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ID 16453
file
title alternative
開腹手術患者における下肢筋組織厚の術前・術後の変化
creator
Ichihara, Takako
Tamura, Ayako
Morimoto, Tadaoki
Kuwamura, Yumi
Minagawa, Takako
subject
leg muscle thickness
ultrasonography
laparotomy
NDC
Medical sciences
abstract
In order to establish an objective and convenient technique to assess postoperative recovery following laparotomy, in particular activities of daily living, we measured the thickness of muscle tissues by ultrasound sonography. In the present study, the following four muscular compartments were selected: rectus femoris, biceps femoris, extensor digitorum longus, and soleus. These account for a large portion of the systemic skeletal musculature and are important for locomotion. Subjects were 28 patients who underwent moderately invasive surgery for stomach or colon cancer. The results showed that muscle thickness decreased significantly in all four compartments. Rectus femoris exhibited the greatest reduction in thickness and was most affected by short-term or long-term recumbency. Furthermore, for soleus, the tendency was that the longer the recumbency, the greater the wasting. These findings suggest that, of the four areas of the lower limb, rectus femoris is most affected by short-term recumbency and is most suited for objectively assessing postoperative recovery. The results of the present study suggest that it would be effective to design a recovery program focused on maintaining the femoral extensor muscles, which are most affected by short-term recumbency following laparotomy.
description
広島保健学学会 特別講演
journal title
Journal of health sciences, Hiroshima University
volume
Volume 5
issue
Issue 1
start page
10
end page
15
date of issued
2005-10-31
publisher
広島大学保健学出版会
issn
1347-7323
ncid
SelfDOI
language
eng
nii type
Departmental Bulletin Paper
HU type
Departmental Bulletin Papers
DCMI type
text
format
application/pdf
text version
publisher
department
Graduate School of Health Science
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