| 論文種別 | 原著(症例報告除く) |
| 言語種別 | 英語 |
| 査読の有無 | その他(不明) |
| 表題 | Pilot Study to Assess the Ability of a 4-Week, Home-Based, Electrical Muscle Stimulation Program to Improve Lower Extremity Function and Reduce Sarcopenia in Older Individuals With Cancer. |
| 掲載誌名 | 正式名：Archives of rehabilitation research and clinical translation 略 称：Arch Rehabil Res Clin Transl ISSNコード：25901095/25901095 |
| 掲載区分 | 国外 |
| 巻・号・頁 | 7(3),pp.100479 |
| 著者・共著者 | Hisashi Kosaka, Tome Ikezoe, Kimitaka Hase, Yutaka Kimura, Takumi Miyauchi, Tung Thanh Lai, Khanh Van Nguyen, Kyoko Inoue, Moriyasu Takada, Hideyuki Matsushima, Gozo Kiguchi, Hidekazu Yamamoto, Kosuke Matsui, Megumi Taketani, Tomoyuki Shirai, Masaki Kaibori |
| 発行年月 | 2025/06 |
| 概要 | OBJECTIVE:To assess the effectiveness of home-based self-rehabilitation using a portable electrical muscle stimulation (EMS) device for improving severe sarcopenia by improving lower extremity function.DESIGN:The effect of 4 weeks of EMS training on improving lower extremity function was compared between patients divided into 2 groups based on baseline lower extremity function. Self-rehabilitation was carried out with a portable EMS device, the SIXPAD Foot Fit, and each session lasted 15-23 minutes. Lower extremity function was assessed with the Short Physical Performance Battery (SPPB).SETTING:University hospital.PARTICIPANTS:The study included 50 older outpatients (N=50) with a mean age of 75 years; 98% had hepatobiliary cancer, and 38% were men.INTERVENTIONS:Not applicable.MAIN OUTCOME MEASURES:Patients were divided into 2 groups based on baseline SPPB value (SPPB ≤ 9 or SPPB >9). Lower extremity function was observed prospectively during 4 weeks of home-based self-rehabilitation.RESULTS:EMS was used consistently, with a median duration of use of 28 days. In the baseline SPPB>9 group, lower extremity function was not significantly improved (SPPB, 11.0-12.0; P=.290). In contrast, significant improvement was observed in the baseline SPPB ≤ 9 group, and the total score (SPPB score, 8.0-9.0; P=.001) and 2 of its 3 components, balance (balance score, 3.0-4.0; P=.009) and gait speed (gait speed score, 3.0-4.0; P=.002), improved significantly. Sit-to-stand ability did not improve (Sit-to-stand score, 1.0-2.0; P=.060). As a result, the proportion of patients with severe sarcopenia was initially 66.7% but decreased significantly to 36.4% (P=.002).CONCLUSIONS:A home-based, self-rehabilitation program using a portable EMS device may improve lower extremity function and attenuate sarcopenic status in older patients with cancer with reduced lower extremity function. |
| DOI | 10.1016/j.arrct.2025.100479 |
| PMID | 40980522 |