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  [in Japanese] Bridging Therapy Using B-SES for Peripheral Arterial Disease Patients with Severe Lower Limb Ischemia  [in Japanese]

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Author(s)

    • 落合 香 OCHIAI Kaori
    • 獨協医科大学 日光医療センター リハビリテーション部 Department of Rehabilitation, Dokkyo Medical University Nikko Medical Center
    • 田村 由馬 TAMURA Yuuma
    • 獨協医科大学 日光医療センター リハビリテーション部|獨協医科大学 日光医療センター 臨床研究支援室 Department of Rehabilitation, Dokkyo Medical University Nikko Medical Center|Clinical Research Support Center, Dokkyo Medical University Nikko Medical Center
    • 江原 恭介 EHARA Kyousuke
    • 獨協医科大学 日光医療センター リハビリテーション部 Department of Rehabilitation, Dokkyo Medical University Nikko Medical Center
    • 清水 理葉 SHIMIZU Riha
    • 獨協医科大学 日光医療センター 心臓・血管外科 Department of Cardiovascular Surgery, Dokkyo Medical University Nikko Medical Center
    • 松下 恭 MATUSHITA Yasushi
    • 獨協医科大学 日光医療センター 心臓・血管外科 Department of Cardiovascular Surgery, Dokkyo Medical University Nikko Medical Center
    • 安 隆則 YASU Takanori
    • 獨協医科大学 日光医療センター 心臓・血管・腎臓内科 Department of Cardiovascular Medicine and Nephrology, Dokkyo Medical University Nikko Medical Center

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.

[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.

Journal

  • Rigakuryoho Kagaku

    Rigakuryoho Kagaku 33(3), 545-548, 2018

    The Society of Physical Therapy Science

Codes

  • NII Article ID (NAID)
    130007403027
  • NII NACSIS-CAT ID (NCID)
    AN10472896
  • Text Lang
    JPN
  • ISSN
    1341-1667
  • NDL Article ID
    029131641
  • NDL Call No.
    Z7-1893
  • Data Source
    NDL  J-STAGE 
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