| Project/Area Number |
17K01543
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| Research Category |
Grant-in-Aid for Scientific Research (C)
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| Allocation Type | Multi-year Fund |
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| Section | 一般 |
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| Research Field |
Rehabilitation science/Welfare engineering
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| Research Institution | Prefectural University of Hiroshima (2019-2021)
Konan Women's University (2017-2018) |
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Principal Investigator |
Nishigami Tomohiko 県立広島大学, 保健福祉学部(三原キャンパス), 教授 (60515691)
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| Project Period (FY) |
2017-04-01 – 2022-03-31
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| Project Status |
Completed (Fiscal Year 2021)
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| Budget Amount *help |
¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000)
Fiscal Year 2019: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2018: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2017: ¥2,600,000 (Direct Cost: ¥2,000,000、Indirect Cost: ¥600,000)
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| Keywords | 疼痛 / 中枢性感作 / 理学療法 / 能力障害 / 中枢性感作症候群 / 疼痛神経科学教育 / 乳がん / 筋骨格系障害疼痛 / 慢性痛 / アルゴリズム / 教育 / 筋骨格系疼痛 |
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| Outline of Final Research Achievements |
We examined whether the severity level of central sensitization syndrome prior to the start of physical therapy could predict pain and disability after 3 months of physical therapy. 150 patients with musculoskeletal disorders were evaluated before and after the start of physical therapy for CSI, an assessment of central sensitization syndrome; EQ5D, an assessment of quality of life; and BPI, an assessment of pain and disability. 3 months later, patients with moderate to high baseline CSI severity had lower baseline CSI severity and The rate was significantly higher (p<0.001) than that of patients with On the other hand, pain was not predicted by CSI. The results of this study led to the development of a physiotherapy algorithm based on CSI.
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| Academic Significance and Societal Importance of the Research Achievements |
中枢性感作は治療反応性に深く関与することが示唆されながら，理学療法の治療効果に影響するか明らかではなかった．本研究結果によって，中枢性感作の理学療法の治療効果への寄与が明らかになった．具体的には，CSI質問表で理学療法開始前に30点以上の場合は能力障害が改善しない可能性が高いことから，教育や有酸素運動などを行う必要性が有り，医学的，社会的意義は高い．
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