ID 113128
タイトル別表記
Effects of intervention with lying hip raise exercises to prevent disuse muscle atrophy in post-stroke patients
著者
髙田, 信二郎 徳島大学
近藤, 裕子 徳島大学
キーワード
effects of intervention
acute post-stroke period
lower extremity muscle
prevent disuse muscle atrophy
hip raise exercises
資料タイプ
学術雑誌論文
抄録
The present study measured lower extremity muscle mass using DXA (Dual energy X-ray Absorptiometry) in order to verify the effectiveness of intervention with a series of movements, including lying hip raise exercise with bent knees pointing upwards, among bedridden patients with post-stroke hemiplegia in the acute post-stroke period. Subjects in the intervention group were required to perform 10 repetitions of a series of back-lying exercises once a day with researchers, in addition to the exercises performed by those in a control group. The first measurement of muscle mass was conducted at three to five days after onset, and the second measurement was conducted seven days after the first. Muscle mass in the lower extremities was reduced by approximately 600g (decrease rate : 9%)on the paralyzed side and by 280g on the non-paralyzed side(decrease rate: 5%)in one week in the Brunnstrom stage ≤ II subgroup(site of measurement : lower extremities) (n=8) of the control group (n=23). The decrease in muscle mass in the Brunnstrom stage ≤ II subgroup (n=4) of the intervention group (n=15) was approximately 260g on the paralyzed side (decrease rate : 5%) and approximately 280g (decrease rate : 5%)on the non-paralyzed side. Thus, muscle mass decreased on both sides, and this occurred regardless of degree of paralysis. Comparison of the Brunnstrom stage ≥ III subgroups between the control and intervention groups also confirmed that the decease in muscle mass was smaller in the latter group. Thus, it was confirmed that back-lying exercises combining lower extremity movements, including hip raises with bent knees pointing upwards, prevented the decrease in lower extremity muscle mass on the paralyzed side in post-stroke patients. The present study also suggests that these exercise movements can be applied to preventive care for bedridden patients with other severe diseases.
掲載誌名
The Journal of Nursing Investigation
ISSN
13483722
24342238
cat書誌ID
AA11937122
出版者
徳島大学医学部
5
2
開始ページ
53
終了ページ
58
並び順
53
発行日
2007-02-28
EDB ID
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
医学系
病院