| Project/Area Number |
16500345
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Single-year Grants |
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| Section | 一般 |
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| Research Field |
Rehabilitation science/Welfare engineering
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| Research Institution | Kagoshima University |
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Principal Investigator |
ETHO Seiji Kagoshima University, Medical and Dental Hospital, Assistant Professor, 医学部・歯学部附属病院, 講師 (70295244)
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| Co-Investigator(Kenkyū-buntansha) |
KAWAHIRA Kazumi Kagoshima University, Graduate School of Medical and Dental Sciences, Professor, 大学院・医歯学総合研究科, 教授 (20117493)
SHIMODOZONO Megumi Kagoshima University, Medical and Dental Hospital, Research Associate, 医学部・歯学部附属病院, 助手 (30325782)
TANAKA Nobuyuki Kagoshima University, Emeritus Professor, 名誉教授 (40041454)
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| Project Period (FY) |
2004 – 2005
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| Project Status |
Completed (Fiscal Year 2005)
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| Budget Amount *help |
¥3,500,000 (Direct Cost: ¥3,500,000)
Fiscal Year 2005: ¥900,000 (Direct Cost: ¥900,000)
Fiscal Year 2004: ¥2,600,000 (Direct Cost: ¥2,600,000)
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| Keywords | facilitation exercise / transcranial magnetic stimulation / hemiplegia / stroke / 反復促通療法 / 上肢機能評価 / 巧緻動作 |
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| Research Abstract |
We combined the intensive repetition movements and the transcranial magnetic stimulation (TMS) to improve voluntary movement of a hemiplegic limb in patients with stroke. The subjects were 7 patients with hemiplegic. The Intensive repetition of voluntary movement of hemiplegic upper limbs elicited by facilitation techniques (IRT) sessions consisted of 3 kind of specific exercise patterns for the hemiplegic upper limb selected from among 7 specific exercise patterns to promote motor functional recovery of the hemiplegic upper limb. The exercise was performed with the assistance of a occupational therapist or physician was repeated 500 times a day (5 days a week). 8 specific exercise pattern were 1) shoulder flexion, 2) shoulder flexion, adduction, external rotation-extension, abduction, internal rotation pattern, 3) elbow extension, 4) pronation-supination, 5) extension of fingers, 6) thumb abduction, 7) index finger or middle finger extension. The patient moved hemiplegic upper limb or shoulders or fingers with TMS simultaneously. The patients were instructed to concentrate their visual attention on their lower limb movements and to make submaximal effort to avoid strong contraction of non-targeted muscles. STEF(Simple Test for Evaluation of hand Function), Ueda's grade (function of upper limb ), Brunnstrom stage (function of fingers) were used for evaluation of functional recovery. STEF or Brunnstrom stage were improved during training combined IRT and TMS. Further research using a randomized control study is needed to better define the effect of training combined IRT with TMS.
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