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Development of a Gait Training Method for Stroke Patients Using Foot Pressure Biofeedback System

Research Project

Project/Area Number 17K01875
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Applied health science
Research InstitutionWaseda University

Principal Investigator

Yasuda Kazuhiro  早稲田大学, 理工学術院総合研究所(理工学研究所), 次席研究員(研究院講師) (50633640)

Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,550,000 (Direct Cost: ¥3,500,000、Indirect Cost: ¥1,050,000)
Fiscal Year 2019: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2018: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2017: ¥3,120,000 (Direct Cost: ¥2,400,000、Indirect Cost: ¥720,000)
Keywords脳卒中 / 感覚麻痺 / 歩行障害 / バイオフィードバック / 感覚補完・代行 / リハビリテーション / 体性感覚 / 多感覚統合 / 姿勢制御 / 歩行 / 脳・神経 / 人間医工学
Outline of Final Research Achievements

The present study aims to examine the temporal and spatial changes in foot pressure transition in standing and walking by using newly developed biofeedback(BF) system. We developed a balance and gait BF system and implemented an intervention for stroke patients. There was a significant change in the sway area and a significant improvement in balance ability on clinical balance assessment. However, BBS, a complex balance evaluation, did not lead to clinically meaningful changes. In terms of gait training with BF system, dorsiflexion angle at heel- contact was unchanged, but plantar flexion at put off increased, and the stride length at intact leg was increased. The results partly show the feasibility of the developed BF system.

Academic Significance and Societal Importance of the Research Achievements

本研究では,ヒトの立位および歩行時における足圧遷移の時間的,空間的変化を有効に体性感覚フィードバックする装置の効果を一部明らかにした.これまで,脳卒中患者における感覚補完システムの適応および実証を行った事例は本邦では無く,神経障害由来の知覚-運動循環の不全に対して実行可能性を示した意義は高い.また,BF単独ではなくセラピストとの共感を行うことで学習効果を飛躍的に高めようとする装置を実装した.システムは小型で汎用性が高いために、様々な環境場面で利活用できることが期待される.

Report

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

    (24 results)

All 2019 2018 2017 Other

All Int'l Joint Research (2 results) Journal Article (10 results) (of which Int'l Joint Research: 1 results,  Peer Reviewed: 10 results,  Open Access: 5 results) Presentation (9 results) (of which Int'l Joint Research: 7 results) Book (1 results) Remarks (2 results)

  • [Int'l Joint Research] Louisiana State University(米国)

    • Related Report
      2019 Annual Research Report
  • [Int'l Joint Research] Louisiana State University(米国)

    • Related Report
      2018 Research-status Report
  • [Journal Article] Using a Vibrotactile Biofeedback Device to Augment Foot Pressure During Walking in Healthy Older Adults: A Brief Report2019

    • Author(s)
      Kazuhiro Yasuda, Yuki Hayashi, Anna Tawara, Hiroyasu Iwata
    • Journal Title

      Frontiers in Psychology, section Perception Science

      Volume: 10:1008 Pages: 1-6

    • DOI

      10.3389/fpsyg.2019.01008

    • Related Report
      2019 Annual Research Report 2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Balance Training with a Vibrotactile Biofeedback System Affects the Dynamical Structure of the Center of Pressure Trajectories in Chronic Stroke Patients2019

    • Author(s)
      Kentaro Kodama, Kazuhiro Yasuda, Nikita Kuznetsov, Yuki Hayashi, Hiroyasu Iwata
    • Journal Title

      Frontiers in Human Neuroscience

      Volume: 13:84 Pages: 1-7

    • DOI

      10.3389/fnhum.2019.00084

    • Related Report
      2019 Annual Research Report 2018 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Development of a Vibratory Cueing System Using an Implicit Method to Increase Walking Speed in Patients with Stroke: A Proof-of-Concept Study2019

    • Author(s)
      K.Yasuda,Y. Hayahi, A. Tawara and H..Iwata
    • Journal Title

      ROBOMECHJournal

      Volume: ROBO-D-19-00032 Issue: 1

    • DOI

      10.1186/s40648-019-0152-z

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Haptic-based perception-empathy biofeedback system for balance rehabilitation in chronic stroke patients: Concepts and initial feasibility study2018

    • Author(s)
      Kazuhiro Yasuda, Kenta Saichi, Naomi Kaibuki, Hiroaki Harashima, Hiroyasu Iwata
    • Journal Title

      Gait and Posture

      Volume: 62 Pages: 484-489

    • DOI

      10.1016/j.gaitpost.2018.04.013

    • Related Report
      2018 Research-status Report 2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Haptic-based perception-empathy biofeedback enhances postural motor learning during high-cognitive load task in healthy older adults2018

    • Author(s)
      Kazuhiro Yasuda, Kenta Saichi, Hiroyasu Iwata
    • Journal Title

      Frontiers in Medicine

      Volume: 5:149 Pages: 1-9

    • DOI

      10.3389/fmed.2018.00149

    • Related Report
      2018 Research-status Report 2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Differing effects of an immersive virtual reality program on unilateral spatial neglect on activities of daily living2018

    • Author(s)
      Yasuda K , Muroi D, Hirano M, Saichi K, Iwata H
    • Journal Title

      BMJ Case Report

      Volume: Mar 9 Pages: bcr-2017-222860

    • DOI

      10.1136/bcr-2017-222860

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] 脳卒中片麻痺歩行に対するばねと人工筋肉を用いた背屈支援装置の開発-踵接地時の膝折れ挙動に対する影響の検証-2018

    • Author(s)
      福嶋勇太,安田和弘, 鈴木慈 ,大橋洋輝,岩田浩康
    • Journal Title

      ライフサポート学会誌

      Volume: 印刷中

    • NAID

      130007827237

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Validation of an immersive virtual reality system for training near and far space neglect in individuals with stroke: a pilot study2017

    • Author(s)
      Yasuda K, Muroi D, Ohira M, Iwata H
    • Journal Title

      Topics in stroke rehabilitation

      Volume: 24(7) Issue: 7 Pages: 65-71

    • DOI

      10.1080/10749357.2017.1351069

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Development of the assist RT to acquire set-form and evaluation by free throw beginners2017

    • Author(s)
      河田 俊, 安田 和弘, 岩田 浩康
    • Journal Title

      Transactions of the JSME (in Japanese)

      Volume: 83 Issue: 851 Pages: 16-00515-16-00515

    • DOI

      10.1299/transjsme.16-00515

    • NAID

      130005863422

    • ISSN
      2187-9761
    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Development of an Implicit Method for Directing Weight Shifting to the Affected Side in Patients with Stroke: A Proof of Concept Study2017

    • Author(s)
      Yasuda K, Saichi K, Kitaji Y, Harashima H , Iwata H
    • Journal Title

      ROBOMECH Journal

      Volume: 4(29) Issue: 1

    • DOI

      10.1186/s40648-017-0094-2

    • Related Report
      2017 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] EVALUATION OF A VIBROTACTILE BIOFEEDBACK SYSTEM ON GAIT PERFORMANCE AND COGNITIVE TASKS IN HEALTHY OLDER ADULTS2019

    • Author(s)
      K. Yasuda,Y. Hayashi, H. Iwata
    • Organizer
      World confederation for physical therapy congress (WCPT congress 2019)
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] HOW TO ENCOURAGE OTHERS: A PERCEPTION-EMPATHY BIOFEEDBACK SYSTEM FOR PREVENTING FALLS IN OLDER ADULT2019

    • Author(s)
      K. Yasuda,Y. Hayashi, H. Iwata
    • Organizer
      Internation society for gait and posture research world congress (ISPGR congress 2019)
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Design and initial validity study of perception-empathy biofeedback system for gait training in older adults2019

    • Author(s)
      Kazuhiro Yasuda, Kenta Saichi, Hiroyasu Iwata
    • Organizer
      IEEE International Conference on Systems, Man, and Cybernetics (SMC2018)
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Development of a visual cueing system using immersive virtual reality for object-centered neglect in stroke patients2019

    • Author(s)
      Akinori Hagiwara, Yasuda Kazuhiro, Kenta Saichi, Daisuke Muroi, Shuntarou Kawaguchi, Masahiro Ohira, Tadamitsu Matsuda, Hiroyasu Iwata
    • Organizer
      IEEE International Conference on Systems, Man, and Cybernetics (SMC2018)
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] A haptic-based perception-empathy biofeedback device that supplements foot pressure pattern during gait in stroke patients2019

    • Author(s)
      Yuki Hayashi, Kazuhiro Yasuda, Yu Kitaji, Hiroaki Harashima, Hiroyasu Iwata
    • Organizer
      2019 IEEE/SICE International Symposium on System Integration (SII2019)
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research
  • [Presentation] Clinical Effectivenes of a haptic-based perception-empathy biofeedback system for balance rehabilitation in patients with chronic stroke2018

    • Author(s)
      Kazuhiro Yasuda, Kenta Saichi, Naomi Kaibuki, Hiroaki Harashima, Hiroyasu Iwata
    • Organizer
      10th World Congress for NeuroRehabilitation
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Estimation of Ankle Dorsiflexion Ankle during Loading Response Phase for Spring Coefficient Identification2017

    • Author(s)
      Jing-Chen Hong, Yuta Fukushima, Shigeru Suzuki, Kazuhiro Yasuda, Hiroki Ohashi, Hiroyasu Iwata
    • Organizer
      IEEE International Conference on Robotics and Biomimetics
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 3次元仮想空間内における右方空間のブラックアウトによる半側空間無視に対する注意誘導効果2017

    • Author(s)
      安田 和弘,室井 大佑,大平 雅弘,岩田 浩康
    • Organizer
      第52回日本理学療法学術大会
    • Related Report
      2017 Research-status Report
  • [Presentation] 感覚代行 / 補完技術を応用した工学的支援技術 -バランス・歩行リハビリテーションへの応用-2017

    • Author(s)
      安田 和弘 (指定討論者)
    • Organizer
      日本神経理学療法学会 参加型フォーラム2017
    • Related Report
      2017 Research-status Report
  • [Book] Kinovea:Motion Capture Software (日本語版マニュアル)2018

    • Author(s)
      安田和弘
    • Total Pages
      34
    • Publisher
      開発機関の承認を得て公開
    • Related Report
      2017 Research-status Report
  • [Remarks] 共感型デバイスにより運動学習を効果的に行う方法を報告

    • URL

      https://www.waseda.jp/fsci/wise/news/2018/06/26/2169/

    • Related Report
      2018 Research-status Report
  • [Remarks] Perception-Empathy Biofeedback System

    • URL

      https://ispgr.org/how-to-encourage-others-refining-interpersonal-feedback-using-a-perception-empathy-biofeedback-system/

    • Related Report
      2018 Research-status Report

URL: 

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

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