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Verification of combined use of robot-training with electrical stimulation on stroke patients

Research Project

Project/Area Number 16K01524
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Rehabilitation science/Welfare engineering
Research InstitutionFujita Health University

Principal Investigator

Miyasaka Hiroyuki  藤田医科大学, 医療科学部, 研究員 (00440686)

Co-Investigator(Kenkyū-buntansha) Orand Abbas  藤田医科大学, 藤田記念七栗研究所, 助教 (10612591)
武田 湖太郎  藤田医科大学, 保健学研究科, 准教授 (50618733)
Project Period (FY) 2016-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2018: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2017: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2016: ¥2,860,000 (Direct Cost: ¥2,200,000、Indirect Cost: ¥660,000)
Keywords脳卒中 / 上肢機能 / ロボット訓練 / 電気刺激療法 / ロボット療法 / リハビリテーション / ロボット / 電気刺激
Outline of Final Research Achievements

We investigated the improvement effect of robot-aided training combined with neuromuscular electricalstimulation (NMES) on the hemipareticupper limbsafter stroke. The patients were divided into two groups (15 patients for each group); Robot (InMotion ARM RobotTM) aided training with NMES group (RNG) and without NMES group (RG). Both groups received 2 weeks of the trainingfor 5 days per week. Anterior deltoid and triceps brachii muscles were electricallystimulated. Increased range of the shoulder flexion (18.0) and abduction (19.0) anglesof RNG weresignificantly larger than those ofRG (flexion: 4.3, abduction: 5.0), respectively (p<0.05).

Academic Significance and Societal Importance of the Research Achievements

脳卒中患者の麻痺側上肢に対するロボット訓練の効果は数多く報告され、麻痺改善効果に有益であるとされている。本研究では、さらなる麻痺改善効果を得るために電気刺激療法との併用効果を検討した。その結果、ロボット訓練に電気刺激を併用した群では、ロボット訓練のみの群と比較して麻痺側上肢の機能改善が得られた。特に肩関節の機能改善が得られやすく、今後の臨床において治療の一助となると考えられる。

Report

(5 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • 2016 Research-status Report
  • Research Products

    (12 results)

All 2019 2018 2017 2016

All Journal Article (3 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 3 results,  Open Access: 3 results,  Acknowledgement Compliant: 2 results) Presentation (9 results) (of which Int'l Joint Research: 3 results,  Invited: 2 results)

  • [Journal Article] Effect of Sensory Loss on Improvements of Upper-Limb Paralysis Through Robot-Assisted Training: A Preliminary Case Series Study2019

    • Author(s)
      Miyasaka Hiroyuki、Takeda Kotaro、Ohnishi Hitoshi、Orand Abbas、Sonoda Shigeru
    • Journal Title

      Applied Sciences

      Volume: 9 Issue: 18 Pages: 3925-3925

    • DOI

      10.3390/app9183925

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] The relationship between proximal function of the upper extremity on the paralyzed side and upper extremity skills in daily life of subacute stroke patients2017

    • Author(s)
      Nakashima Naoko, Miyasaka Hiroyuki, Kondo Izumi, Iwata Kasumi, Uematsu Hitomi, Yamamura Chihiro, Sonoda Shigeru
    • Journal Title

      Japanese Journal of Comprehensive Rehabilitation Science

      Volume: 8 Issue: 0 Pages: 44-50

    • DOI

      10.11336/jjcrs.8.44

    • NAID

      130006904274

    • ISSN
      2185-5323
    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Acknowledgement Compliant
  • [Journal Article] Ability of electrical stimulation therapy to improve the effectiveness of robotic training for paretic upper limbs in patients with stroke2016

    • Author(s)
      Miyasaka H, Orand A, Ohnishi H, Tanino G, Takeda K, Sonoda S.
    • Journal Title

      Med Eng Phys

      Volume: 38 Issue: 11 Pages: 1172-1175

    • DOI

      10.1016/j.medengphy.2016.07.010

    • Related Report
      2016 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research / Acknowledgement Compliant
  • [Presentation] The effect of robot aided arm training on upper limb subacute stroke paralysis: the randomized clinical trial2019

    • Author(s)
      Hiroyuki MiyasakaHitoshi OhnishiNaoki ShindoSayaka OkamotoHideto OkazakiShigeru Sonoda
    • Organizer
      13 th International Society of Physical and Rehabilitation Medicine World Congress
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] InMotion ARM Robotの任意単位からみる上肢ロボットの訓練効果2018

    • Author(s)
      末若広宣
    • Organizer
      第8回日本ロボットリハビリテーション・ケア研究大会
    • Related Report
      2018 Research-status Report
  • [Presentation] 上肢機能再建に向けたロボット活用戦略2018

    • Author(s)
      宮坂裕之
    • Organizer
      第8回日本ロボットリハビリテーション・ケア研究大会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] 上肢ロボットのアシスト量からみる麻痺側上肢の重症度別の麻痺回復過程の違い2017

    • Author(s)
      宮坂裕之
    • Organizer
      第51回日本作業療法学会
    • Related Report
      2017 Research-status Report
  • [Presentation] 脳卒中患者の上肢麻痺レベルに応じたリハビリテーション手法2017

    • Author(s)
      宮坂裕之
    • Organizer
      第17回東海北陸作業療法学会
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] 麻痺則上肢のリーチ動作により視空間認知障害が顕著に現れた一例2016

    • Author(s)
      大石明紀, 宮坂裕之, 武田湖太郎, 渡邉誠, 遠藤千春, 岡本さやか, 園田茂
    • Organizer
      第6回日本ロボットリハビリテーション・ケア研究大会
    • Place of Presentation
      兵庫県西明石市、兵庫県立福祉のまちづくり研究所
    • Year and Date
      2016-11-12
    • Related Report
      2016 Research-status Report
  • [Presentation] Towards a New Affordable and Easy to Use Cognitive Assessment Device: the Assessment of Drawn Circles2016

    • Author(s)
      オランド アッポース, 武田湖太郎, 宮坂裕之, 谷野元一, 園田 茂
    • Organizer
      第53回日本リハビリテーション医学会学術集会
    • Place of Presentation
      京都府京都市、国立京都国際会館、グランドプリンスホテル京都
    • Year and Date
      2016-06-09
    • Related Report
      2016 Research-status Report
  • [Presentation] The effect of combined robot-aided arm training and electrical stimulation on upper limb sub-acute stroke paralysis2016

    • Author(s)
      Miyasaka Hiroyuki, Orand Abbas, Ohnishi Hitoshi, Tanino Genichi, Takeda Kotaro, Sonoda Sigeru
    • Organizer
      10 th International Society of Physical and Rehabilitation Medicine
    • Place of Presentation
      Kuala Lumpur, Malaysia
    • Year and Date
      2016-05-29
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] New Analysis Method for the Assessment of Tasks Performed using an Arm Robot2016

    • Author(s)
      Orand Abbas, Miyasaka Hiroyuki, Takeda Kotaro, Tanino Genichi, Ohno Kensuke, Sonoda Sigeru
    • Organizer
      10 th International Society of Physical and Rehabilitation Medicine
    • Place of Presentation
      Kuala Lumpur, Malaysia
    • Year and Date
      2016-05-29
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research

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Published: 2016-04-21   Modified: 2021-02-19  

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