研究者詳細 - 木村　竜太

Terai Hidetomi, Takahashi Shinji, Hoshino Masatoshi, Taniwaki Hiroshi, Tamai Koji, Ohmine Toshimitsu, Nakatuchi Tamotsu, Shinbashi Goya, Teraguchi Masatoshi, Minetama Masakazu, Watanabe Kei, Sato Naritoshi, Kitamura Takuya, Kanda Masaru, Tsujio Tadao, Takeuchi Yuichi, Mizouchi Tatsuki, Ishizu Katsuhito, Ebina Toshihito, Muraoka Yasunari, Sodeyama Tomonori, Mikami Hiroshi, Kasukawa Yuji, Hyakumachi Takahiko, Ishida Kazuhiro, Miyagishima Kazufumi, Oishi Yosuke, Yo Kiyonori, Kimura Ryota, Sato Hiromichi, Nagata Keiji, Yamato Yu, Matsudaira Ko, Miyakoshi Naohisa, Matsuyama Yukihiro, Haro Hirotaka, Hashizume Hiroshi, Yamada Hiroshi, Kaito Takashi, Project Committee of the Japanese Society for Spine Surgery and Related Research (JSSR)

Spine Surgery and Related Research ( 一般社団法人日本脊椎脊髄病学会 ) advpub ( 0 ) 2024年

Introduction: Adult spinal deformity (ASD) is prevalent among older adults, considerably affecting their quality of life. Although surgical interventions are effective, they have high complication rates and medical costs. Furthermore, there is a lack of evidence supporting the effectiveness of nonsurgical treatments (e.g., physical therapy) in patients with ASD. This study aimed to investigate the impact of "Koshimagari exercise," a specific home-based exercise regimen designed for patients with ASD, and to evaluate its effects on clinical outcomes in older adults.Methods: A total of 144 participants aged 50–80 years with chronic low back pain (LBP) due to spinal deformities were included in this multicenter prospective study. Qualified physiotherapists conducted intervention sessions at the hospital once a week, and self-exercise was performed at home three times a week. After 3 months, the frequency of self-exercise at home increased to four times a week. Clinical evaluations were conducted using the Oswestry Disability Index (ODI), five-level classification system of EuroQol-5 Dimensions (EQ-5D), Japanese edition of Scoliosis Research Society-22r (SRS-22r), and visual analog scale (VAS) for LBP at baseline and 3, 6, and 12 months. Radiographic evaluations were performed in standing and supine positions.Results: Of 130 participants who provided written informed consent, 98 completed the 6-month follow-up and were included in the analysis. Significant improvements observed in ODI, EQ-5D, and VAS scores were observed at 3 months, with SRS-22r scores improving throughout the study period. Radiographically, there were significant differences in the sagittal vertical axis and pelvic tilt at 12 months. Sufficient compliance with the self-exercise program was reported by 96%, 86%, and 73% of participants at 3, 6, and 12 months, respectively.Conclusions: The "Koshimagari Exercise" program led to significant short-term improvements in health-related quality of life and pain among elderly patients with ASD. This home-based self-exercise program is an excellent nonsurgical treatment option for patients with ASD.

DOI CiNii Research

Comparative efficacy of ultrasound guidance and fluoroscopy or computed tomography guidance in spinal nerve injections: a systematic review and meta-analysis

Kimura R.

European Spine Journal ( European Spine Journal ) 32 ( 12 ) 4101 - 4110 2023年12月

DOI

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

はじめに：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．対象と方法：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．結果：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．結語：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．

DOI CiNii Research

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

はじめに：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．対象と方法：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．結果：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．結語：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．

DOI CiNii Research

特集 Parkinson病と脊椎 Parkinson病患者の骨粗鬆症性椎体圧潰に対する手術療法

木村竜太, 小林孝, 宮腰尚久

脊椎脊髄ジャーナル ( 三輪書店 ) 36 ( 9 ) 673 - 677 2023年10月

DOI CiNii Research

A Comparison of Hidden Blood Loss Between Multilevel Posterior Lumbar Interbody Fusion and Lateral Lumbar Interbody Fusion in Adult Spinal Deformity Patients

Kinoshita H.

Global Spine Journal ( Global Spine Journal ) 2023年

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Comparative efficacy of ultrasound guidance or conventional anatomical landmarks for neuraxial puncture in adult patients: a systematic review and network meta-analysis

Kamimura Y.

British Journal of Anaesthesia ( British Journal of Anaesthesia ) 2023年

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Neurological Analysis Based on the Terminal End of the Spinal Cord and the Narrowest Level of Injured Spine in Thoracolumbar Spinal Injuries

Hatakeyama Y.

Acta Medica Okayama ( Acta Medica Okayama ) 77 ( 5 ) 499 - 509 2023年

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Two Cases of Degenerative Cervical Spondylotic Myelopathy in Adults with Athetoid and Dystonic Cerebral Palsy

Kinoshita H.

American Journal of Case Reports ( American Journal of Case Reports ) 24 2023年

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Relationship between Intervertebral Disc Compression Force and Sagittal Spinopelvic Lower Limb Alignment in Elderly Women in Standing Position with Patient-Specific Whole Body Musculoskeletal Model

Miura T.

International Journal of Environmental Research and Public Health ( International Journal of Environmental Research and Public Health ) 19 ( 24 ) 2022年12月

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Degenerative Lumbar Spondylolisthesis Patients With Movement-related Low Back Pain Have Less Postoperative Satisfaction After Decompression Alone

Hirota R.

Spine ( Spine ) 47 ( 19 ) 1391 - 1398 2022年10月

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Efficacy and Safety of Acetabular Cup without Screw Fixation in Total Hip Arthroplasty: A Systematic Review and Meta-Analysis

Miura T.

Medicina (Lithuania) ( Medicina (Lithuania) ) 58 ( 8 ) 2022年08月

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Earlier appearance of Risser sign on ultrasound versus radiograph in adolescent idiopathic scoliosis

Hongo M.

Journal of Clinical Imaging Science ( Journal of Clinical Imaging Science ) 12 2022年07月