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重度運動麻痺患者の全身持久力を客観的に捉える評価手法の確立

客观评估重度运动麻痹患者全身耐力的评估方法的建立

基本信息

批准号：
16J07949
负责人：
小宅一彰
金额：
$ 1.22万
依托单位：
Shinshu University
依托单位国家：
日本
项目类别：
Grant-in-Aid for JSPS Fellows
财政年份：
2016
资助国家：
日本
起止时间：
2016-04-22 至 2018-03-31
项目状态：
已结题

项目摘要

本年度は、重度運動麻痺を有する脳卒中片麻痺患者の全身持久力を精確に捉える評価手法の確立を目的に、麻痺のない非麻痺側上肢でのエルゴメータ運動中の呼気ガス分析に着目し、その有効性を検討した。対象は、回復期病棟に入院した脳卒中片麻痺患者16名と年齢および性別を合わせた健常成人12名とした。非麻痺側上肢運動中および従来の下肢によるエルゴメータ運動中の呼気ガス分析を行い、運動中の最高酸素摂取量を計測した。検討課題1として、全身持久力評価と下肢運動麻痺の重症度の相関関係を調査した。検討課題2では、脳卒中片麻痺患者と健常成人の全身持久力を比較した。検討課題1では、それぞれの運動中に得られた最高酸素摂取量と下肢運動麻痺の重症度の相関を確認した。結果、非麻痺側上肢運動における最高酸素摂取量は、下肢運動麻痺の重症度と有意な相関を認めなかった(rho = 0.42, p = 0.11)。一方で、下肢運動中の最高酸素摂取量は、下肢運動麻痺と有意な正の相関を示した(rho = 0.78, p < 0.01)。検討課題2では、非麻痺側上肢運動中の最高酸素摂取量は、健常成人に比べ脳卒中片麻痺患者で有意に低値であった(p < 0.01)。また、下肢運動中の最高酸素摂取量は、健常成人に比べ脳卒中片麻痺患者で有意に低値であった(p < 0.01)。したがって、非麻痺側上肢運動による評価は、従来の下肢運動と同様に、健常成人に比べた脳卒中片麻痺患者の全身持久力低下を検出できることが示された。これらの知見より、非麻痺側上肢運動による呼気ガス分析は、運動麻痺の影響を受けずに脳卒中片麻痺患者の全身持久力低下を捉えられる評価手法として有効である可能性が示された。今年度の研究成果は、第51回日本理学療法学術大会および第13回アジア理学療法学会において発表した。これらの発表に基づいた論文は、国際誌へ投稿中である。

In this year's exercise, patients with stroke tablets and leprosy have accurate whole body endurance, correct manipulation, make sure that the purpose is set, and that the upper extremities are not affected. During the exercise, the analysis is focused on the target and the sexual behavior. There were 16 patients with cerebral apoplexy, 12 healthy adults and 12 healthy adults. During the exercise of the upper limbs, the analysis of the upper limbs and the calculation of the amount of the highest acid concentration in the exercise were carried out. Subject 1: the severity of lower limb exercise paralysis is different from that of lower limb exercise anesthesia. The general endurance of healthy adults was compared with that of stroke patients with anaesthesia. During exercise exercise, the highest acid levels were obtained during exercise, and the severity of lower limb exercise anesthesia was confirmed. Results: the highest dose of acid in upper limb exercise and the severity of lower limb exercise in non-anesthesia group were significantly higher than those in control group (rho = 0.42, p = 0.11). In one side, the highest acid concentration in lower limb exercise and lower limb exercise anesthesia were measured (rho = 0.78p & lt; 0.01). Exercise 2, the highest acid intake during upper limb exercise in non-paralyzed children, healthy adults were significantly lower than those in stroke patients (p & lt; 0.01). The highest acid intake during exercise and lower limb exercise was significantly lower in healthy adults than in stroke patients (p & lt;). The upper limb exercise test, the lower limb exercise test, the normal adult test and the stroke tablet leprosy patient showed that the whole body persistence was lower than that of the stroke patients. The patients with stroke and leprosy had poor whole body persistence, and there was a possibility that there was an indication of the possibility of low body persistence in patients with stroke and paralysis. This year's "Research results", the 51st Japan Congress of Science and Law, the 13th meeting of the Society of Science and Law of Science and Law in Japan. Please refer to the list of documents and articles submitted by International and International organizations.