Inspiratory muscle training for phrenic nerve paralysis after Herpes zoster virus infection: a case report
吸気筋訓練（inspiratory muscle training: IMT）は慢性閉塞性肺疾患患者や心血管術後の横隔神経麻痺に対し呼吸機能や労作時呼吸困難感の改善に有用であるとされるが，帯状疱疹罹患後の横隔神経麻痺に対するIMTの有効性の報告は未だない．今回，我々は帯状疱疹罹患後の横隔神経麻痺が疑われた症例に対してIMTを実施した．その結果，吸気・呼気時の横隔膜移動距離，呼吸機能，労作時呼吸困難感が改善し，IMTの有効性が考えられた症例を経験したため報告する．...
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| Published in | The Journal of the Japan Society for Respiratory Care and Rehabilitation Vol. 31; no. 1; pp. 141 - 144 |
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| Main Authors | , , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
The Japan Society for Respiratory Care and Rehabilitation
26.12.2022
一般社団法人 日本呼吸ケア・リハビリテーション学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1881-7319 2189-4760 |
| DOI | 10.15032/jsrcr.21-09 |
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| Abstract | 吸気筋訓練（inspiratory muscle training: IMT）は慢性閉塞性肺疾患患者や心血管術後の横隔神経麻痺に対し呼吸機能や労作時呼吸困難感の改善に有用であるとされるが，帯状疱疹罹患後の横隔神経麻痺に対するIMTの有効性の報告は未だない．今回，我々は帯状疱疹罹患後の横隔神経麻痺が疑われた症例に対してIMTを実施した．その結果，吸気・呼気時の横隔膜移動距離，呼吸機能，労作時呼吸困難感が改善し，IMTの有効性が考えられた症例を経験したため報告する． |
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| AbstractList | 吸気筋訓練（inspiratory muscle training: IMT）は慢性閉塞性肺疾患患者や心血管術後の横隔神経麻痺に対し呼吸機能や労作時呼吸困難感の改善に有用であるとされるが，帯状疱疹罹患後の横隔神経麻痺に対するIMTの有効性の報告は未だない．今回，我々は帯状疱疹罹患後の横隔神経麻痺が疑われた症例に対してIMTを実施した．その結果，吸気・呼気時の横隔膜移動距離，呼吸機能，労作時呼吸困難感が改善し，IMTの有効性が考えられた症例を経験したため報告する． |
| Author | Itano, Junko Mukai, Takeshi Ishiga, Mitsunori Hayashi, Junichi Aimoto, Koichi Kawata, Noriko Adachi, Yohei Kajiura, Naoya Tanimoto, Yasushi Kimura, Goro |
| Author_FL | 向井 武志 梶浦 尚也 安達 洋平 林 純一 板野 純子 石賀 充典 相本 晃一 木村 五郎 谷本 安 河田 典子 |
| Author_FL_xml | – sequence: 1 fullname: 梶浦 尚也 – sequence: 2 fullname: 板野 純子 – sequence: 3 fullname: 安達 洋平 – sequence: 4 fullname: 向井 武志 – sequence: 5 fullname: 相本 晃一 – sequence: 6 fullname: 石賀 充典 – sequence: 7 fullname: 河田 典子 – sequence: 8 fullname: 木村 五郎 – sequence: 9 fullname: 林 純一 – sequence: 10 fullname: 谷本 安 |
| Author_xml | – sequence: 1 fullname: Tanimoto, Yasushi organization: Department of Allergy and Respiratory Medicine, National Hospital Organization Minami-Okayama Medical Center – sequence: 1 fullname: Kimura, Goro organization: Department of Allergy and Respiratory Medicine, National Hospital Organization Minami-Okayama Medical Center – sequence: 1 fullname: Hayashi, Junichi organization: Hayashi Medical and Pediatric Clinic – sequence: 1 fullname: Kajiura, Naoya organization: Department of Rehabilitation, National Hospital Organization Minami-Okayama Medical Center – sequence: 1 fullname: Itano, Junko organization: Department of Allergy and Respiratory Medicine, National Hospital Organization Minami-Okayama Medical Center – sequence: 1 fullname: Mukai, Takeshi organization: Department of Rehabilitation, National Hospital Organization Minami-Okayama Medical Center – sequence: 1 fullname: Kawata, Noriko organization: Department of Allergy and Respiratory Medicine, National Hospital Organization Minami-Okayama Medical Center – sequence: 1 fullname: Ishiga, Mitsunori organization: Department of Allergy and Respiratory Medicine, National Hospital Organization Minami-Okayama Medical Center – sequence: 1 fullname: Adachi, Yohei organization: Department of Rehabilitation, National Hospital Organization Minami-Okayama Medical Center – sequence: 1 fullname: Aimoto, Koichi organization: Department of Rehabilitation, National Hospital Organization Minami-Okayama Medical Center |
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| PublicationTitle_FL | 日呼ケアリハ学誌 日本呼吸ケア・リハビリテーション学会誌 J.Jp.Soc.Resp.Care Rehab 日呼吸ケアリハ会誌 |
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| Publisher | The Japan Society for Respiratory Care and Rehabilitation 一般社団法人 日本呼吸ケア・リハビリテーション学会 |
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| References | 2) 渡辺大輔：帯状疱疹ワクチン．ウイルス 68: 21-30, 2018. 12) Apiyo P, Hajek J: Herpes zoster complicated by phrenic nerve palsy and respiratory compromise. Afr Health Sci 19: 2347–2350, 2019. 13) 児玉真衣，栗栖直子，佐川友哉，他：COPDを基礎疾患とした帯状疱疹後横隔神経麻痺の1例．呼吸と循環 63: 792-795, 2015. 3) Kennedy PGE, Gershon AA: Clinical Features of Varicella-Zoster Virus Infection. Viruses 10: 609, 2018. 6) Jeevarethinam A, Ihuoma A, Ahmad N: Herpes zoster brachial plexopathy with predominant radial nerve palsy. Clin Med 9: 500-501, 2009. 17) Lee CT, Chien JY, Hsu MJ, et al.: Inspiratory muscle activation during inspiratory muscle training in patients with COPD. Respir Med 190: 106676, 2021. 1) 浅田秀夫：帯状疱疹の診断と治療．日皮会誌 130: 2683-2688, 2020. 5) Thomas JE, Howard FM: Segmental zoster paresis a disease profile. Neurology 22: 459-466, 1972. 16) Caleffi Pereira M, Cardenas LZ, Ferreira JG, et al.: Unilateral diaphragmatic paralysis: inspiratory muscles, breathlessness and exercise capacity. ERJ Open Res 7: 00357-2019, 2021. 18) 白石 匡，東本有司，杉谷竜司，他：横隔膜動態からみた吸気筋トレーニングの適正負荷圧の検討．日呼ケアリハ学誌 29: 453-459, 2021. 9) Lin CM, Shieh W Bin, Chiang PC, et al.: An unusual cause of dyspnea in a patient with cervical herpes zoster. J Clin Neurosci 19: 608-609, 2012. 11) Waki Y, Nobeyama Y, Fukuchi O, et al.: Case of herpes zoster complicated by diaphragmatic paralysis. J Dermatol 46: e322-e324, 2019. 4) Gershon AA, Breuer J, Cohen JI, et al.: Varicella zoster virus infection. Nat Rev Dis Primers 1: 15016, 2015. 15) Kodric M, Trevisan R, Torregiani C, et al.: Inspiratory muscle training for diaphragm dysfunction after cardiac surgery. J Thorac Cardiovasc Surg 145: 819-823, 2013. 8) Hoque R, Schwendimann RN, Liendo C, et al.: Brachial neuritis with bilateral diaphragmatic paralysis following herpes zoster: a case report. J Clin Neuromuscul Dis 9: 402-406, 2008. 7) Akiyama N: Herpes zoster infection complicated by motor paralysis. J Dermatol 27: 252-257, 2000. 14) Spruit MA, Singh SJ, Garvey C, et al.: An Official American Thoracic Society/European Respiratory Society Statement: Key Concepts and Advances in Pulmonary Rehabilitation. Am J Respir Crit Care Med 188: e13-64, 2013. 10) Oike M, Naito T, Tsukada M, et al.: A case of diaphragmatic paralysis complicated by herpes-zoster virus infection. Intern Med 51: 1259-1263, 2012. |
| References_xml | – reference: 13) 児玉真衣，栗栖直子，佐川友哉，他：COPDを基礎疾患とした帯状疱疹後横隔神経麻痺の1例．呼吸と循環 63: 792-795, 2015. – reference: 5) Thomas JE, Howard FM: Segmental zoster paresis a disease profile. Neurology 22: 459-466, 1972. – reference: 3) Kennedy PGE, Gershon AA: Clinical Features of Varicella-Zoster Virus Infection. Viruses 10: 609, 2018. – reference: 1) 浅田秀夫：帯状疱疹の診断と治療．日皮会誌 130: 2683-2688, 2020. – reference: 2) 渡辺大輔：帯状疱疹ワクチン．ウイルス 68: 21-30, 2018. – reference: 6) Jeevarethinam A, Ihuoma A, Ahmad N: Herpes zoster brachial plexopathy with predominant radial nerve palsy. Clin Med 9: 500-501, 2009. – reference: 7) Akiyama N: Herpes zoster infection complicated by motor paralysis. J Dermatol 27: 252-257, 2000. – reference: 9) Lin CM, Shieh W Bin, Chiang PC, et al.: An unusual cause of dyspnea in a patient with cervical herpes zoster. J Clin Neurosci 19: 608-609, 2012. – reference: 15) Kodric M, Trevisan R, Torregiani C, et al.: Inspiratory muscle training for diaphragm dysfunction after cardiac surgery. J Thorac Cardiovasc Surg 145: 819-823, 2013. – reference: 8) Hoque R, Schwendimann RN, Liendo C, et al.: Brachial neuritis with bilateral diaphragmatic paralysis following herpes zoster: a case report. J Clin Neuromuscul Dis 9: 402-406, 2008. – reference: 4) Gershon AA, Breuer J, Cohen JI, et al.: Varicella zoster virus infection. Nat Rev Dis Primers 1: 15016, 2015. – reference: 14) Spruit MA, Singh SJ, Garvey C, et al.: An Official American Thoracic Society/European Respiratory Society Statement: Key Concepts and Advances in Pulmonary Rehabilitation. Am J Respir Crit Care Med 188: e13-64, 2013. – reference: 10) Oike M, Naito T, Tsukada M, et al.: A case of diaphragmatic paralysis complicated by herpes-zoster virus infection. Intern Med 51: 1259-1263, 2012. – reference: 12) Apiyo P, Hajek J: Herpes zoster complicated by phrenic nerve palsy and respiratory compromise. Afr Health Sci 19: 2347–2350, 2019. – reference: 16) Caleffi Pereira M, Cardenas LZ, Ferreira JG, et al.: Unilateral diaphragmatic paralysis: inspiratory muscles, breathlessness and exercise capacity. ERJ Open Res 7: 00357-2019, 2021. – reference: 17) Lee CT, Chien JY, Hsu MJ, et al.: Inspiratory muscle activation during inspiratory muscle training in patients with COPD. Respir Med 190: 106676, 2021. – reference: 18) 白石 匡，東本有司，杉谷竜司，他：横隔膜動態からみた吸気筋トレーニングの適正負荷圧の検討．日呼ケアリハ学誌 29: 453-459, 2021. – reference: 11) Waki Y, Nobeyama Y, Fukuchi O, et al.: Case of herpes zoster complicated by diaphragmatic paralysis. J Dermatol 46: e322-e324, 2019. |
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| Snippet | 吸気筋訓練（inspiratory muscle training: IMT）は慢性閉塞性肺疾患患者や心血管術後の横隔神経麻痺に対し呼吸機能や労作時呼吸困難感の改善に有用であるとされるが，帯... |
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| SubjectTerms | トライボールTMZ 吸気筋訓練 呼吸リハビリテーション 帯状疱疹 末梢神経障害 横隔神経麻痺 |
| Title | Inspiratory muscle training for phrenic nerve paralysis after Herpes zoster virus infection: a case report |
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