Kagoshima University · Graduate School of Medical and Dental Sciences · 教授

Research keywordstelerehabilitation・stroke rehabilitation・gait assessment・remote rehabilitation systems・arm assistance・neuromuscular electrical stimulation

Research fieldsRehabilitation science/Welfare engineering・Biomedical engineering・Complex systems・Health/Sports science・Biomedical engineering/Biological material science・Integrated Science and Innovative Science・Integrated Disciplines・Comprehensive Fields

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• 宮良 広大, 坂元 顕久, 宮田 隆司, 大濱 倫太郎, 下堂薗 恵 . 回復期リハビリテーション病棟における片麻痺患者の両側大腿四頭筋に対する神経筋電気刺激併用下の反復起立自主練習 症例報告 . 物理療法科学31 86 - 92 20242024 · 記述言語： 日本語 出版者・発行元： (一社)日本物理療法学会
• 北上 守俊, 豊栄 峻, 衛藤 誠二, 城之下 唯子, 下堂薗 恵 . 頸椎症性脊髄症に対するしびれ同調経皮的電気神経刺激が生活行為に及ぼす効果 . 作業療法43 ( 4 ) 532 - 539 2024年8月 詳細を見る 記述言語： 日本語 出版2024 · 記述言語： 日本語 出版者・発行元： 一般社団法人 日本作業療法士協会 <p>【目的】両手にしびれ感を呈した頸椎症性脊髄症（以下，CSM）術後の60歳代，女性にしびれ同調経皮的電気神経刺激（以下，しびれ同調TENS）を作業療法に併用し実施した．【方法】術後8日から5日間は，通常介入に加え両手を対象とし，しびれ同調TENSを実施した．【結果】両手共にしびれ感が漸減し（右手：Tau＝−0.65，左手：Tau＝−0.69），上肢のパフォーマンスが向上した．それに伴い，食事・入浴・整容動作などが自立し，生活行為への汎化もみられた．【結論】CSMに対するしびれ同調TENSは，術後早期患者に有用であり，しびれ感の改善や上肢のパフォーマンス，生活行為の向上にも寄与する可能性が示唆された．</p> DOI： 10.32178/jotr.43.4_532 CiNii Research
• Fujimoto K., Ueno M., Etoh S., Shimodozono M. . Combined repetitive facilitative exercise under continuous neuromuscular electrical stimulation and task-oriented training for hemiplegic upper2024 · 担当区分： 最終著者, 責任著者 記述言語： 英語 掲載種別： 研究論文（学術雑誌） 出版者・発行元： Frontiers in Neurology Introduction: Whereas repetitive facilitative exercise (RFE) affects primarily recovery of motor impairment after stroke, task-oriented training (TOT) focuses on facilitating daily use of the affected upper extremity. However, feasibility of combined RFE and TOT has not been reported. We originated “task-oriented RFE,” as a new combination therapy for patients with hemiplegic upper extremity after subacute stroke, to examine its feasibility in convalescent rehabilitation wards. Methods: This is a before-and-after pilot study. Eight patients with hemiplegic upper extremity after subacute stroke received the task-oriented RFE program for 6 weeks at 80 min per day (20–60 min of TOT applied after 60–20 min of RFE under continuous neuromuscular electrical stimulation) in a convalescent rehabilitation ward. In the current program, we introduced the Aid for Decision-making in Occupation Choice (ADOC) iPad application as a goal-setting method for determining tasks. Feasibility was assessed with adherence to the protocol, adverse events in response to the intervention, and preliminary efficacy. Motor functions, amount of use and quality of movement in the hemiparetic upper extremity, and satisfaction of the patients were evaluated with Fugl-Meyer Assessment (FMA), the Action Research Arm Test (ARAT), the motor activity log (MAL) for the amount of use (AOU) and quality of movement (QOM) of the paralyzed hand, and ADOC. Results: All participants accomplished the program, which was implemented as originally planned; neither nonattendance nor an adverse event occurred during the study. Favorable outcomes were obtained with all measures; mean changes in FMA, ARAT in the dominant hand, MAL-AOU, and MAL-QOM were greater than minimal clinically important differences. Mean changes in ADOC were greater than the minimal detectable change. Discussion: The task-oriented RFE program was safe, well-tolerated, beneficial, and feasible within 80 min a day of occupational therapy, which means also within the procedural constraints of the Japanese health insurance system during the convalescent phase. Future studies are warranted to examine whether combined RFE and TOT enhances the efficacies of each program alone. DOI： 10.3389/fneur.2024.1356732 Scopus PubMed その他リンク： https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2024.1356732/full
• 北上 守俊, 豊栄 峻, 衛藤 誠二, 城之下 唯子, 下堂薗 恵2024 · 記述言語： 日本語 出版者・発行元： (一社)日本作業療法士協会

• 脳損傷患者の運動機能評価、訓練支援システムの開発とその臨床応用2001
• Study on neurogenic pain
• リハビリテーションロボット機器の有用性と運用に関する研究担当区分： 研究分担者
• 霊長類脳梗塞片麻痺モデルを用いた新たリハビリテーションと脳・神 経可塑性の研究担当区分： 研究代表者

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