Takashi Isaji | PubMed Health

PubMed2006

General endurance in hemiplegic patients: comparison between healthy subjects and hemiplegics using the incremental stand-up exercise-load method.

OBJECTIVES: To evaluate the utility of our newly devised method (incremental stand-up exercise-load) to determine features of general endurance in hemiplegic patients. SUBJECTS/PATIENTS: Participants were 15 healthy adults and 15 hemiplegics, with 13 men and 2 women in each group. METHODS: To evaluate endurance, the subjects were required to assume a sitting position on a bed for 3 minutes and thereafter repeat standing-sitting (SS) movements. Successively increasing loads were imposed by increasing the frequency of repetition of the SS movements. An expired gas analyzer measured the magnitude of general endurance. Results were compared between the two groups using the anaerobic threshold (AT) as an indicator. RESULTS: The AT value was determinable in 80% of subjects in both groups. The AT values in hemiplegics (10.4 +/- 2.0 ml/min/kg) were significantly (p<0.01) less than those (17.3 +/- 3.0 ml/min/kg) in controls. Time of imposition of the load in hemiplegics (11 min 7 s +/- 13 min 45 s) were significantly (p<0.01) less than those (27 min 0 s +/- 7 min 36 s) in controls. CONCLUSION: This newly devised method that does not require special equipment is suitable to examine general endurance in hemiplegic patients.

Adult↗

PubMed2003

[A follow-up study on mental and physical function function among stroke patients: comparisons between admission and discharge status in a rehabilitation-specialized hospital].

PURPOSE: To assess results of a 5 year-follow-up, in terms of disability, depression, quality of life, and social network in cases of stroke patients. This report deal with results at admission and discharge (in average, from 2.5 to 6 months of the onset) in a rehabilitation-specialzed hospital. OBJECT AND METHOD: The subjects were 87 stroke patients hospitalized in the Ibaraki Prefectural University Hospital. They were 64 men and 23 women, and their age were between 42 and 79 with an average of 59 years. Systematic evaluation for mental and physical functions was conducted at admission and discharge, and it is intended that the evaluation will be repeated 1, 2, 3 and 5 years from the stroke onset. RESULTS: There were substantial improvements in motor functions, general intelligence, and the status of dementia during the hospitalization. Activities of daily living and degrees of job execution and satisfactory were also improved. The prevalence of depression remained 40%, and the acceptance of limb paralysis or reduced quality of life did not change. Social network scores declined. DISCUSSION: Lack of improvement of depressive status and quality of life, and deterioration social network may increase the rist of major difficulties after discharge of stoke patients. Prevention programs at hospital may be necessary to cope with these potential problems.

Activities of Daily Living↗