理学療法ジャーナル47巻8号

2013年08月発行

報告

血液透析施行中に行うレジスタンストレーニングの効果―システマティックレビューとメタアナリシスによる検討

著者： 河野健一¹⁴ 矢部広樹²⁴ 森山善文³ 西田裕介⁴

所属機関： ¹愛知医療学院短期大学リハビリテーション学科理学療法学専攻 ²医療法人偕行会名古屋共立病院リハビリテーション課 ³医療法人偕行会名古屋共立病院ウェルネスセンター ⁴聖隷クリストファー大学大学院リハビリテーション科学研究科

ページ範囲：P.751 - P.757

要旨：血液透析施行中のレジスタンストレーニングの効果をシステマティックレビューとメタアナリシスにて検討した．システマティックレビューにて9編のRCTが抽出され，メタアナリシスにてデータの統合が可能であった評価指標を解析した結果，最大酸素摂取量（95％CI：4.00～7.58）と膝伸展筋力（95％CI：0.53～6.02）は有効性が示された．しかし，筋量（95％CI：－3.71～4.55）や自律神経活動（95％CI：－0.001～0.36）に対する有効性は認められなかった．血液透析施行中のレジスタンストレーニングは，運動耐容能や筋力を改善させるうえで有効な治療手段と考えられる．ただし，不十分なアウトカム指標については，エビデンスレベルの高い臨床試験の蓄積がさらに必要であると示唆された．

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