Effects of Muscle Relaxation Therapy Using Specially Designed Plates in Patients with Pulmonary Emphysema
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概要
- 論文の詳細を見る
It has been suggested that respiratory muscle dysfunction plays a major role in the development of acute ventilatory failure in patients with chronic obstructive pulmonary disease (COPD). In this study, we devised a respiratory muscle relaxation maneuver using wedge-shaped wooden plates, with which pressure was exerted on the intercostal and accessory respiratory muscles by hand, or by tapping with a wooden hammer, for 15-20 minutes twice a day. The muscle relaxation maneuver was performed in 5 moderate to severe pulmonary emphysema patients for 4 weeks and in 7 emphysema patients for 6 weeks, and the effects on pulmonary function were examined. After the therapy, inspiratory capacity (IC) and vital capacity (VC) in both the 4 weeks- and 6 weekstreated groups, and the forced expiratory volume in 1 second (FEV1.0) in the 6 weeks-treated group were significantly increased, and CO2 retention had also improved. Daily peak expiratory flow (PEF) showed significant increases from 2 weeks after the initiation of the therapy. These results suggest that the respiratory muscle relaxation maneuver is effective for improving the pulmonary function of pulmonary emphysema patients.(Internal Medicine 35: 756-763, 1996)
- 社団法人 日本内科学会の論文
著者
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MIYAHARA Takashige
the First Department of Internal Medicine, Shinshu University School of Medicine
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KOBAYASHI Toshio
the First Department of Internal Medicine, Shinshu University School of Medicine
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Kubo Keishi
The Department Of Neurology Nagano Red Cross Hospital
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Kubo Keishi
The First Department Of Internal Medicine Shinshu University Hospital
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Kubo Keishi
The First Department Of Internal Medicine Shinshu University
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Miyahara Takashige
The First Department Of Internal Medicine Shinshu University School Of Medicine
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Matsuzawa Yukinori
The First Department Of Internal Medicine Shinshu University
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Fujimoto Keisaku
The First Department Of Internal Medicine Shinshu University
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ONO Chieko
The Department of Nursing, Shinshu University Hospital, Matsumoto
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ITO Naoei
Ibaraki Prefectural University of Health Sciences
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Ono Chieko
The Department Of Nursing Shinshu University Hospital Matsumoto
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Kobayashi Toshio
The First Department Of Internal Medicine Shinshu University School Of Medicine
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Matsuzawa Yukinori
The First Department Of Internal Medicine Shinshu University School Of Medicine
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Kubo K
Department Of Pulmonary And Infectious Diseases Shinshu University Hospital
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