[Purpose] Exercise therapy during dialysis is currently being recommended since it is
easy for patients to follow and results in high participation rates. In this study, this
therapy was performed for elderly patients undergoing maintenance dialysis, and its
effects were examined. [Subjects and Methods] Seven elderly patients (age: 70.6 ± 4.4)
with chronic renal failure, who were able to perform exercises during maintenance
dialysis, received the exercise therapy 2 or 3 times weekly for 3 months. Lower-limb
muscle strength as well as the standardized dialysis dose (Kt/V) was measured before and
after intervention. The patients were also evaluated using the 30-sec chair stand test
(CS-30), the World Health Organization QOL Assessment 26 (WHO-QOL26), and a questionnaire.
[Results] The lower-limb muscle strength and circumference, CS-30 score, and Kt/V values
improved after intervention, but the difference was not significant. Significant
differences were observed only in the WHO-QOL26 score. [Conclusion] The outcome was
particularly favorable in terms of the quality of life (QOL). Based on the results from
the questionnaire, the higher QOL may be due to the patients’ development of a positive
attitude toward these activities. Although there were no significant differences, the
values for the other criteria also improved, thereby supporting the effectiveness of
exercise therapy to maintain or improve the patients’ motor functions and activity daily
living (ADL) ability.
[Purpose] We performed early physiotherapy for elderly patients with pneumonia admitted
to an intensive care unit (ICU), and examined the effects of this early physiotherapy on
the severity of pneumonia. [Subjects and Methods] Patients for whom physiotherapy was
started the day after admission to the ICU (acute phase) were assigned to the early
intervention group and compared with patients in the standard intervention group. All
patients were divided into three groups (Groups I, II, and III) based on the severity of
pneumonia. We evaluated the ICU admission period, hospitalization period, and activities
of daily living (ADL) before and after admission. [Results] With respect to the severity
of pneumonia, Group II showed significant differences in the ICU admission period and
rates of change in the operating range, cognitive domain, and Functional Independence
Measure (FIM). Group III showed significant differences in the ICU admission period and
rate of change in the cognitive domain (FIM item). The results were more favorable in the
early intervention group than in the standard intervention group. [Conclusion] The ICU
admission period was shorter and a reduction in the ADL level was prevented in Groups II,
and III compared to Group I. This may have occurred because of the early
rehabilitation.
[Purpose] The present study examined the effects of expiratory muscle training on elderly
day care service users, who had been classified into Care Grades 1 and 2 based on Japan’s
long-term care insurance system. [Subjects and Methods] Intervention was provided for 29
Care Grade 1 or 2 day care service users. During intervention, expiratory muscle training
was performed by slowly expiring using the abdominal muscles and a device after maximal
inspiration. Each intervention session lasted for approximately 10 minutes, and 2 sessions
were held weekly for 3 months to compare respiratory function test values before and after
intervention. [Results] The results were favorable. The vital capacity (VC) and peak
expiratory flow (PEF) significantly varied between before and after intervention.
[Conclusion] Expiratory muscle training generally improved their respiratory function,
particularly their VC and PEF that significantly varied between before and after
intervention. As both of these items influence the cough capacity, they may be key to the
prevention of aspiration pneumonia. Expiratory muscle training may also contribute to
activities of daily living (ADL) and the quality of life, and it is expected to play an
important role in rehabilitation as a field of preventive medicine.
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