理学療法ジャーナル58巻8号

2024年08月発行

特集 全身持久力トレーニング

運動器疾患患者に対する全身持久力トレーニング

著者： 鬼塚勝哉¹² 島田直宜³ 金村尚彦³

所属機関： ¹東都大学幕張ヒューマンケア学部理学療法学科 ²東京女子医科大学附属八千代医療センターリハビリテーション部 ³埼玉県立大学大学院保健医療福祉学研究科

ページ範囲：P.869 - P.876

Point

●変形性膝関節症患者における有酸素運動はQOLや身体機能の改善のみならず，関節組織に直接的な影響を及ぼす可能性があるが，コンセンサスは得られていない

●疼痛や重症度に関係なく，固定式自転車運動などの有酸素運動の実施が推奨され，運動頻度は週3回程度（1回50分程度），運動強度はHR_maxの70％前後を指標とする

●長期的な運動継続が課題であり，運動継続の障害因子と促進因子を特定して，個別性をもって対応をすることが望まれる

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