Anterior Quadratus Lumborum Block and Quadriceps Strength: A Prospective Cohort Study

• Material Type: 博士論文
• Title: Anterior Quadratus Lumborum Block and Quadriceps Strength: A Prospective Cohort Study
• Author/Editor: Kadoya, Yuma; Tanaka, Nobuhiro; Suzuka, Takanori; Yamanaka, Takayuki; Iwata, Masato; Ozu, Naoki; Kawaguchi, Masahiko
• Author Heading: Kadoya, Yuma; Tanaka, Nobuhiro; Suzuka, Takanori; Yamanaka, Takayuki; Iwata, Masato; Ozu, Naoki; Kawaguchi, Masahiko
• Publication, Distribution, etc.: Journal of Clinical Medicine
• Publication Date: 2023-06-01
• Publication Date (W3CDTF): 2023-06-01
• Alternative Title: 腰方形筋ブロック前方アプローチと大腿四頭筋筋力：前向きコホート研究
• Periodical title: Journal of Clinical Medicine
• No. or year of volume/issue: 12 11
• Volume: 12
• Issue: 11
• Pages: 3837-
• ISSN (Periodical Title): ISSN : 2077-0383
• Degree grantor/type: 奈良県立医科大学
• Date Granted: 2023-12-22
• Dissertation Number: 甲第895号
• Degree Type: 博士（医学）
• Text Language Code: eng
• Subject Heading: muscle weakness; muscle strength dynamometer; complications; nerve block; quadratus lumborum block; robot-assisted surgery
• Target Audience: 一般
• Note (General): type:Thesis; The decrease in quadriceps strength after anterior quadratus lumborum block (AQLB) has not been quantified. This prospective cohort study investigated the incidence of quadriceps weakness after AQLB. We enrolled patients undergoing robot-assisted partial nephrectomy, and AQLB was performed at the L2 level with 30 mL of 0.375% ropivacaine. We evaluated each quadriceps’ maximal voluntary isometric contraction using a handheld dynamometer preoperatively and postoperatively at 1 and 4 days. The incidence of muscle weakness was defined as a 25% reduction in muscle strength compared with the preoperative baseline, and “muscle weakness possibly caused by nerve block” was defined as a 25% reduction compared with the non-block side. We also assessed the numerical rating scale and quality of recovery-15 scores. Thirty participants were analyzed. The incidence of muscle weakness compared with preoperative baseline and the non-block side was 13.3% and 30.0%, respectively. Patients with a numerical rating scale ≥ 4 or quality of recovery-15 score < 122, which was classified as moderate or poor, had decreased muscle strength with relative risks of 1.75 and 2.33, respectively. All patients ambulated within 24 h after surgery. The incidence of quadriceps weakness possibly caused by nerve block was 13.3%; however, all patients could ambulate after 1 day.; 権利情報：© 2023 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).; identifier:Journal of Clinical Medicine. 2023 Jun, vol.12, no.11, article no.3837; identifier:http://ginmu.naramed-u.ac.jp/dspace/handle/10564/4239; identifier:Journal of Clinical Medicine, 12(11): 3837
• Source: fulltext; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/4239/1/K895%20full.pdf; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/4239/2/K895_abstract.pdf; http://ginmu.naramed-u.ac.jp/dspace/bitstream/10564/4239/3/K895_review.pdf
• Access Restrictions: インターネット公開
• Related Material (DOI): 10.3390/jcm12113837
• Data Provider (Database): 国立情報学研究所 : 学術機関リポジトリデータベース（IRDB）（機関リポジトリ）; https://irdb.nii.ac.jp
• Original Data Provider (Database): 奈良県立医科大学 : 奈良県立医科大学機関リポジトリ GINMU