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CLINICAL CALCIUM 2008年11月号(Vol.18 No.11)

P52(1594)~57(1599)

特集 運動器不安定症の臨床 Therapy and Prevention

治療としてのダイナミックフラミンゴ療法

Dynamic flamingo therapy.

昭和大学医学部整形外科学 阪本桂造(Keizo Sakamoto)

                                                         
Summary

1分間の開眼片脚起立を1日3回実施するダイナミックフラミンゴ(DF)療法は1993年7月より2004年3月までに登録された83名の DXA(dual energy x-ray absorptiometry)を用いた大腿骨Neck BMDの推移より,実施3カ月で24名中15名(62.5%),10年後で3名中1名(33.3%)に大腿骨Neck BMDの増加をみた。老健施設などの入所者553名を対象に行ったDF療法の結果では統計学上有意に転倒回数を減らした。大腿骨Neck BMDの改善と転倒回数の減少からこの療法は大腿骨近位部骨折減少に役立つと思われる。


A long follow up study of one minute unipedal standing therapy 3 times in a day to prevent femoral neck osteoporosis that have started from 1993 was reported. The registration from July 1993 to March 2004 were 86 cases which measured the femoral neck bone mineral density(BMD)according to dual energy x-ray absorptiometry(DXA)(Hologic QDR 1000 and 2000)in a follow-up period. Average age at starting exercise was 67.9 years old. All cases were female who were registered in our university hospital. The result of unipedal exercise evaluated by the femoral neck BMD was described as follows:The increased cases of BMD were 15/24(62.5%)post exercise 3 months, 15/37(40.5%)post 6 months, and 12/21(57.1%)post one year, 8/25(32%)post 3 years, 7/13(53.8%)post 5 years and 1/3(33.3%)post 10 years. We have no fracture cases in which continued exercise in follow-up period. According to a randomized controlled study of unipedal standing balance therapy to clinically defined high-risk elderly individuals a therapy group reduced fall times by a significant difference than non-therapy group. We conclude that unipedal standing therapy is efficacious against femoral neck osteoporosis and fractures.

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