The availability of stand-up exercise tests for the detection of AT (anaerobic threshold) in hemiplegic patients were discussed from following four standpoints.
1) Fourty-seven hemiplegic patients participated in stand-up exercise tests to detect AT. Each subject was ordered to stand up at the frequency of 20 times per minute from height-changeable seat controlled by oil pressure mechanism. The intensity of the work load was increased by lowering the seat height 5cm per min. At the peak work load, the mean HR was 86.0% of age-predicted maximal HR and the mean oxygen consumption was 77.5% of predicted maximal oxygen consumption. These values seemed to be sufficient to detect their AT.
AT of 44 subjects could be determined by arising point of VE/VO₂ and AT of 42, by V-slope method. The mean AT was 52.4% of predicted maximal oxygen consumption, and the value seemed to be reasonable.
2) Two sets of stand-up exercise tests were conducted for 10 subjects to evaluate the reproducibility of this method. The statistically significant correlation was indicated between two ATs.
3) AT values were detected by both the stand-up and bicycle ergometer method in 11 hemiplegics. The statistically significant correlation was indicated between them.
4) AT of ambulant subjects was found to be significantly higher than that of non-ambulant ones. It seemed that the stand-up method was more practical for hemiplegic patients than any other ordinary ones because of its easiness in determining AT which suggested their physical fitness.

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Several kinds of β-blocker were given orally to 23 patients with emotional incontinence after stroke. By the treatment for more than 2 weeks, the symptom improved markedly in 26.1%, moderately in 26.1% and slightly in 13.0%. Cessation of medication in 6 patients showing the improvement of emotional incontinence resulted in the evident aggravation of the symptoms in 5 patients within a week. There was no difference in the efficacy of β-blockers due to sex, age and the site of brain damage.
Propranolol and atenolol which were different in hydrophobicity, i. e. blood brain barrier-permeability and β_{1, 2} receptor selectivity were similarly effective. These results would suggest that the effects of β-blocker on emotional incontinence is attributable to the suppression of central β₁-adrenergic mechanisms related to the generation or expression of emotion, and that blood brain barrier is damaged in stroke patients. Although more detailed studies on doses and indications are required, β-blocker is expected as an effective tool for emotional incontinence after stroke.

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We examined gastrointestinal function of cervical cord injuried patients in order to evaluate and treat gastrointestinal complications. We investigated gastrointestinal function by gastric secretion, gastric emptying and endoscopic examinations.
The subjects were 11 young cervical cord injuried males. They were compared with healthy controls which were classified into 3 groupes (normal, gastric and duodenal ulcers) by endoscopic diagnosis.
We used gastric secretion test standardized by Japanese Society of Gastroenterology, which stimulates patients with 4mcg/kg tetragastrin.
We used gastric emptying test published by Heading, which count post oral administrated serum acetoaminophen density especially 45 minutes later.
Gastric secretions of patients (MAO=20.6±6.7mEq/h) exceeded than normal controls (12.0±4.4mEq/h) and gastric ulcer controls (10.8±6.8mEq/h).
Gastric emptying of patients (45min=7.6±2.4mcg/l) delayed than doudenal ulcer controls (11.3±3.4mcg/l) and normal controls (9.4±2.6mcg/l).
These results showed that gasrointestinal function of cervical cord injuried patients differed from healthy control groupes.
Acute gastric mucosal lesions were found in 7 patients, but no duodenal lesions were seen, so we speculated that increased gastric mucosal lesion was influenced by exceeded gastric secretion and delayed gastric emptying.

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Six patients with infarcts of the corona radiata adjacent to the body of the lateral ventricle were investigated with Brunnstrom stage, Barthel index and MRI. Wallerian degeneration seen on MRI was more severe in patients who had larger lesions and poorer recovery from paresis of the extremities, particularly in the upper limbs.
Among patients with lesions of the same size and same prognosis, Wallerian degeneration was more prominent in those cases which showed more severe symptoms at the acute stage. The relationship between the degree of physical recovery and severity of Wallerian degeneration were discussed.

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