重症下肢虚血を呈す末梢動脈疾患患者へのB-SESを用いたブリッジ療法
〔目的〕Fontaine分類IV度の患者対する外科的治療後の理学療法介入における，ベルト電極式骨格筋電気刺激 （belt electrode skeletal muscle stimulation：B-SES）の有効性を検討した．〔対象と方法〕対象は当センターで心臓リハビリテーションを実施したFontaine分類IV度のPAD患者6名．B-SES導入前の3例をB-SES非実施群，B-SES導入後の3例をB-SES実施群とし，入院時および退院時のBarthel index，在院日数，足関節上腕血圧比（ankle‐brachial‐index：ABI），転院先を比較した．〔結果〕B-SES実施3例...
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| Published in | Rigaku ryoho kagaku Vol. 33; no. 3; pp. 545 - 548 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Tokyo
理学療法科学学会
2018
Japan Science and Technology Agency |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1341-1667 2434-2807 |
| DOI | 10.1589/rika.33.545 |
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| Abstract | 〔目的〕Fontaine分類IV度の患者対する外科的治療後の理学療法介入における，ベルト電極式骨格筋電気刺激 （belt electrode skeletal muscle stimulation：B-SES）の有効性を検討した．〔対象と方法〕対象は当センターで心臓リハビリテーションを実施したFontaine分類IV度のPAD患者6名．B-SES導入前の3例をB-SES非実施群，B-SES導入後の3例をB-SES実施群とし，入院時および退院時のBarthel index，在院日数，足関節上腕血圧比（ankle‐brachial‐index：ABI），転院先を比較した．〔結果〕B-SES実施3例は全て自宅退院となり，入院期間もB-SES非実施症例の約1/3であった．〔結語〕外科的治療後のPAD患者に対する運動療法にB-SESを併用することでADLの早期改善と，救肢のための集学的治療の一つとして有用であることが示唆された． |
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| AbstractList | [Purpose] The aim of this study was to investigate the effect of belt electrode skeletal muscle stimulation (B-SES) as a physiotherapy intervention after surgical treatment for Fontaine class IV peripheral arterial disease patients (PAD). [Subjects and Methods] The subjects were 6 Fontaine class IV patients with PAD. Three subjects received B-SES (B-SES group), the other three subjects did not (non B-SES group). All subjects were assessed using the Barthel index, length of hospital stay, discharge destination and ankle blood pressure ratio at hospitalization and discharge. [Results] The B-SES group patients were discharged to home, and their hospitalization period was about one third the time of the non B-SES group. [Conclusion] The results suggest that combining B-SES with exercise therapy for PAD patients after surgical treatment is useful for early improvement of ADL and as a multidisciplinary treatment for rescuing limbs. 「要旨」 : 〔目的〕Fontaine分類IV度の患者対する外科的治療後の理学療法介入における, ベルト電極式骨格筋電気刺激 (belt electrode skeletal muscle stimulation : B-SES) の有効性を検討した. 〔対象と方法〕対象は当センターで心臓リハビリテーションを実施したFontaine分類IV度のPAD患者6名. B-SES導入前の3例をB-SES非実施群, B-SES導入後の3例をB-SES実施群とし, 入院時および退院時のBarthel index, 在院日数, 足関節上腕血圧比 (ankle-brachial-index : ABI), 転院先を比較した. 〔結果〕B-SES実施3例は全て自宅退院となり, 入院期間もB-SES非実施症例の約1/3であった. 〔結語〕外科的治療後のPAD患者に対する運動療法にB-SESを併用することでADLの早期改善と, 救肢のための集学的治療の一つとして有用であることが示唆された. 〔目的〕Fontaine分類IV度の患者対する外科的治療後の理学療法介入における，ベルト電極式骨格筋電気刺激 （belt electrode skeletal muscle stimulation：B-SES）の有効性を検討した．〔対象と方法〕対象は当センターで心臓リハビリテーションを実施したFontaine分類IV度のPAD患者6名．B-SES導入前の3例をB-SES非実施群，B-SES導入後の3例をB-SES実施群とし，入院時および退院時のBarthel index，在院日数，足関節上腕血圧比（ankle‐brachial‐index：ABI），転院先を比較した．〔結果〕B-SES実施3例は全て自宅退院となり，入院期間もB-SES非実施症例の約1/3であった．〔結語〕外科的治療後のPAD患者に対する運動療法にB-SESを併用することでADLの早期改善と，救肢のための集学的治療の一つとして有用であることが示唆された． |
| Author | 清水, 理葉 安, 隆則 松下, 恭 落合, 香 江原, 恭介 田村, 由馬 |
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| References | 2) Hasegawa S, Kobayashi M, Arai R, et al.: Effect of early implementation of electrical muscle stimulation to prevent muscle atrophy and weakness in patients after anterior cruciate ligament reconstruction. J Electromyogr Kinesiol, 2011, 21: 622-630. 4) Numata H, Nakase J, Inaki A, et al.: Effects of the belt electrode skeletal muscle electrical stimulation system on lower extremity skeletal muscle activity: evaluation using positron emission tomography. J Orthop Sci, 2016, 21: 53-56. 1) 安 隆則：日常診療に役立つ 最新！血管疾患の生理と病理（第10回）運動療法の効果とメカニズム．Vascular Lab，2010, 7: 429-433. 3) Anderson SI, Whatling P, Hudlicka O, et al.: Chronic transcutaneous electrical stimulation of calf muscles improves functional capacity without inducing systemic inflammation in claudicants. Eur J Vasc Endovasc Surg, 2004, 27: 201-209. 7) Eriksson E, Häggmark T: Comparison of isometric muscle training and electrical stimulation supplementing isometric muscle training in the recovery after major knee ligament surgery. A preliminary report. Am J Sports Med, 1979, 7: 169-171. 5) Müller EA: Influence of training and of inactivity on muscle strength. Arch Phys Med Rehabil, 1970, 51: 449-462. 6) 近藤克則，太田 正：脳卒中早期リハビリテーション患者の下肢筋断面積の経時的変化．リハビリテーション医学，1997, 34: 129-133. 8) Gomes Neto M, Oliveira FA, Reis HF, et al.: Effects of neuromuscular electrical stimulation on physiologic and functional measurements in patients with heart failure: a systematic review with meta-analysis. J Cardiopulm Rehabil Prev, 2016, 36: 157-166. 9) Muller LM, Gorter KJ, Hak E, et al.: Increased risk of common infections in patients with type 1 and type 2 diabetes mellitus. Clin Infect Dis, 2005, 41: 281-288. |
| References_xml | – reference: 3) Anderson SI, Whatling P, Hudlicka O, et al.: Chronic transcutaneous electrical stimulation of calf muscles improves functional capacity without inducing systemic inflammation in claudicants. Eur J Vasc Endovasc Surg, 2004, 27: 201-209. – reference: 2) Hasegawa S, Kobayashi M, Arai R, et al.: Effect of early implementation of electrical muscle stimulation to prevent muscle atrophy and weakness in patients after anterior cruciate ligament reconstruction. J Electromyogr Kinesiol, 2011, 21: 622-630. – reference: 7) Eriksson E, Häggmark T: Comparison of isometric muscle training and electrical stimulation supplementing isometric muscle training in the recovery after major knee ligament surgery. A preliminary report. Am J Sports Med, 1979, 7: 169-171. – reference: 8) Gomes Neto M, Oliveira FA, Reis HF, et al.: Effects of neuromuscular electrical stimulation on physiologic and functional measurements in patients with heart failure: a systematic review with meta-analysis. J Cardiopulm Rehabil Prev, 2016, 36: 157-166. – reference: 1) 安 隆則：日常診療に役立つ 最新！血管疾患の生理と病理（第10回）運動療法の効果とメカニズム．Vascular Lab，2010, 7: 429-433. – reference: 6) 近藤克則，太田 正：脳卒中早期リハビリテーション患者の下肢筋断面積の経時的変化．リハビリテーション医学，1997, 34: 129-133. – reference: 9) Muller LM, Gorter KJ, Hak E, et al.: Increased risk of common infections in patients with type 1 and type 2 diabetes mellitus. Clin Infect Dis, 2005, 41: 281-288. – reference: 5) Müller EA: Influence of training and of inactivity on muscle strength. Arch Phys Med Rehabil, 1970, 51: 449-462. – reference: 4) Numata H, Nakase J, Inaki A, et al.: Effects of the belt electrode skeletal muscle electrical stimulation system on lower extremity skeletal muscle activity: evaluation using positron emission tomography. J Orthop Sci, 2016, 21: 53-56. |
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| Snippet | 〔目的〕Fontaine分類IV度の患者対する外科的治療後の理学療法介入における，ベルト電極式骨格筋電気刺激 （belt electrode skeletal muscle stimulation：B-SES）の有効... 「要旨」 : 〔目的〕Fontaine分類IV度の患者対する外科的治療後の理学療法介入における, ベルト電極式骨格筋電気刺激 (belt electrode skeletal muscle stimulation : B-SES)... [Purpose] The aim of this study was to investigate the effect of belt electrode skeletal muscle stimulation (B-SES) as a physiotherapy intervention after... |
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| Title | 重症下肢虚血を呈す末梢動脈疾患患者へのB-SESを用いたブリッジ療法 |
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