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Pulmonary rehabilitation in chronic obstructive pulmonary disease with hyperinflation of the lungs

Research Project

Project/Area Number 21500491
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field Rehabilitation science/Welfare engineering
Research InstitutionShowa University

Principal Investigator

IZUMIZAKI Masahiko  昭和大学, 医学部, 講師 (20398697)

Project Period (FY) 2009 – 2011
Project Status Completed (Fiscal Year 2011)
Budget Amount *help
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2011: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2010: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2009: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
Keywords理学療法学 / 呼吸リハビリテーション / リハビリテーション / 慢性閉塞性肺疾患 / シクソトロピー / 肺過膨張 / 呼吸困難 / 呼吸困難感
Research Abstract

We found in healthy human subjects that the thresholds for dyspnea and respiratory frequency were similar during hypercapnia. A positive correlation was found between the thresholds. Dyspnea is a very important symptom of chronic obstructive pulmonary disease(COPD). Lung hyperinflation is a physiologic abnormality in patients with COPD. It progresses dynamically during exercise, contributing to the occurrence of dyspnea and thereby limiting the capacity of exercise. Based on our findings, the resultant dyspnea potentially worsens hyperinflation in COPD because tachypneic breathing patterns likely decrease the duration of expiration and lead to worsening of air trapping. We then found that thixotropy conditioning of chest wall muscles by means of a new device increased the chest wall mobility in the xiphisternal region in COPD patients particularly with lung hyperinflation. In contrast, this conditioning decreased the intensity of dyspnea during a 6-min walk test in COPD patients without lung hyperinflation.

Report

(4 results)
  • 2011 Annual Research Report   Final Research Report ( PDF )
  • 2010 Annual Research Report
  • 2009 Annual Research Report
  • Research Products

    (24 results)

All 2012 2011 2010 2009 Other

All Journal Article (8 results) (of which Peer Reviewed: 4 results) Presentation (7 results) Book (9 results)

  • [Journal Article] Coupling of dyspnea perception and tachypneic breathing during hypercapnia2011

    • Author(s)
      Izumizaki M, Masaoka Y, Homma I.
    • Journal Title

      Respir Physiol Neurobiol

      Volume: 179 Pages: 276-286

    • Related Report
      2011 Final Research Report
  • [Journal Article] Coupling of dyspnea perception and tachypneic breathing during hypercapnia2011

    • Author(s)
      Izumizaki M, Masaoka Y, Homma I
    • Journal Title

      Respiratory Physiology & Neurobiology

      Volume: 179 Issue: 2-3 Pages: 276-286

    • DOI

      10.1016/j.resp.2011.09.007

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Dopaminergic modulation of exercise hyperpnoea via D(2) receptors in mice2011

    • Author(s)
      Tsuchiya N, Iwase M, Izumizaki M, Homma I
    • Journal Title

      Experimental Physiology

      Volume: 97 Issue: 2 Pages: 228-238

    • DOI

      10.1113/expphysiol.2011.062703

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 呼吸運動のしくみ正常な呼吸状態を知る2011

    • Author(s)
      泉崎雅彦
    • Journal Title

      呼吸器ケア

      Volume: 9 Pages: 1242-1247

    • Related Report
      2011 Annual Research Report
  • [Journal Article] Effects of fasting on hypoxic ventilatory responses and the contribution of histamine H1 receptors in mice.2011

    • Author(s)
      Ohshima Y, Iwase M, Izumizaki M, Nakayama H, Narita H, Homma I
    • Journal Title

      Journal of Physiological Sciences

      Volume: 61 Pages: 73-82

    • NAID

      10029049524

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Two arms as one : position and movement sense in an elbow-matching task.2011

    • Author(s)
      Izumizaki M, Proske U
    • Journal Title

      Physiology News

      Volume: 82 Pages: 26-29

    • Related Report
      2010 Annual Research Report
  • [Journal Article] The illusion of changed position and movement from vibrating one arm is altered by vision or movement of the other arm.2010

    • Author(s)
      Izumizaki M, Tsuge M, Akai L, Proske U, Homma I
    • Journal Title

      Journal of Physiology

      Volume: 588 Pages: 2789-2800

    • Related Report
      2010 Annual Research Report
    • Peer Reviewed
  • [Journal Article]2009

    • Author(s)
      泉崎雅彦(分担著者)
    • Journal Title

      現場の疑問に答える呼吸リハビリ徹底攻Q&A(中外医学社)

      Pages: 13-17

    • Related Report
      2009 Annual Research Report
  • [Presentation] 呼吸困難感による呼吸リズムの促進2012

    • Author(s)
      泉崎雅彦、政岡ゆり、本間生夫
    • Organizer
      第89回日本生理学大会
    • Place of Presentation
      松本市
    • Year and Date
      2012-03-31
    • Related Report
      2011 Annual Research Report
  • [Presentation] 呼吸困難感による呼吸リズムの促進2012

    • Author(s)
      泉崎雅彦、政岡ゆり、本間生夫
    • Organizer
      第89回日本生理学大会
    • Place of Presentation
      松本
    • Related Report
      2011 Final Research Report
  • [Presentation] 安静時のCO2ホメオスターシスは、呼吸のリズム変化では維持できない2011

    • Author(s)
      大橋傑、泉崎雅彦、本間生夫
    • Organizer
      第88回日本生理学大会
    • Place of Presentation
      (震災のため、誌上開催)
    • Year and Date
      2011-03-29
    • Related Report
      2010 Annual Research Report
  • [Presentation] 呼吸困難感のメカニズム2009

    • Author(s)
      泉崎雅彦
    • Organizer
      第4回秋田呼吸リハビリテーション懇話会
    • Place of Presentation
      秋田大学(秋田市)
    • Year and Date
      2009-10-24
    • Related Report
      2009 Annual Research Report
  • [Presentation] Higher state anxiety is associated with lower thresholds for respiratory frequency and air hunger in response to hypercapnia in humans2009

    • Author(s)
      泉崎雅彦
    • Organizer
      XXXVIth International Union of Physiological Sciences Kyoto
    • Place of Presentation
      京都国際会館(京都市)
    • Year and Date
      2009-07-29
    • Related Report
      2009 Annual Research Report
  • [Presentation] Higher state anxiety is associated with lower thresholds for respiratory frequency and air hunger in response to hypercapnia in humans2009

    • Author(s)
      Izumizaki M, Homma I
    • Organizer
      XXXVIth International Union of Physiological Sciences
    • Place of Presentation
      Kyoto
    • Related Report
      2011 Final Research Report
  • [Presentation] 呼吸困難感のメカニズム2009

    • Author(s)
      泉崎雅彦
    • Organizer
      4回秋田呼吸リハビリテーション懇話会
    • Place of Presentation
      秋田
    • Related Report
      2011 Final Research Report
  • [Book] 身体運動と呼吸・循環機能2012

    • Author(s)
      政岡ゆり、泉崎雅彦(分担著者)
    • Publisher
      真興交易(印刷中)
    • Related Report
      2011 Annual Research Report
  • [Book] 第3版リハ実践テクニック呼吸ケア、呼吸困難感のメカニズム2011

    • Author(s)
      泉崎雅彦
    • Publisher
      メジカルビュー
    • Related Report
      2011 Final Research Report
  • [Book] 第3版リハ実践テクニック呼吸ケア2011

    • Author(s)
      泉崎雅彦(分担著者)
    • Publisher
      メジカルビュー
    • Related Report
      2011 Annual Research Report
  • [Book] 呼吸ケア・リハビリテーションMini(分担著者)、患者教育の実践2010

    • Author(s)
      泉崎雅彦
    • Publisher
      中外医学社
    • Related Report
      2011 Final Research Report
  • [Book] 理学療法士のためのコンディショニング入門、呼吸困難とコンディショニング2010

    • Author(s)
      泉崎雅彦
    • Publisher
      中山書店
    • Related Report
      2011 Final Research Report
  • [Book] 呼吸ケア・リハビリテーションMini2010

    • Author(s)
      泉崎雅彦(分担著者)
    • Publisher
      中外医学社
    • Related Report
      2010 Annual Research Report
  • [Book] 理学療法士のためのコンディショニング入門2010

    • Author(s)
      泉崎雅彦(分担著者)
    • Publisher
      中山書店
    • Related Report
      2010 Annual Research Report
  • [Book] ベッドサイドで役立つ呼吸アセスメントQ&A1012010

    • Author(s)
      泉崎雅彦(分担著者)
    • Publisher
      メディカ出版
    • Related Report
      2010 Annual Research Report
  • [Book] 身体運動と呼吸・循環機能、情動と換気応答

    • Author(s)
      政岡ゆり、泉崎雅彦
    • Publisher
      真興交易(印刷中)
    • Related Report
      2011 Final Research Report

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Published: 2009-04-01   Modified: 2016-04-21  

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