In order to determine the safety of a warm bath and its optima temperature, warm baths were administered to 54 convalescent patients who had histories of myocardial infarction. The patients washed their bodies in their usual ways, and the effects of the warm bath were compared between bath temperatures of 40°C and 42°C.
PRP increased immediately after entry into the bath and during washing activities, and ST deviations appeared on electrocardiograms at these times as well. Many instances of extrasystole occurred immediately upon entering the bath, and PEP/ET, a measure of stroke volume, decreased during bathing. These changes were greater when bath temperature was at 42°C than at 40°C. When the clinical course and results of patients were studied in terms of disease severity, electrocardiographic events induced by bathing occurred with relatively high frequency in severe cases where Peel's prognostic index for acute myocardial infraction was 10 or higher, complications were elicited by rehabilitation, exercise tolerance was poor, or severity was judged to be grade 3 or higher according to our Holter's classification. In mild cases, on the other hand, such electrocardiographic events were infrequent during bathing. The results of this study suggest that a warm bath is safe for the patient with a mild myocrdial infarction.

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X-ray findings of the shoulder were analyzed in 55 hemiplegic patients, especially about the relationship to clinical subluxation of the shoulder joint. Subjects were 55 hemiplegic patients whose average age was 49.7 and the interval from the onset was within 1 year. In A-P view of bilateral shoulder joints, α; the angle between spine and glenoid, and G; the interval between medial humeral neck and lower edge of glenoid were measured. AHI: Acromio-Humeral Interval was also measured in each side A-P view. Bone atrophy and osteoarthritic change in affected shoulder were evaluated, the relation between clinical subluxation and x-ray findings, Br. stage, and the interval from the onset were examined. In affected side, as a result, the angle of glenoid to the spine was more steep, and humeral head dislocated more downward. Bone atrophy was seen in almost cases, and osteoarthritic change was observed in about 60% of the subjects. In the group that had clinical subluxation, AHI and G was significantly increased and there was close relationship, α was not significantly increased in this group. Osteoarthritic change was seen more frequently in the group that did not have clinical subluxation. In Br. stage. II to VI, the stage was lower, the incidence of subluxation was higher. However, within 1 year, the incidence of subluxation was not relate to the interval from the onset.

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[in Japanese]

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