1.Effect of Aging on Thermoregulatory and Cardiovascular Changes during Bathing in the Elderly
Chihiro MIWA ; Hiroya SHIMASAKI ; Masayasu MIZUTANI ; Yasunori MORI ; Kazunori MAEDA ; Takeshi NAKAMURA ; Akira DEGUCHI
The Journal of The Japanese Society of Balneology, Climatology and Physical Medicine 2022;85(2):48-58
Background: Aging affects thermoregulation and can potentially cause cardiovascular changes during bathing in the elderly, possibly leading to accidents and, in worst cases, drowning. However, adequate data on this subject are lacking. Therefore, the purpose of this study was to clarify the effect of aging on thermoregulatory and cardiovascular changes during bathing in the older versus younger adults the relationship between body temperature and thermoregulatory and cardiovascular changes. Methods: Ten young (mean age: 20.4 years) and 10 elderly (mean age: 69.7 years) participants were asked to bathe for 15 min using water at 41°C. Tympanic temperature (Tty), skin blood flow (SkBF), sweating rate (SR), blood pressure, heart rate (HR), and double product (DP) were measured. In addition, we measured subjective psychological changes during bathing. Results: The results showed significant changes in SkBF, SR, and HR in the young participants rather than in the elderly participants. However, in the elderly participants, significant change was noted in systolic blood pressure (SBP). Conclusion: These results demonstrate changes in thermal adaptation and SBP owing to structural and functional progression due to aging.
2.Effect of Aging on Thermoregulatory and Cardiovascular Changes during Bathing in the Elderly
Chihiro MIWA ; Hiroya SHIMASAKI ; Masayasu MIZUTANI ; Yasunori MORI ; Kazunori MAEDA ; Takeshi NAKAMURA ; Akira DEGUCHI
The Journal of The Japanese Society of Balneology, Climatology and Physical Medicine 2022;():2351-
Background: Aging affects thermoregulation and can potentially cause cardiovascular changes during bathing in the elderly, possibly leading to accidents and, in worst cases, drowning. However, adequate data on this subject are lacking. Therefore, the purpose of this study was to clarify the effect of aging on thermoregulatory and cardiovascular changes during bathing in the older versus younger adults the relationship between body temperature and thermoregulatory and cardiovascular changes. Methods: Ten young (mean age: 20.4 years) and 10 elderly (mean age: 69.7 years) participants were asked to bathe for 15 min using water at 41°C. Tympanic temperature (Tty), skin blood flow (SkBF), sweating rate (SR), blood pressure, heart rate (HR), and double product (DP) were measured. In addition, we measured subjective psychological changes during bathing. Results: The results showed significant changes in SkBF, SR, and HR in the young participants rather than in the elderly participants. However, in the elderly participants, significant change was noted in systolic blood pressure (SBP). Conclusion: These results demonstrate changes in thermal adaptation and SBP owing to structural and functional progression due to aging.
3.Early Physical Therapy Intervention for Frail Patients Isolated with COVID-19
Keisuke INOUE ; Yuma NAKAMURA ; Masaki HAKOMORI ; Kazunori TOYODA ; Tomoyuki OGATA ; Shouichirou ISHIHARA ; Shinichi OGAWA ; Ayako KOUZU ; Masashi TAKAHASHI
Journal of the Japanese Association of Rural Medicine 2021;70(1):53-61
Few reports have described assessment methods or exercise interventions in detail for patients isolated with COVID-19. Here, we report our experience of providing physical therapy to these patients based on motor assessment with consideration of infection control. This study involved 4 patients with COVID-19 who needed physical therapy due to a fall or frailty during isolation. The assessment method used was intended to minimize physical contact, to be easily performed, and to reflect muscle strength and balance. Based on the assessment, we created exercise programs and provided exercise intervention to the patients in cooperation with nurses. One patient was discharged early; the other 3 patients showed improved motor function and activities of daily living as a result of the intervention in the acute ward. However, they needed ongoing rehabilitation in the rehabilitation ward. No physical therapists showed signs of COVID-19 infection. Performing motor assessments and providing exercise intervention to these patients isolated with COVID-19 contributed to motor improvement and enabled us to promptly determine whether they needed ongoing rehabilitation.
4.Comparison of Cardiovascular and Psychological Responses to a 20-min Bath in Summer and Winter
Chihiro MIWA ; Hiroya SHIMASAKI ; Masayasu MIZUTANI ; Yasunori MORI ; Kazunori MAEDA ; Takeshi NAKAMURA ; Akira DEGUCHI
The Journal of The Japanese Society of Balneology, Climatology and Physical Medicine 2021;84(2):65-74
Background: This study aimed to clarify the effects of bathing on cardiovascular and psychological responses during winter and summer, focusing on three different time points (immediately after entering the bathtub, during bathing, and immediately after leaving the bathtub). Methods: Ten young (29.6 ± 1.5 years) individuals were asked to bathe for 20 min with 40℃ hot water in summer and with 42℃ hot water in winter. The room temperature and humidity in winter were 20.1℃ and 56.7%, while those in summer were 27.0℃ and 58.3%, respectively. Tympanic temperature (Tty) was measured using a thermistor thermometer; systolic blood pressure (SBP) and diastolic blood pressures (DBP) and heart rate (HR) were measured using an auto-sphygmomanometer, and double product (DP) was calculated using the value of HR multiplied by SBP value. Subjective thermal and comfortable sensations were evaluated using a seven-point rating scale. Results: Results showed a significant increases in SBP values in both seasons immediately after bathing. In winter, DP increased significantly after bathing. Meanwhile, no significant differences were observed in all parameters immediately after bathing between winter and summer. On the contraly, significant differences were observed in Tty, HR, and DP value between winter and summer during bathing. HR and DP values in winter were significantly lower than those in summer immediately after leaving the bathtub. A relationship between thermal sensation and comfortable sensation was observed in both seasons, but the strength of the relationship was more relevant in summer than in winter. Conclusion: The effects of bathing in 42℃ hot water on the cardiovascular system in winter are greater than those in 40℃ hot water in summer. The high temperature of the bath water may not produce as much discomfort during winter than that during summer, therefore bathing time may be longer.
6.Changes in Body Temperature and Arterial Blood Flow Rate of 42°C Bathing Comparison of a Hot Spring Plunge Bath and Home Bathtub Bath
Hiroya SHIMASAKI ; Keisuke MIZUNO ; Masayasu MIZUTANI ; Takeshi NAKAMURA ; Kazunori MAEDA ; Akira DEGUCHI ; Naoto KAWAMURA ; Eri SUZUMURA ; Chihiro MIWA ; Yasunori MORI
The Journal of The Japanese Society of Balneology, Climatology and Physical Medicine 2018;81(2):63-69
【Introduction】One of the effects of the hot spring provides worm temperature. This effect raises temperature, and temperature control function operates and causes increase of the bloodstream. This time, these changes examined the thing by the size of the bathtub and the spring quality of the hot spring. 【Subjects and Methods】The subjects were 10 healthy adult men (mean age: 25.2 years). They bathed for 10 min in bathtubs at 42°C. The enforcement used plunge bath (approximately 1,700 L: simple alkaline hot spring) and home bathtub (approximately 300 L: hot water, 0.1% artificially chlorinated spring). Measurement item of the maximum arterial blood flow rate using the Ultrasonic Rheometer Smart Doppler 45, deep body temperature using the deep body temperature monitor core temperature CM-210, I compared each value 10 min during the bathing, and during a 10-min, 20-min, 30-min resting period after bathing, furthermore, I found the conjugation on each condition resting period after bathing. 【Result】The rise in deep body temperature and maximum arterial blood flow rate showed the result that a hot spring of the plunge bath was more meaningful than the value of the home bathtub after 10 min of bathing. The deep body temperature of the hot spring of the plunge bath significantly rose from bathing 3 min after. In deep body temperature with the resting period after bathing, in the hot spring of the plunge bath, a meaningful rise was maintained in hot water 13 min for population chloride spring 16 min of the home bathtub for 15 min. 【Discussion】In thinks that a population spring let you maintain a temperature rise that it disturbs a drop of the water temperature by abundant quantity of water in the plunge bath that hot spring plunge bath had a bigger deep body temperature rise, maximum arterial blood flow rate than home bathtub, and the deep body temperature rise in the home bathtub was continued.
7.Changes in Saliva Cortisol Levels and Emotional Assessment after Walking Programs in Komono Town, Mie Prefecture
Yasunori MORI ; Chihiro MIWA ; Akira DEGUCHI ; Kazunori MAEDA ; Takeshi NAKAMURA ; Hitoshi HAMAGUCHI ; Masayasu MIZUTANI ; Hiroya SHIMASAKI ; Keisuke MIZUNO ; Hiroshi ISSHIKI ; Naoto KAWAMURA
The Journal of The Japanese Society of Balneology, Climatology and Physical Medicine 2017;80(3):135-143
Komono Town is a well-known spa and health resort in Mie Prefecture. Komono Town has been seeking ways to promote the activities of hot spring area and health resources in surrounding areas. As part of these efforts, Komono Town has developed town-walk programs to promote the health of local residents. In this study, focusing on effect of walking on relaxation, we compared levels of stress hormones and emotional scores obtained before and after walking. After giving their informed consent, adult participated in two walking programs, each for a distance of approximately 7 km. Salivary cortisol levels were measured before and after intervention. In addition, the Mood Check List-Short form. 2 (MCL-S.2) and a Visual Analog Scale (VAS) were used to rate emotions before and after intervention. In both programs, walking tended to lower levels of salivary cortisol than resting. Low levels of cortisol, an adrenocortical hormone released during a state of predominantly sympathetic nervous activity, are thought to reflect mental relaxation; our result implies that the walking program enhanced relaxation in subjects. In addition, both MCL-S.2 and VAS rating showed that the subjects tended to feel better, more relaxed and less anxious after intervention. These findings suggest that the walking programs are beneficial human body thorough, for example, enhanced relaxation.
8.Changes in Saliva Cortisol Levels and Emotional Assessment after Walking Programs in Komono Town, Mie Prefecture
Yasunori MORI ; Chihiro MIWA ; Akira DEGUCHI ; Kazunori MAEDA ; Takeshi NAKAMURA ; Hitoshi HAMAGUCHI ; Masayasu MIZUTANI ; Hiroya SHIMASAKI ; Keisuke MIZUNO ; Hiroshi ISSHIKI ; Naoto KAWAMURA
The Journal of The Japanese Society of Balneology, Climatology and Physical Medicine 2016;advpub(0):-
Komono Town is a well-known spa and health resort in Mie Prefecture. Komono Town has been seeking ways to promote the activities of hot spring area and health resources in surrounding areas. As part of these efforts, Komono Town has developed town-walk programs to promote the health of local residents. In this study, focusing on effect of walking on relaxation, we compared levels of stress hormones and emotional scores obtained before and after walking.
After giving their informed consent, adult participated in two walking programs, each for a distance of approximately 7 km. Salivary cortisol levels were measured before and after intervention. In addition, the Mood Check List-Short form. 2 (MCL-S.2) and a Visual Analog Scale (VAS) were used to rate emotions before and after intervention.
In both programs, walking tended to lower levels of salivary cortisol than resting. Low levels of cortisol, an adrenocortical hormone released during a state of predominantly sympathetic nervous activity, are thought to reflect mental relaxation; our result implies that the walking program enhanced relaxation in subjects. In addition, both MCL-S.2 and VAS rating showed that the subjects tended to feel better, more relaxed and less anxious after intervention.
These findings suggest that the walking programs are beneficial human body thorough, for example, enhanced relaxation.
9.Gender differences in kinematics during landing motion and effect of the prevention program for lower extremity injuries on kinematics in junior basketball players
Makoto Suzukawa ; Yasuharu Nagano ; Tatsuya Tamaki ; Emi Nakamura ; Yu Shimizu ; Atsushi Akaike ; Kuniaki Shimizu ; Hideyuki Miki ; Kazunori Irie ; Haruhito Aoki
Japanese Journal of Physical Fitness and Sports Medicine 2012;61(1):119-124
Anterior Cruciate Ligament Injury often occurs as a result of knee valgus collapse during landing or pivoting in sports activity. Previous studies reported that the risk of ACL injuries was reduced by jump and balance training, and those training can be effective as the prevention program for the ACL injuries. But those studies often focused on only adult athletes, and there are few studies focused on junior athletes. The purpose of this study is to investigate the pattern of landing movement in junior athletes, and to verify the effect of the prevention program. One-hundred and ten junior basketball players (boys; 61, girls;49, age ranging 12 to 15) were subjected in this study. We measured the knee flexion, valgus angles and jump height during continuous vertical jump. After measuring, they executed a prevention program for 12 weeks. The motion pattern of the knee during jump test were compaired between before and after prevention program. Female athletes showed greater knee valgus angle at initial landing phase and grater maximum knee valgus angle than those of males. As a result of the prevention program, maximum knee valgus angle was significantly decreased in female athletes. The greater angle of knee valgus in female may increase the risk of ACL injuries. Present study suggests that the prevention program is useful for reducing the risk of ACL injury. Increment of jump height in male players after this program might be considered that this training program has also an effect of performance improvement.


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