日本温泉気候物理医学会雑誌
Online ISSN : 1884-3697
Print ISSN : 0029-0343
ISSN-L : 0029-0343
63 巻 , 4 号
選択された号の論文の7件中1~7を表示しています
  • 前田 真治, 大渕 修一, 柴 喜崇, 佐々木 麗, 田中 裕美子, 頼住 孝二, 長澤 弘
    2000 年 63 巻 4 号 p. 173-180
    発行日: 2000年
    公開日: 2010/04/30
    ジャーナル フリー
    疼痛緩和・除去に用いられる温熱療法の一つに温水浴があり, 四肢関節の疼痛や慢性関節リウマチ (RA) などに対する治療で高頻度に用いられる。一方, 炭酸ガスは独自の強力な血管拡張作用をもち, 局所に触れるだけで, 皮下に浸透し, 血管を拡張させ, 血液循環を改善することで, 疼痛物質や老廃物の排除, 神経に対する疼痛緩和作用などから疼痛が軽減する。そこで, 炭酸温浴の疼痛性疾患に対する影響と効果をみるために, 高濃度人工炭酸温水を作製し検討した。
    方法は, 高濃度人工炭酸水製造装置 (三菱レイヨン・エンジニアリング株式会社製MRE-SPA) を用い1000ppm以上の高濃度炭酸温水を作製した。本装置は中空糸膜の特性により炭酸ガスだけを選択的に透過することで, 温水中に高濃度の人工炭酸水を作製でき, 炭酸を過飽和の状態にまで溶解できる特徴をもつ。
    この装置を用い, 約1000ppmの41℃炭酸温水を浴槽内に作製した。その中に疼痛を有する腰痛患者10名 (平均35歳), RA患者10名 (平均51歳) を10分間入浴させ, その間, 表面皮膚温, 脈拍, 血圧などを測定した。さらに, 温浴前後で疼痛変化や日常生活への影響などを, 疼痛評価法, ADL評価表, Visual Analogue Pain Scale, Face Scale, AIMS変法によるQOL調査表を用いて腰痛症についてはプラセーボ群 (水道水温浴群) と対比しながら調べた。
    その結果, 入浴中にやや血圧下降がみられるが, 大きな変動はなく出浴後には前値に復帰した。前額面表面皮膚温もプラセーボ群に比べ0.2℃程度高く上昇した。さらにADL得点 (平均73.0→77.5/96), Visual Analogue Pain Scale (5.2→2.6/10), Face Scale (9.0→4.0/20), AIMS変法 (身体31.6→33.4, 社会28.4→29.4, 精神21.4→26.8/36) も入浴前後で有意差がみられた。また,人工炭酸泉温浴がRA患者の疼痛改善をはじめADL・QOLの向上にも効果があることが認められた。
  • 堀切 豊, 下堂園 恵, 王 小軍, 須藤 和彦, 林 菊若, 田中 信行, 小原 該一
    2000 年 63 巻 4 号 p. 181-186
    発行日: 2000年
    公開日: 2010/04/30
    ジャーナル フリー
    The effects of high concentration mineral water bating (31.16g/kg, mainly composed of Na, Ca, Mg chloride and sulfate) were studied in 13 healthy men (44.9±16.3y.o.). The subjects took 41°C, 10min bathing and kept warmth by a blanket for 30min. Blood pressure (BP), Heart rate (HR), cardiac output (CO), total peripheral resistance (TPR) and sublingual temperature by electric thermista as deep body temperature were measured during and after bathing. Skin blood flow by LASER doppler flow meter and venous partial gas pressure and pH were also measured.
    Sublingual and forehead temperature was increased significantly by +1.4°C after 10min bathing and +0.9°C increase continued even after 30min. Diastolic BP and TPR were significantly decreased, and HR and CO were significantly increased by +20bpm and +2.7l/min, respectively. Significant increase of skin blood flow was also demonstrated. Significant increase of venous pO2 (+20 Torr) and decrease of pCO2 (-8.0 Torr) suggested the improvement of peripheral oxidative metabolism due to increased CO.
    High concentration mineral water bathing was highly effective than simple water bathing probably due to the thick coating effect by binding concentrated minerals with skin furface protein.
  • 信岡 祐彦, 青野 治朗, 長嶋 淳三, 粟屋 透, 籏野 誠二, 徳岡 伸一, 小澤 泰典, 三廼 信之, 三宅 良彦
    2000 年 63 巻 4 号 p. 187-192
    発行日: 2000年
    公開日: 2010/04/30
    ジャーナル フリー
    【目的】温浴が末梢動脈の血流速度および血液速度波形に及ぼす影響について, 超音波 Doppler 法を用いて検討することを目的とした。
    【対象と方法】対象は健常成人7例 (平均年齢31.9±5.9歳) で, 超音波血流計と貼付型プローブを用いて, 41℃の温浴前, 温浴後1分, 5分, 10分, および出浴直後, 出浴後5分の左橈骨動脈の血流速度波形を記録した。計測項目として, 最高血流速度, 平均血流速, 血流速度波形の加速時間, 同減速時間の4つをとり, それぞれの経時的変化について検討した。
    【結果】1) 最高血流速度は温浴前に比し温浴1分後が, 1分後に比し5分後が, 5分後に比し10分後がそれぞれ有意に高値を示した。出浴直後は有意な低下を示したが, その後再び増加に転じ, 出浴5分後では温浴前に比し有意に高値を示した。2) 平均血流速度も最高血流速度と同様の経時的変化を示した。3) 血流速度波形の減速時間は温浴前に比し温浴1分後, 5分後, 10分後で有意な増加を認めたが, 血流速度と異なり経時的な変化は認められなかった。また出浴直後に低下し, その後も有意な増加は認められなかった。4) 血流速度波形の加速時間は出浴直後に低下を認める以外, 有意な変化は認められなかった。
    【考案】温浴により, 末梢動脈の血流速度は経時的に増加し, 血流速度波形の減速時間は延長することが示された。これらの変化は静水圧による静脈還流量の増大や温熱効果による心拍出量の増加によってもたらされるものと推察された。
  • 卯津羅 雅彦, 田口 芳雄, 嶋崎 初美, 中村 忍, 宮下 多美子, 下川 光博
    2000 年 63 巻 4 号 p. 193-197
    発行日: 2000年
    公開日: 2010/04/30
    ジャーナル フリー
    It has often been pointed out that introduction of early rehabilitation programs may convey a considerable risk of cerebral hypoperfusion, presumably due to dysautoregulation. Cerebral blood flow (CBF) was measured in six patients with cerebrovascular disease using 99mTc-hexamethyl propyleneamine oxime single photon emission computed tomography (99mTc-HM-PAO-SPECT) to investigate whether warm bathing with CO2 bubble stimulation (CO2 bathing) can be applied to early rehabilitation programs. The subjects comprised two patients with hypertensive cerebral hemorrhage, two with aneurysmal subarachnoid hemorrhage, and two with cerebral infarction. CO2 bubble stimulation was produced by dissolving 100g of commercially available CO2 bubble forming tablets in 300L of warm water (41°C) and a course consisting of 10 minutes of CO2 bathing was applied for seven days. Vital signs such as blood pressure, pulse rate, and body temperatures at the axilla and the external auditory canal adjacent to the ear drum were checked during each bathing. CBF measurements and routine laboratory examinations were made before and after the seven-day course of CO2 bathing. Student-t test was used for statistical analysis.
    No definite changes were shown in vital signs before and after CO2 bathing. A significant decrease in WBC counts was observed after CO2 bathing, but there were no changes in values of C-reactive protein. Although no significant changes in hemisphere CBF were identified, actual values of regional CBF in the unaffected hemisphere tended to increase in two patients.
    These results suggest that CO2 bathing produces no adverse effects on cerebral perfusion and can be applied safely to early rehabilitation programs.
  • 早坂 信哉, 岡山 雅信, 梶井 英治, 中村 好一
    2000 年 63 巻 4 号 p. 198-204
    発行日: 2000年
    公開日: 2010/04/30
    ジャーナル フリー
    To determine the need of guidelines for judgment of the bathing advisability for the aged in Councils of Social Welfare, we had a cross-sectional study in 1999.
    A questionnaire survey by mail for Councils of Social Welfare which were extracted by systematic sampling (n=828, extraction rate was 25%) was conducted. The response rate was 83% and the proportion of respondents who answered the guidelines were necessary was 86% (n=642). Chi-square tests and logistic regressions analyses showed that bathing service in facility, existence of guidelines for judgment of the bathing advisability by body temperature, and respondents judging were independent factors associated with the need of guidelines for judgment on the bathing advisability in aged. Our results suggest the necessity to make guidelines for judgment of the bathing advisability in the aged.
  • 和久田 哲司, 西條 一止
    2000 年 63 巻 4 号 p. 205-211
    発行日: 2000年
    公開日: 2010/04/30
    ジャーナル フリー
    In the 1880's, massage therapy was first introduced from Europe. It had been developed by Dr. Albert Reibmayr of Austria. Jiko Nagase, an army surgeon, tried to apply Reibmayr's massage techniques as regular therapy at his hospital. It was the first time that this therapy was used in Japan, but details are not clear, so this paper intends to clarify this therapy's theory and techniques in order to utilize it in clinical practice as a method of physiotherapy.
    We used a compendium of massage (5th ed. 1893) and “Die Tecknik der Massage” (5th ed. 1892), illustrated by Reibmayr, as the basis of our study.
    (1) Reibmayr's massage techniques were being developed in Europe then because the procedures were described in French and joint movements, “Bewegung, ” came from Germany.
    (2) Reibmayr classified his massage therapy into four basic procedures (Effleurage, Massage à Friction, Pétrisage, and Tapotement) according to the classification system of Mezger (from Holland).
    (3) He explained the effects of his massage therapy in combination with joint movements, particularly passive joint movements, based on the exercise method advocated by Ling (from Sweden).
    (4) He emphasized the massage therapy and mechanical and reflex effects based on physiological research in those days.
    (5) He found that massage therapy improved the function of the circulatory and nervous systems, and stimulated metabolism as a whole. According to this discovery, he advocated doing neck massage, abdominal massage, and preliminary massage.
    (6) He recommended the application of his massage therapy to various fields (internal medicine, surgery, obstetrics, gynecology, etc.) as physical therapy. In order to advance the usefulness of current medical massage therapy, it is important to recognize these procedures' effects and to apply them more in clinical practice.
  • 野口 順一
    2000 年 63 巻 4 号 p. 212-213
    発行日: 2000年
    公開日: 2010/04/30
    ジャーナル フリー
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