Evaluation with Arm Ergometry for Oxygen Therapy in Respiratory Diseases

Etsuo FUJITA; Kazushi UOTANI; Takuya TAKAGI; Tadatoshi SURUDA; Takaaki TAMURA; Satoru YOSHIDA; Kaori MIYATA; Tomomi NAKAO; Yoji HIRAYAMA; Koji NODA; Yuka OKABE; Tatsuya AOKI; Yuhei SHIMIZU; Haruka YOKOYAMA; Hironobu HOSHIYA; Kenichi FURUKAWA; Kazuya YOSHIKAWA; Yuji TOHDA; Kousuke SHIMADA; Katsuhiro YAMAMOTO

doi:10.34363/jocp.51.2_103

Original Article

Evaluation with Arm Ergometry for Oxygen Therapy in Respiratory Diseases

Etsuo FUJITA, Kazushi UOTANI, Takuya TAKAGI, Tadatoshi SURUDA, Takaaki TAMURA, Satoru YOSHIDA, Kaori MIYATA, Tomomi NAKAO, Yoji HIRAYAMA, Koji NODA, Yuka OKABE, Tatsuya AOKI, Yuhei SHIMIZU, Haruka YOKOYAMA, Hironobu HOSHIYA, Kenichi FURUKAWA, Kazuya YOSHIKAWA, Yuji TOHDA, Kousuke SHIMADA, Katsuhiro YAMAMOTO

Author information

Etsuo FUJITA
Department of Respiratory Medicine, Hashimoto Municipal Hospital
Kazushi UOTANI
Postgraduate Center of Wakayama Medical University
Takuya TAKAGI
Postgraduate Center of Wakayama Medical University
Tadatoshi SURUDA
Department of Respiratory Medicine, Hashimoto Municipal Hospital
Takaaki TAMURA
Department of Gastroenterology, Hashimoto Municipal Hospital
Satoru YOSHIDA
Department of Gastroenterology, Hashimoto Municipal Hospital
Kaori MIYATA
Department of Internal Medicine of Metabolism, Hashimoto Municipal Hospital
Tomomi NAKAO
Department of Internal Medicine of Metabolism, Hashimoto Municipal Hospital
Yoji HIRAYAMA
Department of Internal Medicine, Hashimoto Municipal Hospital
Koji NODA
Department of Internal Medicine, Hashimoto Municipal Hospital
Yuka OKABE
Department of Internal Medicine, Hashimoto Municipal Hospital
Tatsuya AOKI
Department of Internal Medicine, Hashimoto Municipal Hospital
Yuhei SHIMIZU
Postgraduate Center of Hashimoto Municipal Hospital
Haruka YOKOYAMA
Postgraduate Center of Hashimoto Municipal Hospital
Hironobu HOSHIYA
Department of Cardiology, Hashimoto Municipal Hospital
Kenichi FURUKAWA
Department of Gynecology, Hashimoto Municipal Hospital
Kazuya YOSHIKAWA
Department of Respiratory Medicine ＆ Allergology, Kindai University School of Medicine
Yuji TOHDA
Department of Respiratory Medicine ＆ Allergology, Kindai University School of Medicine
Kousuke SHIMADA
Department of Surgery, Hashimoto Municipal Hospital
Katsuhiro YAMAMOTO
Department of Cardiology, Hashimoto Municipal Hospital

Keywords: arm ergometry, exercise tests, oxygen therapy

JOURNAL OPEN ACCESS

2021 Volume 51 Issue 2 Pages 103-108

DOI https://doi.org/10.34363/jocp.51.2_103

Details

Abstract

　In this study, we evaluated the efficacy of arm ergometry exercise tests for the prescription of oxygen therapy in patients with respiratory disease who are unable to be tested by walking exercise. In 19 patients (males, 13; females, 6; age, 78.0±7.4 years) with respiratory disease (chronic obstructive pulmonary disease, COPD, 7; bronchial asthma, BA, 4; pneumonia, 4; interstitial pneumonia, IP, 3; and chronic heart failure, CHF, 1), exercise tests with arm ergometry were performed in order to determine the appropriate dose of oxygen for exercise or daily use. The mean oxygen dose from rest to peak exercise was 1.7±1.1 L/min. Heart rate (HR) values at rest and at peak were 84.9±14.4 and 95.1±17.1 beats/min, respectively, while oxygen saturation (SpO₂) decreased from 96.6±3.0％ at rest to 90.5±5.6％ at peak exercise. The mean number of revolutions/min for arm ergometry under the lightest load was 45.9±13.6. While there was no significant correlation between change in HR and revolutions/min (R＝0.061, P＝0.8028), SpO₂ change was found to correlate with revolutions/min (R＝0.619, P＝0.0047). Exercise tests using arm ergometry were conclusively found to have adequate accuracy to determine the appropriate oxygen therapy for respiratory disease patients who are unable to perform walking exercise.

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