徳島大学 教育・研究者情報データベース(EDB)

1. 徳島大学.医学部.保健学科.看護学専攻.成人·高齢者看護学講座

1. 田村 綾子

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2. 市原 多香子

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3. 髙田 信二郎

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4. 南川 貴子

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5. 桑村 由美([徳島大学.大学院医歯薬学研究部.保健学域.保健科学部門.看護学系.がん看護学])

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6. 板東 孝枝([徳島大学.大学院医歯薬学研究部.保健学域.保健科学部門.看護学系.療養回復ケア看護学]/[徳島大学.医学部.保健学科.看護学専攻.成人·高齢者看護学講座])

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7. 近藤 裕子

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8. 安井 夏生

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9. 永廣 信治

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(英) Changes in lower extremity muscle mass among bedridden patients with post-stroke hemiplegia in the acute post-stroke period

(日) The present study analyzed16patients who were bedridden for one week immediately after onset of post-stroke hemiplegia. We used DXA(dual energy X-ray absorptiometry)to determine changes in muscle mass in the lower extremities on both paralyzed and non-paralyzed sides. The first measurement was conducted 3 to 5 days after the onset, and the second measurement was conducted 7 days after the first. Muscle mass in the lower extremities was reduced by approximately 600g (9%) on the paralyzed side with and by 200g on the non-paralyzed side (3%) in the Brunnstrom stage≤II group (n＝5). Although the decrease of muscle mass in the Brunnstrom stage≥III group(n＝11, relatively slight degree of functional motion impairment)was not significant, a decrease of approximately 300g (decrease rate : 5%)was observed on the paralyzed side and approximately 100g (decrease rate : 1．5%)was seen on the non-paralyzed side. Hence, muscle mass declined on both sides, and this occurred regardless of degree of paralysis. The findings suggested that conventional range of motion exercises, functional position maintenance, and postural changes are inadequate to prevent disuse muscle atrophy in post-stroke patients ; thus, it is necessary to develop a new rehabilitation program which adopts different exercises such as trunk motion, even for patients in the acute stage after stoke onset.

1. (英) acute post-stroke period
2. (英) hemiplegia
3. (英) lower extremity muscle
4. (英) disuse muscle atrophy
5. (英) dual energy X-ray Absorptiometry(DXA)