xenon light to stellate ganglion in stroke patients with shoulder hand syndrome

氙灯照射对脑卒中肩手综合征患者星状神经节的影响

• 发表时间: 2009
• 期刊: Biomedical Thermology 76
• 作者: Ichiro Watanabe;Maiko Sugo
• 通讯作者: Maiko Sugo