Effects of under-water therapeutic exercise on middle, old-aged patients with lumbago, arthropathy and osteopenia

水下治疗运动对中老年腰痛、关节病、骨质减少患者的影响

• 批准号: 09680117
• 负责人: AKAMINE Takuya
• 金额: $ 1.66万
• 依托单位: National Institute of Fitness and Sports in Kanoya
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 1997
• 资助国家: 日本
• 起止时间: 1997 至 1999
• 项目状态: 已结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-09680117/
• 关键词: under-water exercise; limbago; osteopenia; osteoarthrosis; rtheumatoid arthritis; bone mineral density; water-flow machine; therapeutic exercise; 変形性膝関節症; 水泳

We investigated the effects of under-water therapeutic exercise in a temperature-adjusted pool on middle and the aged patients in the field of orthopaedic surgery. The exercise in water was enforced as university extension lectures.The objects (n=100) were 30 lumbago (average 48.0 years old), 19 osteoarthrosis on lower extremities (average 49.9 years), 15 rheumatoid arthritis (average 48.0 years), 10 osteopenia (average 56.3 years) patients, and another 26 lumbago and/or osteoarthrosis patients (average 56.6 years) trained with use of water-flow machine. The extension lectures were made up of fundamental disease education, fundamental under-water exercise, teaching to swim and free swimming. The lectures had been given twice a week for average 5.2 months. Various examinations were done before and after the lectures.In the group of lumbago and osteoarthrosis on lower extremities, the obesity function of respiration and circulation, elasticity of a trunk and lower extremities, muscle pow … More er around a knee and the Japan Orthopaedics Association judgement score improved significantly (p<0.05) after the under-water exercise period. Further in the group of rheumatoid arthritis, elasticity of a trunk and lower extremities, muscle power around a knee, the score of Lansbury index, Japan Orthopaedics Association judgement score to a rheumatoid knee and result of face scale (psychological test) improved significantly after under-water therapeutic exercise. A decrease of bone mineral density in lumbar spine (LィイD22〜4ィエD2) had been suppressed for the exercise period. Use of water-flow machine in the group of lumbago and/or osteoarthrosis on knees significantly heightened improvement effects on obesity, function of respiration and circulation, power around a knee, lumbago and a knee symptom and a decline of free fatty acid in blood.Under-water therapeutic exercise with buoyancy and resistance in a temperature-adjusted pool is effective remarkably to patients with mentioned diseases in orthopaedic field. Less

目的：探讨在恒温游泳池中进行水下康复训练对中老年骨科手术患者的康复效果。水中运动作为大学拓展课实施，对象为30名腰痛患者（n=100）平均48.0岁，下肢骨关节病19例（平均49.9岁），15例类风湿性关节炎（平均48.0岁），10例骨质减少26例腰痛和/或骨关节病患者（平均56.6岁）接受了水流机的使用训练。推广讲座由基础疾病教育、基础水下运动、游泳教学和自由泳教学组成。每周授课两次，平均授课时间为5.2个月。分别于授课前后进行各项检查，对肥胖性腰痛及下肢骨关节病组的呼吸循环功能、躯干及下肢弹性、肌力、运动功能、运动 ...更多信息 在水下运动期后，膝关节周围的ER和日本骨科协会的判断评分显著改善（p<0.05）。此外，在类风湿性关节炎组中，躯干和下肢的弹性、膝关节周围的肌肉力量、Lansbury指数的得分、日本骨科协会对类风湿性膝关节的判断得分和面部量表（心理测试）的结果在水下治疗运动后显著改善。运动期间，腰椎（LイD22〜4 D2）骨密度的降低得到了抑制。水流机对膝关节腰痛和/或骨关节病组的肥胖、呼吸循环功能、膝关节周围力量、腰痛和膝关节症状及血中游离脂肪酸下降有明显改善作用，在恒温水池中进行浮力和阻力水下治疗锻炼对上述疾病的骨科患者有显著疗效。少

项目成果

赤嶺卓哉: "慢性関節リウマチ症例に対する温水プールを用いた水中運動の効果-上肢筋電図の検討を含めて-"日本温泉気候物理医学会雑誌. 62・4. 193-200 (1999)

Takuy​​a Akamine：“使用温水池进行水下运动对类风湿性关节炎患者的影响 - 包括上肢肌电图的研究 -”日本温泉气候学和物理医学学会杂志 62・4（1999）。

赤嶺卓哉: "腰痛例に対する水流発生装置を用いた水中運動療法の効果について" 月刊スクール・サイエンス. 31・286. 81-85 (1998)

Takuy​​a Akamine：“使用水流发生器进行水下运动疗法治疗腰痛的效果”《学校科学月刊》31・286（1998）。

Takuya Akamine: "Effects of under-water therapeutic exercise on rheumatoid arthritis patients. -Including the electromyographic observation of upper extremities-"The Journal of the Japanese Orthopaedic Association. 71. S360 (1997)

赤峰卓也：“水下治疗运动对类风湿性关节炎患者的影响。-包括上肢肌电图观察-”日本骨科协会杂志。

Takuya Akamine: "Under-water therapeutic exercise for middle and the aged patients in orthopaedic surgery."Journal of Sport Medical Science in Kyusyu. 10. 91-94 (1998)

赤岭卓也：“骨科手术中老年患者的水下治疗运动。”九州运动医学杂志。

赤嶺卓哉: "腰痛・変形性膝関節症例に及ぼす水流発生装置を用いた水中運動療法の影響"関節外科. 18・8. 967-973 (1999)

Takuy​​a Akamine：“使用水流发生器的水下运动疗法对腰痛和膝骨关节炎病例的影响”关节外科18・8（1999）。