巻号一覧
72 巻 (2008 - 2009)
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前身誌
72 巻, 3 号
選択された号の論文の7件中1～7を表示しています
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Editorial
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川平 和美2009 年 72 巻 3 号 p. 177-178
発行日: 2009年
公開日: 2013/03/14
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総説
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上岡 洋晴, 津谷 喜一郎, 奥泉 宏康, 岡田 真平, 半田 秀一, 北湯口 純, 鎌田 真光2009 年 72 巻 3 号 p. 179-192
発行日: 2009年
公開日: 2013/03/14
ジャーナル フリーThe purpose of this study was to systematically review non-randomized controlled trials of balneotherapy effects on locomotorium diseases in order to assess their quality and organize the evidence.
We searched the databases of PubMed, CINAHL, Web of Science, JDream ll, and lchushi-Web forpapers published from 1990 to December 2, 2008. Eligible studies were non-randomized controlled trials in which balneotherapy exclusive of underwater exercise was the primary intervention. There was no limitation on the language in which the paper was written.
We found only 4 papers (2 in English, 1 in Croatian, and 1 in Japanese) that fulfilled the eligibility criteria. These papers differed in the type of diseases studied, so a meta-analysis could not be applied. Their individual results showed that hot springs treatment in combination with a comprehensive fitness class was more effective than hot springs treatment alone, and that balneotherapy had therapeutic effects on arthrosis deformans, psoriatic arthritis, and lumbago. However, it was difficult to accurately interpret the effects because these papers were deficient in providing descriptions of important details of the studies.
To improve the quality of future investigations performed with non-randomized controlled trials, we suggest that investigators design a study based on various checklists, implement interventions, conduct evaluations, finally write papers summarizing their findings.抄録全体を表示PDF形式でダウンロード (5001K)
原著
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渡部 一郎2009 年 72 巻 3 号 p. 193-200
発行日: 2009年
公開日: 2013/03/14
ジャーナル フリーShoulder hand syndrome was one of the severe complications in stroke patients and often disturbed the QOL and the rehabilitation therapy. The reflex sympathetic dystrophy (RSD) was considered as the pathogenesis of shoulder hand syndrome, but the therapy had been not established. We analyzed the sympathetic nerve function of thermotherapy of shoulder-neck or passive exercise of limbs in stroke patients. ‹methods› In stoke patients suffering from shoulder hand syndrome, we set the thermisters (Terumo.Co. CMT-205) and local perspiration meters (Skinos Co. SKD 2000) on both forefingers and set the accelerated photoplethysmography (Tokyo Iken Co. SA.3000P). We analyzed the blood vessel tension (BVT) and the wave type. ‹results› The temperature of the paralytic fingers and hands was significantly higher than the temperature of the normal sides. The pulse wave patterns and blood vessel tension in paralytic fingers were more disturbed than those of intact fingers. The perspirations of paralytic hands were significantly correlated with duration and systolic blood pressures and the sympathetic nerve function was considered to concern to the disorders in early stage of stoke.抄録全体を表示PDF形式でダウンロード (2976K) -
國生 満, 大重 匡, 田中 信行2009 年 72 巻 3 号 p. 201-206
発行日: 2009年
公開日: 2013/03/14
ジャーナル フリーIn this study, we investigated the effects of L-Arginine, which increases the production of nitricoxide (NO) with vasodilative actions, on forearm bathing. The subjects were 12 healthy adult males with 24±1 years old. We compared the changes of blood pressure, heart rate, deep/superficial temperatures, and dermal blood flow by forearm batlmg with or without the oral ingestion of 2000mg L-Arginine. After a 30-minute rest following ingestion, the subjects took a forearm bathing ; immersion of the right forearm below the elbow in 41°C hot water for 15 minutes. There were no significant differences neither in blood pressure, heart rate, nor sublingual temperature between the changes by L-Arginine and water ingestion. Although the superficial temperature of the left toe was significarttly increased 15 minutes after the start of bathing regardless of the presence or absence of L-Arginine (p<0.01), the increase with L-Argilline ingestion was significantly greater (p<0.01) than that without L-Arginine. Furthemore, an increase in left dorsal skin blood flow after 10 to 15 minutes bathing with L-Arginine was more marked than that without L-Arginine. The increasing ratio of blood flow after 15 minutes of right forearm bathing against pre-bathing value was significantly higher (p<0.05) in case with L-Argitme than that in its absence. These results suggest that the oral administration of L-Arginine accelerates thermal vasodilative effects during forearm bathing.抄録全体を表示PDF形式でダウンロード (2007K) -
高橋 伸彦, 成川 弘治, 三友 紀男, 大塚 吉則2009 年 72 巻 3 号 p. 207-215
発行日: 2009年
公開日: 2013/03/14
ジャーナル フリーPurpose
Electrodermal activity (EDA) is well known to be influenced by sympathetic activity. Although spa bathing alters autonomic nervous function, the effects of spa bathing on EDA have not been determined. We therefore examined the influence of spa bathng on EDA and autonomic nervous function.
Method
When a gold electrode in test solution and another electrode on the palm were connected to a voltmeter and the index finger was inserted into the test solution, the maximum change of potential shown on the voltmeter was considered as EDA. Several kinds of spa water, tap water, refined water and alkaline ion water were used as test solutions. Electric conductivity, pH, oxidation reduction potential (ORP) and temperature were also measured. Five adult women participated in these tests.
To examine influences on the autonomic nervous system, Fourier analysis of the RR interval of heart rate was perforrned for three volunteers using electrocardiography before and after bathing in sulfur spa or tap water.
Results
EDA displayed an extremely positive correlation to ORP, a weak negative correlation to pH and barely any relationship to electric conductivity of test solutions. Spectrum density at 0.04-0.15 Hz under Fourier analysis (LF) increased after sulfur bathing, but decreased after tap water bathing.
Discussion and conclusion : As EDA strongly correlated to ORP of solutions, epidermal cells may generate electric potential by extracellular ORP which may also produce intracellular electric potential altering membrane potential and consequently autonomic nervous functions might be influenced by the changed EDA.
Since LF is consider to mainly comprise a parasympathetic component in resting state, the results of LF may indicate that the balance of autonomic nervous activity of the heart becomes more parasympathetic dominant after sulfur bathing and more sympathetic dominant after tap water bathing.
From above mentioned, bathing may have an electric influence on the human body by the ORP of bathing water.抄録全体を表示PDF形式でダウンロード (3051K) -
許 鳳浩, 小川 弘子, 上馬場 和夫, 王 紅兵, 関根 道和, 鏡森 定信2009 年 72 巻 3 号 p. 216-228
発行日: 2009年
公開日: 2013/03/14
ジャーナル フリー炭酸ガスは、浸水部皮膚や筋肉に浸透し、local tissue acidosisを惹起して、 NO-cGMP 系の活性化、NO 生成の促進により末梢血管を拡張させると推定されている。炭酸温水足浴の局所と全身的な作用機序について、淡水足浴と比較することで考察した。健常成人男性15名（24-53歳：31±10歳）を対象に、38°C、30分間の炭酸温水足浴（モジュール攪拌型人工炭酸温水装置、溶存炭酸ガス濃度1100±100ppm、pH4.8）と淡水足浴（pH 7.4）、対照座位を無作為の順序で体験させ、その前 5分間、最中、後 10分間における生理的変化を測定した。測定項目は、舌下温、心拍変動（低周波数成分 LH と高周波数成分HF）、血圧、レーザードプラーによる浸水部（足部）と非浸水部（僧帽筋部）の皮膚血流速度とした。
その結果、炭酸温水足浴開始後 5分目に、淡水足浴よりも副交感神経優位状態（HF/（LF＋HF）の有意な高値）が起こることが示された。足浴開始後10分目からは炭酸温水浸水部において、淡水浴以上の皮膚血管拡張が起こり、最後の30分目まで継続した。炭酸温水足浴も淡水足浴でも同様に、最後の 30分目頃には舌下温の有意な上昇を認めた。その上昇に伴い、淡水足浴では、心拍変動（LF/HF比）において、対照よりも交感神経優位状態を示したが、炭酸温水足浴では有意な変化を認めなかった。1100ppm、38°C炭酸温水足浴開始直後5分目の副交感神経優位状態は、炭酸と淡水とで舌下温に差がないことから、皮膚への温熱刺激やpHの違いが、侵害受容イオンチャンネルTRP-V（Transient receptorpotential-vanillod）や、酸感受性イオンチャンネル（ASICs：Acid sensitive ion channels）などを介して体性自律神経反射の差を来すことで惹起されたことが推定された。抄録全体を表示PDF形式でダウンロード (4441K)
特集
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第三回 ヨーロッパにおける現代の水中運動療法清水 富弘2009 年 72 巻 3 号 p. 229-230
発行日: 2009年
公開日: 2013/03/14
ジャーナル フリーPDF形式でダウンロード (711K)
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