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KAKEN_17K01469seika.pdf
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リンパ浮腫の圧迫下での運動療法の効果と最適な運動様式の指針の作成に関する研究
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リンパ フシュ ノ アッパクカ デノ ウンドウ リョウホウ ノ コウカ ト サイテキナ ウンドウ ヨウシキ ノ シシン ノ サクセイ ニ カンスル ケンキュウ
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Rinpa fushu no appakuka deno undō ryōhō no kōka to saitekina undō yōshiki no shishin no sakusei ni kansuru kenkyū
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Immediate effects of active exercise with compression therapy and the creation of guidelines for the best type of exercise on lower-limb lymphedema
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辻, 哲也
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ツジ, テツヤ
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Tsuji, Tetsuya
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慶應義塾大学・医学部 (信濃町) ・准教授
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Research team head
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科研費研究者番号 : 90245639
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阿部, 桐子
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アベ, キリコ
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Abe, Kiriko
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Collaborator
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2020
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科学研究費補助金研究成果報告書
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2019
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【目的】下肢リンパ浮腫に対する圧迫下運動療法の即時効果を明らかにすること。
【方法】研究デザインはブロックランダム化クロスオーバー比較試験。対象は婦人科がん治療後の下肢リンパ浮腫患者。登録18名全員が完遂した。介入はA)圧迫下運動療法 (座位15分) 、B)圧迫下運動療法 (臥位15分) 、C)圧迫療法 (臥位下肢拳上15分) を実施した。圧迫療法には多層包帯法、運動療法にはエルゴメータを使用した。
【結果】介入前後の下肢体積減少率はB)とC)に有意差を認めたがA)とC)には有意差を認めなかった。
【結論】圧迫下運動療法として臥位でエルゴメータを使用しペダル駆動を行うことが最も効果的であることが明らかとなった。
[Objectives] The aim is to reveal the difference between seated and supine position concerning the immediate effects of AECT performed using a bicycle ergometer on gynecological cancer-related lower limb lymphedema (LLL).
[Methods] This was a randomized controlled cross-over trial. Eighteen women with LLL completed AECT in a seated and supine position, and compression-only therapy (CT) in a supine position. AECT was performed on a bicycle ergometer with elastic bandages. Each intervention was performed for 15minutes.
[Results] The volume of decreasing rate of lower limb was significantly reduced in AECT in a supine position than CT. Moreover, no significant difference was observed between AECT in a seated position and CT, therefore the most effective intervention was AECT in a supine position.
[Conclusions] AECT using the bicycle ergometer in a supine position could be recommended for decreasing the volume of the lower-limb.
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研究種目 : 基盤研究 (C) (一般)
研究期間 : 2017～2019
課題番号 : 17K01469
研究分野 : リハビリテーション医学
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