慢性閉塞性肺疾患患者における呼吸筋ストレッチ体操の4週間の臨床効果 Clinical Effects of Four Weeks of Respiratory Muscle Stretch Gymnastics in Patients with Chronic Obstructive Pulmonary Disease

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呼吸筋ストレッチ体操 (RMSG) プログラムを作成し, 肺機能, 運動能力, 呼吸困難感, 生活の質 (QOL) に与える効果について4週間のトレーニングの前後で検討した. 13名の慢性閉塞性肺疾患患者 (平均FEV<sub>1</sub>: 1.24L) を対象とし, 4週間にわたりRMSGを1日3回実施した. 12名が検討終了した. FRC (前4.19±1.27, 後3.88±1.03L), TLC (前5.98±1.35, 後5.66±1.20L), RV (前3.29±1.16, 後2.89±0.89L), 残気率 (前53.9±11.2, 後50.6±9.74%) はそれぞれ有意 (p<0.01) に低下した. 6分間歩行距離 (6MD) は平均43±30m (+15%, p<0.01) 延長した. 6MD終了時の呼吸困難感 (150mm VAS) は (前65.1±40.8, 後36.1±36.8mm) と有意 (p<0.05) に低下した. QOLは Guyatt らの The Chronic Respiratory Disease Questionnaire により評価し, 有意な改善が認められた. RMSGは呼吸リハビリテーションとして有用性があると考えられた.

We developed a program of respiratory muscle stretch gymnastics (RMSG), and measured lung function, exercise capacity, dyspnea, and quality of life before and after 4 weeks of training with this program. Thirteen patients with chronic obstructive pulmonary disease (mean FEV<sub>1</sub>, 1.24 liters) began the program. They participated in three sessions of RMSG each day. Twelve patients completed all 4 weeks.<br>RMSG significantly (p<0.01) decreased functional residual capacity (from 4.19±1.27 to 3.88±1.03 liters), total lung capacity (from 5.98±1.35 to 5.66±1.20 liters), residual volume (from 3.29±1.16 to 2.89±0.89 liters), and residual volume as a percent of total lung capacity (from 53.9±11.2% to 50.6±9.74%). The distance walked in 6 min increased by an average of 43±30 meters (+15%, p<0.01). Dyspnea after a 6-minute walk (measured with a 150-mm visual analog scale) decreased significantly (from 65.1±40.8 to 36.1±36.8, p<0.05). Quality of life was measured with the Chronic Respiratory Disease Questionnaire of Guyatt, et al., and was found to have improved significantly. Respiratory muscle stretch gymnastics may be useful in pulmonary rehabilitation.

収録刊行物

  • 日本胸部疾患学会雑誌 = The Japanese journal of thoracic diseases

    日本胸部疾患学会雑誌 = The Japanese journal of thoracic diseases 34(6), 646-652, 1996-06-25

    The Japanese Respiratory Society

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各種コード

  • NII論文ID(NAID)
    10008110078
  • NII書誌ID(NCID)
    AN00187758
  • 本文言語コード
    JPN
  • 資料種別
    ART
  • ISSN
    03011542
  • データ提供元
    CJP書誌  CJP引用  J-STAGE 
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