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Kinematic analysis of upper extremity after stroke: Does CIMT truly improve recover from hemiparesis?

Research Project

Project/Area Number 18K10758
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 InstitutionKyorin University

Principal Investigator

Fujisawa Yuhki  杏林大学, 保健学部, 講師 (50612587)

Co-Investigator(Kenkyū-buntansha) 岡島 康友  杏林大学, 医学部, 教授 (50160669)
中野 尚子  杏林大学, 保健学部, 教授 (90549106)
Project Period (FY) 2018-04-01 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥3,770,000 (Direct Cost: ¥2,900,000、Indirect Cost: ¥870,000)
Fiscal Year 2020: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Fiscal Year 2019: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2018: ¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Keywords片麻痺 / 利き手 / 書字 / 巧緻運動 / 運動学習 / 三次元動作解析 / 脳卒中片麻痺 / 書字動作 / 自由度 / CI療法 / 動作解析 / 上肢
Outline of Final Research Achievements

Three-dimensional movement analysis of pen tip, finger, and wrist was done in poststroke patients to investigate characteristics of writing by the hemiparetic hand and its changes secondary to recovery from hemiparesis. The study aimed to differentiate improvement of handwriting performance from that of hemiparesis itself. Results of the kinematic analysis indicated that patients with dominant-hand hemiparesis could write well by tightening the joint linkage of the fingers and wrist similar to the non-dominant-hand writing. Moreover, writing performance by the hemiparetic hand could improve even though severity off hemiparesis remained unchanged. Patients might have learned how to write well by changing writing strategy with the hemiparetic hand. This study suggested that recovery from upper-extremity hemiparesis should be evaluated independently of performance of the activities by the hemiparetic hand.

Academic Significance and Societal Importance of the Research Achievements

脳卒中片麻痺の上肢機能について、多関節運動制御の観点からその運動自由度を定量化し、麻痺そのものの改善とパフォーマンスの変化を区分した。「リハビリテーションにおける運動学習とは何か」を再考する学術的意義があった。

Report

(5 results)
  • 2021 Annual Research Report   Final Research Report ( PDF )
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (8 results)

All 2022 2020 2019 2018

All Journal Article (2 results) (of which Peer Reviewed: 1 results,  Open Access: 1 results) Presentation (6 results)

  • [Journal Article] 特集 動作分析と臨床のマッチング 脳卒中片麻痺者の動作分析 上肢運動2022

    • Author(s)
      藤澤 祐基、岡島 康友
    • Journal Title

      理学療法ジャーナル

      Volume: 56 Issue: 5 Pages: 527-533

    • DOI

      10.11477/mf.1551202665

    • ISSN
      0915-0552, 1882-1359
    • Year and Date
      2022-05-15
    • Related Report
      2021 Annual Research Report
  • [Journal Article] Joint Tightening in Hemiplegic Handwriting2020

    • Author(s)
      Fujisawa Yuhki、Okajima Yasutomo、Hashidate Hiroyuki、Nakano Hisako
    • Journal Title

      Asian Journal of Occupational Therapy

      Volume: 16 Issue: 1 Pages: 71-81

    • DOI

      10.11596/asiajot.16.71

    • NAID

      130007905402

    • ISSN
      1347-3476, 1347-3484
    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 片麻痺側の利き手による書字―習熟運動の特徴―2020

    • Author(s)
      藤澤祐基,岡島康友,中野尚子
    • Organizer
      第50回日本臨床神経生理学会学術大会
    • Related Report
      2020 Research-status Report
  • [Presentation] 正準判別分析とランダムフォレスト法を用いた健常者、片麻痺手、小脳性運動失調症者の利き手書字の特徴抽出2019

    • Author(s)
      藤澤祐基,岡島康友,中野尚子
    • Organizer
      第56回日本リハビリテーション医学学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] 起き上がり動作の時系列的発達変化-骨格検出システムを用いて 第2報-2019

    • Author(s)
      藤澤祐基,中野尚子
    • Organizer
      第6回日本小児理学療法学術大会
    • Related Report
      2019 Research-status Report
  • [Presentation] 乳児における臥位から座位への起き上がり動作分析 第2報 - 複数観察者によるテキストマイニング -2019

    • Author(s)
      中野 尚子,藤澤 祐基,渡辺 はま,多賀 厳太郎
    • Organizer
      日本赤ちゃん学会第19回学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] 乳児の起き上がり動作分析 -骨格検出システムを用いて-2018

    • Author(s)
      藤澤祐基,中野尚子
    • Organizer
      日本発達神経科学学会第7回学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 乳児における臥位から座位への起き上がり動作分析2018

    • Author(s)
      中野尚子, 藤澤祐基, 儀間裕貴, 渡辺はま, 多賀厳太郎, 小西行郎
    • Organizer
      第5回日本小児理学療法学会学術大会
    • Related Report
      2018 Research-status Report

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Published: 2018-04-23   Modified: 2023-01-30  

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