変形性股関節症例に対する水中運動療法の効果について : 手術施行例を含めて  [in Japanese] Effects of Under-water Therapeutic Exercise on Patients with Osteoarthrosis of Hip Joints : Including Operative Cases  [in Japanese]

Access this Article

Search this Article

Author(s)

    • 赤嶺 卓哉 AKAMINE Takuya
    • 鹿屋体育大学大学院体育学部 Faculty of Physical Education, National Institute of Fitness and Sports in Kanoya
    • 高田 大 TAKATA Dai
    • 鹿屋体育大学大学院体育学部 Faculty of Physical Education, National Institute of Fitness and Sports in Kanoya

Abstract

変形性股関節症(股OA;手術例4名を含む)に対する水中運動療法の効果を,検討し報告する.対象は,股OA症例13名(女性12名,男性1名,平均年齢56.5歳,平均日本整形外科学会股関節機能判定70.2点)である.水中運動教室は毎週2回,約6.0カ月間実施した.教室内容は,股OA基礎教育と約90分間の水中運動(水中歩行,基礎的水中運動,泳法指導,自由泳など)である.効果判定のため,各種の測定・検査を,水中運動実施直前・中間・直後に3回施行し比較した.水中運動実施後の身体・体力測定では,肥満の軽減,心肺機能の向上,体幹・下肢の柔軟性の増強がそれぞれ統計学的に有意に認められた(以下p<0.05).また日整会判定においても,実施後では疼痛・日常生活動作・総点に,有意な改善が認められた.水の浮力・抵抗などを利用した股OAに対する水中運動は,術前・術後に関わらず,症例の健康増進に対する動機づけを高め,有益であると考えられた.

We investigated the effects of therapeutic exercise in water in a temperature-adjusted pool on 12 females, and one male patient with osteoarthrosis of hip joints (average 56.5 years old, average Japanese Orthopaedic Association score 70.2).<BR>Obesity, VO<SUB>2</SUB> max, elasticity of the trunk and lower extremities improved significantly (p≤0.05) after a six-month course of therapeutic exercise in water (two session a week). Evaluation of their Japanese Orthopaedic Association scores showed that pain, daily activities and total score had significantly improved (p≤0.05) by the six-month course of therapeutic exercise in water. Under-water therapeutic exercise enhances the motivation to become fither in patients with osteoarthrosis of the hip joint regardless of whether they have undergone operation or not.<BR>We conclude that therapeutic exercise in water is an effective treatment for patients with osteoarthrosis of hip joints due to the water buoyancy and resistance.

Journal

  • Orthopedics & Traumatology

    Orthopedics & Traumatology 59(4), 792-794, 2010-09-25

    West-Japanese Society of Orthopedics & Traumatology

References:  3

Codes

Page Top