慢性期脳血管障害患者のリハビリテーション訓練と、血清脂質変動、とくにHDL-コレステロール動態からみた考察
スポンサーリンク
概要
- 論文の詳細を見る
In patients with cerebral vascular disorders which have reached the chronic stage, the HDL-ch value was lower than that in normal individuals, and in particular, cerebral infarction that accompanied arteriosclerosis of the brain was remarkable when compared to cerebral hemorrhage. Except for abnormally high levels, total cholesterol in serum showed no significant changes or variations. Furthermore, neutral fets (TG) in blood, though not abnormally high, followed a pattern opposite to that of the HDL-ch in cerebral vascular disorders. Thus there were improvements (decrease) in TG values accordingly as motility rose. Based on the findings from CT scanning and clinical manifestations, vascular disorders of the brain were classified by the site of the affected part. In cerebral infarction, the HDL-ch was lower in vascular disorders in branches of the cortex than in perforating branches, whereas the Atherogenic index was higher. Arteriosclerotic changes were marked in the branches of the cortex. During the course of rehabilitation for cerebral vascular disorders, the HDL-ch was higher at the Brunnstrom stage III when functions of the lower extremities tended towards improvement. The same value, however, dropped as days went by. Nevertheless, it showed a tendency of rising again at stage V when the functions further improved. The HDL-ch tended to show a higher elevation along with increases in the amount of exercise during functional training sessions. Therefore, it seems desirable to implement a treatment method of increasing exercise volume by coming to the hospital when functional improvements by rehabilitation are fixed. The levels of lipids and lipoproteins varied gradually as a result of functional training during the course of rehabilitation. In particular, significant differences were noticed approximately 20 weeks after the initiation of the training. As a consequence, it is essential to continue the functional exercise over a long period of time.
- 神戸大学の論文