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.

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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

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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．

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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

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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

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Advanced Equipment Development and Clinical Application in Neurorehabilitation for Spinal Cord Injury: Historical Perspectives and Future Directions

Kasukawa Y.

Applied Sciences (Switzerland) ( Applied Sciences (Switzerland) ) 12 ( 9 ) 2022年05月

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特集変形性関節症・変形性脊椎症の保存療法を究める変形性脊椎症の保存療法-運動療法と装具療法

木村竜太, 宮腰尚久, 島田洋一

総合リハビリテーション ( 株式会社医学書院 ) 50 ( 5 ) 467 - 471 2022年05月

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Development of a Gait Rehabilitation Robot Using an Exoskeleton and Functional Electrical Stimulation: Validation in a Pseudo-paraplegic Model

Inoue Junichi, Kimura Ryota, Shimada Yoichi, Saito Kimio, Kudo Daisuke, Hatakeyama Kazutoshi, Watanabe Motoyuki, Maeda Kai, Iwami Takehiro, Matsunaga Toshiki, Miyakoshi Naohisa

Progress in Rehabilitation Medicine ( 公益社団法人日本リハビリテーション医学会 ) 7 ( 0 ) n/a 2022年

Objective: We have developed a robot for gait rehabilitation of paraplegics for use in combination with functional electrical stimulation (FES). The purpose of this study was to verify whether the robot-derived torque can be reduced by using FES in a healthy-person pseudo-paraplegic model.Methods: Nine healthy participants (22–36 years old) participated in this study. The robot exoskeleton was designed based on the hip–knee–ankle–foot orthosis for paraplegia. Participants walked on a treadmill using a rehabilitation lift to support their weight. The bilateral quadriceps femoris and hamstrings were stimulated using FES. The participants walked both with and without FES, and two walking speeds, 0.8 and 1.2 km/h, were used. Participants walked for 1 min in each of the four conditions: (a) 0.8 km/h without FES, (b) 0.8 km/h with FES, (c) 1.2 km/h without FES, and (d) 1.2 km/h with FES. The required robot torques in these conditions were compared for each hip and knee joint. The maximum torque was compared using one-way analysis of variance to determine whether there was a difference in the amount of assist torque for each gait cycle.Results: Walking with the exoskeleton robot in combination with FES significantly reduced the torque in hip and knee joints, except for the right hip during extension.Conclusions: In the healthy-participant pseudo-paraplegic model, walking with FES showed a reduction in the robot-derived torque at both the hip and knee joints. Our rehabilitation robot combined with FES has the potential to assist paraplegics with various degrees of muscle weakness and thereby provide effective rehabilitation.

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大腿四頭筋腱断裂に対する修復術の検討

浅香康人, 木村竜太, 小林孝, 齊藤英知, 宮腰尚久

東日本整形災害外科学会雑誌 ( 東日本整形災害外科学会 ) 34 ( 2 ) 116 - 118 2022年

大腿四頭筋腱断裂に対し，スーチャーアンカー法とpull out法を用いた修復術を直視下・鏡視下に行い，ともに良好な成績を得た．手術時間は鏡視下で長く，手術創は直視下が大きい点が差として挙げられた．患者背景や施設体制に応じて適切な術式を選択するべきである．

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片麻痺患者用歩行訓練リハビリテーションロボットにおける強化学習を用いたアシスト量自動調整システムの開発

前田海, 巖見武裕, 木村竜太, 島田洋一

産業応用工学会論文誌 ( 一般社団法人産業応用工学会 ) 10 ( 1 ) 28 - 37 2022年

We have developed a gait training rehabilitation robot “Akita Trainer” for hemiplegic patients. It has servomotors attached to the hip and knee joints of the exoskeleton, and driving it enables gait rehabilitation of the paralyzed people. As its core systems, we developed a variable assist system and an automatic assist adjustment system. The variable assist system based on compliance control can change the stiffness parameter of “Akita Trainer” to provide assist torque according to the degree of paralysis. The automatic assist adjustment system uses reinforcement learning to change the stiffness parameter to the optimal value for the paralyzed people while using this robot. We conducted an experiment with three healthy subjects to validate the combined system of both. We set up two walking patterns: , normal walking and pseudo-hemiplegic walking assuming right hemiplegia. The participants walked for 10 minutes on the treadmill at a speed of 0.8 km/h. The amount of assistance decreased for normal walking and increased for pseudo-hemiplegic walking, indicating that the optimal amount of assistance can be provided according to the walking patterns. By using this system, it is possible to perform gait rehabilitation with the optimal assist torque for the hemiplegic people.

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Impact of a specialized outpatient clinic on bone metastasis and its burden on spine surgeons

Tsuchie H.

In Vivo ( In Vivo ) 35 ( 6 ) 3575 - 3579 2021年12月

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手術手技経皮的椎弓根スクリュー抜釘時の注射シリンジの応用

木村竜太, 小林孝, 菊池一馬, 木下隼人, 宮腰尚久, 島田洋一

臨床整形外科 ( 株式会社医学書院 ) 56 ( 11 ) 1373 - 1375 2021年11月

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Proximal junctional fracture and kyphosis after long spinopelvic corrective fixation for adult spinal deformity

Kikuchi K.

Journal of Orthopaedic Science ( Journal of Orthopaedic Science ) 26 ( 3 ) 343 - 347 2021年05月

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特集骨粗鬆症性椎体骨折-難治例の診断・治療を中心に- 骨粗鬆症性椎体骨折に対する骨切りによる矯正固定術

小林孝, 阿部利樹, 菊池一馬, 木下隼人, 木村竜太, 阿部栄二, 宮腰尚久, 島田洋一

関節外科　基礎と臨床 ( メジカルビュー社 ) 40 ( 5 ) 541 - 551 2021年05月

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Acute exacerbation of cervical myelopathy caused by pseudogout of the cervical ligamentum flavum after cervical spinal cord injury: a case report

Kimura R.

Spinal Cord Series and Cases ( Spinal Cord Series and Cases ) 6 ( 1 ) 2020年12月

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Ultrasound-guided total dorsal ramus block for the treatment of chronic low back pain

Kimura R.

Journal of Orthopaedics, Trauma and Rehabilitation ( Journal of Orthopaedics, Trauma and Rehabilitation ) 27 ( 2 ) 128 - 132 2020年12月

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特集リハビリテーションにおけるロボット技術の最近の進歩 Akita Trainerを使用したロボットリハビリテーション

斉藤公男, 島田洋一, 巌見武裕, 木村竜太

脊椎脊髄ジャーナル ( 三輪書店 ) 33 ( 8 ) 771 - 775 2020年08月

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Akita Trainer

木村竜太, 島田洋一

日本義肢装具学会誌 ( 日本義肢装具学会 ) 36 ( 3 ) 189 - 190 2020年07月

医工連携事業で取り組んでいるリハビリテーションロボット開発について紹介する．これまで機能的電気刺激（FES）と装具，それぞれの利点を組み合わせたハイブリッド装具の開発を行ってきた．それを基に訓練機器として片麻痺者を対象としたAkita Trainerを開発した．コンパクトかつFESの併用，ならびに独自の健側フィードバックシステムを有する歩行訓練リハビリテーションロボットである．脊髄損傷に応用可能な両側型を開発中であり，臨床応用が進む再生医療との併用リハビリテーション効果の検証を行うべく開発を続けている．

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Diagnosis of presarcopenia using body height and arm span for postmenopausal osteoporosis

Ono Y.

Clinical Interventions in Aging ( Clinical Interventions in Aging ) 15 357 - 361 2020年

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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

Objectives: 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.Methods: 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.Results: 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.Conclusions: 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.

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下肢麻痺者のための歩行リハビリテーションロボットの開発

三浦大輝, 山内哲也, 前田海, 井上純一, 木村竜太, 巖見武裕, 島田洋一

ロボティクス・メカトロニクス講演会講演概要集 ( 一般社団法人日本機械学会 ) 2020 ( 0 ) 2A2-E02 2020年

In recent years, gait rehabilitation robots have been developed to reduce the load on paralyzed patients and therapists. The purpose of this study is to design and develop a new gait rehabilitation robot "Akita Trainer" using FES in combination for right hemiplegic, left hemiplegic and paraplegic persons and verification of its control system. The problems of commercially available walking rehabilitation robots were identified, necessary elements were examined, and the items examined were reflected in the design. Then, we have developed main device bearing weight of orthosis, and exoskeleton frames with built-in actuators. In the verification of the control system, the operation of the control system for paraplegics was verified, and the reproducibility of the walking motion was different between the left and right. In the future, we will develop orthoses, complete the Akita Trainer, and verify the operation of that.

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Comparison of Posterior Lumbar Interbody Fusion and Microendoscopic Muscle-preserving Interlaminar Decompression for Degenerative Lumbar Spondylolisthesis With >5-Year Follow-up

Kimura R.

Clinical Spine Surgery ( Clinical Spine Surgery ) 32 ( 8 ) E380 - E385 2019年10月

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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

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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

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．

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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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Traumatic intratumoral hemorrhage of schwannoma of the cauda equina: A report of two cases

Kimura R.

Journal of Orthopaedic Science ( Journal of Orthopaedic Science ) 23 ( 6 ) 1105 - 1109 2018年11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

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Development of a Rehabilitation Robot Combined with Functional Electrical Stimulation Controlled by Non-disabled Lower Extremity in Hemiplegic Gait

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

Objective: 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. Method: 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). Results: 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. Conclusions: 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.

DOI CiNii Research

経験と考察鎖骨骨折手術に対する第4頚椎神経根ブロックの有用性

木村竜太, 宮腰尚久, 石河紀之, 湯本聡, 岩本陽輔, 島田洋一

整形外科 ( 南江堂 ) 68 ( 12 ) 1251 - 1254 2017年11月

DOI CiNii Research

臨床経験先天性膝関節脱臼の治療成績

木村竜太, 三澤晶子, 坂本仁, 石原芳人, 遠藤博之, 島田洋一

臨床整形外科 ( 株式会社医学書院 ) 52 ( 3 ) 291 - 294 2017年03月

DOI CiNii Research

Kasukawa Y.

Clinical Interventions in Aging ( Clinical Interventions in Aging ) 12 413 - 420 2017年02月

DOI