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Hand Rehabilitation Based on Handedness and Evidence

Research Project

Project/Area Number 18K10673
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Review Section Basic Section 59010:Rehabilitation science-related
Research InstitutionHiroshima University

Principal Investigator

Sunagawa Toru  広島大学, 医系科学研究科(保), 教授 (40335675)

Co-Investigator(Kenkyū-buntansha) 小池 康晴  東京工業大学, 科学技術創成研究院, 教授 (10302978)
車谷 洋  広島大学, 医系科学研究科(保), 講師 (00335647)
中西 一義  広島大学, 医系科学研究科(保), 教授 (60403557)
Project Period (FY) 2018-04-01 – 2021-03-31
Project Status Completed (Fiscal Year 2020)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2020: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2019: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2018: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Keywordsリハビリテーション / 利き手 / 脳科学 / 運動学 / BMI / 経頭蓋直流電機刺激 / 運動シナジー解析 / 筋シナジー解析 / 感覚障害 / 運動イメージ / 脳活動
Outline of Final Research Achievements

The sensory disturbance caused by finger ischemia was aggravated over time, but was alleviated by tDCS. It was shown that video observation using VR was effective for artificial hand operation training.
A motor synergy analysis of the thumb rotation movement revealed a decrease in CM joint movement and compensatory movement of MP joints in patients with carpal tunnel syndrome compared to normal subjects, and there was no significant difference in synergy in patients with CM arthropathy. However, it was found that the range of motion decreased in all directions. When the reach movement task was analyzed using motion synergy, there was no difference between the left and right hand motion patterns, but there was a difference between the left and right for the pattern involving the shoulder and elbow. It was found that the training extracted from the synergy analysis significantly improved the hand performance.

Academic Significance and Societal Importance of the Research Achievements

母指を中心とした運動シナジー解析により,手指の運動パターンの特徴を明らかとし,シナジー解析に基づく訓練が手の機能向上に有効である可能性を示した.また,脳の電気刺激という新たな手法が手指障害の治療に応用可能性があることを示した.VRを用いた上肢リハビリテーションが有効である可能性も示した.
以上の結果は従来あるいは新たなリハビリテーション法に科学的根拠を与え,リハビリテーションの新たな方向を示すことができた.

Report

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

    (31 results)

All 2021 2020 2019 2018

All Journal Article (16 results) (of which Int'l Joint Research: 3 results,  Peer Reviewed: 15 results,  Open Access: 3 results) Presentation (14 results) (of which Int'l Joint Research: 2 results,  Invited: 1 results) Book (1 results)

  • [Journal Article] The correlation between osteoarthritis stage and the effect of the lateral wedge insole for 3 months on medial meniscus extrusion in the knee joint2021

    • Author(s)
      Ishii Yosuke、Ishikawa Masakazu、Hayashi Seiju、Kanemitsu Munekazu、Omoto Takenori、Kurumadani Hiroshi、Kuwahara Wataru、Date Shota、Deie Masataka、Adachi Nobuo、Sunagawa Toru
    • Journal Title

      The Knee

      Volume: 28 Pages: 110-116

    • DOI

      10.1016/j.knee.2020.11.016

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Three-dimensional analysis of hand coordination following tendon transfers for posterior interosseous nerve palsy2021

    • Author(s)
      Kurumadani Hiroshi、Kodama Akira、Sunagawa Toru
    • Journal Title

      Journal of Hand Surgery (European Volume)

      Volume: 46 Issue: 6 Pages: 669-671

    • DOI

      10.1177/1753193420988499

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Dynamic ultrasonography of the medial meniscus during walking in knee osteoarthritis2020

    • Author(s)
      Ishii Yosuke、Nakashima Yuko、Ishikawa Masakazu、Sunagawa Toru、Okada Kaoru、Takagi Kazuya、Adachi Nobuo
    • Journal Title

      The Knee

      Volume: 27 Issue: 4 Pages: 1256-1262

    • DOI

      10.1016/j.knee.2020.05.017

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Increase in medial meniscal extrusion in the weight-bearing position observed on ultrasonography correlates with lateral thrust in early-stage knee osteoarthritis2020

    • Author(s)
      Ishii Yosuke、Ishikawa Masakazu、Kurumadani Hiroshi、Hayashi Seiju、Nakamae Atsuo、Nakasa Tomoyuki、Sumida Yoshikazu、Tsuyuguchi Yusuke、Kanemitsu Munekazu、Deie Masataka、Adachi Nobuo、Sunagawa Toru
    • Journal Title

      Journal of Orthopaedic Science

      Volume: 25 Issue: 4 Pages: 640-646

    • DOI

      10.1016/j.jos.2019.07.003

    • Related Report
      2020 Annual Research Report 2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] Influence of static magnetic field stimulation on the accuracy of tachystoscopically presented line bisection.2020

    • Author(s)
      *Kirimoto, H., Watanabe, T., Kubo, N., Date, S., Sunagawa, T., Mima, T., Ogata, K., Nakazono, H., Tobimatsu, S., & Oliviero, A.
    • Journal Title

      Brain Sci.

      Volume: 10 Issue: 12 Pages: 1006-1006

    • DOI

      10.3390/brainsci10121006

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Factors affecting sensory recovery after thumb reconstruction using a wrap-around flap2020

    • Author(s)
      Masuda Tetsuo、Sunagawa Toru、Suzuki Osami、Kurumadani Hiroshi、Peng Feng、Nobuo Adachi
    • Journal Title

      Journal of Hand Surgery (European Volume)

      Volume: 45 Issue: 8 Pages: 838-841

    • DOI

      10.1177/1753193420918760

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed
  • [Journal Article] The effects of transcranial static magnetic fields stimulation over the supplementary motor area on anticipatory postural adjustments2020

    • Author(s)
      Daisuke Tsuru, Tatsunori Watanabea, Xiaoxiao Chen, Nami Kubo, Toru Sunagawa, Tatsuya Mima, Hikari Kirimoto
    • Journal Title

      Neuroscience Letters

      Volume: 723 Pages: 1-6

    • DOI

      10.1016/j.neulet.2020.134863

    • NAID

      120007002545

    • Related Report
      2020 Annual Research Report 2019 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Virtual reality-based action observation facilitates the acquisition of body-powered prosthetic control skills2020

    • Author(s)
      Yoshimura Manabu、Kurumadani Hiroshi、Hirata Junya、Osaka Hiroshi、Senoo Katsutoshi、Date Shota、Ueda Akio、Ishii Yosuke、Kinoshita Seiji、Hanayama Kozo、Sunagawa Toru
    • Journal Title

      Journal of NeuroEngineering and Rehabilitation

      Volume: 17 Issue: 1 Pages: 113-113

    • DOI

      10.1186/s12984-020-00743-w

    • Related Report
      2020 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Transcranial direct current stimulation effects on hand sensibility as measured by an objective quantitative analysis device: a randomized single-blind sham-control crossover clinical trial2020

    • Author(s)
      Zehry Hanan Ibrahim、Maaty Ahmed、El-Hagrassy Mirret M.、Ueda Akio、Kurumadani Hiroshi、Fregni Felipe、Sunagawa Toru
    • Journal Title

      NeuroReport

      Volume: 31 Issue: 5 Pages: 406-410

    • DOI

      10.1097/wnr.0000000000001423

    • Related Report
      2020 Annual Research Report 2019 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] 手外科に対する脳科学的アプローチ2020

    • Author(s)
      砂川 融
    • Journal Title

      日本整形外科学会雑誌

      Volume: 94 Pages: 46-57

    • Related Report
      2019 Research-status Report
  • [Journal Article] Long-term disuse of the hand affects motor imagery ability in patients with complete brachial plexus palsy2019

    • Author(s)
      Date, S. Kurumadani, H. Yoshimura, M. Fukae, A. Onishi, K. Hayashi, J. Shinomiya, R. Sunagawa, T.
    • Journal Title

      Neuroreport

      Volume: 30 Issue: 6 Pages: 452-456

    • DOI

      10.1097/wnr.0000000000001229

    • Related Report
      2019 Research-status Report 2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Correlation between spinal and pelvic movements during gait and aggravation of low back pain by gait loading in lumbar spinal stenosis patients.2019

    • Author(s)
      Kuwahara W, Kurumadani H, Tanaka N, Nakanishi K, Nakamura H, Ishii Y, Ueda A, Deie M, Adachi N, Sunagawa T.
    • Journal Title

      10.1016/j.jos.2018.09.002.

      Volume: 24 Issue: 2 Pages: 207-213

    • DOI

      10.1016/j.jos.2018.09.002

    • Related Report
      2019 Research-status Report 2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Total knee arthroplasty for patients with medial knee osteoarthritis improves trunk movement during gait2019

    • Author(s)
      Kuwahara, W. Nakanishi, K. Kurumadani, H. Shimada, N. Asaeda, M. Deie, M. Adachi, N. Sunagawa, T.
    • Journal Title

      J Back Musculoskelet Rehabil

      Volume: - Issue: 5 Pages: 727-734

    • DOI

      10.3233/bmr-181383

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] Mirror imaging of finger mechanical stimulation affects secondary somatosensory response.2018

    • Author(s)
      Nakanishi K, Watanabe T, Sunagawa T, Kurumadani H, Ibrahim Zehry H, Ochi M, Adachi N.
    • Journal Title

      Neuroreport

      Volume: 29 Issue: 3 Pages: 229-34

    • DOI

      10.1097/wnr.0000000000000966

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Joint distraction and early mobilization using a new dynamic external finger fixator for the treatment of fracture-dislocations of the proximal interphalangeal joint2018

    • Author(s)
      Kodama, A. Sunagawa, T. Nakashima, Y. Shinomiya, R. Hayashi, Y. Ochi, M. Adachi, N.
    • Journal Title

      J Orthop Sci

      Volume: 23 Issue: 6 Pages: 959-966

    • DOI

      10.1016/j.jos.2018.07.013

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Journal Article] Comparison of sonography and MRI in the evaluation of stability of capitellar osteochondritis dissecans.2018

    • Author(s)
      Yoshizuka M, Sunagawa T, Nakashima Y, Shinomiya R, Masuda T, Makitsubo M, Adachi N.
    • Journal Title

      J Clin Ultrasound

      Volume: 46 Issue: 4 Pages: 247-52

    • DOI

      10.1002/jcu.22563

    • Related Report
      2018 Research-status Report
    • Peer Reviewed
  • [Presentation] 手外科に対する脳科学的アプローチ2019

    • Author(s)
      砂川 融
    • Organizer
      第92回日本整形外科学会学術総会
    • Related Report
      2019 Research-status Report
    • Invited
  • [Presentation] Clustering of muscle activation pattern between thenar and extrinsic hand muscles during various grasp tasks.2019

    • Author(s)
      Shota Date, Hiroshi Kurumadani, Toru Sunagawa
    • Organizer
      11th International Federation of Societies for Hand Therapy
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] Correlation between palmar shape modulation and finger joint movements during hand shape formation.2019

    • Author(s)
      Hiroshi Kurumadani, Shota Date, Toru Sunagawa
    • Organizer
      11th International Federation of Societies for Hand Therapy
    • Related Report
      2019 Research-status Report
    • Int'l Joint Research
  • [Presentation] 手根管症候群症例の母指関節運動の特徴 -可動範囲とKinematicsynergyの分析-2019

    • Author(s)
      車谷洋、兒玉祥、山元優輝、伊達翔太、桑原渉、砂川融
    • Organizer
      第62回日本手外科学会
    • Related Report
      2019 Research-status Report
  • [Presentation] 把握動作の手内在筋・外在筋の筋シナジー分析 ~母指球筋と長掌筋に注目して~2019

    • Author(s)
      伊達翔太、車谷洋、砂川融
    • Organizer
      第62回日本手外科学会
    • Related Report
      2019 Research-status Report
  • [Presentation] ヘッドマウントディスプレイを用いたVR動画の観察による運動学習効果の検討2019

    • Author(s)
      上田章雄、車谷洋、伊達翔太、砂川融
    • Organizer
      第53回日本作業療法学会
    • Related Report
      2019 Research-status Report
  • [Presentation] 遠位横アーチの可動性が物体把持動作時の手指関節肢位に与える影響2019

    • Author(s)
      伊達翔太、車谷洋、上田章雄、砂川融
    • Organizer
      第53回日本作業療法学会
    • Related Report
      2019 Research-status Report
  • [Presentation] スマートフォン使用時の母指関節運動の特徴―関節角度と可動範囲の分析から―2019

    • Author(s)
      車谷洋、伊達翔太、上田章雄、砂川融
    • Organizer
      第53回日本作業療法学会
    • Related Report
      2019 Research-status Report
  • [Presentation] 経頭蓋直流電気刺激が阻血に伴う感覚障害に与える影響2019

    • Author(s)
      砂川融、車谷洋、上田章雄
    • Organizer
      第30回日本末梢神経学会学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] 手根管症候群症例の関節運動と重症度との関連2019

    • Author(s)
      車谷洋、兒玉祥、上田章雄、安達伸生、砂川融
    • Organizer
      第30回日本末梢神経学会学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] 長期間の患側上肢の不使用が全型腕神経叢麻痺患者の運動イメージ能力に与える影響2019

    • Author(s)
      伊達翔太、車谷洋、上田章雄、吉村学、土手章史、石井陽介、林淳二、砂川融
    • Organizer
      第53回日本作業療法学会
    • Related Report
      2019 Research-status Report
  • [Presentation] 手根管症候群症例における術後の母指運動の特徴2019

    • Author(s)
      車谷洋、兒玉祥、伊達翔太、安達伸生、砂川融
    • Organizer
      第34回日本整形外科学会基礎学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] 把握動作時の母指球筋と手外在筋との協調性について―筋シナジー解析を用いた検討2019

    • Author(s)
      伊達翔太、車谷洋、砂川融
    • Organizer
      第34回日本整形外科学会基礎学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] 到達動作とリバース動作時の運動シナジーの共有パターンの特徴2019

    • Author(s)
      車谷洋、川井怜美香、伊達翔太、砂川融
    • Organizer
      第13回日本作業療法研究学会学術大会
    • Related Report
      2019 Research-status Report
  • [Book] 手に映る脳,脳を宿す手2020

    • Author(s)
      砂川 融
    • Total Pages
      252
    • Publisher
      医学書院
    • ISBN
      9784260042574
    • Related Report
      2020 Annual Research Report

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Published: 2018-04-23   Modified: 2022-01-27  

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