著者

Mitsuhiko Ikebuchi Yoichi Ohta Yukihide Minoda Akiko Toki Tamotsu Nakatsuchi Hidetomi Terai Hiroaki Nakamura Ryoichi Kato Sigeyoshi Nakajima

出版者

The Japanese Association of Rehabilitation Medicine

雑誌

Progress in Rehabilitation Medicine (ISSN:24321354)

巻号頁・発行日

vol.8, pp.20230027, 2023 (Released:2023-09-13)

参考文献数

21

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Objectives: Patients with severe coronavirus disease 2019 (COVID-19) who develop pneumonia face the risk of ventilatory muscle disuse in the acute phase, which can result in persistent respiratory impairments in the subacute phase. Although rehabilitation during the acute phase is considered effective, there are limited reports on this topic. Therefore, this study aimed to investigate the effectiveness of acute-phase rehabilitation in patients with severe COVID-19.Methods: The study included 57 patients (45 men and 12 women; mean age: 63.2±12.1 years) admitted between April and June 2021, all of whom required intubation for respiratory management. Among them, 34 patients underwent acute-phase rehabilitation interventions based on the early goal-directed mobilization protocol. The primary objectives were to assess the occurrence of medical accidents related to acute-phase rehabilitation and evaluate their impact on survival and mobility upon hospital discharge. Statistical techniques and machine learning algorithms were employed for data analysis.Results: Remarkably, no medical accidents occurred during the acute-phase rehabilitation among the patients. Furthermore, our findings indicated that acute-phase rehabilitation did not influence survival outcomes. However, it did have a positive impact on the mobility of patients upon hospital discharge.Conclusions: Acute-phase rehabilitation can be safely administered to patients with severe COVID-19 by following an early goal-directed mobilization protocol. This approach may also contribute to improved activities of daily living after discharge.

著者

Yoichi Ohta Hiroki Nakamoto

出版者

Japan Society of Physical Education, Health and Sport Sciences

雑誌

International Journal of Sport and Health Science (ISSN:13481509)

巻号頁・発行日

vol.13, pp.84-95, 2015 (Released:2015-12-10)

参考文献数

17

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This study aimed to clarify the effects of changing to a short bat grip position from the long bat grip position on baseball bat swing timing, peak ground reaction force with the front leg, and activation of the upper and lower limb muscles.   Nine male college baseball players participated in this study. By using a batting simulator, the coincident timing task was to swing the bat coincidentally with the arrival timing of a moving target by using the long or short bat grip position. The batter performed 10 sets of four swings for a total of 40 swings for the coincident timing task. During the four swings, the batter swung the bat by using the long grip position in the first, second, and fourth swings. Only in the third swing did the batter use the short grip position. The ground reaction force with the front leg was measured, and electromyograms of the upper and lower limb muscles were obtained during the coincident timing task.   Our results indicated no significant differences in absolute and variable timing errors between the long and short bat grip positions. In contrast, the constant timing error was significantly increased with the short bat grip position. Moreover, the time to peak ground reaction force and time to peak muscle activation of both the upper and lower limb muscles were significantly delayed when the short bat grip position was employed. Significant positive relationships were observed between the constant timing error and time to peak ground reaction force, which showed differences between the second and third swings. No significant difference in swing time was observed between the long and short bat grip positions.   These findings indicate that changing to the short bat grip position from the long bat grip position will not improve the batter's swing timing. Furthermore, changing to the short bat grip position could delay the batter's swing timing, probably because the change causes a delay in swing preparation.