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Daily activity support for chronic pain patients with wearable device and Ai-Robotic mechanics

Research Project

Project/Area Number 16K15673
Research Category

Grant-in-Aid for Challenging Exploratory Research

Allocation TypeMulti-year Fund
Research Field Anesthesiology
Research InstitutionGunma University

Principal Investigator

Saito Shigeru  群馬大学, 大学院医学系研究科, 教授 (40251110)

Co-Investigator(Kenkyū-buntansha) 朱 赤  前橋工科大学, 工学部, 教授 (20345482)
Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥3,380,000 (Direct Cost: ¥2,600,000、Indirect Cost: ¥780,000)
Fiscal Year 2018: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2017: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2016: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Keywordsペインマトリックス / 慢性痛 / 下行性抑制系 / 神経再生 / 神経可塑性 / ウェアラブルモニター / Brain Machine Interface / 高次脳機能修飾 / ロボット工学 / リハビリテーション
Outline of Final Research Achievements

We invented new dry electrodes for a smart shirt for measuring biological signals, which were prepared by the additive printing method using Ag fillers. ECG could be measured using the stretchable electrodes printed on a compression shirt. However, noise signal in the ECG signal increased when the moisture of stratum corneum was less than 30%. To solve this problem, we propose to use additional electrodes made of an electrically conductive kneaded rubber.
Pain sensation with neuropathic characteristics was considered to be highly involved in the development of chronic pain both physically and psychologically. We determined that there were significant positive correlations between pain scores and the gray matter volume in the bilateral anterior cingulate cortex and right posterior cingulate cortex. Our findings suggest that neuropathic characteristics strongly affect the brain regions related to modulation of pain in patients with chronic pain.

Academic Significance and Societal Importance of the Research Achievements

慢性痛の主たるものである神経障害性疼痛の発症においては、大脳皮質と脊髄を含めた痛覚伝導神経回路の器質的・機能的な可塑的変化が原因とされており、制御された神経再生は「慢性痛」治療に必須である。正常な神経再生には筋肉運動が必須とされていることから、痛み患者の活動補助は治療の本幹となる。また、ペインマトリックスを構成する脳部位の特定を臨床データに基づき行い、心理面、社会的側面からの疼痛認知修飾に関して客観性を持つMRI法などを用いて明らかにできた。慢性痛の背景にある大脳特定部位での神経可塑性制御に関して、両側前帯状回、右後帯状回の量的変容が再確認できたことの意義は大きい。

Report

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

    (12 results)

All 2019 2018 2017 2016

All Journal Article (12 results) (of which Peer Reviewed: 11 results,  Open Access: 5 results)

  • [Journal Article] Tropomyosin receptor kinase B receptor activation in the locus coeruleus restores impairment of endogenous analgesia at a late stage following nerve injury in rats2019

    • Author(s)
      Suto T, Kato D, Obata H, Saito S
    • Journal Title

      J Pain

      Volume: 20 Issue: 5 Pages: 600-609

    • DOI

      10.1016/j.jpain.2018.11.008

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Prosocial behavior toward estranged persons modulates the interaction between midline cortical structures and the reward system2018

    • Author(s)
      Kawamichi Hiroaki、Sugawara Sho K.、Hamano Yuki H.、Makita Kai、Kochiyama Takanori、Kikuchi Yoshiaki、Ogino Yuichi、Saito Shigeru、Sadato Norihiro
    • Journal Title

      Social Neuroscience

      Volume: in press Issue: 5 Pages: 618-630

    • DOI

      10.1080/17470919.2018.1553797

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Sustained-release lidocaine sheet for pain following tooth extraction: A randomized, single-blind, dose-response, controlled, clinical study of efficacy and safety2018

    • Author(s)
      Suzuki Toshiyuki、Kosugi Kensuke、Suto Takashi、Tobe Masaru、Tabata Yasuhiko、Yokoo Satoshi、Saito Shigeru
    • Journal Title

      PLOS ONE

      Volume: 13 Issue: 7 Pages: e0200059-e0200059

    • DOI

      10.1371/journal.pone.0200059

    • NAID

      120006491841

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Spinal activation of tropomyosin receptor kinase-B recovers the impaired endogenous analgesia in neuropathic pain rats2018

    • Author(s)
      Kato D, Suto T, Obata H, Saito S
    • Journal Title

      Anesth Analg

      Volume: 印刷中 Issue: 2 Pages: 578-586

    • DOI

      10.1213/ane.0000000000003592

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] The history and progress of local anesthesia: multiple approaches to elongate the action.2018

    • Author(s)
      Tobe M, Suto T, Saito S
    • Journal Title

      J Anesth.

      Volume: Aug;32(4) Issue: 4 Pages: 632-636

    • DOI

      10.1007/s00540-018-2514-8

    • NAID

      40021627022

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Cardiorespiratory dynamics of rescuers during cardiopulmonary resuscitation in a hypoxic environment.2018

    • Author(s)
      Sato T, Takazawa T, Inoue M, Tada Y, Suto T, Tobe M, Saito S.
    • Journal Title

      Am J Emerg Med

      Volume: 印刷中 Issue: 9 Pages: 1561-1564

    • DOI

      10.1016/j.ajem.2018.01.029

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Local anesthetic toxicity: acute and chronic management2017

    • Author(s)
      Kenichi Sekimoto, Maseru Tobe, and Shigeru saito
    • Journal Title

      Acute Medicine & Surgery

      Volume: - Issue: 2 Pages: 152-160

    • DOI

      10.1002/ams2.265

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Drug-induced anaphylaxis in the emergency room.2017

    • Author(s)
      Tomonori Takazawa, Kiyohiro Oshima and Shigeru Saito.
    • Journal Title

      ACUTE MEDICINE & SURGERY

      Volume: 4 Pages: 235-245

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Effect of Low Dose Remifentanil on Postoperative Pain Relief and Heart Rate Variability in Post-Anaesthesia Care Unit.2017

    • Author(s)
      Uchida S, Kadoi Y, Saito S
    • Journal Title

      Turk J Anaesthesiol Reanim

      Volume: 45 Issue: 5 Pages: 297-302

    • DOI

      10.5152/tjar.2017.34341

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Differences in heart rate variability may be related to the appearance of postoperative pain in patients undergoing breast cancer surgery.2017

    • Author(s)
      Uchida S, Kadoi Y, Saito S.
    • Journal Title

      JA Clinical Reports

      Volume: 3 Issue: 1 Pages: 56-56

    • DOI

      10.1186/s40981-017-0123-4

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Brain morphological alternation in chronic pain patients with neuropathic characteristics.2016

    • Author(s)
      Sugimine S, Ogino Y, Kawamichi H, Obata H, Saito S.
    • Journal Title

      Free PMC Article

      Volume: 12 Pages: 1-7

    • DOI

      10.1177/1744806916652408

    • Related Report
      2016 Research-status Report
    • Peer Reviewed
  • [Journal Article] Amitriptyline, but Not Pregabalin, Reverses the Attenuation of Noxious Stimulus-Induced Analgesia After Nerve Injury in Rats.2016

    • Author(s)
      Matsuoka H, Suto T, Saito S, Obata H.
    • Journal Title

      Anesthesia & Analgesia

      Volume: August Pages: 504-510

    • Related Report
      2016 Research-status Report

URL: 

Published: 2016-04-21   Modified: 2020-03-30  

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