The patient, a 72-year-old man, was admitted for disuse syndrome after left lower thigh cellulites, who originally developed left hemiparesis at age 60. At the time of admission, he was alert, his Body Mass Index was 18.5 and his FIM (Functional Independence Measure) score was 49. We thought this was a case of post stroke disuse syndrome manifesting after long-term bedridden inactivity. He underwent a hospital rehabilitation program; however, he gained only poor functional recovery after one month. He complained about nighttime snoring and awakening from sleep. So he was evaluated with a portable device for SAS (Sleep Apnea Syndrome). His ESS (Epworth Sleepiness Scale) was 21, his Apnea-Hypnea Index was 58.2 and his lowest SpO₂ level was 75%. With a diagnosis of severe SAS, he was treated with nighttime nCPAP (nasal Continuous Positive Airway Pressure). After treatment, his lowest SpO₂ level rose to 90%, and the patient's excessive daytime sleepiness (ESS=15) and ADL (FIM=85) improved. When patients exhibit poor recovery after training, the possibility of SAS should be taken into consideration and they should be tested accordingly.

With household digital compact wrist blood pressure monitors, blood pressure was measured in hemiplegic patients who were receiving kinesitherapy.
During the training program routinely worked out by physical therapists, most patients had shown elevated levels of both systolic and diastolic blood pressure. There were some patients whose blood pressure went up so high as to call doctors' attention.
As changes in blood pressure are affected by various factors, we cannot say at once that doing exercise alone adds to blood pressure. Nonetheless, by using a household blood pressure monitor, it would be easy to know the extent to which blood pressure rises in accordance with the amount of exercise, so that it would be possible to make patients and their family aware of the importance of blood pressure readings. We thought it possible to obtain an index of the amount of exercise at home.