著者

Jun Okamoto Yorimitsu Furukawa Naomi Kobinata Hideto Yoshikawa Fujiko Araki Atsuro Yagyu Yuji Iwasaka

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.10, pp.779-783, 2021 (Released:2021-10-13)

参考文献数

25

被引用文献数

4

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[Purpose] We aimed to analyze parameters of pulmonary function and physiological, psychological, and physical factors in patients with chronic obstructive pulmonary disease (COPD) receiving pulmonary rehabilitation (PR) and music therapy (MT). [Participants and Methods] This randomized crossover comparative study included in-patients diagnosed with COPD and a ratio of forced expiratory volume measured at the first second and forced vital capacity (FEV1/FVC) of <70% after administration of a bronchodilator. Patients were randomly divided into two groups that received either PR only or MT and PR (n=13 each). The PR program included conditioning, respiratory muscle training, and endurance training, whereas the MT program included vocal, singing, and breathing exercises using a keyboard harmonica. The programs lasted 8 weeks, in which pre- and post-intervention data were compared every 4 weeks. [Results] The FEV1/FVC in the MT group improved after the intervention. Expiratory volume control was obtained better with feedback by sound than with expiration practice. In the MT and PR program, it was easier to adjust the timing and volume of breathing, obtain expiratory volume control, and, thus, improve FEV1/FVC than in conventional practice. [Conclusion] Combining MT with PR improves parameters of pulmonary function in patients with COPD. Music therapy is a novel approach that, in combination with PR, may be used in COPD management.

著者

Hiroyo Kamio Hitoshi Maruyama Nozomi Ito Mako Kunieda Ayaka Chiba Yorimitsu Furukawa

出版者

The Japanese Society of Physical Fitness and Sports Medicine

雑誌

The Journal of Physical Fitness and Sports Medicine (ISSN:21868131)

巻号頁・発行日

vol.11, no.1, pp.29-34, 2022-01-25 (Released:2022-01-14)

参考文献数

18

被引用文献数

1

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Pelvic floor muscle training has been reported to be effective in preventing and improving urinary incontinence. Patients must learn to perform pelvic floor muscle contractions without pushing down the pelvic floor by contracting other muscle groups. This study aimed to determine the effect of maximal-effort contraction of the hip adductor and abductor muscles on the pelvic floor of young, healthy women. For these experiments, 23 healthy nulliparous women performed unilateral maximal-effort isometric contractions of the abductor and adductor hip muscles in a supine position. Simultaneously, the movement of the bladder’s posterior surface was measured using an ultrasonic imaging device. The displacement of the bladder base during maximal-effort contraction of the hip adductor/abductor muscles was calculated based on changes in the distance between the abdominal wall and the bladder base at rest. The results demonstrated that the bladder base significantly descended during maximal-effort isometric contraction of hip adduction/abduction. The maximal-effort isometric hip adduction/abduction muscle strength positively correlated with bladder base descent. These results indicated that isometric contraction of the hip adduction/abduction muscles under maximum effort pushed the pelvic floor downward. In pelvic floor muscle training, when the adductor and abductor muscles of the hip joint are contracted with maximum effort, the pelvic floor muscles cannot learn contraction and may inhibit movement.