研究等業績 - その他 - 工藤 大輔
-
Okamoto K.
Applied Sciences (Switzerland) ( Applied Sciences (Switzerland) ) 14 ( 19 ) 2024年10月
-
Effect of Acridine Orange and Zoledronic Acid on Bone Metastasis in Renal Cell Carcinoma
Oya K.
Anticancer Research ( Anticancer Research ) 44 ( 6 ) 2487 - 2495 2024年06月
-
Development of a New Focal Mouse Model of Bone Metastasis in Renal Cell Carcinoma
Oya K.
In Vivo ( In Vivo ) 38 ( 3 ) 1074 - 1078 2024年05月
-
Development of a New Focal Mouse Model of Bone Metastasis in Renal Cell Carcinoma
OYA KEITA, TSUCHIE HIROYUKI, NAGASAWA HIROYUKI, HONGO MICHIO, KASUKAWA YUJI, KUDO DAISUKE, SHOJI RYO, KASAMA FUMIHITO, KAWARAGI TAKASHI, WATANABE MANABU, TOMINAGA KENTA, MIYAKOSHI NAOHISA
In Vivo ( Production services Kyorinsha Co., Ltd. ) 38 ( 3 ) 1074 - 1078 2024年
-
Skip Fusion With Sacral-Alar-Iliac Screw Fixation for Pelvic Ring and Lumbar Fractures: A Case Report.
Ryota Kimura, Yuji Kasukawa, Michio Hongo, Daisuke Kudo, Motoki Mita, Koji Nozaka, Naohisa Miyakoshi
Cureus 15 ( 12 ) e50022 2023年12月
Pelvic ring fractures are associated with high-energy trauma and high mortality owing to critical blood loss and concomitant injuries. If there is a concurrent lumbar fracture, the postoperative range of motion will be limited owing to the increased fusion range. Here, we report a case in which skip fusion with sacral-alar-iliac screw fixation was effective as a minimally invasive procedure for treating pelvic ring and lumbar fractures.
-
工藤 大輔, 宮腰 尚久
The Japanese Journal of Rehabilitation Medicine ( 公益社団法人 日本リハビリテーション医学会 ) 60 ( 12 ) 1038 - 1043 2023年12月
<p>1990年代の新宮らの調査以来となる外傷性脊髄損傷の全国調査が実施された．2018年の脊髄損傷の推定発生率は100万人あたり49人，平均年齢66.5歳，受傷原因は平地転倒が最多（38.6％），機能障害はFrankel Dが最多（46.3％）であった．生産年齢（15～64歳）における完全頚髄損傷は，135名の登録があり，年齢中央値51歳で，全体の3.3％，完全頚髄損傷の34.0％を占めていた．生産年齢では，非生産年齢と比較し，交通事故（p＝0.005），重量物落下・下敷き（p＝0.008），スポーツ（p＜0.001）による受傷が多く，非生産年齢では平地転倒（p＜0.001）による受傷が多かった．</p>
-
Risser sign grade 4の思春期特発性側弯症におけるCobb角進行と危険因子の検討
若林 玲奈, 本郷 道生, 三澤 晶子, 木村 竜太, 工藤 大輔, 島田 洋一, 宮腰 尚久
Journal of Spine Research ( 一般社団法人 日本脊椎脊髄病学会 ) 14 ( 11 ) 1377 - 1382 2023年11月
<p><b>はじめに：</b>思春期特発性側弯に対する装具治療は，一般に骨成熟が終盤と評価されるRisser sign grade 4以上には積極的推奨はされていない．しかし，Risser sign grade 4でもCobb角が進行する症例をしばしば経験する．</p><p><b>対象と方法：</b>対象は2016年から2020年に当院を初診し，Risser sign grade 4を呈する思春期特発性側弯症のうち1年以上経過観察した42例であった．Cobb角の変化，患者背景，身体所見，放射線学的評価を，進行群と非進行群に分け比較検討した．</p><p><b>結果：</b>進行群8例，非進行群34例で，進行群ではCobb角が初診時28.7°が経過観察時35.8°となり，平均7.1°増加した．初潮から初診までの経過期間は非進行群24.2ヶ月に対し進行群9.7ヶ月と有意に短く（P=0.003），身長変化は非進行群が1.8 cm増加したのに対し，進行群が2.9 cm増加と有意に大きかった（P=0.02）．その他では差を認めなかった．</p><p><b>結語：</b>Risser sign grade 4の思春期特発性側弯症の約2割で側弯の進行を認めた．進行群では，初潮から初診までの経過期間が短く，身長の伸びが大きかった．初潮から初診までの経過期間と身長変化により，進行が危惧される場合は装具治療も考慮する必要がある．</p>
-
秋田県における側弯症検診の現状と課題
三澤 晶子, 本郷 道生, 工藤 大輔, 若林 玲奈, 木村 竜太, 島田 洋一, 宮腰 尚久
Journal of Spine Research ( 一般社団法人 日本脊椎脊髄病学会 ) 14 ( 11 ) 1366 - 1371 2023年11月
<p><b>はじめに：</b>本県では1984年からモアレ法による学校検診を行っており，運動器検診開始後も継続している．今回，秋田市教育委員会のデータ提供により，運動器検診の結果とモアレ法による側弯症検診の結果を比較した．</p><p><b>対象と方法：</b>2017～2020年度に運動器検診で脊柱に所見ありとされ二次検診を受診した1,442例と，モアレ検診で所見ありとして二次検診を受診した474例を対象とし，X線撮影によるCobb角10°以上の陽性率を算出した．</p><p><b>結果：</b>陽性適中率は運動器検診で39%，モアレ検診では60%であった．中学生の陽性適中率に限ると，運動器検診で57%とモアレ検診と同程度だったが，診断された13%が運動器検診で新規に陽性，87%が継続して陽性であり，大多数の症例がモアレ検診で側弯症の診断を受けていた．</p><p><b>結語：</b>本研究の結果から，改めて運動器検診との対比においてモアレ検診の有用性が明らかになった．検診を進めるにあたり，検診後のフォローアップ体制の充実も必要と考えられた．また，検診結果のフィードバックのため，個人情報保護の問題等解決に向け，検診の発展には教育委員会や医師会への働きかけと連携が必要である．</p>
-
Effects of Soft Tissue Sarcoma and Doxorubicin on Bone Metabolism in Mice
Kasama F.
In Vivo ( In Vivo ) 37 ( 4 ) 1532 - 1539 2023年07月
-
Kinoshita H.
Global Spine Journal ( Global Spine Journal ) 2023年
-
Fukushi R.
Advances in Medical Education and Practice ( Advances in Medical Education and Practice ) 14 657 - 667 2023年
-
Kinoshita H.
American Journal of Case Reports ( American Journal of Case Reports ) 24 2023年
-
Expert consensus on surgical treatment for adolescent idiopathic scoliosis in Japan
Arima H.
Journal of Orthopaedic Science ( Journal of Orthopaedic Science ) 26 ( 5 ) 765 - 773 2021年09月
-
Spinal Cord Compression with Occult Bony Fragment in Osteoporotic Vertebral Fracture: A Case Report
Ishikawa Yoshinori, Miyakoshi Naohisa, Hongo Michio, Kasukawa Yuji, Kudo Daisuke, Shimada Yoichi
Spine Surgery and Related Research ( 一般社団法人 日本脊椎脊髄病学会 ) 5 ( 4 ) 310 - 312 2021年07月
-
特集 整形外科医にとって必須のリハビリテーション 脊髄損傷のリハビリテーション
工藤 大輔, 島田 洋一
関節外科 基礎と臨床 ( メジカルビュー社 ) 40 ( 6 ) 628 - 632 2021年06月
-
Sato T.
PLoS ONE ( PLoS ONE ) 16 ( 6 June ) 2021年06月
-
斉藤 公男, 工藤 大輔, 千田 聡明, 畠山 和利, 渡邉 基起, 松永 俊樹, 宮腰 尚久, 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 ) 58 ( 3 ) 314 - 316 2021年03月
-
Diagnosis and Surgical Treatment of Thoracic Dorsal Arachnoid Web: A Report of Two Cases.
Junichi Inoue, Naohisa Miyakoshi, Michio Hongo, Takashi Kobayashi, Toshiki Abe, Kazuma Kikuchi, Eiji Abe, Yuji Kasukawa, Yoshinori Ishikawa, Daisuke Kudo, Hayato Kinoshita, Ryota Kimura, Yoichi Shimada
Case reports in orthopedics 2020 8816598 - 8816598 2020年
INTRODUCTION: An arachnoid web (AW) is a relatively rare disease and shows clinical symptoms and radiological findings similar to those of an arachnoid cyst (AC) or spinal cord herniation (SCH). Since the operative procedures for an AW are generally different from those intrathecal disorders, correct preoperative differential diagnosis is important. The purposes of this study were to report the usefulness of magnetic resonance imaging (MRI) and computed tomography (CT) myelography for diagnosing AW and to show the histological findings and clinical results. Case Description. Two patients, a 79-year-old man and a 43-year-old woman, are presented. The primary diagnoses were AC with ossification of the ligamentum flavum and epidural hematoma, respectively, in previous hospitals. They were finally diagnosed by the characteristic MRI and CT myelogram finding called the "scalpel sign." Histological findings showed epithelial cells and fibrous tissue derived from arachnoid tissues and microcalcifications. After surgery, the scalpel sign has vanished, and aggravation of their symptoms was prevented. CONCLUSION: An AW is refractory, but early detection by MRI and CT myelography and early treatment improve outcomes after surgery.
-
Miyakoshi N.
Surgical Neurology International ( Surgical Neurology International ) 11 2020年
-
Miyakoshi Naohisa, Masutani Norimitsu, Kasukawa Yuji, Kudo Daisuke, Saito Kimio, Matsunaga Toshiki, 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>Previous studies have suggested that the effects of vitamin D in preventing osteoporotic fractures result in part from its influence on fall prevention. However, the effects of vitamin D on dynamic balance as a contributor to fall prevention have not been fully evaluated. Moreover, few studies have compared the effects of native and active forms of vitamin D. The objective of this preliminary randomized prospective study was to compare the effects of native vitamin D and eldecalcitol on muscular strength and dynamic balance in postmenopausal patients undergoing denosumab treatment for osteoporosis.</p><p><b>Methods: </b>A total of 30 women with postmenopausal osteoporosis were randomly assigned to a native D group (administered denosumab and native vitamin D with calcium) or an ELD group (administered denosumab and eldecalcitol) and were followed up for 6 months. The following parameters were compared: the strengths of the back extensor and lower extremity muscles; static balance evaluated using the one-leg standing test; and dynamic balance evaluated using the 10-m walk test, the functional reach test, the timed up and go test, and the total length of the trajectory of the center of gravity (LNG) measured using a dynamic sitting balance measurement device.</p><p><b>Results: </b>Compared to baseline measurements, back extensor and knee extensor strengths had significantly increased after 6 months of treatment in the native D group (P<0.05) but not in the ELD group. In contrast, LNG significantly improved in both groups after 6 months (P<0.05). No significant differences between the two groups were seen in any of these measured parameters after treatment.</p><p><b>Conclusions: </b>Both native vitamin D + denosumab and eldecalcitol + denosumab were effective for improving dynamic sitting balance in postmenopausal women with osteoporosis.</p>
-
Kudo D.
Journal of Back and Musculoskeletal Rehabilitation ( Journal of Back and Musculoskeletal Rehabilitation ) 33 ( 2 ) 263 - 268 2020年
-
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>
-
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>
-
Miyakoshi N.
World Neurosurgery ( World Neurosurgery ) 132 63 - 66 2019年12月
-
Miyakoshi N.
World Neurosurgery ( World Neurosurgery ) 131 38 - 42 2019年11月
-
Unoki E.
Spine ( Spine ) 44 ( 17 ) E1024 - E1030 2019年09月
-
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
-
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>
-
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
-
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
-
Hirota R.
Spine ( Spine ) 44 ( 4 ) E211 - E218 2019年02月
-
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.
-
Kasukawa Y.
Clinical Interventions in Aging ( Clinical Interventions in Aging ) 14 1399 - 1405 2019年
-
Kasukawa Y.
Asian Spine Journal ( Asian Spine Journal ) 13 ( 5 ) 832 - 841 2019年
-
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
-
Miyakoshi N.
BMC Surgery ( BMC Surgery ) 18 ( 1 ) 2018年06月
-
Kasukawa Y.
Pain Practice ( Pain Practice ) 18 ( 5 ) 625 - 630 2018年06月
-
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
-
Kudo D.
European Spine Journal ( European Spine Journal ) 27 ( 5 ) 982 - 984 2018年05月
-
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.
-
Surgical Treatment for Severe Scoliosis in Patients with Reduced Cardiorespiratory Function after Surgery for Congenital Heart Disease: A Report of Two Cases.
Hayato Kinoshita, Naohisa Miyakoshi, Michio Hongo, Akiko Misawa, Daisuke Kudo, Yoichi Shimada
Case reports in orthopedics 2018 4610796 - 4610796 2018年
PURPOSE: Congenital heart disease (CHD) is associated with an increased risk of scoliosis. The prognosis of scoliosis patients with CHD has improved because of advances in cardiac care. As a result, the frequency of surgery for scoliosis in this population has increased, although the risk of perioperative complications remains high. We treated two patients with CHD who underwent surgery for severe scoliosis. To avoid perioperative complications, we evaluated the preoperative cardiac status and anesthetic risks before posterior correction and fixation in both patients. METHODS: An expert anesthesiologist evaluated the anesthetic risk in each case, and an adequate reservoir of autologous blood was collected preoperatively. The patient in case 1 was at risk of significant blood loss and required extremely careful operative technique. The patient in case 2 had low cardiac output preoperatively. We therefore performed a thorough preoperative cardiac evaluation. Both patients were admitted to the intensive care unit postoperatively. RESULTS: Neither patient suffered serious complications, and both achieved favorable outcomes. CONCLUSIONS: Appropriate surgical technique and teamwork among experts are the keys to success in patients with severe scoliosis and CHD.
-
Kimura Ryota, Matsunaga Toshiki, Iwami Takehiro, Kudo Daisuke, Saitoh Kimio, Hatakeyama Kazutoshi, Watanabe Motoyuki, Takahashi Yusuke, 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 ) 3 ( 0 ) n/a 2018年
<p><b>Objective:</b> We developed a rehabilitation robot to assist hemiplegics with gait exercises. The robot was combined with functional electrical stimulation (FES) of the affected side and was controlled by a real-time-feedback system that attempted to replicate the lower extremity movements of the non-affected limb on the affected side. We measured the reproducibility of the non-affected limb movements on the affected side using FES in non-disabled individuals and evaluated the smoothness of the resulting motion. <b>Method:</b> Ten healthy men participated in this study. The left side was defined as the non-affected side. The measured hip and knee joint angles of the non-affected side were reproduced on the pseudo-paralytic side using the robot’s motors. The right quadriceps was stimulated with FES. Joint angles were measured with a motion capture system. We assessed the reproducibility of the amplitude from the maximum angle of flexion to extension during the walking cycle. The smoothness of the motion was evaluated using the angular jerk cost (AJC). <b>Results:</b> The amplitude reproduction (%) was 87.9 ± 6.2 (mean ± standard deviation) and 71.5 ± 10.7 for the hip and knee joints, respectively. The walking cycle reproduction rate was 99.9 ± 0.1 and 99.8 ± 0.2 for the hip and knee joints, respectively. There were no statistically significant differences between results with FES versus those without FES. The AJC of the robot side was significantly smaller than that of the non-affected side. <b>Conclusions:</b> A master–slave gait rehabilitation system has not previously been attempted in hemiplegic patients. Our rehabilitation robot showed high reproducibility of motion on the affected side.</p>
-
Kudo D.
Clinical Interventions in Aging ( Clinical Interventions in Aging ) 13 1633 - 1638 2018年
-
Kudo D.
European Spine Journal ( European Spine Journal ) 26 ( 12 ) 3156 - 3161 2017年12月
-
Indications for Drug Holiday among Japanese Patients after Long-term Bisphosphonate Treatment.
Yuji Kasukawa, Naohisa Miyakoshi, Michio Hongo, Koji Nozaka, Yoshinori Ishikawa, Hiroyuki Tsuchie, Daisuke Kudo, Yoichi Shimada
JOURNAL OF BONE AND MINERAL RESEARCH ( WILEY ) 32 S269 - S269 2017年12月
-
Miyakoshi N.
Osteoporosis International ( Osteoporosis International ) 28 ( 11 ) 3153 - 3160 2017年11月
-
特集 運動器リハビリテーションに必須の評価法と活用法 3 腰痛症のリハビリテーションに必須の評価法と活用法
工藤 大輔, 島田 洋一
リハビリテーション医学 ( 株式会社医学書院 ) 54 ( 11 ) 835 - 840 2017年11月
-
脊椎・脊髄疾患のニューロサイエンス 神経所見の診かたから再生医療まで 4.脊椎・脊髄疾患の治療法の進歩 B 理学療法 機能的電気刺激(FES)
島田 洋一, 松永 俊樹, 工藤 大輔, 斉藤 公男, 巌見 武裕
整形・災害外科 ( 金原出版 ) 60 ( 5 ) 617 - 621 2017年04月
-
Ishikawa Y.
Gait and Posture ( Gait and Posture ) 53 98 - 103 2017年03月
-
Age-related changes in muscle strength and spinal kyphosis angles in an elderly Japanese population
Kasukawa Y.
Clinical Interventions in Aging ( Clinical Interventions in Aging ) 12 413 - 420 2017年02月
-
島田 洋一, 松永 俊樹, 工藤 大輔, 斉藤 公男
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 ) 54 ( 8 ) 564 - 569 2017年
<p>機能的電気刺激（FES）は，中枢神経障害による運動麻痺に対し，プログラムされた刺激による機能再建を行う治療法である．適応として，脳卒中・脳外傷，脊髄損傷，脳性麻痺，多発性硬化症などがあり，治療効果のエビデンスも豊富になりつつある．FESは，上肢用では手指把持動作再建，下肢用では麻痺性内反尖足・下垂足の歩行再建などが可能であり，表面電極システムを中心に臨床的に十分利用可能な実用的な製品がある．今後は費用面での患者家族負担が軽減されるよう，公的支援の拡充に期待したい．</p>
-
工藤 大輔, 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 ) 54 ( 11 ) 835 - 840 2017年
<p>腰痛症のリハビリテーションでは，red flags（危険信号）を有する重篤な脊椎疾患（腫瘍，炎症，骨折など）に伴う腰痛，神経症状を伴う腰痛，非特異的腰痛のトリアージを最初に行う．</p><p>腰椎疾患の評価ツールは痛み，機能，心理的な評価に大別される．これらを効果的に用いることでリハビリテーションを含めた治療の計画，治療効果の判定に役立てることができる．特に非特異的慢性腰痛における心理面の評価は必須で，近年報告されたSTarT（Subgrouping for Targeted Treatment）Backスクリーニングツールは，リスクに応じた層別化，治療介入に有用である．</p>