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Physical therapy program to improve lower limb coordination for knee osteoarthritis patients

Research Project

Project/Area Number 16K16437
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Rehabilitation science/Welfare engineering
Research InstitutionSaitama Prefectural University (2018)
National Institute of Advanced Industrial Science and Technology (2017)
Osaka Prefecture University (2016)

Principal Investigator

Ogaya Shinya  埼玉県立大学, 保健医療福祉学部, 准教授 (90611426)

Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2018: ¥2,340,000 (Direct Cost: ¥1,800,000、Indirect Cost: ¥540,000)
Fiscal Year 2017: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2016: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Keywords変形性膝関節症 / 関節運動連動性 / 筋骨格シミュレーション / 筋機能 / トレーニング / 歩行
Outline of Final Research Achievements

This study investigated how intersegmental coordination related to walking ability for knee osteoarthritis patients. We found that transmitted motion from a preceding thigh to a following shank related to gait speed. We also found that the patients could not get efficient forward body acceleration at the kicking-phase because the shank did not get forward acceleration by gluteus maximus or vastus muscles at the early-stance phase. These results implies stiffen knee at early stance phase in knee osteoarthritis patients causes to decrease walking ability. Our results can reveal a direct kinetic relationship between muscle force and joint acceleration at multiple lower limb joints using musculoskeletal simulation model. Knee motion forced by hip muscles contracture is important for knee osteoarthritis patients.

Academic Significance and Societal Importance of the Research Achievements

変形性膝関節症患者の特徴である関節を固めた硬い動きが、歩行能力低下の原因であることを突き止めた。筋骨格シミュレーション解析を用いることで筋と関節運動の直接的な力学的関係性を明らかにした。また、股関節伸展筋による膝関節運動への作用が重要であることが明らかとなり、股関節から膝を動かす運動の連動性を重視したトレーニング実施の必要があると考える。

Report

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

    (5 results)

All 2018 2017

All Journal Article (2 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 2 results) Presentation (3 results) (of which Int'l Joint Research: 2 results)

  • [Journal Article] Potential of muscles to accelerate the body during late-stance forward progression in individuals with knee osteoarthritis2018

    • Author(s)
      ①Shinya Ogaya, Ryo Kubota, Yuta Chujo, Eiko Hirooka, Kennichi Ito, Kim Kwang-ho, Hase Kimitaka
    • Journal Title

      Human movement science

      Volume: 61 Pages: 109-116

    • DOI

      10.17632/GRXGV45BKK.1

    • Related Report
      2018 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Muscle contributions to knee extension in the early stance phase in patients with knee osteoarthritis2017

    • Author(s)
      Ogaya Shinya、Kubota Ryo、Chujo Yuta、Hirooka Eiko、Kwang-ho Kim、Hase Kimitaka
    • Journal Title

      Gait & Posture

      Volume: 58 Pages: 88-93

    • DOI

      10.1016/j.gaitpost.2017.07.106

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Presentation] Greater knee flexion at push-off increases triceps surae muscle’s potential of forward body progression in knee osteoarthritis patient2018

    • Author(s)
      Ogaya Shinya、Kubota Ryo、Chujo Yuta、Kwang-ho Kim、Hase Kimitaka
    • Organizer
      Orthopaedic Research Socity 2018 Annual Meeting
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Muscle contributions to knee extension in the early stance phase in patients with knee osteoarthritis2017

    • Author(s)
      Ogaya Shinya、Kubota Ryo、Chujo Yuta、Kwang-ho Kim、Hase Kimitaka
    • Organizer
      XXVI Congress of the International Scienty of Biomechanics
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 変形性膝関節症患者はどの筋を使って立脚初期に膝を伸展させているのか2017

    • Author(s)
      ヒップストラテジーの力学的解析-. 小栢進也, 久保田良, 中條雄太, 廣岡 英子, 金光浩, 長谷公隆
    • Organizer
      第52回日本理学療法学術大会
    • Related Report
      2017 Research-status Report

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

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