| Project/Area Number |
16K01485
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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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| Research Field |
Rehabilitation science/Welfare engineering
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| Research Institution | Mukogawa Women's University |
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Principal Investigator |
Matsuo Yoshimi 武庫川女子大学, 健康・スポーツ科学部, 教授 (90411884)
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| Co-Investigator(Kenkyū-buntansha) |
柳澤 幸夫 徳島文理大学, 保健福祉学部, 教授 (60747632)
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| Project Period (FY) |
2016-04-01 – 2022-03-31
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| Project Status |
Completed (Fiscal Year 2021)
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| Budget Amount *help |
¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2019: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2018: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2017: ¥130,000 (Direct Cost: ¥100,000、Indirect Cost: ¥30,000)
Fiscal Year 2016: ¥1,560,000 (Direct Cost: ¥1,200,000、Indirect Cost: ¥360,000)
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| Keywords | 呼気筋トレーニング / 舌厚 / 高齢患者 / 呼吸機能 / 嚥下機能 / 口腔機能 / 呼吸筋トレーニング / ADL / リハビリテーション / 医療・福祉 |
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| Outline of Final Research Achievements |
The purpose of this study was to investigate the effects of expiratory muscle training (EMT) on swallowing function, tongue pressure / thickness, labial closure force, respiratory function and respiratory muscle strength in elderly patients undergoing long-term care. Subjects were elderly inpatients without dementia or dysphagia and were randomly assigned to either the EMT group or the sham group.
The improvement rates of SVC, % FVC, PEF, % PEF, MEP,% MEP, and MIP were significantly higher in the EMT group. The EMT program was well tolerated, improved respiratory function and its muscle strength excluding swallowing function, tongue indicators and oral function in elderly patients, and had no adverse events. These results suggest that it may contribute to the prevention and treatment of aspiration pneumonia in the elderly undergoing long-term care.
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| Academic Significance and Societal Importance of the Research Achievements |
呼気筋トレーニングは呼吸中の呼気側にのみ機器を用いて負荷をかける認知機能や嚥下障害のない高齢患者に分かりやすいトレーニングである。医療者の監視下では長期療養中の高齢患者にも耐えられ、有害事象も発生しない。四肢・体幹に機能低下が高齢患者に発生しやすいが、呼吸機能や呼吸筋力の低下に対する適切なトレーニングにより、誤嚥性肺炎の予防と治療に貢献する可能性があり、医療・介護・福祉サービスの関係者へ普及させることが望ましい。
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