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Fundamental verification to establish evidences among pulmonary rehabilitation.

Research Project

Project/Area Number 15300192
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Rehabilitation science/Welfare engineering
Research InstitutionTOHOKU UNIVERSITY

Principal Investigator

KUROSAWA Hajime  Tohoku University, Health Administration Center, Associate Professor, 保健管理センター, 助教授 (60333788)

Co-Investigator(Kenkyū-buntansha) KOHZUKI Masahiro  Tohoku University, Graduate School of Medicine, Professor, 大学院・医学系研究科, 教授 (70234698)
ICHINOSE Masakazu  Wakayama Prefecture Medical University, School of Medicine, Professor, 医学部, 教授 (80223105)
HIDA Wataru  Center for the Advancement of Higher Education, Professor, 高等教育開発推進センター, 教授 (10142944)
Project Period (FY) 2003 – 2004
Project Status Completed (Fiscal Year 2004)
Budget Amount *help
¥16,900,000 (Direct Cost: ¥16,900,000)
Fiscal Year 2004: ¥4,200,000 (Direct Cost: ¥4,200,000)
Fiscal Year 2003: ¥12,700,000 (Direct Cost: ¥12,700,000)
Keywordspursed-lip breathing / electron-beam CT / respiratory muscle training / dyspnea / tissue oxygen saturation / oxygen consumption of respiratory muscles / body plethysmography / dead space loading system / 呼吸リハビリテーション / 理学療法 / 鼻咽腔閉鎖 / 呼吸抵抗 / 呼吸筋組織酸素飽和度 / 慢性閉塞性肺疾患 / 換気力学 / パニック / 呼吸理学療法 / ボディボックス / ゆらぎ
Research Abstract

1)To examine the effects of Pursed hp breathing (PLB) on broncho-dilation and improvement of respiratory efficiency by changing respiratory pattern which have been historically assumed, ventilatory mechanics was measured in 10 healthy subjects during PLB. We reported respiratory impedance and nasopharyngeal closure during PLB at ATS meeting 2004 and submitted for publication. Further, the measurements were also performed in the patients with COPD. The results showed various changes during PLB, which will be reported at Japanese Society for Respiratory Care 2005 and American College of Chest Physicians 2005, and will be submitted. EEG study during PLB were planned to examine the effects on dyspnea sensation in healthy subjects and patients with COPD. We almost finished to obtain the data to performm frequency analysis of EEG alfa-wave. Currently, the analysis is undergoing. The data concerning R-R variation in ECG is also being studied during PLB, but not finished, yet.
2)We newly develo … More ped "Dead space loading system" to measure oxygen consumption of respiratory muscle before and after chest physiotherapy This system allows to measure the oxygen consumption without influence of functional residual capacity, and is suited for patients with COPD. A patent was already applied for the system. The preliminary studies were done, and the measurement will be started in the patients with COPD before and after chest physiotherapy.
3)We tried to study tissue oxygen saturation in intercostals muscles to investigate the optimal load for respiratory muscle training. However, because of technical difficulties, we decided to change the target of the assessment to respiratory accessory muscles and to continue to do experiments.
4)It became impossible to take image of the lung during PLB using electron-beam CT because of the problem in the Hospital. The preliminary images were already published in New England Journal of Medicine. Joint projects to study bronch-dailating effects during PLB using electron-beam CT is under processing with Shiga Medical University. Less

Report

(3 results)
  • 2004 Annual Research Report   Final Research Report Summary
  • 2003 Annual Research Report
  • Research Products

    (29 results)

All 2005 2004 Other

All Journal Article (18 results) Book (2 results) Patent(Industrial Property Rights) (2 results) Publications (7 results)

  • [Journal Article] COPDにおける動的気道狭窄2005

    • Author(s)
      黒澤 一
    • Journal Title

      Progress in Medicine 25

      Pages: 1007-1010

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] 呼吸リハビリテーションのガイドラインの歴史とエビデンス2005

    • Author(s)
      黒澤 一, 上月正博
    • Journal Title

      日本胸部臨床 64

      Pages: 195-203

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Dynamic airway narrowing.2005

    • Author(s)
      Kurosawa H.
    • Journal Title

      Progress in Medicine 25

      Pages: 1007-1010

    • NAID

      120003728928

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] History and Evidence of guidelines for pulmonary rehabilitation2005

    • Author(s)
      Kurosawa H, Kohzuki M.
    • Journal Title

      The Japanese Journal of Chest Disease 64

      Pages: 195-203

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] 呼吸理学療法が重症肺気腫患者の肺気量分画に及ぼす即時的効果についての検討2004

    • Author(s)
      松本香好美, 黒澤一, 森直樹, 後藤葉子, 上月正博
    • Journal Title

      総合リハビリテーション 32

      Pages: 577-582

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Dynamic Airway Narrowing2004

    • Author(s)
      Kurosawa H, Kohzuki M.
    • Journal Title

      New England Journal of Medicine 350

      Pages: 1036-1036

    • NAID

      120003728928

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Improved activities of dairy living, psychological state, and health-related quality of life following lung volume reduction surgery.2004

    • Author(s)
      Goto Y, Kurosawa H, et al.
    • Journal Title

      Respirology 9

      Pages: 337-344

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] 自覚的呼吸困難度段階別に見た運動負荷客観指標の動向-呼吸困難度を指標とした運動処方のためのアプローチ2004

    • Author(s)
      佐野裕子, 黒澤一, 上月正博, 他
    • Journal Title

      臨床運動療法研究会誌 6

      Pages: 13-16

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Effects of manual chest physiotherapy on lung volume in patients with severe emphysema.2004

    • Author(s)
      Matsumoto K, Kurosawa H, Mori N, Goto Y, Kohzuki M.
    • Journal Title

      Sogo Rihabiritation 32

      Pages: 577-582

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Dynamic Airway Narrowing.2004

    • Author(s)
      Kurosawa H, Kohzuki M.
    • Journal Title

      New Engl J Med 350

      Pages: 1036-1036

    • NAID

      120003728928

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Improved Activities of Daily Living, Psychological State, and Health-related Quality of Life following Lung Volume Reduction Surgery for 12 months in Patients with severe Emphysema.2004

    • Author(s)
      Goto Y, Kurosawa H, Mori N, Kurokawa Y, Hida W, Kohzuki M.
    • Journal Title

      Respirology 9

      Pages: 337-344

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] Changes of objective parameters for exercise tests corresponding to the exercise load which was determined by subjective dyspnea scales. An approach for the exercise prescription targeted by dyspnea sensation.2004

    • Author(s)
      Sano Y, Kurosawa H, Kohzuki M, et al.
    • Journal Title

      Japan Journal of Exercise Therapy 6

      Pages: 13-16

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Journal Article] 呼吸理学療法が重症肺気腫患者の肺気量分画に及ぼす即時的効果についての検討2004

    • Author(s)
      松本香好美, 黒澤 一, 森直樹, 後藤葉子, 上月正博
    • Journal Title

      総合リハビリテーション 32

      Pages: 577-582

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 自覚的呼吸困難度段階別に見た運動負荷客観指標の動向-呼吸困難度を指標とした運動処方の為のアプローチ-2004

    • Author(s)
      佐野裕子, 黒澤一, 上月正博, 久保 晃, 丸山仁司
    • Journal Title

      臨床運動療法研究会誌 6

      Pages: 13-16

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 重症肺気腫患者に対するLung Volume Reduction Surgeryの長期的検討2004

    • Author(s)
      後藤葉子, 黒澤 一, 黒川良望, 飛田 渉, 上月正博
    • Journal Title

      日本呼吸管理学会誌 14

      Pages: 281-285

    • NAID

      130006199523

    • Related Report
      2004 Annual Research Report
  • [Journal Article] 介護保健施設における在宅呼吸療法患者の受け入れ-宮城県の現状-2004

    • Author(s)
      飛田 渉, 黒澤 一, 上月正博, 宮城在宅呼吸管理研究会
    • Journal Title

      日本呼吸管理学会誌 13

      Pages: 523-527

    • NAID

      130006687514

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Dynamic Airway Narrowing2004

    • Author(s)
      Kurosawa H, Kohzuki M
    • Journal Title

      New Engl J Med 350

      Pages: 1036-1036

    • NAID

      120003728928

    • Related Report
      2004 Annual Research Report
  • [Journal Article] Quality of Life following Lung Volume Reduction Surgery for 12 months in Patients with severe Emphysema.2004

    • Author(s)
      Goto Y, Kurosawa H, Mon N, Kurokawa Y, Hida W, Kolizuki M.
    • Journal Title

      Respirology 9

      Pages: 337-344

    • Related Report
      2004 Annual Research Report
  • [Book] COPD診療マニュアル2005

    • Author(s)
      一ノ瀬正和, 黒澤 一, 他
    • Total Pages
      131
    • Publisher
      南江堂
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Book] Respiratory Medicine : An Asian Perspective(Edited by Ip M, Chan-Yeung M, Lam WK, Zhong NS.)2005

    • Author(s)
      Hida W, Kurokawa Y, Kurosawa H
    • Total Pages
      496
    • Publisher
      Hong Kong University Press
    • Related Report
      2004 Annual Research Report
  • [Patent(Industrial Property Rights)] 死腔負荷装置2004

    • Inventor(s)
      黒澤 一
    • Industrial Property Rights Holder
      東北大学
    • Filing Date
      2004-07-27
    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      2004 Final Research Report Summary
  • [Patent(Industrial Property Rights)] 死腔負荷装置2004

    • Inventor(s)
      黒澤 一
    • Industrial Property Rights Holder
      国立大学法人東北大学
    • Filing Date
      2004-07-27
    • Related Report
      2004 Annual Research Report
  • [Publications] 松本香好美, 黒澤 一, 森直樹, 後藤葉子, 上月正博: "呼吸理学療法が重症肺気腫患者の肺気量分画に及ぼす即時的効果についての検討"総合リハビリテーション. (印刷中). (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] Kurosawa H, Kohzuki M: "Images in Clinical Medicine : Dynamic Airway Narrowing"New England Journal of Medicine. 350. 1036-1036 (2004)

    • Related Report
      2003 Annual Research Report
  • [Publications] 黒澤 一: "末梢気道の直接的換気力学測定"呼吸と循環. 51. 249-254 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] Matsumoto K, Kurosawa H, Goto Y, Mori N, Kohzuki M: "Functional residual capacity decreased after chest physiotherapy"American Journal of Respiratory and Critical Care Medicine. 167. A668-A668 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 黒澤 一, 上月正博: "急性期からの呼吸リハビリテーション:COPDの急性増悪"Clinical Rehabilitation. 12. 391-398 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 黒澤 一, 上月正博, 一ノ瀬正和: "診療ガイドラインの作成動向"EBMジャーナル. 4. 24-30 (2003)

    • Related Report
      2003 Annual Research Report
  • [Publications] 黒澤 一他: "呼吸リハビリテーションマニュアル-運動療法-"照林社. 144 (2003)

    • Related Report
      2003 Annual Research Report

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Published: 2003-04-01   Modified: 2016-04-21  

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