アブストラクト
| Title | 体外衝撃波療法を併用した運動器リハビリテーション |
|---|---|
| Subtitle | 特集 / 運動器の新しい治療法とリハビリテーション診療 |
| Authors | 見目智紀* |
| Authors (kana) | けんもくとものり |
| Organization | *北里大学病院リハビリテーション科, 科長 |
| Journal | MB Medical Rehabilitation |
| Volume | |
| Number | 280 |
| Page | 36-44 |
| Year/Month | 2022 / 10 |
| Article | 報告 |
| Publisher | 全日本病院出版会 |
| Abstract | 「Abstract」体外衝撃波は非連続的な圧力波であり, 間欠的に照射することで治療効果を得る治療法である. 近年, 痙縮や関節拘縮に対して当該筋肉に衝撃波(特に拡散型圧力波)を照射することで改善が得られることが報告されている. そのメカニズムの1つとして神経筋接合部の部分的な破壊や組織間の滑走性の改善が明らかにされている. これらの作用に加え自由神経終末の破壊や血流上昇などの効果もあいまって筋筋膜性疼痛や腰痛に対しても有効性が報告されている. そして, アスリートの筋損傷においても再発が少なく修復が早期に得られることが報告されている. 安全性が高く消炎鎮痛や組織修復を得ることが可能な物理療法である体外衝撃波は, リハビリテーション分野において今後の発展性が期待できる有益な治療法の1つである. 本稿ではこの体外衝撃波療法の基礎的な解説とリハビリテーションに有益な臨床報告について紹介する. |
| Practice | 医療技術 |
| Keywords | 集束型衝撃波(focused shock wave), 拡散型圧力波(radial pressure wave), 痙縮(spasticity), 関節拘縮(joint contracture), 消炎鎮痛(anti-inflammatory analgesia) |
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