2022 Fiscal Year Final Research Report
Establish the preventive protocol of kyphotic deformity, secondary spinal fracture, and chronic low back pain for patient with osteoporosis.
| Project/Area Number |
19K11397
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Review Section |
Basic Section 59010:Rehabilitation science-related
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| Research Institution | Niigata University of Health and Welfare |
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Principal Investigator |
Kanda Masaru 新潟医療福祉大学, リハビリテーション学部, 講師 (70780659)
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| Co-Investigator(Kenkyū-buntansha) |
佐藤 成登志 新潟医療福祉大学, リハビリテーション学部, 教授 (00440470)
北村 拓也 新潟リハビリテーション大学(大学院), 医療学部, 講師 (60769727)
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| Project Period (FY) |
2019-04-01 – 2023-03-31
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| Keywords | 高齢者脊柱変形 / 座位伸展エクササイズ / 立位伸展エクササイズ / 腰部多裂筋 / 組織血液循環動態 / 骨粗鬆症 |
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| Outline of Final Research Achievements |
The effects of physical therapy on elderly patients with adult spinal deformity with chronic low back pain and osteoporosis have been studied. The results suggest that 3 months of physical therapy for these population could reduce low back pain, improve walking ability, and improve health-related quality of life.
And the intramuscular circulation of lumbar multifidus decreased once the trunk started moving into the flexed position on both sitting and standing. On the other hand, the intramuscular circulation of lumbar multifid increased once the trunk started moving into the extended position on both sitting and standing. Furthermore, the intramuscular circulation of lumbar multifidus increased with trunk extension, but the intramuscular circulation of lumbar multifidus increased more with extending exercise in both the LBP and non-LBP groups.
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| Free Research Field |
Therapeutic Exercise
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| Academic Significance and Societal Importance of the Research Achievements |
本研究は，骨粗鬆症患者を含む慢性腰痛を有する高齢者脊柱変形患者に対する運動療法の有用性が明らかとなり，特にQOLの改善へとつながることが示唆された．また，座位，立位での体幹伸展姿勢が，腰痛有訴者の腰部多裂筋の血流循環動態を改善させることが明らかになったことで，腰痛有訴者に対する症状改善や予防につながり，結果，医療費削減へとつながることが示唆された．さらに，伸展エクササイズが腰部多裂筋の血流動態をより改善させ，高齢者にも簡便で安全に実施可能であることが示唆された．このように，本研究で明らかになったことは，学術的および社会的意義があったといえる．
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