肝機能障害に対する運動療法の適応について

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The purpose of this study is to verify the validity of the physical exercise for the patients with liver disorders. We instructed the gradual increasing quantitated exercises to twenty five in-patients, consisting of nineteen acute and six chronic hepatitis ones. The exercise was started at 3 METs as a rule with the treadmill for twenty minutes a day, and it was increased by 1 MET after every three sessions. And then, the influence of the physical exercises on the liver function was monitored by the value of GOT, GPT and total bilirubin. Consequently, the mean period of the trials was 15.2 days, and the exercise intensity had increased from 3.7 METs to 7.0 METs on an average. However, there was no significant difference between acute hepatitis and chronic hepatitis. The data of the liver function during the exercises remarkably improved in acute hepatitis, and improved without significance in chronic hepatitis, despite that the quantity of the exercise was augmented gradually. The present results indicated that the exercises gave no adverse effect on recovery of hepatitis. The mean period of hospitalization (31.9 days for those with acute hepatitis and 56.6 days for those with chronic hepatitis) was shortened, compared with those with hepatitis in general. The subjects swiftly returned to their usual lives within a mean period of 8.9 days after discharge. In all cases, rehabilitation process was not interrupted by worsening of liver disease. In conclusion, it is possible for the patients with the liver disorder to take exercise if it is fully monitored. Furthermore, the comprehension as well as collaboration of the physician in charge is indispensable for the safe and effective rehabilitation.
社団法人日本理学療法士協会の論文
1990-03-10

肝機能障害に対する運動療法の適応について

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