嚥下機能低下を呈した要介護認定高齢者に対する呼吸トレーニングが呼吸機能,嚥下機能,QOL に与える効果  [in Japanese] The Effect of Respiratory Training for the Frail Elderly with Decreased Swallowing Function  [in Japanese]

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Abstract

<p>【目的】嚥下機能低下を呈した要介護認定高齢者を対象として,呼吸トレーニングにおける短期および長期的な効果を検証する。【方法】通所リハビリテーションを利用している65 歳以上の要介護認定高齢者を対象とした。同意が得られた31 名に呼吸トレーニングを2 ヵ月(8 週)行い,理学療法前後,follow-up 1 ヵ月後,6 ヵ月後に測定を行った。【結果】理学療法前と理学療法1ヵ月(4 週)評価との間では,呼吸機能,嚥下機能,QOL は有意に改善を示した。理学療法2 ヵ月(終了時)とfollow-up 6 ヵ月後との間で呼吸機能,QOL は有意に減少を示していた。【考察】要介護認定高齢者に対し,呼吸トレーニングを導入することにより,呼吸機能や嚥下障害,QOL を改善することが可能であった。</p>

<p><b>Purpose</b>: To analyze the effects of respiratory training on respiratory function, swallowing function, QOL of the community-dwelling frail elderly.</p><p><b>Method</b>: Thirty one community-dwelling frail elderly using rehabilitation services underwent 12 rehabilitation sessions that included respiratory training. Outcome measures were evaluated the 12 rehabilitation sessions, prior to training, immediately after the sessions, and at 1 and 6 months after the sessions. Primary outcome measures included respiratory function, swallowing function, and QOL.</p><p><b>Results</b>: Swallowing function, QOL, respiratory function, 6-min walk distance, and thorax flexibility significantly improved during respiratory rehabilitation (between the pre-training evaluation and post-training evaluation). Swallowing function, QOL, respiratory function, and physical function were significantly reduced during the follow-up period (between the post-training evaluation and 6-month follow-up evaluation).</p><p><b>Conclusions</b>: Our results suggest that typical program rehabilitation without respiratory training is not sufficient for the frail elderly to maintain their QOL. Furthermore, respiratory training can help improve QOL as well as swallowing and respiratory function in the frail elderly.</p>

Journal

  • Physical Therapy Japan

    Physical Therapy Japan 44(2), 138-144, 2017

    Japanese Society of Physical Therapy

Codes

  • NII Article ID (NAID)
    130006855397
  • Text Lang
    JPN
  • ISSN
    0289-3770
  • Data Source
    J-STAGE 
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