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Effect of gait training using body weight-supporting assistive device for hemiplegic patients

Research Project

Project/Area Number 18300188
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Rehabilitation science/Welfare engineering
Research InstitutionResearch Institute, National Rehabilitation Center for Persons with Disabilities

Principal Investigator

赤居 正美  Research Institute, National Rehabilitation Center for Persons with Disabilities, 病院, 院長(研究所併任) (80143452)

Co-Investigator(Kenkyū-buntansha) 江藤 文夫  国立障害者リハビリテーションセンター, 更生訓練所, 所長 (00101121)
中澤 公孝  国立障害者リハビリテーションセンター, 研究所・運動機能系障害研究部, 部長 (90360677)
Co-Investigator(Renkei-kenkyūsha) 深津 玲子  国立障害者リハビリテーションセンター, 病院 医療相談開発部, 部長(研究所併任) (00450429)
Research Collaborator 河島 則天  国立障害者リハビリテーションセンター研究所, 運動機能系障害研究部 (30392195)
Project Period (FY) 2006 – 2008
Project Status Completed (Fiscal Year 2008)
Budget Amount *help
¥17,210,000 (Direct Cost: ¥15,200,000、Indirect Cost: ¥2,010,000)
Fiscal Year 2008: ¥3,640,000 (Direct Cost: ¥2,800,000、Indirect Cost: ¥840,000)
Fiscal Year 2007: ¥5,070,000 (Direct Cost: ¥3,900,000、Indirect Cost: ¥1,170,000)
Fiscal Year 2006: ¥8,500,000 (Direct Cost: ¥8,500,000)
Keywordsリハビリテーション / 脳卒中 / 動力型歩行補助装置 / 装具歩行トレーニング / 脊髄損傷
Research Abstract

本研究では脳卒中患者および脊髄損傷を対象として、一定期間の免荷式歩行トレーニングを行わせ、訓練前後に実施する諸検査の結果から、訓練効果とその発現機序を定量的に検討することを目的とする。
本研究の対象者は脳卒中片麻痺患者であるが、先行して研究を始めた脊髄損傷者に対しても同様の研究を行うことで、両者の訓練効果、その神経機序の相違を検討する。
これらの研究成果は、脳卒中患者の移動能力の維持・向上を図るより効果的な新たな神経リハビリテーション(neurorehabilitation)方法を立案する上で、極めて有用な情報と提供し得るものと考えられる。
免荷式歩行トレーニングの効果についてより信頼性の高い根拠が得られ、神経リハビリ訓練の効果的な手法として、臨床に広く普及させるための足がかりとなる。

Report

(4 results)
  • 2008 Annual Research Report   Final Research Report ( PDF )
  • 2007 Annual Research Report
  • 2006 Annual Research Report
  • Research Products

    (42 results)

All 2009 2008 2007 2006

All Journal Article (27 results) (of which Peer Reviewed: 10 results) Presentation (12 results) Book (3 results)

  • [Journal Article] Effect of different preparatory states on the reflex responses of ankle flexor and extensor muscles to a sudden drop of support surface during standing in humans. (E-publication)2009

    • Author(s)
      Nakazawa K, Kawashima N, Akai M
    • Journal Title

      J Electromyograp Kinesiol (印刷中)

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Load-related modulation of cutaneous reflexes in tibialis anterior muscle during passive walking in humans2008

    • Author(s)
      Nakajima T, Kamibayashi K, Takahashi M, Komiyama T, Akai M, Nakazawa K
    • Journal Title

      European journal of Neuroscience 27(6)

      Pages: 1566-1576

    • Related Report
      2008 Final Research Report
  • [Journal Article] Changes in corticospinal excitability during observation of walking in humans2008

    • Author(s)
      Takahashi M, Kamibayashi K, Nakajima T, Akai M, Nakazawa K
    • Journal Title

      Neuroreport 19(7)

      Pages: 727-731

    • Related Report
      2008 Final Research Report
  • [Journal Article] Effects of passive leg movement on the oxygenation level of lower limb muscle in chronic stroke patients2008

    • Author(s)
      Jigjid E, Kawashima N, Ogata H, Nakazawa K, Akai, M, Eto F, Haga N
    • Journal Title

      Neurorehabilitation and Neural Repair 22

      Pages: 40-49

    • Related Report
      2008 Final Research Report
  • [Journal Article] Robotic gait trainer in water: Development of an underwater gait-training orthosis2008

    • Author(s)
      Miyoshi T, Hiramatsu K, Nakazawa K, Akai M
    • Journal Title

      Disability and Rehabilitation 30

      Pages: 81-87

    • Related Report
      2008 Final Research Report
  • [Journal Article] Load-related modulation of cutaneous reflexes in tibialis anterior muscle during passive walking in humans2008

    • Author(s)
      Nakajima T, Kamibayashi K, Takahashi M, Komiyama T, Akai M, Nakazawa K
    • Journal Title

      European Journal of Neuroscience 27(6)

      Pages: 566-1576

    • Related Report
      2008 Final Research Report
  • [Journal Article] Characteristics of the locomotor-like muscle activity during orthotic gait in paraplegic persons2008

    • Author(s)
      Kawashima N, Nakazawa K, Akai M
    • Journal Title

      Neurological Research 30(1)

      Pages: 36-45

    • Related Report
      2008 Final Research Report
  • [Journal Article] Phase-dependent modulation of cutaneous reflexes in tibialis anterior muscle during passive stepping2008

    • Author(s)
      Nakajima T, Kamibayashi K, Takahashi M, Komiyama T, Nakazawa K
    • Journal Title

      Neurological Research 30(1)

      Pages: 46-51

    • Related Report
      2008 Final Research Report
  • [Journal Article] Shaping appropriate locomotive motor output through interlimb neural pathway within spinal cord in humans2008

    • Author(s)
      Kawashima N, Nozaki D, Abe MO, Nakazawa K
    • Journal Title

      Journal of neurophysiology, 99

      Pages: 2946-2955

    • Related Report
      2008 Final Research Report
  • [Journal Article] Enhanced stretch reflex excitability of the soleus muscle in experienced swimmers2008

    • Author(s)
      Ogawa T, Kim G H, Sekiguchi H, Akai M, Suzuki S, Nakazawa K
    • Journal Title

      European Journal Applied Physiology (E-publication)

    • Related Report
      2008 Final Research Report
  • [Journal Article] Effect of different preparatory states on the reflex responses of ankle flexor and extensor muscles to a sudden drop of support surface during standing in humans2008

    • Author(s)
      Nakazawa K, Kawashima N, Akai M
    • Journal Title

      Journal of Electromyography and Kinesiology (E-publication)

    • Related Report
      2008 Final Research Report
  • [Journal Article] Load-related modulation of cutaneous reflexes in the tibialis anterior muscle during passive walking in humans2008

    • Author(s)
      Nakajima T, Kamibayashi K, Takahashi M, Komiyama T, Akai M, Nakazawa K
    • Journal Title

      European Journal of Neuroscience 27

      Pages: 1566-1576

    • Related Report
      2008 Annual Research Report 2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Changes in corticospinal excitability during observation of walking in humans2008

    • Author(s)
      Takahashi M, Kamibayashi K, Nakajima T, Akai M, Nakazawa K
    • Journal Title

      Neuroreport 19

      Pages: 727-731

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Characteristice of the locomotor-like muscle activity during orthotic gait in complete paraplegic patients2008

    • Author(s)
      Kawashima N, Nakazawa K, Akai M
    • Journal Title

      Neurological Research 30

      Pages: 36-45

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Shaping appropriate locomotive motor output through interlimb neural pathway within spinal cord in humans2008

    • Author(s)
      Kawashima N, Nakazawa K, Nozaki D, Abe MO
    • Journal Title

      Journal of Neurophysiology 99

      Pages: 2946-2955

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Enhanced stretch reflex excitability of the soleus muscle in experienced swimmers. European Journal Applied Physiology. (E-publication)2008

    • Author(s)
      Ogawa T, Kim G H, Sekiguchi H, Akai M, Suzuki S, Nakazawa K
    • Journal Title

      Neurological Research 30(印刷中)

    • Related Report
      2008 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Changes in corticospinal exeitability during observation of walking in humans2008

    • Author(s)
      Takahashi M, Kamibayashi K, Nakajima T, Akai M, Nakazawa K
    • Journal Title

      Neuroreport 19

      Pages: 727-731

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Effects of passive leg movement on the oxygenation level of lower limbmuscle in chronic stroke patients2008

    • Author(s)
      Jigiid E, Kawashima N, Ogata H, Nakazawa K, Akai M, Eto F, Haga N
    • Journal Title

      Neurorehabilitation and Neural Repair 22

      Pages: 40-49

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Robotic gait trainer in water:Development of an underwater gait-training orthosis2008

    • Author(s)
      Miyoshi T, Hiramatsu K, Nakazawa K, Akai M
    • Journal Title

      Disability and Rehabilitation 30

      Pages: 81-87

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] A computer-aid contracture correction device with low-load and continuous torque; An animal experiment and prototype design for clinical use2007

    • Author(s)
      Akai M, Usuba M, Sekiguchi H, Hong B, Iwashita K, Shirasaki Y
    • Journal Title

      Prosthetics and Orthotics International 31

      Pages: 121-132

    • Related Report
      2008 Final Research Report
  • [Journal Article] A computer-aid contracture correction device with low-load and continuous torque;An animal experiment and prototype design for clinical use2007

    • Author(s)
      Akai M, Usuba M, Sekiguchi H, Hong B, Iwashita K, Shirasaki Y
    • Journal Title

      Prosthetics and Orthotics International 31

      Pages: 121-132

    • Related Report
      2007 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 整形外科リハビリテーションのEBM2006

    • Author(s)
      赤居正美
    • Journal Title

      日本整形外科学会誌 80(2)

      Pages: 217-224

    • NAID

      10017505565

    • Related Report
      2008 Final Research Report 2006 Annual Research Report
  • [Journal Article] 関節拘縮のリハビリテーション;運動療法による予防と治療2006

    • Author(s)
      赤居正美
    • Journal Title

      総合リハビリテーション 34(7)

      Pages: 663-666

    • Related Report
      2008 Final Research Report 2006 Annual Research Report
  • [Journal Article] Somatosensory graviception inhibits soleus H-reflex gain in humans during walking2006

    • Author(s)
      Miyoshi T, Hotta K, Yamamoto S-I, Nakazawa K, Akai M
    • Journal Title

      Experimental Brain Research 169

      Pages: 135-138

    • Related Report
      2008 Final Research Report
  • [Journal Article] Stretch reflex modulation during imposed static and dynamic hip movements in standing humans2006

    • Author(s)
      Kawashima N, Yano H, Ohta Y, Nakazawa K
    • Journal Title

      Experimental Brain Research 174

      Pages: 342-350

    • Related Report
      2008 Final Research Report
  • [Journal Article] Stretch reflex modulation during imposed static and dynamic hip movements in standing humans2006

    • Author(s)
      Kawashima N, Yano H, Ohta Y, Nakazawa K.
    • Journal Title

      Experimental Brain Research 174

      Pages: 342-350

    • Related Report
      2006 Annual Research Report
  • [Journal Article] Somatosensory graviception inhibits soleus H-reflex gain in humans during walking2006

    • Author(s)
      Miyoshi I, Hotta K, Yamamoto S-I, Nakazawa K, Akai M.
    • Journal Title

      Experimental Brain Research 169

      Pages: 135-138

    • Related Report
      2006 Annual Research Report
  • [Presentation] The effects of exercise therapy on muscle functional and structural properties in knee osteoarthritis patients. 7th World congress on aging and physical activity2008

    • Author(s)
      Naito K, Akita K, Kuramochi R, Torii S, Nakazawa K, Akai M, Fukubayashi T
    • Organizer
      7th World congress on aging and physical activity, Journal of Aging and Physical activity, 16, 2008, S138
    • Place of Presentation
      Tsukuba
    • Related Report
      2008 Final Research Report
  • [Presentation] Activity-related changes of stretch reflex in the elderly ballet dancers2008

    • Author(s)
      Kim GH, Ogawa T, Sekiguchi H, Akai M, Nakazawa K
    • Organizer
      7th World Congress on Aging and Physical Activity, Journal of aging and physical activity, 16, 2008, S109
    • Place of Presentation
      Tsukuba, Japan
    • Related Report
      2008 Final Research Report
  • [Presentation] Enhanced corticospinal tract of the ankle extensor and flexor muscles during standing in humans2008

    • Author(s)
      Obata H, Sekiguchi H, Yamamoto SI, Ohtsuki T, Nakazawa K
    • Organizer
      3rd International Conference on TMS and Tdcs, Brain Stimulation (proceeding from the 3rd International Conference on TMS and Tdcs), 1(3), 2008, p.281
    • Place of Presentation
      Gottingen, Germany
    • Related Report
      2008 Final Research Report
  • [Presentation] Spike-timing dependent plasticity in the human spinal motoneuronal pool2008

    • Author(s)
      Obata H, Takahashi M, Nozaki D, Nakazawa K
    • Organizer
      38th Annual meeting of Society for Neuroscience、Proceeding, 2008, 73.15
    • Place of Presentation
      Washington DC, USA
    • Related Report
      2008 Final Research Report
  • [Presentation] Deficit of the grip force control in patients with congenital insensitivity to pain2008

    • Author(s)
      Kawashima N, Abe MO, Nakazawa K, Haga N, Iijima M, Shirakawa K, Iwaya T
    • Organizer
      38th Annual meeting of Society for Neuroscience, Proceeding, 2008, CD-ROM.
    • Place of Presentation
      Washington DC, USA
    • Related Report
      2008 Final Research Report
  • [Presentation] Differences in phase-dependent modulation of cutaneous reflexes between the ankle flexors and extensors during passive walking2008

    • Author(s)
      Nakajima T, Kamibayshi K, Takahashi M, Komiyama T, Nakazawa K
    • Organizer
      38th Annual meeting of Society for Neuroscience
    • Place of Presentation
      Washington DC, USA
    • Related Report
      2008 Final Research Report
  • [Presentation] The effects of exercise therapy on muscle functional and structural properties in knee osteoarthritis patients2008

    • Author(s)
      Naito K, Akita K, Kuramochi R, Torii S, Nakazawa K, Akai M, Fukubayashi T
    • Organizer
      7th World congress on aging and physical activity
    • Place of Presentation
      Tsukuba
    • Related Report
      2008 Annual Research Report
  • [Presentation] Activity-related changes of stretch reflex in the elderly ballet dancers2008

    • Author(s)
      Kim GH, Ogawa T, Sekiguchi H, Akai M, Nakazawa K
    • Organizer
      7th World Congress on Aging and Physical Activity
    • Place of Presentation
      Tsukuba
    • Related Report
      2008 Annual Research Report
  • [Presentation] Enhanced corticospinal tract of the ankle extensor and flexor muscles during standing in humans2008

    • Author(s)
      Obata H, Sekiguchi H, Yamamoto SI, Ohtsuki T, Nakazawa K
    • Organizer
      3rd International Conference on TMS and tDCS
    • Place of Presentation
      Gottingen, Germany
    • Related Report
      2008 Annual Research Report
  • [Presentation] Spike-timing dependent plasticity in the human spinal motoneuronal pool2008

    • Author(s)
      Obata H, Takahashi M, Nozaki D, Nakazawa K
    • Organizer
      38th Annual meeting of Society for Neuroscience
    • Place of Presentation
      Washington DC
    • Related Report
      2008 Annual Research Report
  • [Presentation] Deficit of the grip force control in patients with congenital insensitivity to pain2008

    • Author(s)
      Kawashima N, Abe MO, Nakazawa K, Haga N, Iijima M, Shirakawa K, Iwaya T
    • Organizer
      38th Annual meeting of Society for Neuroscience
    • Place of Presentation
      Washington DC
    • Related Report
      2008 Annual Research Report
  • [Presentation] Differences in phase-dependent modulation of cutaneous reflexes between the ankle flexors and extensors during passive walking2008

    • Author(s)
      Nakajima T, Kamibayshi K, Takahashi M, Komiyama T, Nakazawa K
    • Organizer
      38th Annual meeting of Society for Neuroscience
    • Place of Presentation
      Washington DC
    • Related Report
      2008 Annual Research Report
  • [Book] 整形外科疾患に対する運動療法 運動療法と運動処方(第2版)佐藤祐造編2008

    • Author(s)
      赤居正美, 内藤健二
    • Publisher
      文光堂
    • Related Report
      2008 Final Research Report
  • [Book] 4.リハビリテーション 頸椎疾患「頸椎疾患」 最新整形外科学大系, 里宇明元編2008

    • Author(s)
      赤居正美
    • Publisher
      中山書店
    • Related Report
      2008 Final Research Report
  • [Book] 可動域制限 筋力低下 運動障害の測定・評価 薬物療法・物理療法 assistive technology2008

    • Author(s)
      赤居正美
    • Publisher
      南江堂
    • Related Report
      2008 Final Research Report

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Published: 2006-04-01   Modified: 2016-04-21  

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