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Induction of neural plasticity and recovery of gait function by using hybrid brain and peripheral nerve muscle stimulation synchronized gait rhythm

Research Project

Project/Area Number 17K01453
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Rehabilitation science/Welfare engineering
Research InstitutionDokkyo Medical University (2018-2019)
Hokkaido University (2017)

Principal Investigator

Koganemaru Satoko  獨協医科大学, 医学部, 准教授 (40579059)

Project Period (FY) 2017-04-01 – 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 2019: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Fiscal Year 2018: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Fiscal Year 2017: ¥3,250,000 (Direct Cost: ¥2,500,000、Indirect Cost: ¥750,000)
Keywords経頭蓋電気刺激 / ヒト歩行 / 歩行障害 / 脳卒中 / 経頭蓋律動電流刺激 / リハビリテーション / 歩行 / 非侵襲的脳刺激
Outline of Final Research Achievements

As for healthy subjects, each subject received anodal transcranial patterned direct current stimulation over the foot area of the motor cortex during gait. Self-paced gait speed and left leg stride length were significantly increased and a significant increase was found in the excitability of the corticospinal pathway of the left tibialis anterior muscle. As for patients, we investigated whether gait-synchronized rhythmic brain stimulation targeting swing phase-related M1 activity can improve gait function in post-stroke patients in the chronic phase. The brain stimulation was synchronized with individual gait rhythm. After we administered the intervention repeatedly, self- and maximally-paced gait speed and timed up and go test (TUG) performance were significantly improved along with improved balance function and increased joint flexion of the paretic limbs during gait.

Academic Significance and Societal Importance of the Research Achievements

これまで、歩行中の脳律動に着目し律動性脳刺激を行った研究報告はなく、新たな脳刺激法による歩行障害の治療法の開発につながる成果となった。今後はさらに刺激法と歩行訓練法について検討を行い、車椅子での生活を余儀なくされている多くの患者において歩行機能を再建することで、生活の質(QOL)、日常生活能力(ADL)の向上をめざしていくこととなる。また、ヒトにおける歩行機能再建に関わる神経経路の一部を解明することができたため、機能再建に役立つばかりでなく、機能代替としてより効率的な義足・下肢装具の開発のための基礎技術につながる。

Report

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

    (27 results)

All 2020 2019 2018 2017 Other

All Int'l Joint Research (1 results) Journal Article (11 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 9 results,  Open Access: 6 results,  Acknowledgement Compliant: 1 results) Presentation (15 results) (of which Int'l Joint Research: 2 results,  Invited: 4 results)

  • [Int'l Joint Research] The City College of New York of CUNY(米国)

    • Related Report
      2019 Annual Research Report
  • [Journal Article] Response by Koganemaru and Mima to Letter Regarding Article, "Gait-Synchronized Rhythmic Brain Stimulation Improves Poststroke Gait Disturbance: A Pilot Study".2020

    • Author(s)
      Koganemaru S, Mima T.
    • Journal Title

      Stroke

      Volume: 51

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Cerebellar transcranial alternating current stimulation modulates human gait rhythm.2020

    • Author(s)
      Koganemaru, S., Mikami, Y., Matsuhashi, M., Truong, D. Q., Bikson, M., Kansaku, K., Mima, T.
    • Journal Title

      Neurosci Res

      Volume: - Pages: 265-270

    • DOI

      10.1016/j.neures.2019.12.003

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Entrainment of chewing rhythm by gait speed during treadmill walking in humans2020

    • Author(s)
      Maezawa Hitoshi、Koganemaru Satoko、Matsuhashi Masao、Hirata Masayuki、Funahashi Makoto、Mima Tatsuya
    • Journal Title

      Neuroscience Research

      Volume: in press Pages: 88-94

    • DOI

      10.1016/j.neures.2020.02.008

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] 【Non-invasive Neuromodulation-基礎・検査・治療】脳血管障害 検査2020

    • Author(s)
      小金丸聡子
    • Journal Title

      Clinical Neuroscience

      Volume: 38 Pages: 49-53

    • Related Report
      2019 Annual Research Report
  • [Journal Article] A Potential Therapeutic Approach for Ataxia with Non-invasive Cerebellar Stimulation2019

    • Author(s)
      小金丸聡子
    • Journal Title

      The Japanese Journal of Rehabilitation Medicine

      Volume: 56 Issue: 2 Pages: 122-129

    • DOI

      10.2490/jjrmc.56.122

    • NAID

      130007623488

    • ISSN
      1881-3526, 1881-8560
    • Year and Date
      2019-02-18
    • Related Report
      2018 Research-status Report
  • [Journal Article] Gait-Synchronized Rhythmic Brain Stimulation Improves Poststroke Gait Disturbance2019

    • Author(s)
      Koganemaru Satoko、Kitatani Ryosuke、Fukushima-Maeda Ayaka、Mikami Yusuke、Okita Yusuke、Matsuhashi Masao、Ohata Koji、Kansaku Kenji、Mima Tatsuya
    • Journal Title

      Stroke

      Volume: 50 Issue: 11 Pages: 3205-3212

    • DOI

      10.1161/strokeaha.119.025354

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Gait-synchronized oscillatory brain stimulation modulates common neural drives to ankle muscles in patients after stroke: A pilot study2019

    • Author(s)
      Kitatani Ryosuke、Koganemaru Satoko、Maeda Ayaka、Mikami Yusuke、Matsuhashi Masao、Mima Tatsuya、Yamada Shigehito
    • Journal Title

      Neuroscience Research

      Volume: - Pages: 256-264

    • DOI

      10.1016/j.neures.2019.11.001

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Anodal transcranial patterned stimulation of the motor cortex during gait can induce activity-dependent corticospinal plasticity to alter human gait.2018

    • Author(s)
      Koganemaru S, Mikami Y, Maezawa H, Matsuhashi M, Ikeda S, Ikoma K, Mima T
    • Journal Title

      PLoS One.

      Volume: 13 Issue: 12 Pages: 1-19

    • DOI

      10.1371/journal.pone.0208691

    • NAID

      120006644054

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Neurofeedback Control of the Human GABAergic System Using Non-invasive Brain Stimulation.2018

    • Author(s)
      Koganemaru S, Mikami Y, Maezawa H, Ikeda S, Ikoma K, Mima T
    • Journal Title

      Neuroscience.

      Volume: 380 Pages: 38-48

    • DOI

      10.1016/j.neuroscience.2018.03.051

    • NAID

      120006636173

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] tcDCS(経頭蓋小脳直流電気刺激)を用い前庭リハビリテーションの効果増強を試みた2症例2017

    • Author(s)
      五島 史行, 荒井 美希, 利國 桂太郎, 若林 毅, 細谷 誠, 山本 修子, 南 修司郎, 松永 達雄, 角田 晃一, 美馬 達哉, 小金丸 聡子
    • Journal Title

      耳鼻咽喉科・頭頸部外科

      Volume: 89 Pages: 471-475

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Effects of vestibular rehabilitation combined with transcranial cerebellar direct current stimulation in patients with chronic dizziness: An exploratory study.2017

    • Author(s)
      Koganemaru S, Goto F, Arai M, Toshikuni K, Hosoya M, Wakabayashi T, Yamamoto N, Minami S, Ikeda S, Ikoma K, Mima T.
    • Journal Title

      Brain Stimulation

      Volume: - Issue: 3 Pages: 576-578

    • DOI

      10.1016/j.brs.2017.02.005

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Presentation] 定常状態視覚誘発電位型ブレインマシーン・インターフェイス(SSVEP-BMI)とEMGのハイブリッド制御を用いた上肢アシスト運動訓練による脳卒中片麻痺一例の上肢機能変化の検討2020

    • Author(s)
      小金丸 聡子, 川瀬 利弘, 神作 憲二.
    • Organizer
      第72回日本リハビリテーション医学会関東地方会
    • Related Report
      2019 Annual Research Report
  • [Presentation] 脳からアプローチする歩行再建: 下肢ハイブリッドリハビリテーションの開発2019

    • Author(s)
      小金丸聡子
    • Organizer
      第3回日本リハビリテーション医学会秋季学術集会
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] 非侵襲的脳刺激併用ハイブリッド・リハビリテーションによる課題特異的脳再構成2019

    • Author(s)
      小金丸聡子
    • Organizer
      第60回日本神経学会学術大会
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] Improved swing phase-related lower-limb functions by gait-synchronized rhythmic brain stimulation in post-stroke patients.2019

    • Author(s)
      Koganemaru S, Kitatani R, Fukushima-Maeda A, Mikami Y, Okita Y, Matsuhashi M, Ohata K, Kansaku K, Mima T.
    • Organizer
      ISPRM2019
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Improvement of cerebellar and motor functions after repeated sessions of cerebellar paired associative stimulation using TMS in patients with spinocerebellar degeneration.2019

    • Author(s)
      Yumin Wang, Satoko Koganemaru, Yui Tobisawa, Saeko Tanaka, Shinichiro Ninomiya, Hironobu Iguchi, Tatsuya Mima, Satoshi Ikeda, Katsunori Ikoma.
    • Organizer
      ISPRM2019
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 経頭蓋磁気刺激の臨床応用 rTMSを用いた上肢Hybrid-rehabilitationと機能特異的脳再構成2018

    • Author(s)
      小金丸 聡子
    • Organizer
      第2回日本リハビリテーション医学会秋季学術集会
    • Related Report
      2018 Research-status Report
    • Invited
  • [Presentation] 脊髄小脳変性症における小脳性連合性対刺激法による小脳機能の増強と運動機能の変化2018

    • Author(s)
      飛澤 悠伊, 小金丸 聡子, 仁宮 慎一郎, 井口 大暢, 西村 宗一郎, 美馬 達哉, 池田 聡, 生駒 一憲
    • Organizer
      第2回日本リハビリテーション医学会秋季学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 嚥下障害に対して早期リハビリテーションが有用であったアレキサンダー病の一例2018

    • Author(s)
      仁宮 慎一郎, 小金丸 聡子, 井口 大暢, 池田 聡, 生駒 一憲
    • Organizer
      第2回日本リハビリテーション医学会秋季学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 脊髄小脳変性症患者における小脳PASによる小脳抑制(CBI)の変化2018

    • Author(s)
      汪 ゆみん, 小金丸 聡子, 飛澤 悠伊, 仁宮 慎一郎, 井口 大暢, 美馬 達哉, 池田 聡, 生駒 一憲
    • Organizer
      第48回日本臨床神経生理学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 歩行周期に合わせた経頭蓋律動脳刺激が脳卒中後片麻痺者における歩行機能と歩行中の皮質脊髄路機能に与える影響 無作為化クロスオーバー比較試験2017

    • Author(s)
      北谷 亮輔, 小金丸 聡子, 前田 絢香, 三上 祐介, 大畑 光司, 松橋 眞生, 美馬 達哉, 山田 重人
    • Organizer
      理学療法学会
    • Related Report
      2017 Research-status Report
  • [Presentation] TMSを用いたニューロフィードバックによる抑制性神経活動の制御2017

    • Author(s)
      小金丸 聡子, 美馬 達哉
    • Organizer
      日本臨床神経生理学会
    • Related Report
      2017 Research-status Report
  • [Presentation] トレッドミル歩行時の歩行リズムに対する咀嚼リズムの引き込み現象2017

    • Author(s)
      前澤 仁志, 小金丸 聡子, 松橋 眞生, 舩橋 誠, 美馬 達哉
    • Organizer
      日本臨床神経生理学会
    • Related Report
      2017 Research-status Report
  • [Presentation] 非侵襲的脳刺激法を用いたハイブリッドリハビリテーションと今後の展開2017

    • Author(s)
      小金丸聡子
    • Organizer
      日本臨床神経生理学会
    • Related Report
      2017 Research-status Report
    • Invited
  • [Presentation] 進行性非流暢性失語の症例に対する長期tDCSと言語訓練併用の効果2017

    • Author(s)
      大橋 良浩, 小金丸 聡子, 巨島 文子
    • Organizer
      第40回 日本高次脳機能障害学会学術総会
    • Related Report
      2017 Research-status Report
  • [Presentation] 短期間のリハビリテーション介入により運動・認知機能が改善した脳表ヘモジデリン沈着症の一例2017

    • Author(s)
      長尾 陽子, 小金丸 聡子, 羽森 貫, 土井 あかね, 仲野 春樹, 冨岡 正雄, 小林 龍生, 佐浦 隆一
    • Organizer
      日本リハビリテーション医学会
    • Related Report
      2017 Research-status Report

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Published: 2017-04-28   Modified: 2021-02-19  

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