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Standardized ADL Rehabilitation for Stroke - Development of objective indicators of functions and targets for intervention

Research Project

Project/Area Number 18K17728
Research Category

Grant-in-Aid for Early-Career Scientists

Allocation TypeMulti-year Fund
Review Section Basic Section 59010:Rehabilitation science-related
Research InstitutionFukushima Medical University (2020-2022)
Tohoku Fukushi University (2018-2019)

Principal Investigator

Fujita Takaaki  福島県立医科大学, 保健科学部, 准教授 (50735636)

Project Period (FY) 2018-04-01 – 2023-03-31
Project Status Completed (Fiscal Year 2022)
Budget Amount *help
¥3,380,000 (Direct Cost: ¥2,600,000、Indirect Cost: ¥780,000)
Fiscal Year 2021: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2020: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2019: ¥520,000 (Direct Cost: ¥400,000、Indirect Cost: ¥120,000)
Fiscal Year 2018: ¥1,040,000 (Direct Cost: ¥800,000、Indirect Cost: ¥240,000)
Keywordsリハビリテーション / 脳卒中 / 日常生活活動 / 作業療法 / ADL
Outline of Final Research Achievements

We identified physical and cognitive functions and their levels (e.g., cutoff values) associated with activities of daily living (dressing, toileting, walking, and bathing), self-care, and upper limb function in stroke patients. The effects of interaction among physical and cognitive functions on activities of daily living were also identified. These findings will serve as objective indices for prognosis prediction and effective intervention in rehabilitation, and will provide basic data for standardized rehabilitation for stroke patients.

Academic Significance and Societal Importance of the Research Achievements

脳卒中患者の日常生活活動の自立度向上を目的とした機能回復練習は、リハビリテーション技師一人ひとりの臨床経験に基づく判断で行われており、内容の均質性に課題があった。各日常生活活動に必要な心身機能の水準を明らかにした本研究知見は、リハビリテーション技師間の介入方針の標準化を可能とし、過不足のないリハの実施に役立つと思われる。

Report

(6 results)
  • 2022 Annual Research Report   Final Research Report ( PDF )
  • 2021 Research-status Report
  • 2020 Research-status Report
  • 2019 Research-status Report
  • 2018 Research-status Report
  • Research Products

    (21 results)

All 2022 2021 2020 2019 2018

All Journal Article (7 results) (of which Peer Reviewed: 7 results,  Open Access: 4 results) Presentation (14 results)

  • [Journal Article] Relationship between post stroke duration and balance function necessary for performing activities of daily living independently in stroke patients on the convalescence2021

    • Author(s)
      Fujita Takaaki、Kisara Yuta、Iokawa Kazuaki、Sone Toshimasa、Yamane Kazuhiro、Yamamoto Yuichi、Ohira Yoko、Otsuki Koji
    • Journal Title

      Journal of allied health sciences

      Volume: 12 Issue: 1 Pages: 24-30

    • DOI

      10.15563/jalliedhealthsci.12.24

    • NAID

      130008020237

    • ISSN
      2185-0399
    • Year and Date
      2021-04-01
    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Impact of Sensory Impairment on Improvement of Upper-limb Function in Patients under 75 Years of Age with Subacute Stroke: A Preliminary Study2021

    • Author(s)
      Fujita Takaaki、Sone Toshimasa、Yamamoto Yuichi、Yamane Kazuhiro、Tsuchiya Kenji、Ohira Yoko、Otsuki Koji、Iokawa Kazuaki
    • Journal Title

      Progress in Rehabilitation Medicine

      Volume: 6 Issue: 0 Pages: n/a

    • DOI

      10.2490/prm.20210045

    • NAID

      130008120884

    • ISSN
      2432-1354
    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Interactions of Cognitive and Physical Functions Associated with Toilet Independence in Stroke Patients2021

    • Author(s)
      Fujita Takaaki、Yamamoto Yuichi、Yamane Kazuhiro、Ohira Yoko、Otsuki Koji、Sone Toshimasa、Iokawa Kazuaki
    • Journal Title

      Journal of Stroke and Cerebrovascular Diseases

      Volume: 30 Issue: 4 Pages: 105641-105641

    • DOI

      10.1016/j.jstrokecerebrovasdis.2021.105641

    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] Functions necessary for gait independence in patients with stroke: A study using decision tree2020

    • Author(s)
      Fujita Takaaki、Ohashi Yuji、Kurita Megumi、Yamane Kazuhiro、Yamamoto Yuichi、Sone Toshimasa、Ohira Yoko、Otsuki Koji、Iokawa Kazuaki
    • Journal Title

      Journal of Stroke and Cerebrovascular Diseases

      Volume: 29 Issue: 8 Pages: 104998-104998

    • DOI

      10.1016/j.jstrokecerebrovasdis.2020.104998

    • Related Report
      2020 Research-status Report
    • Peer Reviewed
  • [Journal Article] Relationship between the number of samples and the accuracy of the prediction model for dressing independence using artificial neural networks in stroke patients2020

    • Author(s)
      Takaaki Fujita, Takuro Ohashi, Kazuhiro Yamane, Yuichi Yamamoto, Toshimasa Sone, Yoko Ohira, Koji Otsuki, Kazuaki Iokawa
    • Journal Title

      Japanese Journal of Comprehensive Rehabilitation Science

      Volume: 11 Issue: 0 Pages: 28-34

    • DOI

      10.11336/jjcrs.11.28

    • NAID

      130007830986

    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effects of the Interaction among Motor Functions on Self-care in Individuals with Stroke2019

    • Author(s)
      Fujita Takaaki、Iokawa Kazuaki、Sone Toshimasa、Yamane Kazuhiro、Yamamoto Yuichi、Ohira Yoko、Otsuki Koji
    • Journal Title

      Journal of Stroke and Cerebrovascular Diseases

      Volume: 28 Issue: 11 Pages: 104387-104387

    • DOI

      10.1016/j.jstrokecerebrovasdis.2019.104387

    • Related Report
      2019 Research-status Report
    • Peer Reviewed
  • [Journal Article] Use of a multilayer perceptron to create a prediction model for dressing independence in a small sample at a single facility2019

    • Author(s)
      Fujita Takaaki、Sato Atsushi、Narita Akira、Sone Toshimasa、Iokawa Kazuaki、Tsuchiya Kenji、Yamane Kazuhiro、Yamamoto Yuichi、Ohira Yoko、Otsuki Koji
    • Journal Title

      Journal of Physical Therapy Science

      Volume: 31 Issue: 1 Pages: 69-74

    • DOI

      10.1589/jpts.31.69

    • NAID

      130007554976

    • ISSN
      0915-5287, 2187-5626
    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] XGBoostは回復期リハ病棟脳卒中患者の自宅退院の予測精度をどこまで高めることができるか2022

    • Author(s)
      藤田貴昭,山本優一,栗田恵(PT),曽根稔雅,五百川和明
    • Organizer
      第56回日本作業療法学会
    • Related Report
      2022 Annual Research Report
  • [Presentation] 脳卒中患者の感覚障害は年齢との相互作用により上肢機能の改善に影響を与える2021

    • Author(s)
      藤田貴昭,土屋謙仕,曽根稔雅,山根和広,五百川和明
    • Organizer
      第55回日本作業療法学会
    • Related Report
      2021 Research-status Report
  • [Presentation] 混迷する感覚障害の上肢機能改善に与える影響に対する新しい解釈-年齢との交互作用2021

    • Author(s)
      藤田貴昭,曽根稔雅,山根和広,山本優一,五百川和明
    • Organizer
      第31回東北作業療法学会
    • Related Report
      2021 Research-status Report
  • [Presentation] 回復期リハ病棟の脳卒中患者におけるトイレ自立可否と関連する要因の交互作用-2要因が組み合わさることでの影響-2020

    • Author(s)
      藤田貴昭,木皿悠太,大橋拓朗,山本優一,五百川和明
    • Organizer
      第54回日本作業療法学会
    • Related Report
      2020 Research-status Report
  • [Presentation] 脳卒中患者における回復期リハ病棟退院時の入浴自立可否の予測モデル-決定木を用いた分析-2020

    • Author(s)
      木皿悠太,藤田貴昭,山根和広,山本優一,五百川和明
    • Organizer
      第54回日本作業療法学会
    • Related Report
      2020 Research-status Report
  • [Presentation] 決定木を用いた脳卒中患者トイレ自立の予測モデルの作成2020

    • Author(s)
      木皿悠太,藤田貴昭,山根和広,山本優一,五百川和広
    • Organizer
      第30回東北作業療法学会
    • Related Report
      2020 Research-status Report
  • [Presentation] 回復期リハ病棟の脳卒中患者における転帰先に対する年齢と心身機能の交互作用の影響2020

    • Author(s)
      山根和広,藤田貴昭,曽根稔雅,山本優一,五百川和明
    • Organizer
      第30回東北作業療法学会
    • Related Report
      2020 Research-status Report
  • [Presentation] 脳卒中患者のセルフケアと上肢機能およびバランス機能の関連性は経時的に変化する2019

    • Author(s)
      藤田貴昭,五百川和明,佐藤惇史,山根和広,山本優一
    • Organizer
      第29回東北作業療法学会
    • Related Report
      2019 Research-status Report
  • [Presentation] 回復期リハビリテーション病棟の脳卒中患者における決定木を用いた転帰先の予測2019

    • Author(s)
      山根和広,藤田貴昭,五百川和明,山本優一
    • Organizer
      第53回日本作業療法学会
    • Related Report
      2019 Research-status Report
  • [Presentation] 脳卒中患者の歩行自立に対する麻痺側膝伸展筋力と固有受容覚の交互作用の影響力2019

    • Author(s)
      栗田恵,藤田貴昭,山根和広,山本優一,曽根稔雅,五百川和明
    • Organizer
      第3回日本リハビリテーション医学会秋季学術集会
    • Related Report
      2019 Research-status Report
  • [Presentation] トイレ動作の自立に必要なバランスの経時的変化2019

    • Author(s)
      木皿悠太、藤田貴昭、佐藤惇史、大橋拓朗、大橋悠司、山根和広、山本優一、曽根稔雅、五百川和明
    • Organizer
      第44回日本脳卒中学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 脳卒中患者の歩行の自立に必要な下肢機能‐決定木による分析2019

    • Author(s)
      大橋悠司、藤田貴昭、佐藤惇史、木皿悠太、大橋拓朗、山根和広、山本優一、曽根稔雅、五百川和明
    • Organizer
      第44回日本脳卒中学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 多層パーセプトロンを用いたADL予後予測モデルの精度とサンプル数の関係2019

    • Author(s)
      大橋拓朗、藤田貴昭、佐藤惇史、大橋悠司、木皿悠太、山根和広、山本優一、曽根稔雅、五百川和明
    • Organizer
      第44回日本脳卒中学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 回復期リハ病棟の脳卒中患者における更衣自立の予測モデル2018

    • Author(s)
      藤田貴昭、佐藤惇史、山根和広、山本優一、五百川和明
    • Organizer
      第52回日本作業療法学会
    • Related Report
      2018 Research-status Report

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Published: 2018-04-23   Modified: 2024-01-30  

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