著者

Yasuaki Mizoguchi Shinya Tanaka Yukihiro Matsumoto Tsukasa Urakawa Hitoshi Kurabayashi Kiyokazu Akasaka Toby Hall

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.33, no.9, pp.660-667, 2021 (Released:2021-09-01)

参考文献数

32

被引用文献数

1

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[Purpose] The purpose of this study was to identify factors inhibiting improvement in the quality of life after total knee arthroplasty in patients with rheumatoid arthritis. [Participants and Methods] This was a pilot case-control study. The sample comprised of five participants with rheumatoid arthritis and 11 participants with osteoarthritis, who underwent total knee arthroplasty. We compared the groups in terms of physical function, walking ability, Japanese Knee Osteoarthritis Measure, and Life-Space Assessment. Measurements were taken before surgery and at four weeks and five months post-surgery. All patients underwent rehabilitation for five months postoperatively, first as inpatients, and then as outpatients after discharge. [Results] In the period from 4 weeks to 5 months post-surgery, physical function improved similarly in both groups in terms of muscle strength and walking ability. Despite the patients with rheumatoid arthritis being younger, their self-health assessment score by the Japanese Knee Osteoarthritis Measure and measures of life-space mobility by Life-Space Assessment were lower. [Conclusion] It is important to consider exercise therapy, and gait instruction to alleviate anxiety about health status and improve the quality of life and life-space mobility in patients with rheumatoid arthritis who undergo total knee arthroplasty.

著者

Hitoshi KURABAYASHI

出版者

The Japanese Society of Balneology, Climatology and Physical Medicine

雑誌

日本温泉気候物理医学会雑誌 (ISSN:00290343)

巻号頁・発行日

vol.78, no.3, pp.177-186, 2015-05-13 (Released:2015-05-26)

参考文献数

23

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Very hot hot-spring is loved by the Japanese, although it might cause thrombotic events. It causes addiction to hyperthermia possibly because of an increase in the production of morphine-like substance. Increases in platelet activation, adhesion molecules on the platelet surface, platelet-derived microparticles, and blood viscosity as well as decreases in fibrinolytic capacity and blood pressure were observed after bathing in very hot hot-spring. Bathing in very hot hot-spring is not recommended for the elderly in view of age-related changes in endothelial function, fibrinolytic capacity, dehydration, and dysregulation of blood pressure. Instead, hydrotherapy or bathing in hot-spring in temperatures under 42°C is beneficial with little risk regarding hemostasis and thrombosis.