著者

近藤 和泉 細川 賀乃子 岩田 学

出版者

社団法人日本リハビリテーション医学会

雑誌

リハビリテーション医学 : 日本リハビリテーション医学会誌 (ISSN:0034351X)

巻号頁・発行日

vol.43, no.2, pp.122-123, 2006-02-18

著者

岩田 学 近藤 和泉 細川 賀乃子

出版者

社団法人 日本リハビリテーション医学会

雑誌

リハビリテーション医学 (ISSN:0034351X)

巻号頁・発行日

vol.42, no.12, pp.880-887, 2005 (Released:2006-09-22)

参考文献数

35

被引用文献数

1

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It has been generally considered that physical fitness is represented by exercise performance under aerobic conditions. However, we are often required to exert highly powerful movements momentarily or within a few seconds in daily life. Therefore, when we evaluate physical fitness, it appears important to evaluate physical fitness not only under aerobic conditions, but also under anaerobic conditions, with the latter being represented by maximal muscle power. In the daily living of people with physical disabilities, whether or not they can achieve a specific activity (for example, standing up, getting up from the floor and sitting down, etc.) is considered to depend on their performance under anaerobic conditions rather than under aerobic conditions. The Wingate anaerobic test (WAnT) has been developed as one of the most precise tests to evaluate anaerobic exercise performance. The WAnT, established at the Wingate Institute in Israel in 1970s, is a test incorporating bicycle riding with a maximal effort for 30 seconds. An ergometer with equipment to load an examinee with a constant resistance from a suspended weight is used in this test. The WAnT is measured as the changes in mechanical power that are yielded by multiplying the resistance produced from a suspended weight by the rotation speed of pedaling during a period of 30 seconds. The WAnT has not been usually applied so far to disabled people due to some technical problems. However, we have been improving the test to overcome those problems so that we can adopt the WAnT in the field of rehabilitation. We expect that this modified WAnT would contribute to a comprehensive evaluation of physical fitness in people with disabilities.

著者

細川 賀乃子 近藤 和泉 岩田 学

出版者

社団法人日本リハビリテーション医学会

雑誌

リハビリテーション医学 : 日本リハビリテーション医学会誌 (ISSN:0034351X)

巻号頁・発行日

vol.43, no.1, pp.51-62, 2006-01-18

参考文献数

35

被引用文献数

1

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Lymphedema is defined as a swelling of the arms or legs induced by an obstruction in lymph fluid circulation or by an abnormality in lymph fluid production. In most patients, lymphedema can be diagnosed from the clinical history and physical examination. The lymphangiogram and lymphangioscintigraphy are also used as additional diagnostic tools. Lymphedema developed from an obstruction of the lymphatic system is called secondary lymphedema. Lymphedema is classified into two categories : primary and secondary, and primary lymphedema is rare and is caused by a defect at birth or a congenital lymph system abnormality. The most frequent complication with lymphedema is cellulites. The protein-rich lymph fluid can be a source of bacteria proliferation leading to cellulites, which is an infection in the subcutaneous layers. But if therapy is started from the onset, the risk of infection in edema patients can be lessened. The primary management of lymphedema consist of conservative treatment called complex decongestive physical therapy : CDP or decongestive lymphatic therapy : DLT. The treatment includes skin care, manual lymph drainage, compression therapy, and exercise with bandage or compression garment. If the conservative management does not produce a sufficient effect or the edema worsens, surgical interventions such as microsurgical lymphaticovenular anastomosis and other techniques may be indicated. In Japan, the health insurance system does not offer enough support for patients with lymphedema. The treatment of lymphedema from the early stage is usually effective, and it is therefore necessary for clinicians to have a working knowledge of lymphedema management.