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Prediction of changes in long-term care level in stroke survivors using ultrasound measures of skeletal muscle

Research Project

Project/Area Number 17K18272
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Rehabilitation science/Welfare engineering
Applied health science
Research InstitutionKansai Medical University (2019-2020)
Kobe Gakuin University (2017-2018)

Principal Investigator

FUKUMOTO Yoshihiro  関西医科大学, リハビリテーション学部, 准教授 (30636121)

Project Period (FY) 2017-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2019: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2018: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Fiscal Year 2017: ¥3,380,000 (Direct Cost: ¥2,600,000、Indirect Cost: ¥780,000)
Keywords超音波 / 脳卒中者 / 筋内脂肪量 / エコー輝度 / 超音波画像診断装置 / 脳卒中片麻痺 / リハビリテーション / 医療・福祉 / 老化
Outline of Final Research Achievements

We assessed the muscle mass and intramuscular fat of the trunk and lower leg muscles in stroke survivors by measuring muscle thickness and echo intensity using ultrasonography. The results revealed that decrease in muscle mass and increase in intramuscular fat were site-specific, muscle mass of the nonparetic quadriceps femoris in stroke survivors was greater than that in healthy controls, and muscle mass of the paretic quadriceps femoris was associated with physical activity. In addition, a 2-year observation revealed that longitudinal changes in muscle mass and intramuscular fat were also site-specific, and that these changes might not be associated with changes in motor function on the paretic side, disability level, or long-term care level.

Academic Significance and Societal Importance of the Research Achievements

簡便な超音波診断装置を用いた本研究によって、脳卒中者における体幹・下肢筋の筋量減少、筋内脂肪増加の特徴やその経時的変化を明らかにすることができた。筋量・筋内脂肪量と運動機能・生活機能や要介護度の進行との関連は得られなかったものの、本研究の結果は、我が国の要介護者の原因として最も多い疾患である脳卒中に対する、筋量減少や筋内脂肪増加の予防のための治療・生活指導方法の考案に寄与すると考えられる。

Report

(5 results)
  • 2020 Annual Research Report   Final Research Report ( PDF )
  • 2019 Research-status Report
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (4 results)

All 2020 2018 2017

All Journal Article (2 results) (of which Peer Reviewed: 2 results) Presentation (2 results)

  • [Journal Article] Differences in muscle thickness and echo intensity between stroke survivors and age- and sex-matched healthy older adults2020

    • Author(s)
      MONJO Hiroki、FUKUMOTO Yoshihiro、ASAI Tsuyoshi、KUBO Hiroki、OHSHIMA Kensuke、TAJITSU Hirotsugu、KOYAMA Shota
    • Journal Title

      Physical Therapy Research

      Volume: 23 Issue: 2 Pages: 188-194

    • DOI

      10.1298/ptr.E10018

    • NAID

      130007958549

    • ISSN
      2189-8448
    • Year and Date
      2020-12-20
    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Muscle Thickness and Echo Intensity of the Abdominal and Lower Extremity Muscles in Stroke Survivors2018

    • Author(s)
      Monjo Hiroki、Fukumoto Yoshihiro、Asai Tsuyoshi、Shuntoh Hisato
    • Journal Title

      Journal of Clinical Neurology

      Volume: 14 Issue: 4 Pages: 549-549

    • DOI

      10.3988/jcn.2018.14.4.549

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Presentation] 慢性期脳卒中患者における骨格筋の量的および質的変化の特徴 -2年間の縦断研究2020

    • Author(s)
      門條 宏宜, 福元 喜啓, 浅井 剛, 大島 賢典, 久保 宏紀, 田實 裕嗣, 小山 祥太
    • Organizer
      第25回日本基礎理学療法学術大会
    • Related Report
      2020 Annual Research Report
  • [Presentation] 慢性期脳卒中患者における体幹・下肢筋の量的・質的変化の特徴2017

    • Author(s)
      門條 宏宣, 福元 喜啓, 浅井 剛, 久保 宏紀, 糟谷 明彦, 大島 賢典 吉川 義之 , 春藤 久人
    • 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: 2017-04-28   Modified: 2022-01-27  

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