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1989 Fiscal Year Final Research Report Summary

An investigation of cardiovascular fitness and its training for severely mentally and physically disabled persons

Research Project

Project/Area Number 63460230
Research Category

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

Allocation TypeSingle-year Grants
Research Field 体育学
Research InstitutionInstitute for Developmental Research, Aichi Prefectural Colony

Principal Investigator

MITA Katsumi  Chief of Laboratory Dept. of Therapeutics, Inst. for Develop. Res., 治療学部, 室長 (40100169)

Co-Investigator(Kenkyū-buntansha) AKATAKI Kumi  Research Associate Dept. of Therapeutics, Inst. for Develop. Res., 治療学部, 研究助手
MIYAGAWA Toshiaki  Research Staff Dept. of Therapeutics, Inst. for Develop. Res., 治療学部, 研究員 (40067252)
Project Period (FY) 1988 – 1989
Keywordsdisabled person / health care / physical fitness / circulatory function / lower body negative pressure
Research Abstract

Severely mentally and physically disabled persons are those who suffer from both severe mental retardation and severe physical disabilities. A considerable number of the disabled persons are bedridden for a prolonged period of time. Lower body negative pressure (LBNP) may be one of possible methods for stimulating the cardiovascular function. The LBNP provides a mean to apply reduced pressure usually to., lower body and simulates the effect of gravity. We developed the LBNP device and investigated their cardiovascular responses and possibility of training using the LBNP method. As previously investigated, the blood is pooled in lower extremities during the LBNP. Furthermore, peripheral vasoconstriction is activated by barorecepter-mediated reflex reduces peripheral blood flow. Consequently, the systolic pressure does not change and the diastolic pressure elevates. Heart rate increases to compensate decreasing stroke volume. Our results for the normal subjects confirmed that the cardiovascular response to the LBNP agreed well with the previous reports. On the other hand, inadequate control in heart and vasculature during the LBNP was observed for the disabled persons. That is, the heart rate for the disabled persons completely bedridden did not change during the LBNP. The disabled persons experiencing passively sitting posture in daily.living.showed elevated heart rate which was lower in comparison with the normal subjects. The blood pressures of both groups of the disabled persons decreased progressively during the graded LBNP. The depression of the blood pressure for the most severely disabled group was greater than that for the disabled persons with sitting posture. This suggested serious lower function or dysfunction in both central and peripheral circulatory system of the severely disabled persons. In order to sustain good function and health, it is necessary to involve them in training of cardiovascular fitness even by passively simulated physical work.

  • Research Products

    (8 results)

All Other

All Publications (8 results)

  • [Publications] K.Akataki,kMita et al.: "Cardiovaseular responses of severely mentally and physically disobled persons during lower body negative pressure" Proc.XII Int.Cong.Biomechauics. #284 (1989)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 赤滝,三田他: "最重度重症心身障害者の抗動姿勢における循環調節" 体力科学(印刷中). 39. (1990)

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] K.Mita,K.Akataki et al.: "Cardiovascular dynamics of bedridden disabled persons to passive orthostasis and lower body negative pressure" Aviat,Space Environ Med (submitted).

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] 赤滝,三田他: "最重度運動障害者の下半身除圧負荷に対する心臓血管反応" リハ医学(準備中).

    • Description
      「研究成果報告書概要(和文)」より
  • [Publications] K.Akataki et al.: "Cardiovascular responses of severely mentally and physically disabled persons during lower body negative pressure" Proc. XII Int. Cong. Biomechanics, #284 (1989).

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] K.Akataki et al.: "Orthostatic cardiovascular regulation in persons with both severe mental retardation and severe physical disabilities (in Japanese)" Jpn. J. Phys. Fitness Sports Med., 39 (1990).

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] K.Mita et al.: "Cardiovascular dynamics of bedridden disabled persons to passive orthostasis and lower body negative pressure" Aviat. Space Environ. Med.

    • Description
      「研究成果報告書概要(欧文)」より
  • [Publications] K.Akataki et al.: "Cardiovascular adjustment of severe motor disabled persons to LBNP (lower body negative pressure) (in Japanese)" Jpn. J. Rehabil. Med.

    • Description
      「研究成果報告書概要(欧文)」より

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Published: 1993-03-26  

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