研究者詳細 - 宮腰　尚久

研究等業績 - 原著論文 - 宮腰　尚久

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Impact of spinal kyphosis on gastric myoelectrical activity in elderly patients with osteoporosis

Tsuchie H.

Biomedical Research (Japan) ( Biomedical Research (Japan) ) 40 ( 6 ) 215 - 223 2019年

研究論文（学術雑誌）

An association between spinal kyphosis and gastroesophageal reflux disease (GERD) was reported in recent years. However, it remains unclear whether spinal kyphosis affects gastric motility. We evaluated the changes in myoelectrical activity measured by electrogastrography (EGG) in elderly osteoporosis patients. A total of 18 patients scheduled for the treatment of osteoporosis were included in this study. They were analyzed by recording EGG to assess myoelectrical activity and heart rate variability (HRV) to evaluate the autonomic nervous system function before and after meals. Dominant power (DP) representing the strength of gastric electrical activity and dominant frequency (DF) representing its frequency were analyzed in blocks with a 5-minute duration. We divided the patients into 2 groups, thoracolumbar kyphosis (TLK) and non-TLK groups, and compared them. There were no significant differences between the 2 groups in background data. In the non-TLK group, DPs post 0–5 min were significantly higher than those during pre 5–0 min in channels 1 and 3 (P < 0.05 and P < 0.01). DF deviation in the TLK group was significantly higher than that in the non-TLK group at 10 to 15 postprandial minutes (P < 0.05). Low frequency/high frequency activity measured by HRV, reflecting the activity of the sympathetic nervous system, in the TLK group was significantly lower than that in the non-TLK group while eating (P < 0.01). The EGG of patients with spinal kyphotic deformity showed a similar change to that of patients with GERD; the spinal kyphotic deformity itself may affect gastric electrical activity.

DOI

Incidence and clinical outcomes of hip fractures involving both the subcapital area and the trochanteric or subtrochanteric area

Tani T.

Advances in Orthopedics ( Advances in Orthopedics ) 2019 2019年

研究論文（学術雑誌）

DOI

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

研究論文（学術雑誌）

DOI

Micro-CT imaging analysis for the effects of ibandronate and eldecalcitol osecondary osteoporosis and arthritis in adjuvant-induced arthritis rats

Ono Y.

Biomedical Research (Japan) ( Biomedical Research (Japan) ) 40 ( 5 ) 197 - 205 2019年

研究論文（学術雑誌）

We investigated the effects of ibandronate, a bisphosphonate; eldecalcitol, an active vitamin D3 analogue; and combination treatment with both agents on secondary osteoporosis and arthritis using rats with adjuvant-induced arthritis. Arthritis was induced in 8-week-old male Lewis rats. Rats were randomized into four treatment groups and an untreated normal control group: ibandronate, eldecalcitol, ibandronate + eldecalcitol, vehicle, and control. Paw thickness was measured to evaluate arthritis. Joint destruction was evaluated histomorphometrically by the ankle joint stained with Fast Green and safranin O. The femur and lumbar spine were scanned using dual-energy X-ray absorptiometry, and the distal femur was scanned using micro-computed tomography for bone mineral density (BMD) and trabecular microstructural evaluations. Ibandronate and/or eldecalcitol increased BMD in both the lumbar vertebrae and femur and improved several microstructural parameters (bone volume/total volume, structure model index, trabecular number, and trabecular separation of the distal femur). In addition, there was an additive effect of combination treatment compared with single treatments for most trabecular parameters, including BMD and bone volume. However, ibandronate and/or eldecalcitol did not inhibit arthritis and joint destruction. Combination treatment with ibandronate and eldecalcitol may be effective for secondary osteoporosis associated with arthritis.

DOI

Prognostic impact of CD44 expression in patients with myxofibrosarcoma

Tsuchie H.

In Vivo ( In Vivo ) 33 ( 6 ) 2095 - 2102 2019年

研究論文（学術雑誌）

DOI

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

研究論文（学術雑誌）

DOI

The status of assessments and treatments for osteoporosis in patients 5 years after total hip arthroplasty: A cross-sectional survey of 194 post-THA patients

Kamo K.

Advances in Orthopedics ( Advances in Orthopedics ) 2019 2019年

研究論文（学術雑誌）

DOI

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

The Japanese journal of rehabilitation medicine = 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

研究論文（学術雑誌）

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．

DOI

頚椎病的骨折を生じたリンパ管腫症の1例

三田基樹, 宮腰尚久, 土江博幸, 島田洋一

東日本整形災害外科学会雑誌 ( 東日本整形災害外科学会 ) 31 ( 4 ) 468 - 472 2019年

研究論文（学術雑誌）

リンパ管腫症は小児慢性特定疾患に登録されているまれな疾患であり，治療法も確立されていない．今回われわれは，リンパ管腫症に頚椎の病的骨折を伴った1例を経験した．症例は17歳，野球練習中のスライディングを契機に受傷した．頚椎カラーによる保存加療で骨癒合を得ることが可能であり，症状の再燃も認めていない．しかしながら，今後も頚椎後弯や神経症状出現の有無について注意深い経過観察が必要である．

DOI

骨粗鬆症と運動療法

宮腰尚久

The Japanese journal of rehabilitation medicine = 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 ( 5 ) 367 - 370 2019年

研究論文（学術雑誌）

骨粗鬆症患者において，四肢の骨折予防には，転倒予防のためのバランス訓練や下肢の筋力訓練を主体とする運動が有効であり，椎体骨折の予防には，背筋力を維持・強化する運動が有効であると考えられる．ただし，これまでの研究によれば，これらの運動療法による骨折の一次予防に対するエビデンスは明らかであるが，二次予防に対するエビデンスは非常に少ない．運動療法は，簡便なものが普及しやすいが，効果を重視した包括的な運動プログラムも考案されている．運動療法は，身体運動機能が衰える前の段階から，予防的に導入するのが望ましい．

DOI

麻痺側の大腿骨頚部骨折への人工骨頭置換術後脱臼にdual mobility cupでの人工股関節全置換術を行った1例

三浦隆徳, 谷貴行, 木島泰明, 蝦名寿仁, 宮腰尚久, 島田洋一

東日本整形災害外科学会雑誌 ( 東日本整形災害外科学会 ) 31 ( 1 ) 66 - 69 2019年

研究論文（学術雑誌）

77歳，男性．脳出血による左不全麻痺の既往があり，転倒して左大腿骨頚部骨折を受傷した．受傷5日目に人工骨頭置換術を行ったが，麻痺側のため術後8週で人工骨頭脱臼を起こした．dual mobility cupで人工股関節全置換術を行い，再脱臼なく杖歩行可能である．同治療は脱臼リスクの高い症例への選択肢の一つになると考えられる．

DOI

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

研究論文（学術雑誌）

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.

DOI PubMed

Kobayashi T.

Asian Spine Journal ( Asian Spine Journal ) 12 ( 6 ) 1117 - 1122 2018年12月

研究論文（学術雑誌）

DOI PubMed

The effects of teriparatide on acceleration of bone healing following atypical femoral fracture: comparison between daily and weekly administration

Tsuchie H.

Osteoporosis International ( Osteoporosis International ) 29 ( 12 ) 2659 - 2665 2018年12月

研究論文（学術雑誌）

DOI

Short-term results of hybrid closed-wedge high tibial osteotomy: A case series with a minimum 3-year follow-up

Saito H.