Developing Exercise Programs Tailored to the Muscular Characteristics of Elderly Individuals with Lower Back Pain

2022 Fiscal Year Final Research Report

• Project/Area Number: 19K20200
• Research Category: Grant-in-Aid for Early-Career Scientists
• Allocation Type: Multi-year Fund
• Review Section: Basic Section 59040:Nutrition science and health science-related
• Research Institution: Kyoto Tachibana University
• Principal Investigator: ABIKO TEPPEI 京都橘大学, 健康科学部, 准教授 (80708131)
• Project Period (FY): 2019-04-01 – 2023-03-31
• Keywords: 胸腰椎疾患 / 筋量 / 筋質 / ADL能力

Outline of Final Research Achievements

The purpose of this study was to determine the quantitative characteristics of muscle mass and qualitative characteristics such as intramuscular fat and degeneration of muscle fibers in elderly low back pain patients. The subjects were hospitalized patients with thoracolumbar spine disease, and the relationship between muscle mass and muscle quality and exercise function was examined cross-sectionally, and furthermore, the contribution of the amount of change in muscle mass and muscle quality to improvement in exercise FIM was examined longitudinally. As a result, the extracellular fluid ratio, CS-30, and the amount of change in VAS were extracted as factors contributing to the improvement of exercise FIM. These results suggest that muscle mass is related to muscle strength and muscle quality is related to exercise performance in addition to muscle strength, and that improvement in muscle quality contributes to improvement in exercise FIM.

Free Research Field

理学療法

Academic Significance and Societal Importance of the Research Achievements

本研究は、胸腰椎疾患患者の筋量および筋質の変化および運動機能、疼痛に関する心理的特徴、ADL能力を縦断的に調査し、ADL能力の改善したものは、筋質が改善し、疼痛が改善し、立ち上がり能力が向上したものであることがわかった。これまでは、疼痛および運動機能の改善に主眼が置かれていたが、本研究では筋質の改善の重要性を示すことができた。