研究等業績 - その他 - 工藤　大輔

Impact of sagittal spine-pelvis-leg alignment and muscle strength on quality of life and low back pain in rural Japanese community- dwelling middle-aged and elderly persons

Kudo D.

Journal of Back and Musculoskeletal Rehabilitation ( Journal of Back and Musculoskeletal Rehabilitation )  33 ( 2 ) 263 - 268   2020年

DOI

Locomotive Syndrome Is Associated with Health-Related Quality of Life and Low Back Pain in the Elderly, Including Individuals More Than 80 Years Old

Kasukawa Yuji, Miyakoshi Naohisa, Hongo Michio, Ishikawa Yoshinori, Kudo Daisuke, Kimura Ryota, Ono Yuichi, Shimada Yoichi

Progress in Rehabilitation Medicine ( 公益社団法人 日本リハビリテーション医学会 )  5 ( 0 ) n/a   2020年

<p><b>Objectives: </b>The extent to which locomotive syndrome is associated with low back pain (LBP), health-related quality of life (HRQOL), and impairment of activities of daily living among elderly men and women remains poorly documented. This study evaluated associations between locomotive syndrome and both HRQOL and LBP as assessed using a questionnaire completed by elderly individuals, including some >80 years old.</p><p><b>Methods: </b>We conducted a survey assessing locomotive syndrome using the loco-check, HRQOL using the Short-Form 36 questionnaire (SF-36), and LBP using the Roland-Morris Disability Questionnaire (RDQ) among individuals >60 years old. SF-36 and RDQ scores were compared between 253 subjects with and without locomotive syndrome.</p><p><b>Results: </b>Fifty-seven men (48%) and 71 women (53%) were diagnosed with locomotive syndrome. Subjects of both sexes with locomotive syndrome scored significantly lower for eight items from SF-36. Physical and mental component summary scores were significantly worse in women with locomotive syndrome in their 60s and 70s. RDQ scores were significantly higher in participants with locomotive syndrome for men in their 60s and for both men and women in their 70s.</p><p><b>Conclusions: </b>Locomotive syndrome was associated with impaired HRQOL and worse LBP among men and women >60 years old. Differences in HRQOL and LBP between subjects with and without locomotive syndrome were significant for both men and women in their 60s and 70s, but not in their 80s. Locomotive syndrome should be prevented to maintain HRQOL, particularly for men and women in their 60s and 70s.</p>

DOI CiNii Research

Relationship between Dynamic Trunk Balance and the Balance Evaluation Systems Test in Elderly Women

Takahashi Yasuhiro, Saito Kimio, Matsunaga Toshiki, Iwami Takehiro, Kudo Daisuke, Tate Kengo, Miyakoshi Naohisa, Shimada Yoichi

Progress in Rehabilitation Medicine ( 公益社団法人 日本リハビリテーション医学会 )  5 ( 0 ) n/a   2020年

<p><b>Objective</b>: Falls are major contributors to elderly subjects becoming bedridden. Consequently, it is important to evaluate and minimize the risk of falls in the elderly. Trunk stability is important for balance function and is related to fall prevention in elderly women. We developed a balance-measuring device that uses a dynamic sitting position to safely measure balance function. The Balance Evaluation Systems Test (BESTest) is useful method to assess balance function, a recently developed balance evaluation test that can detect minor balance problems not captured by previous tests. The purpose of the present study was to examine the relationship between dynamic trunk balance and findings of the BESTest in elderly women. <b>Methods</b>: Thirty-one healthy women aged 60 years or more participated in this study. The evaluation items were the BESTest total score, scores for each of the six elements of the BESTest, dynamic sitting balance, static postural balance, and muscle strength. <b>Results</b>: The mean total BESTest score was 85.4 points. The mean total trajectory length of the center of gravity (COG) during the dynamic sitting balance test was 1447.5 mm. A negative correlation (r=–0.481, P= 0.006) was observed between the total COG trajectory length and the BESTest score. A negative correlation was also found between the total COG trajectory length and biomechanical constraints (r=–0.492, P=0.005) and anticipatory postural adjustments (r=–0.532, P=0.002). There were no correlations between the dynamic sitting balance total COG trajectory length and the stationary standing COG trajectory length or muscle strength. <b>Conclusions</b>: In elderly women, the total COG trajectory length during dynamic sitting was negatively correlated with the BESTest total score.</p>

DOI CiNii Research

Rapidly Progressing Symptomatic Calcification of Ligamentum Flavum in Thoracic Spine After Osteoporotic Vertebral Fractures

Miyakoshi N.

World Neurosurgery ( World Neurosurgery )  132   63 - 66   2019年12月

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Intraoperative Visible Air Bubbling Recorded as a Sign of Massive Venous Air Embolism During Prone Position Surgery for Extensive Ossification of Spinal Ligaments: A Case Report with a Video Clip

Miyakoshi N.

World Neurosurgery ( World Neurosurgery )  131   38 - 42   2019年11月

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Sacropelvic Fixation with S2 Alar Iliac Screws May Prevent Sacroiliac Joint Pain after Multisegment Spinal Fusion

Unoki E.

Spine ( Spine )  44 ( 17 ) E1024 - E1030   2019年09月

DOI

特集 リハビリテーション医学・医療の最前線 FESを用いた運動機能再建とリハビリテーション医療

松永 俊樹, 島田 洋一, 宮腰 尚久, 工藤 大輔, 斉藤 公男, 木村 竜太

整形・災害外科 ( 金原出版 )  62 ( 9 ) 1075 - 1082   2019年08月

DOI CiNii Research

脊髄損傷患者に対する最新のリハビリテーション治療

松永 俊樹, 宮腰 尚久, 工藤 大輔, 斉藤 公男, 木村 竜太, 井上 純一, 千田 聡明, 畠山 和利, 島田 洋一

リハビリテーション医学 ( 公益社団法人 日本リハビリテーション医学会 )  56 ( 7 ) 555 - 559   2019年07月

<p>脊髄損傷による四肢麻痺・対麻痺では，脳からの運動制御指令が損傷高位で途絶するため末梢に伝達されず，随意的筋収縮ができない状態であることが多い．機能的電気刺激（FES）は，プログラムされた動作刺激を末梢運動神経とその支配筋に行う医用工学的技術で，麻痺からの回復促進や動作再建などに有用である．FESにより，四肢麻痺上肢の手指把持動作再建や，対麻痺起立歩行再建などが可能であり，新しい表面電極FESシステムが国内で普及しつつある．将来的には，多チャンネル同時刺激可能な完全埋め込み電極の実用化，BMIやリハビリテーションロボット技術の発展などと相まって，FESは脊髄損傷再生医療におけるリハビリテーション治療において，重要な役割を担うことが期待される．</p>

DOI CiNii Research

An epidemiological study of traumatic spinal cord injuries in the fastest aging area in Japan

Kudo D.

Spinal Cord ( Spinal Cord )  57 ( 6 ) 509 - 515   2019年06月

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特集 レジデントにとって必要な運動器疾患の診断法-Tips and Essence- 臨床に必要な診断の基礎　診断に必要な画像診断　CT、MRI、シンチグラフィー

工藤 大輔, 島田 洋一

関節外科 ( (株)メジカルビュー社 )  38 ( 13 ) 29 - 36   2019年04月

DOI CiNii Research

Comparison of Health-related Quality of Life between Double-door Laminoplasty and Selective Laminoplasty for Degenerative Cervical Myelopathy, with a Minimum Follow-up of 5 Years

Hirota R.

Spine ( Spine )  44 ( 4 ) E211 - E218   2019年02月

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Posterior spinal fusion using a unilateral C1 posterior arch screw and a C2 laminar screw for atlantoaxial fracture dislocation.

Yuichi Ono, Naohisa Miyakoshi, Michio Hongo, Yuji Kasukawa, Yoshinori Ishikawa, Daisuke Kudo, Ryota Kimura, Jumpei Iida, Yoichi Shimada

SAGE open medical case reports   7   2050313X19849276   2019年

INTRODUCTION: C1 lateral mass screws and C2 pedicle screws are usually chosen to fix atlantoaxial (C1-C2) instability. However, there are a few situations in which these screws are difficult to use, such as in a case with a fracture line at the screw insertion point and bleeding from the fracture site. A new technique using a unilateral C1 posterior arch screw and a C2 laminar screw combined with a contralateral C1 lateral mass screws-C2 pedicle screws procedure for upper cervical fixation is reported. CASE REPORT: A 24-year-old woman had an irreducible C1-C2 anterior dislocation with a type III odontoid fracture on the right side due to a traffic accident. The patient underwent open reduction and posterior C1-C2 fixation. On the left side, a C1 lateral mass screws and a C2 pedicle screws were placed. Because there was bleeding from the fracture site and a high-riding vertebral artery was seen on the right side, a C1 posterior arch screw and a C2 laminar screw were chosen. Eight months after the surgery, computed tomography scans showed healing of the odontoid fracture with anatomically correct alignment. CONCLUSIONS: Although there have been few comparable studies, fixation with unilateral C1 posterior arch screw-C2 laminar screw could be a beneficial choice for surgeries involving the upper cervical region in patients with fracture dislocation or arterial abnormalities.

DOI PubMed

Lumbar spinal stenosis associated with progression of locomotive syndrome and lower extremity muscle weakness

Kasukawa Y.

Clinical Interventions in Aging ( Clinical Interventions in Aging )  14   1399 - 1405   2019年

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Surgical results of patients with myelopathy due to ossification of the ligamentum flavum with ossification of the posterior longitudinal ligament or a vertebral fracture at the same level of the thoracic spine: A retrospective comparative study

Kasukawa Y.

Asian Spine Journal ( Asian Spine Journal )  13 ( 5 ) 832 - 841   2019年

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Effect of Prevalent Vertebral Fractures on Incidental Vertebral Fractures and Low Back Pain During Bisphosphonate Treatment for Osteoporosis

Yuji Kasukawa, Naohisa Miyakoshi, Toshihito Ebina, Michio Hongo, Koji Nozaka, Yoshinori Ishikawa, Hiroyuki Tsuchie, Daisuke Kudo, Yoichi Shimada

JOURNAL OF BONE AND MINERAL RESEARCH ( WILEY )  33   175 - 175   2018年11月

Intradural extramedullary tumor in the stenotic cervical spine resected through open-door laminoplasty with hydroxyapatite spacers: Report of two cases

Miyakoshi N.

BMC Surgery ( BMC Surgery )  18 ( 1 )   2018年06月

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Limaprost or Pregabalin: Preoperative and Postoperative Medication for Pain due to Lumbar Spinal Stenosis

Kasukawa Y.

Pain Practice ( Pain Practice )  18 ( 5 ) 625 - 630   2018年06月

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特集 整形外科領域におけるロボットリハビリテーション 麻痺肢に対する機能的電気刺激(FES)治療

松永 俊樹, 島田 洋一, 工藤 大輔, 斉藤 公男, 木村 竜太, 千田 聡明, 畠山 和利, 渡邉 基起, 高橋 裕介, 加賀美 開, 須田 智寛

関節外科 ( (株)メジカルビュー社 )  37 ( 5 ) 488 - 495   2018年05月

DOI CiNii Research

Answer to the Letter to the Editor of Jie Weng et al. concerning, “Relationship between preoperative serum rapid turnover proteins and early-stage surgical wound infection after spine surgery” by D. Kudo et al. (Eur Spine J; 2016: doi:10.1007/s00586-016-4855-z)

Kudo D.

European Spine Journal ( European Spine Journal )  27 ( 5 ) 982 - 984   2018年05月

DOI

Pyogenic Spondylitis Caused by Methicillin-Resistant Staphylococcus aureus Associated with Tracheostomy followed by Resection of Ossification of the Anterior Longitudinal Ligament.

Michio Hongo, Naohisa Miyakoshi, Masashi Fujii, Yuji Kasukawa, Yoshinori Ishikawa, Daisuke Kudo, Yoichi Shimada

Case reports in orthopedics   2018   9076509 - 9076509   2018年

Symptomatic ossification of the anterior longitudinal ligament (OALL) is rare. However, when the osteophyte enlarges and obstructive symptoms occur, the patient may require surgery. We present a case of pyogenic spondylitis caused by methicillin-resistant Staphylococcus aureus associated with tracheostomy followed by resection of OALL. A 69-year-old woman with OALL complained of dysphagia and suffocation, which was caused by prominent OALL at C4-5. Tracheostomy was performed, followed by osteophytectomy 6 weeks later. Two months after osteophytectomy, she complained of muscle weakness of the extremities, neck pain, and elevated temperature. Magnetic resonance imaging showed an intensity change at the C4-5 vertebrae and an epidural abscess that was causing cord compression requiring urgent decompression. Cultures identified methicillin-resistant Staphylococcus aureus. As osteolytic change and muscle weakness gradually progressed, she underwent anterior and posterior reconstruction with an autograft and instrumentation. Bone union was confirmed at 1 year postoperatively with improvement in neurological status. OALL has potentially the risk of airway obstruction. Therefore, appropriate diagnosis and prompt osteophytectomy are needed in cases of a large prominent ossification that puts the patient at risk of suffocation. However, it is noted that osteophytectomy following urgent tracheostomy carries the possible risk of infection.

DOI PubMed