子宮全摘術後患者における理学療法 ―自転車エルゴメーター負荷による心拍数の変化について―

子宮全摘術を受け,回復期に理学療法を実施した患者に,自転車エルゴメーターによる同一負荷運動時の心拍数について施行前と退院時の変化を検討した｡その結果,退院時に心拍数は有意に減少した｡しかし,その減少の程度は理学療法実施回数と相関しなかった｡患者は水中運動を積極的に実施し,速やかに家庭生活を含めた社会生活への復帰が可能となった｡退院後の外来診察時に異常も認められず,理学療法の有効性並びに安全性が確認された。

Twenty-one patients with total hysterectomy had a physical therapy program, including swimming training in a hot spring pool, muscle stretching and muscle strengthening exercise. Effects of this program were evaluated by bicycle ergometric challenge test. Maximum increased heart rate of the patients on the ergometric challenge test was significantly lower after the end of the program compared with the initial value before program (p<0.02). However, the effects of such physical therapy program on heart rate did not correlate with the frequency of the program. All patients were able to return to social work without any difficulties. These results support the efficacy of the physical therapy program in our hospital.