著者

Yuichi Nishikawa Kazuhiko Hirata Yoshihiro Ito Kazuyuki Ueda Hiroaki Kimura

出版者

The Society of Physical Therapy Science

雑誌

Journal of Physical Therapy Science (ISSN:09155287)

巻号頁・発行日

vol.34, no.3, pp.225-229, 2022 (Released:2022-03-14)

参考文献数

15

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[Purpose] In April 2014, an additional health insurance system aiming to maintain or improve activities of daily living levels was newly established by the Japanese government. The purpose of this study was to determine the influence of this new medical system for rehabilitation on patient management (e.g., activities of daily living level and length of hospital stay) in an acute-phase stroke patient ward. [Participants and Methods] All patients were admitted to the stroke patient ward in our hospital and were registered between January 2012 and December 2019. We assessed the differences in the time to initiation of rehabilitation, length of hospitalization, implementation rate of rehabilitation, and Barthel Index between the period before the start of the new medical system (Prior period) and after this system was started (Post period). [Results] Significant improvements were observed in the initiation of rehabilitation and the difference in the Barthel Index scores after the start of the new medical system. Although the length of hospitalization and implementation rate of rehabilitation did not differ significantly, both indicators gradually improved after the start of the new system. [Conclusion] Our results suggest that the new medical system for rehabilitation is beneficial for patient management in the acute-phase stroke patient ward.

著者

Yukio Mikami Kouki Fukuhara Toshihiro Kawae Tetsuhiko Sakamitsu Yoshiichiro Kamijo Humihiro Tajima Hiroaki Kimura Nobuo Adachi

出版者

The Society of Physical Therapy Science

雑誌

Journal of Physical Therapy Science (ISSN:09155287)

巻号頁・発行日

vol.30, no.8, pp.960-965, 2018 (Released:2018-07-24)

参考文献数

16

被引用文献数

4

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[Purpose] It is difficult for amputees to perform conventional cardiopulmonary exercise testing. Values were determined for two-legged, one-legged, and two-armed exercise testing in healthy adult males (Study 1), for comparison with preliminary measurements of endurance in amputee football players (Study 2). [Participants and Methods] In Study 1, cardiopulmonary exercise testing was performed in healthy adult males. Correlations between oxygen uptake in two-legged and one-legged/two-armed exercise were calculated and a comparison was made between one-legged exercise and two-armed exercise for each measured value. In Study 2, cardiopulmonary exercise testing was performed on male amputee football players using a two-arm-driven ergometer. The measured values obtained for healthy adult males and amputee football players were compared. [Results] In Study 1, peak work rate and peak heart rate values of healthy participants were significantly higher in two-armed exercise than in one-legged exercise. The correlation between peak oxygen uptake values for two-legged and one-legged exercise was decreased. In Study 2, peak work rate of two-armed exercise was significantly higher in amputee football players than in healthy participants. [Conclusion] Study 1 suggested that musculoskeletal factors might have greater significance for one-legged exercise than for two-armed exercise. Study 2 suggested that para-sports, including amputee football, may contribute to physical strength and health maintenance in lower leg amputees.