Usefulness of Evaluating Autonomic Nervous Activity during Mobilization of Acute Noncardioembolic Ischemic Stroke: Comparison of Subtypes of Ischemic Stroke

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  • KANAI Masashi
    Department of Rehabilitation, Itami Kousei Neurosurgical Hospital Graduate School of Health Sciences, Kobe University
  • KUBO hiroki
    Department of Rehabilitation, Itami Kousei Neurosurgical Hospital
  • KITAMURA Yuka
    Department of Rehabilitation, Itami Kousei Neurosurgical Hospital
  • NOZOE Masafumi
    Department of Rehabilitation, Itami Kousei Neurosurgical Hospital Department of Physical Therapy, Faculty of Nursing and Rehabilitation, Konan Women’s University
  • MASE Kyoshi
    Department of Physical Therapy, Faculty of Nursing and Rehabilitation, Konan Women’s University
  • SHIMADA Shinichi
    Department of Neurosurgery, Itami Kousei Neurosurgical Hospital
  • ONO Kumiko
    Graduate School of Health Sciences, Kobe University
  • IZAWA Kazuhiro P.
    Graduate School of Health Sciences, Kobe University
  • ANDO Hiroshi
    Graduate School of Health Sciences, Kobe University

Bibliographic Information

Other Title
  • 急性期非心原性脳梗塞患者における離床時の自律神経系活動評価の意義
  • 急性期非心原性脳梗塞患者における離床時の自律神経系活動評価の意義 : 脳梗塞の病型による比較
  • キュウセイキ ヒシン ゲンセイ ノウ コウソク カンジャ ニ オケル リショウジ ノ ジリツ シンケイケイ カツドウ ヒョウカ ノ イギ : ノウ コウソク ノ ビョウガタ ニ ヨル ヒカク
  • ─脳梗塞の病型による比較─

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Abstract

[Purpose] The purpose of the present study was to investigate autonomic nervous activity in different subtypes of ischemic stroke patients. [Subjects] Thirty-three patients (age, 71.5 years; 23 men, 10 women) were included in the present study. [Methods] An electrocardiogram was recorded during supine rest, mobilization, and supine recovery. Parameters of autonomic nervous activity (parasympathetic nervous activity [lnHF] and sympathetic nervous activity [LF/HF]) were calculated using spectral analysis of heart rate variability measured by an electrocardiograph. Patients were divided into two groups by etiology: lacunar infarction (LAC) group (n=15) and large-artery atherosclerotic infarction (LAA) group (n=18). Two-way analysis of variance was used to compare the parameters of autonomic nervous activity between the groups. [Results] Parasympathetic nervous activity of the LAC group was lower than that of the LAA group during supine rest (lnHF: 5.1 vs. 6.1), and sympathetic nervous activity was higher than that of the LAA group during mobilization (LF/HF: 3.0 vs. 1.4). [Conclusion] In the acute phase, the LAC group may be at higher risk of autonomic dysfunction than the LAA group. <br>

Journal

  • Rigakuryoho Kagaku

    Rigakuryoho Kagaku 31 (1), 169-174, 2016

    The Society of Physical Therapy Science

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