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      • Use of "Fukimodoshi"(Japanese-style Party Blowers) as a Respiratory Exercises in Preventive Care for the Elderly

        Akemi Kariya 한국노인복지학회 2011 International Journal of Welfare for the Aged Vol.25 No.-

        In Japan, the number of patients with respiratory diseases has increased as society has rapidly aged. Complications, ranging from dysphagia to pneumonia, are common at the end of life in the elderly and often lead to death. Therefore, maintaining respiratory function is a major goal for maintaining the health of the elderly. The purpose of this study was to test whether a breathing technique using a traditional fukimodoshi, a Japanese-style party blower, can prevent deterioration of respiratory function. The study was conducted on elderly people participating in preventive care classes and consisted of a 2-month interventional study using fukimodoshi. Respiratory function was evaluated by monitoring SpO2, respiratory rate, expiratory endurance test and variations in respiratory function observation. In addition, the outcomes of ADL (B.I), V.I, and SF-36 were measured after the procedures. The results showed that the subjects were able to lead their lives with more stability as well as mentally and physically status.

      • Activation of the Prefrontal Area Observed by fNIRS

        Akemi Kariya,Yoshino Tatsumi,Satoshi Imaizumi 한국노인복지학회 2011 International Journal of Welfare for the Aged Vol.25 No.-

        Hospitalization of elderly patients has been increasing in Japan. Management of delirium including hallucination and auditory hallucination after surgery and before and after treatment is important in many of these patients. However, caregivers currently can only use frequent talking to a patient, confinement, monitoring and medication to care for patients with these symptoms. The objective of this study was to collect basic data in order to develop a preventive intervention program before elderly patients develop delirium. Cerebral blood flow in the prefrontal area and temporal lobe was measured using a near-infrared functional neuroimaging system. The balance between the sympathetic and parasympathetic nerves was evaluated as a physiological index by analysis of pulse wave frequency using a continuous blood pressure measurement device. Activation of cerebral blood flow was observed in the prefrontal area while shaking hands. The parasympathetic nerve was dominant in the process of shaking hands, suggesting a relaxing effect.

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