1.Respiro-circulatory responses to forearm and calf exercise performed simultaneously at an equal fraction of MVC.
ATSUKO KAGAYA ; YUKI MINAKUCHI ; WAKAKO TAKAHIRA ; SACHIKO KATAYAMA
Japanese Journal of Physical Fitness and Sports Medicine 1991;40(5):447-454
Respiro-circulatory responses to forearm and calf exercise performed simultaneously were compared with corresponding responses to forearm or calf exercise performed separately in 9 active women aged 21.1 yr on average. Handgrip exercise and plantar flexion were carried out for 60 s in a supine position at a frequency of 60 times·min-1 and the load was adjusted to 1/3 MVC. Forearm blood flow (FBF) increased to 9.64±1.00 ml·100 ml-1·min-1 immediately after handgrip exercise, and calf blood flow (CBF) to 12.72±0.72 ml·100 ml-1·min-1 after plantar flexion. These increases in FBF and CBF were not significantly different from those after combined arm and leg exercise. Blood flow to inactive limbs showed no significant changes. Rises in systolic and diastolic blood pressure at the end of exercise were significantly higher after handgrip exercise than after plantar flexion. However, no significant difference was found in mean blood pressure among the three types of exercise. Vo2 and HR in combined exercise were significantly higher than those during handgrip exercise, but no significant difference was found between combined exercise and plantar flexion.
Thus the present results indicated that the circulation to active limbs was not restricted when exercise was performed at 1/3 MVC, and that inhibitory summation shown in the central respiro-circulatory response to increased active muscle mass could occur without restriction of the peripheral circulation to the active muscle.
2.The effect of the electroacupuncture therapy for low back pain of collegiate athletes
Shigeki IZUMI ; Toshikazu MIYAMOTO ; Takahiro KOBORI ; Kensuke AOKI ; Sachiko IKEMUNE ; Kenji HARA ; Shoko KATAYAMA ; Shumpei MIYAKAWA
Journal of the Japan Society of Acupuncture and Moxibustion 2008;58(5):775-784
[Objective]The purpose of this study is to evaluate an effect of electroacupuncture therapy on low back pain of collegiate athletes.
[Methods]Subjects were 28 collegiate athletes with low back pain who gave informed consent. They consulted a medical doctor beforehand. The electroacupuncture therapy was performed as acupuncture. The evaluation items were as follows:Visual Analogue Scale (VAS) which expresses the state of the pain (Pain-VAS), VAS which shows a training state (Training-VAS), five phases of evaluations to show a training state, pain at the time of the trunk movements, Roland-Morris Disability Questionnaire (RDQ), and Japanese Orthopedic Association (JOA) score. The correlation of each item was estimated.
[Results]The chief complaint of 27 people was low back pain, and one person had pain of the low back and the lower extremities. In the diagnosis, 16 people had non-specific low back pain, 5people had lumbar vertebrae discopathy, and 3had a lumber vertebrae herniated disk. As a result of acupuncture, the training-VAS and five phases of evaluations to show the training state and JOA score were significantly improved. However, as for the pain-VAS and pain at the time of trunk movements and RDQ, a significant difference was not accepted.
[Conclusion]Training-VAS is useful for measuring the outcome of an athlete with low back pain. It is important that athletes with low back pain evaluate their training.
3.A training method of central venous catheterization using a simulator
Yoshimi MATSUURA ; Taichi SHUTO ; Sachiko OKU ; Akiko OKADA ; Mina MORIMURA ; Kei TSUMURA ; Yasuhiko TAKEMOTO ; Hirohisa MACHIDA ; Akihisa HANATANI ; Kenta ISHIMORI ; Tamotsu KATAYAMA ; Kazuhiro HIROHASHI
Medical Education 2010;41(4):291-294
1) The central venous catheterization (CVC) training program for 2 trainees involves an instructor, a CVC insertion simulator (Kyoto Kagaku Co., Ltd), and a simulated patient.
2) The questionnaire filled out by trainees after the program showed favorable opinions, particularly the method of learning after the practice.
3) It is important that effective simulation programs for trainees are designed to develop practical procedures and professional attitudes as a physician using both a simulator and a simulated patient.