Research Achievements - Other -
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Gait-related Self-efficacy is Low in Older Adults with Knee Osteoarthritis: A Preliminary Study
OKURA Kazuki, SHIBATA Kazuyuki, SUDA Tomohiro, IWAKURA Masahiro, WAKASA Masahiko, KIMURA Yoshiaki, OKADA Kyoji
Physical Therapy Research ( 一般社団法人日本理学療法学会連合 ) 25 ( 1 ) 31 - 34 2022.04 [Refereed]
<p>Objective: To investigate the differences in self-efficacy (SE) for walking tasks between older patients with knee osteoarthritis (OA) and older adults without knee OA. Methods: A cross-sectional design was employed. Older patients with radiographic knee OA and community-dwelling older adults without knee OA as controls were enrolled in the study. SE for the walking task was assessed using the modified gait efficacy scale (mGES). A Wilcoxon rank-sum test was used to compare the mGES between the groups of participants. A Tobit regression model was used to estimate the difference in mGES. The presence of radiographic knee OA was used as an independent variable. Sex (women), age, and body mass index were used as potential confounding variables in the model. Results: After exclusion, 78 participants (n=40 with knee OA, n=38 controls) were included. The mGES was lower in patients with knee OA than in controls. In the Tobit regression model adjusted for confounding factors, mGES in patients with knee OA was estimated to be 26.8 (95% confidence interval [CI]: 15.8-37.8) points lower than in controls. Conclusion: This study demonstrated that mGES was lower in older patients with knee OA than in older adults without knee OA.</p>
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Recent Advances in Inspiratory Muscle Training:
SHIOYA Takanobu, KAGAYA Yuki, TERUI Yoshino, OKURA Kazuki, IWAKURA Masahiro, KAWAGOSHI Atsuyoshi
Journal of Clinical Physiology ( Japanese Society of Clinical Physiology ) 52 ( 1 ) 11 - 17 2022.02
<p> Inspiratory Muscle Training (IMT) can be defined as a technique that aims to improve the function of the respiratory muscles through specific devices. IMT has been shown to improve respiratory muscle strength and exercise endurance, and health related QOL and IMT also has been shown to reduce dyspnea on exertion. Recently, the benefits of IMT have been demonstrated in patients with heart failure (HF), respiratory management in ICU, preoperative period, and cerebrovascular disease.</p><p> The pathologic changes that occur in the lung as a consequence of chronic pulmonar y venous hypertension, pulmonary function test abnormalities, and potential mechanisms for dyspnea including airflow obstruction and/or respiratory muscle dysfunction are discussed. It is worth noting that muscle weakness appears first in the respiratory muscles and then in the musculature of the limbs, which may be considered one of the main causes of exercise intolerance. IMT seems to be a useful intervention to reduce inspiratory muscle metaboreflex in order to increase patients' exercise tolerance under HF condition.</p><p> A systematic review was necessary to review the effects of IMT on inspiratory muscle weakness. For people with heart failure, IMT by itself, without being combined with other exercise, can improve ease of breathing, increase the amount of distance that they can walk, and improve quality of life. Inspirator y training with higher loads might be helpful for those with respiratory muscle weakness who are unable to do conventional exercise. In this review, new devices for IMT those recently developed and the working mechanism are shown. Further research should be warranted for IMT in the patients with HF and other disease than respiratory diseases.</p>
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Kawagoshi Atsuyoshi, Furukawa Yutaka, Iwakura Masahiro, Okura Kazuki, Sugawara Keiyu, Takahashi Hitomi, Shioya Takanobu
The Journal of the Japan Society for Respiratory Care and Rehabilitation ( The Japan Society for Respiratory Care and Rehabilitation ) 30 ( 1 ) 59 - 64 2021.12
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How to Interpret Muscle Weakness: an Example of Quadriceps Femoris Muscle Strength Assessment in a Patient with Chronic Obstructive Pulmonary Disease
岩倉正浩
秋田理学療法 28 ( 1 ) 33 - 36 2021
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Efficacy of a interval training for inspiratory muscle in healthy young people
Kubota Mika, Satake Masahiro, Iwakura Masaharu, Furukawa Yutaka, Sugawara Keiyu, Takahashi Hitomi, Shioya Takanobu
The Journal of the Japan Society for Respiratory Care and Rehabilitation ( The Japan Society for Respiratory Care and Rehabilitation ) 29 ( 2 ) 292 - 298 2020.12
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Sugano Ayako, Sumikawa Akie, Matsui Yusaku, Terui Yoshino, Iwakura Masahiro, Furukawa Yutaka, Sakai Naohiro, Sugawara Keiyu, Takahashi Hitomi, Shioya Takanobu
The Journal of the Japan Society for Respiratory Care and Rehabilitation ( The Japan Society for Respiratory Care and Rehabilitation ) 29 ( 1 ) 104 - 110 2020.08
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The effectiveness of inspiratory muscle training in patients with COPD
Okura Kazuki, Kawagoshi Atsuyoshi, Iwakura Masahiro, Shibata Kazuyuki, Furukawa Yutaka, Sugawara Keiyu, Takahashi Hitomi, Homma Mitsunobu, Shioya Takanobu
The Journal of the Japan Society for Respiratory Care and Rehabilitation ( The Japan Society for Respiratory Care and Rehabilitation ) 28 ( 2 ) 274 - 278 2019.11
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Okura Kazuki, Shibata Kazuyuki, Iwakura Masahiro, Kawagoshi Atsuyoshi, Sugawara Keiyu, Takahashi Hitomi, Wakabayashi Ikuko, Satake Masahiro, Shioya Takanobu
The Journal of the Japan Society for Respiratory Care and Rehabilitation ( The Japan Society for Respiratory Care and Rehabilitation ) 27 ( 3 ) 342 - 348 2018.11
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SATO Mizuki, KURATA Masakazu, IWAKURA Masahiro, OKURA Kazuki, NITTA Shioto, TERUI Yoshino, SATAKE Masahiro, SHIOYA Takanobu
Physical Therapy Japan ( Japanese Society of Physical Therapy ) 45 ( 3 ) 197 - 202 2018
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当院の転倒予防教室の取り組み
佐々木 美弥子, 伽羅谷 千加子, 山田 公子, 岩倉 正浩, 柴田 和幸, 菅原 慶勇, 工藤 和也, 新田 佳菜子, 小川 学, 木村 善明
日本病態栄養学会誌 ( (一社)日本病態栄養学会 ) 21 ( Supplement ) S - 189 2018
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Terui Yoshino, Iwakura Masahiro, Kawagoshi Atsuyoshi, Ookura Kazuki, Sugawara Keiyu, Takahashi Hitomi, Uemura Sachiko, Satake Masahiro, Shioya Takanobu
The Journal of the Japan Society for Respiratory Care and Rehabilitation ( 一般社団法人 日本呼吸ケア・リハビリテーション学会 ) 27 ( 1 ) 59 - 64 2017.09
<p>【目的】体幹加速度から求めたLissajous Index(LI)を用いCOPD患者の歩行時体幹運動の左右対称性を評価しLIの有用性を検討した.</p><p>【方法】対象はCOPD患者16名,健常者21名とした.3軸加速度計を腰部に装着し 10 mを2回歩行した.左右・上下加速度からLIを求め,COPD患者の呼吸機能,下肢筋力,片脚立位保持時間を測定した.COPD患者のLIの検者内信頼性と絶対的信頼性,LIと身体機能評価との関連を検討した.</p><p>【結果】平均LIはCOPD患者34.2±19.2%,健常者21.1±14.1%で,健常者よりもCOPD患者において有意にLIが大きかった.COPD患者におけるLIの検者内信頼性が認められ,系統誤差はみられなかった.COPD患者のLIは片脚立位保持時間と有意な相関を認めた.</p><p>【結論】COPD患者における歩行のバランス能力評価として体幹加速度波形を用いたLIの有用性が示唆された.</p>
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Terui Yoshino, Iwakura Masahiro, Kawagoshi Atsuyoshi, Ookura Kazuki, Sugawara Keiyu, Takahashi Hitomi, Uemura Sachiko, Satake Masahiro, Shioya Takanobu
The Journal of the Japan Society for Respiratory Care and Rehabilitation ( The Japan Society for Respiratory Care and Rehabilitation ) 27 ( 1 ) 59 - 64 2017