研究等業績 - その他 - 本郷 道生
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特集 病態に応じた腰痛のリハビリテーション診療 高齢者の脊柱変形に伴う腰痛
島田 洋一, 本郷 道生, 宮腰 尚久
総合リハビリテーション ( 株式会社医学書院 ) 48 ( 9 ) 827 - 834 2020年09月
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Ishikawa Y.
BMC Musculoskeletal Disorders ( BMC Musculoskeletal Disorders ) 21 ( 1 ) 2020年08月
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Kawabata A.
BMC Musculoskeletal Disorders ( BMC Musculoskeletal Disorders ) 21 ( 1 ) 2020年07月
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Murata K.
European Spine Journal ( European Spine Journal ) 29 ( 7 ) 1597 - 1605 2020年07月
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Effectiveness of circular external fixator in periprosthetic fractures around the knee
Nozaka K.
BMC Musculoskeletal Disorders ( BMC Musculoskeletal Disorders ) 21 ( 1 ) 2020年05月
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Recurrent dysphagia after lower posterior cervical fusion
Ishikawa Y.
Surgical Neurology International ( Surgical Neurology International ) 11 ( 114 ) 2020年05月
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Yuasa Y.
Journal of Bone and Mineral Metabolism ( Journal of Bone and Mineral Metabolism ) 38 ( 2 ) 179 - 187 2020年03月
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特集 骨粗鬆症性椎体骨折治療の最新知見 骨粗鬆症・椎体骨折治療体系における運動療法の役割
本郷 道生, 宮腰 尚久, 島田 洋一
整形・災害外科 ( 金原出版 ) 63 ( 2 ) 157 - 163 2020年02月
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Isogai N.
Spine Surgery and Related Research ( Spine Surgery and Related Research ) 4 ( 3 ) 199 - 207 2020年01月
<p>Introduction: Osteoporotic vertebral fracture (OVF) is the most common osteoporotic fracture, and some patients require surgical intervention to improve their impaired activities of daily living with neurological deficits. However, many previous reports have focused on OVF around the thoracolumbar junction, and the surgical outcomes of lumbar OVF have not been thoroughly discussed. We aimed to investigate the surgical outcomes for lumbar OVF with a neurological deficit.</p><p>Methods: Patients who underwent fusion surgery for thoracolumbar OVF with a neurological deficit were enrolled at 28 institutions. Clinical information, comorbidities, perioperative complications, Japanese Orthopaedic Association scores, visual analog scale scores, and radiographic parameters were compared between patients with lower lumbar fracture (L3-5) and those with thoracolumbar junction fracture (T10-L2). Each patient with lower lumbar fracture (L group) was matched with to patients with thoracolumbar junction fracture (T group).</p><p>Results: A total 403 patients (89 males and 314 females, mean age: 73.8 ± 7.8 years, mean follow-up: 3.9 ± 1.7 years) were included in this study. Lower lumbar OVF was frequently found in patients with lower bone mineral density. After matching, mechanical failure was more frequent in the L group (L group: 64%, T group: 39%; p < 0.001). There was no difference between groups in the clinical and radiographical outcomes, although the rates of complication and revision surgery were still high in both groups.</p><p>Conclusions: The surgical intervention for OVF is effective in patients with myelopathy or radiculopathy regardless of the surgical level, although further study is required to improve clinical and radiographical outcomes.</p><p>Level of evidence: Level III</p>
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Treatment of spontaneous osteonecrosis of the knee by daily teriparatide: A report of 3 cases
Horikawa A.
Medicine ( Medicine ) 99 ( 5 ) 2020年01月
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Hosogane N.
Spine Surgery and Related Research ( Spine Surgery and Related Research ) 4 ( 3 ) 292 - 293 2020年01月
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Miyakoshi N.
Surgical Neurology International ( Surgical Neurology International ) 11 2020年
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Kudo D.
Journal of Back and Musculoskeletal Rehabilitation ( Journal of Back and Musculoskeletal Rehabilitation ) 33 ( 2 ) 263 - 268 2020年
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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>
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高齢者の脊椎疾患に対するスポーツと運動療法
本郷 道生, 宮腰 尚久, 島田 洋一
日本整形外科スポーツ医学会雑誌 ( 一般社団法人 日本整形外科スポーツ医学会 ) 40 ( 2 ) 135 - 140 2020年
<p>高齢者において,骨粗鬆症性椎体骨折後の変形や,椎間板,靱帯の変性,筋力低下による脊柱変形や,腰部脊柱管狭窄症が生じ,慢性の腰背部痛,下肢痛,身体機能低下を生じて,生活の質(QOL)は低下する.これらの脊椎変性疾患に対してさまざまな保存療法が行なわれるが,運動療法も有効とされる.運動療法やスポーツ活動を行なって,体幹の筋力や可動性,体力を改善させることにより,低下した身体機能や,QOL,姿勢そして腰背部痛の改善に有効であることが示されている.</p>
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Miyakoshi N.
World Neurosurgery ( World Neurosurgery ) 132 63 - 66 2019年12月
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Sakai Y.
Journal of Orthopaedic Science ( Journal of Orthopaedic Science ) 24 ( 6 ) 985 - 990 2019年11月
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Miyakoshi N.
World Neurosurgery ( World Neurosurgery ) 131 38 - 42 2019年11月
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Watanabe K.
Journal of Orthopaedic Science ( Journal of Orthopaedic Science ) 24 ( 6 ) 1020 - 1026 2019年11月
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Kimura R.
Clinical Spine Surgery ( Clinical Spine Surgery ) 32 ( 8 ) E380 - E385 2019年10月