脳卒中片麻痺患者の呼吸機能に関係する要因の分析

概要

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The rehabilitation of hemiplegic patients often is hampered by their becoming fatigue so easily, which can be attributed to respiratory insufficiency. The purpose of this study is to clarify characteristics of respiratory dysfunciton in hemiplegic patients.Thirty hemiplegic patients following stroke whose mean age was 59.3±10.4years served as subjects. Their respiratory dysfunction was evaluated by estimating vital capacity (VC), %VC, FEV1, %FEV1, and statistical relationships among those values obtained and chest expansion, mobility of the trunk, Brunnstrom's recovery stage, range of motion and muscle tones of the involved arm and leg as well as independent level of activities of daily living (ADD were also analyzed. As a result, 80% of the patients showed restrictive ventilatory disturbance. In addition, it was also revealed that significant relationships were found between %VC and chest expansion and %VC and muscle tones of the pectoralis major muscle as well as between chest expansion and independedce of ADL (P<0.05). These results indicate one of the reason why respiratory disturbance occurred in hemiplegic patients may be due to the impaired thoracic movement and respiratory dysfunction also influence independent level of ADL in these patient vice versa.
神戸大学の論文