Age-related differences in the effect of weight bearing on the rat soleus muscle subjected to hindlimb suspension

取得学位 : 博士（保健学）, 学位授与番号 : 医博甲第1724号, 学位授与年月日 : 平成17年9月30日, 学位授与大学 : 金沢大学, 主査 : 立野 勝彦, 副査 :細 正博, 染矢 富士

Physical Health of Mothers of Children with Hearing Loss

Parents, particularly mothers, of children with disabilities often experience mental stress. Various interventions have been used to reduce stress and increase support. As regular physical activity/exercise is beneficial for various health conditions, it could reduce stress in mothers. The purpose of this study was to clarify the physical health status of mothers of children with hearing loss. Participants were 10 mothers of children with hearing loss (mean age: mothers: 36.7 ± 3.3 years). Participants’ muscle strength, muscle endurance, flexibility, agility, and exercise tolerance were tested. Step counts were recorded using a triaxial accelerometer and amount of activity time was measured using metabolic equivalents (METs). Time spent on moderate-to-vigorous physical activity (MVPA) ≥3.0 METs per day was assessed. Standing posture was determined using a photographic lateral view and classified according to Kendall’s posture types. Participants’ performance was compared with the national average for similar-aged women. There was no significant difference in muscle strength, muscle endurance, flexibility, and exercise tolerance. However, participants’ agility (p = 0.013) and number of daily steps (4,913 ± 1,414; p = 0.006) were significantly lower. MVPA time was 49.6 ± 22.8 minutes per day, 44.9 minutes of which were MVPA ≥3.0 METs. Some mothers exhibited a kyphotic posture, and most complained of shoulder stiffness and low back pain. The physical fitness of mothers of children with hearing loss was the same as the national average. Mothers should maintain their physical health by participating in more vigorous daily physical activity and increasing their awareness of posture.アジアヒューマンサービス学会の許可を得て登

Key function for obstacle crossing in hemiplegic persons with varied degrees of spasticity

金沢大学医薬保健研究域保健学系[Purpose] To evaluate various key functions related to obstacle crossing motions in hemiplegic people based on the paralysis degree. [Subjects and Methods] Thirty-seven patients with maintenance-stage hemiplegia who could independently ambulate outdoors were included. Subjects’ crossing movements were measured using obstacles with heights of 10%, 20%, and 30% of the trochanter length. The relationship among maximal crossing height and isometric knee extension muscle strength, one leg standing time, Trunk Impairment Scale score, disease duration, and subject age was examined, as was the target variable of maximum crossing height and the top four measurement items, to determine the explanatory variables. The participants were grouped based on Brunnstrom Recovery Stages III–IV (severe spasticity) and V–VI (mild spasticity). [Results] The explanatory variables were the Trunk Impairment Scale in the severe spasticity group and unaffected side-knee extension muscle strength in the mild spasticity group (contribution rates: 75.6% and 21.0%, respectively). [Conclusion] Trunk function in the severe spasticity group majorly contributed to crossing obstacles. Furthermore, knee extension muscle strength on the unaffected side in the mild spasticity group moderately contributed to crossing obstacles. Selecting and implementing a physical therapy routine that is aimed at improving function, depending on the severity of paralysis, is necessary. © 2017 The Society of Physical Therapy Science. Published by IPEC Inc.出版者照会後に全文公

Changes in thickness of the transversus abdominis during the abdominal drawing-in manoeuvre and expiratory muscle training in elderly people

金沢大学医薬保健研究域保健学系[Purpose] It has been reported that exercises focusing upon the transversus abdominis (TrA) ameliorate low back pain (LBP). We investigated whether expiratory muscle training (EMT) can promote activity of the TrA to the same degree as the abdominal drawing-in manoeuvre (ADIM) in elderly individuals. [Subjects and Methods] Twenty-one elderly subjects (9 males, 12 females; mean age, 84.9 ± 6.6 years) without LBP symptoms were included. Using ultrasound imaging we measured changes in thickness of the lateral abdominal muscles, TrA, internal oblique muscle (IO), and external oblique muscle (EO) during ADIM and EMT. The load in EMT was set to 15% of maximal expiratory pressure. [Results] TrA showed a significant increase in muscle thickness during ADIM and EMT compared with at rest. A significant increase in muscle thickness was noted for EMT in comparison with ADIM. No significant differences were found for IO and EO. [Conclusion] In elderly people, EMT may be an effective alternative to ADIM for promoting activity of the TrA and can be used as an exercise to maintain TrA function. © 2018 The Society of Physical Therapy Science.出版者照会後に全文公

A foot-care program to facilitate self-care by the elderly: A non-randomized intervention study UMIN000029632 UMIN

金沢大学医薬保健研究域保健学系Objective: We aimed to evaluate a foot-care awareness program designed to improve foot morphology, physical functioning, and fall prevention among the community-dwelling elderly. Eleven independent community-dwelling elderly women (aged 61-83 years) were provided with foot-care advice and shown effective foot-care techniques to perform regularly for 6 months, and compared with a control group of 10 elderly women who did not receive any intervention. Measurements of foot form, functional capacity, subjective foot movement, and physical function were taken at baseline and 6-month follow-up. Results: At follow-up, improvements were seen in the intervention group in foot morphology, subjective foot movement, foot pressure, and balance. In the intervention group, 90% of women had maintained or improved foot form and none of them had fallen during the post-intervention period, compared to the control group where 30% improved foot form (p = 0.0075) and four (40%) of them had fallen. Therefore, a foot-care program may have the potential to prevent falls and improve mobility among the elderly. Trial Registration UMIN-CTR No. UMIN000029632. Date of Registration: October 19, 2017 © 2017 The Author(s)

理学療法的手法を用いた積極的リラクセーションの効果の検証

私たち理学療法士が用いる呼吸介助法は、対象者の呼気相に合わせて胸郭運動を徒手的に介助する手法である。今回の研究において、呼吸介助法のリラクセーション効果を検討した。仰臥位で呼吸介助法を実施中、対象者の交感神経活動は安静時とほぼ同様の値をとり、酸素摂取量が減少することを確認した。対照的に深呼吸の場合、交感神経活動は亢進し、酸素摂取量が減少した。呼吸介助法は、手術後など対象者の身体的負荷を避けたい状況下でリラクセーションを促す際に有用と考える。Breathing assist is a physical therapy technique that consists of manual assistance to the chest wall in time with the expiratory phase. Our study showed that it decreased oxygen consumption without increasing sympathetic nerve activity. In contrast, deep breathing, which is a popular method for relaxation, also decreased oxygen consumption but increased sympathetic nerve activity. Breathing assist can be used as a form of relaxation for clients under stressful and painful conditions such as the postoperative state.研究課題/領域番号:22500453, 研究期間(年度):2010-201

Streptococcus bovis discitis and possible endocarditis.

金沢大学附属病院 リウマチ・膠原病・腎臓内