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The Japanese Journal of Rehabilitation Medicine Volume 51, Issue 1 （January 2014）

The Japanese Journal of Rehabilitation Medicine 51巻1号（2014年1月発行）

Japanese English

第50回日本リハビリテーション医学会学術集会シンポジウム◎内部障害リハビリテーションの最前線

心大血管リハビリテーションの最前線 Frontline of Cardiovascular Rehabilitation 諸冨伸夫 ¹ , 水間正澄 ² Nobuo Morotomi ¹ , Masazumi Mizuma ² ¹公益財団法人日本心臓血圧研究振興会附属榊原記念病院心臓リハビリテーション室 ²昭和大学医学部リハビリテーション医学教室 ¹Department of Cardiac Rehabilitation, Sakakibara Heart Institute ²Department of Rehabilitation Medicine, Showa University キーワード：心臓リハビリテーション（cardiac rehabilitation） , リハビリテーションプログラム（rehabilitation program） , リハビリテーション医学（rehabilitation medicine） Keyword: 心臓リハビリテーション（cardiac rehabilitation） , リハビリテーションプログラム（rehabilitation program） , リハビリテーション医学（rehabilitation medicine） pp.16-20

発行日 2014年1月18日 Published Date 2014/1/18

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はじめに

　心大血管疾患リハビリテーション（以下，心リハ）は，これまでの臨床研究によって多くの効果が報告され心疾患における重要な治療手段として位置付けられるようになった．

　本稿ではまず最近の心リハのエビデンスを紹介し，その上で本邦における心リハの現状を説明する．最後にそれを踏まえた心リハにおける新たな取り組みを紹介する．

Abstract : Cardiovascular disease rehabilitation (“cardiac rehab”) is an important means of treating cardiac diseases. Exercise training can achieve marked effects when a sufficient number of ongoing sessions are applied and when such therapy is comprehensively conducted. On the other hand, despite an increase in the number of cardiac rehab facilities, not enough cardiac rehab is being offered. Thus, programs that more effectively meet patients' needs are required. We therefore describe our new measures and their potential.

1. Home-based self-training cardiac rehab program : This program targets patients with mild cardiovascular risks who are able to conduct rehab by themselves. Going forward, it is hoped that programs making use of IT will be developed. 2. Community-based cardiac rehab program : This program targets patients who, despite having mild cardiovascular risks, have a low level of physical function. Rehabs will therefore be conducted at various facilities. Going forward, it is hoped that the Japan Heart Club and other organizations will promote this program. 3. Home-based home-visit cardiac rehab program : This program targets patients with high cardiovascular risks who mainly undergo home-based treatment and care. Rehab will therefore be conducted at home. Going forward, it is hoped that a home-visit system will be developed in local communities to support patients with cardiac diseases.

Identifying patients as disabled individuals who also suffer cardiac diseases, and building a community where cardiac disease patients can live with peace of mind―these constitute cardiac rehab in the truest sense of the word. They are also important goals that rehabilitation physicians must strive to attain henceforth.