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Is visual information effective in improving gait of stroke patients? -Development of new rehabilitation method using a virtual reality technology-

Research Project

Project/Area Number 16K16448
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Rehabilitation science/Welfare engineering
Research InstitutionHealth Science University

Principal Investigator

Komagata Junya  健康科学大学, 健康科学部, 助教 (20712798)

Project Period (FY) 2016-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2018: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2017: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
Fiscal Year 2016: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Keywords仮想現実空間 / 脳卒中 / 歩行 / 脳卒中片麻痺患者 / 視運動性刺激 / 重心動揺 / リハビリテーション / 脳・神経
Outline of Final Research Achievements

The effect of optokinetic stimulation (OKS) on weight balance was examined to improve a posture balance and gait ability in stroke patients. At first, the postural stability of stroke patients during static standing was measured under OKS presented by projecting OKS pattern onto a screen. The results suggested that the weight balance was clearly shifted into a direction on the paralytic side during ipsi-paralysis OKS. To establish the method as a practical training, effect of OKS on a weight-bearing was examined by using a head-mounted display (HMD) in healthy subjects. Based on the results during static standing, OKS at 40deg/s velocity was regarded as an appropriate condition. During gait, the stance phase period and the foot pressure in the stimulation direction were significantly increased. The results of the study indicate that OKS through HMD can safely induce weight-bearing shift in a stable manner, suggesting that the approach can be applied to a new rehabilitation method.

Academic Significance and Societal Importance of the Research Achievements

脳卒中患者は、非麻痺側により多くの荷重をかけた、左右非対称性を示す。静止立位時の麻痺側荷重量が小さいほど、日常生活動作および歩行能力が低いことが報告されている。また、歩行時には、麻痺側荷重量が小さい歩容であり、麻痺側立脚時間の短縮が生じる。これらは、歩行機能と密接に関係がある。本研究の結果は、VRにより歩行時に一側の荷重量の増大や立脚時間を延長させられることが明らかとなった。今後、脳卒中患者への影響を調べていくことにより、脳卒中患者の歩行能力改善に繋がる可能性が示唆された。

Report

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

    (8 results)

All 2019 2018 2017

All Presentation (8 results) (of which Int'l Joint Research: 1 results)

  • [Presentation] Leg muscle activity during postural control under optokinetic stimulation in healthy subjects.2019

    • Author(s)
      Junya Komagata, Atsushi Sugiura, Hiroshi Takamura, Yujiro Masu, Toshihiro Kitama
    • Organizer
      The 9th Federation of the Asian and Oceanian Physiological Societies Congress
    • Related Report
      2018 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Gait characteristics under optokinetic stimulation with virtual reality2018

    • Author(s)
      Junya Komagata, Atsushi Sugiura, Hiroshi Takamura, Toshihiro Kitama
    • Organizer
      第41回日本神経科学大会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 視運動性刺激が静的姿勢バランスおよび歩行に及ぼす影響2018

    • Author(s)
      駒形 純也, 高村 浩司, 杉浦 篤志, 清水 大介, 児玉 歩未, 北間 敏弘
    • Organizer
      第16回日本神経理学療法学会学術大会
    • Related Report
      2018 Annual Research Report
  • [Presentation] Postural sway evoked by optokinetic stimulation using a head-mounted display device2017

    • Author(s)
      Komagata J, Sugiura A, Kitama T
    • Organizer
      第94回日本生理学会大会
    • Place of Presentation
      浜松市
    • Year and Date
      2017-03-28
    • Related Report
      2016 Research-status Report
  • [Presentation] ヘッドマウントディスプレイを用いた視覚的外乱と身体動揺の関連2017

    • Author(s)
      駒形 純也, 高村 浩司, 荒川 聡美, 清水 大介, 杉浦 篤志, 北間 敏弘
    • Organizer
      第52回日本理学療法学術大会
    • Related Report
      2017 Research-status Report
  • [Presentation] Postural stability and gait during optokinetic stimulation in normal subjects2017

    • Author(s)
      Junya Komagata, Atsushi Sugiura, Hiroshi Takamura, Toshihiro Kitama
    • Organizer
      第40回日本神経科学大会
    • Related Report
      2017 Research-status Report
  • [Presentation] Head mounted displayを用いた視運動性刺激が歩行に及ぼす影響2017

    • Author(s)
      駒形 純也、 杉浦篤志,北間敏弘
    • Organizer
      第64回 中部日本生理学会
    • Related Report
      2017 Research-status Report
  • [Presentation] Gait change in normal subjects under optokinetic stimulation using virtual reality2017

    • Author(s)
      Junya Komagata, Atsushi Sugiura, Hiroshi Takamura, Toshihiro Kitama
    • Organizer
      第95回 日本生理学会大会
    • Related Report
      2017 Research-status Report

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

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