RESUMEN
Horseback riding therapy is popularly used as one of the physiotherapy in Europe. Dr. Kimura hit upon Horseback Riding Robot, which can precisely simulate horseback motion ; as a result, he has developed and completed the Horseback Riding Robot, which can be worked by six motors. The Horseback Riding Robot, however, is very expensive. For that reason we have decided to turn over a new leaf and have developed a home machine by realizing one motor type. We proved the muscle strength trainings by use of Horse Riding Robot and a home machine, unlike a existing monotonous and boring muscle training, to be worthwhile and effective.
Asunto(s)
Terapía Asistida por Caballos/instrumentación , Diseño de Equipo , Enfermedades Musculoesqueléticas/rehabilitación , Robótica/instrumentación , Adulto , Anciano , Anciano de 80 o más Años , Femenino , Humanos , Masculino , Persona de Mediana Edad , Fuerza Muscular , Músculo Esquelético/fisiopatología , Enfermedades Musculoesqueléticas/fisiopatología , Resultado del Tratamiento , Adulto JovenRESUMEN
A new type of 'Passive Exercise Equipment' has been developed, which can induce muscular contraction of the functional muscles around knee joint. Not only user s who are not eager to exercise but also patients with both type 2 diabetes and knee joint osteoarthritis can perform exercise just by following our equipment's motion while sitting on it. In order to reduce knee joint pain, the equipment has three types of original functions. Our experiments, using the equipment, shows that (1) from a subjective evaluation by persons with knee joint osteoarthritis, knee joint pain was smaller than that of walking on a flat surface area, (2) glucose uptake was significantly enhanced from the Euglycemic Clamp study for both young healthy persons and elder persons with type 2 diabetes, and (3) 12 weeks training using the equipment has improved the rating of the knee joint osteoarthritis.
Asunto(s)
Terapia por Ejercicio/instrumentación , Contracción Isotónica/fisiología , Articulación de la Rodilla/fisiopatología , Contracción Muscular/fisiología , Músculo Esquelético/fisiología , Osteoartritis de la Rodilla/fisiopatología , Fenómenos Biomecánicos , Diabetes Mellitus Tipo 2/terapia , Electromiografía/métodos , Diseño de Equipo , Terapia por Ejercicio/métodos , Glucosa/metabolismo , Humanos , Osteoartritis de la Rodilla/rehabilitación , Dimensión del Dolor , Rango del Movimiento Articular/fisiología , Factores de TiempoRESUMEN
There are few studies on the many complications that disrupt the rehabilitation of patients with cervical cord injuries and their subsequent health-economic benefits. I particularly focused on the treatment of urinary tract infection and decubitus ulcers because these are very frequently encountered complications in a clinical setting. I examined how these complications affect the progress of rehabilitation and facilitate a patient's return to society. The subjects included ninety-eight cervical cord injury patients with tetraplegia who were discharged from the Rehabilitation Center for Severely Disabled Persons from 1995 to 2000. I retrospectively investigated these ninety-eight subjects regarding ninety-six items from clinical records, among which twenty items were selected because they are considered to be closely associated with outcome, such as age, sex, length of stay, medical expense, urinary tract infection, and decubitus ulcer. Moreover, I examined the influence that urinary tract infection and decubitus ulcer had on other items. The average length of stay and total medical expenses per patient were 1,174.4 +/- 559.9 days and 13,563,128.4 +/- 6,351,078.1 yen, respectively. Urinary tract infection and decubitus ulcer occurred at a rate of 97% in patients with cervical cord injury undergoing chronic stage rehabilitation, and these complications caused a two-fold prolongation of the length of stay and a three-fold increase in medical expenses compared with patients without complications. It is important to fully recognize that these complications produce many expenses as well as those for the medical treatment of cervical cord injury.