文章基本信息

标题：Physical Therapy for the Patient with Rheumatoid Arthritis and Diabetic Mellitus
本地全文：下载
作者：Hiroyasu IWATSUKI
期刊名称：Journal of exercise physiology
印刷版ISSN：0912-7100
出版年度：1990
卷号：5
期号：1
页码：35-39
DOI：10.1589/rika1986.5.35
出版社：The Society of Physical Therapy Science
摘要：This report deals with several key points of physical therapy for a patient with diabetic mellitus and rheumatoid arthritis. A seventy-one-year-old female patient showed the following symptoms at the beginning of the treatment;l)abnormal variation of the limbs and vertebra joints and dysfunction in the movement system resulted from muscular atrophy, 2)insulin-dependent diabetes, 3)visual deterioration because of diabetic retinopathy, and 4)sensory dysfunction of lower limbs caused by diabetic neuropathy which results in ataxic gait.Taking these into consideration, physical therapy aiming at both strengthening in muscle of the lower extremities and walking ability was performed. Following three items were checked during physical therapy; 1)to induce muscle motion caused by isometric contraction, 2)to perform physical therapy 1 or 2 hours after meals in order to avoid hypoglycemia, and 3)to check the fatigued condition (heart rate, activity of respiratory assistant muscles, and subjective signs of anemia).Though these physical therapies had been carried out to maintain the present ability for fifteen-months, the menus of them were forced to presenting the disused syndrome because the metabolic deterioration of glucose and lipid. Further on treatment for the patient who has been out of DM control should be physical taken into consideration.
关键词：diabetic complication; rheumatoid arthritis; therapeutic exercise