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HOME REHABILITATION FOR PREOPERATIVE THORACOTOMY PATIENTS

Research Project

Project/Area Number 06671358
Research Category

Grant-in-Aid for General Scientific Research (C)

Allocation TypeSingle-year Grants
Research Field Thoracic surgery
Research InstitutionWAKAYAMA MEDICAL COLLEGE

Principal Investigator

MIYOSHI Shinichiro  WAKAYAMA MEDICAL COLLEGE,ASSISTANT PROFESSOR, 医学部, 助教授 (00190827)

Co-Investigator(Kenkyū-buntansha) SUZUMA Takaomi  ASSISTANT, 医学部, 助手 (20226575)
BESSHO Toshiya  ASSISTANT, 医学部, 助手 (60254538)
Project Period (FY) 1994 – 1995
Project Status Completed (Fiscal Year 1995)
Budget Amount *help
¥2,100,000 (Direct Cost: ¥2,100,000)
Fiscal Year 1995: ¥400,000 (Direct Cost: ¥400,000)
Fiscal Year 1994: ¥1,700,000 (Direct Cost: ¥1,700,000)
KeywordsLUNG CANCER / THORACOTOMY / PREOPERATIVE REHABILITATION / INCREMENTAL EXERCISE TEST / ODOMETER / PULMONARY FUNCTION TEST / 術後合併症
Research Abstract

We investigated whether home rehabilitation (rehab) can improve pulmonary function and exercise capacity in preoperative thoracotomy patients. Fourteen preoperative lung cancer patients (68(]SY.+-[)5yr) were included in this study. Number of one-day walking step (WS) was measured with an odometer for a week and a mean of the WS was calculated. The patients were encouraged to walk at home two times or more than the mean WS.Before and after the rehab a pulmonary function test and 3-min.incremental exercise test were administered. Eight patients who demonstrated 5% or more improvement in maxVO<@D22@>D2 or blood lactate threshold were categorized to an effective group (E) and 6 patients who did not were categorized to a non-effective group (NON). The short duration of rehab, insufficient increase in the WS,progress of lung cancer, and associated heart disease were thought to be causes of failure of the home hehabilitation. In the E group, the WS during rehab.was 2.5(]SY.+-[)1.8 times of the pre-rehab WS.The duration of rehab was 29(]SY.+-[)7 days. FVC (3.04(]SY.+-[)1.00-->3.25(]SY.+-[)0.93L,p=0.02) and VC (3.13(]SY.+-[)0.97-->3.35(]SY.+-[)0.99L,p=0.0018) increased significantly after rehab. but FEV1.0 (1.90(]SY.+-[)0.70-->1.94(]SY.+-[)0.68L/s) and MVV (73.1(]SY.+-[)26.3-->75.2(]SY.+-[)27.7L/min) did not. MaxVO<@D22@>D2/BSA (623(]SY.+-[)181-->705(]SY.+-[)168ml/min./m<@D12@>D1 ; p=0.0003), maxO<@D22@>D2 pulse (4.64(]SY.+-[)1.23-->5.17(]SY.+-[)1.13ml/beat/m<@D12@>D1 ; p=0.0011) and blood lactate threshold (452(]SY.+-[)88-->504(]SY.+-[)108ml/min./m<@D12@>D1 ; p=0.0052) significantly increased after the rehab. We conclude that home rehabilitation for about a month using an odometer may improve exercise capacity in preoperative thoracotomy patients.

Report

(3 results)
  • 1995 Annual Research Report   Final Research Report Summary
  • 1994 Annual Research Report
  • Research Products

    (2 results)

All Other

All Publications (2 results)

  • [Publications] 三好 新一郎: "開胸手術患者に対する万歩計を用いた 術前在宅リハビリの試み" 外科治療. 76. 232-233 (1997)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1995 Final Research Report Summary
  • [Publications] MIYOSHI S,YOSHIMASU T,HIRAI T,& ET AL.: "HOME REHABILITATION FOR PREOPERATIVE THORACOTOMY PATIENTS" GEKATIRYO. 76. 232-233 (1997)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1995 Final Research Report Summary

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Published: 1994-04-01   Modified: 2016-04-21  

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