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Establishment of new rehabilitation methods to prevent finger motor dysfunction in patient with cervical spondylotic myelopathy

Research Project

Project/Area Number 20K19344
Research Category

Grant-in-Aid for Early-Career Scientists

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

Principal Investigator

Date Shota  広島大学, 医系科学研究科(保), 助教 (30866869)

Project Period (FY) 2020-04-01 – 2024-03-31
Project Status Completed (Fiscal Year 2023)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2023: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Fiscal Year 2022: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Fiscal Year 2021: ¥390,000 (Direct Cost: ¥300,000、Indirect Cost: ¥90,000)
Fiscal Year 2020: ¥3,120,000 (Direct Cost: ¥2,400,000、Indirect Cost: ¥720,000)
Keywords頚髄症 / ウェアラブルセンサ / 手指 / 定量化 / リハビリテーション / ハンド / 整形外科 / 作業療法 / 手指運動機能 / 日常生活動作(ADL) / ジャイロセンサ / 筋電図
Outline of Research at the Start

本研究は、頸椎部圧迫性脊髄症(頸髄症)患者を対象に以下の研究を行う。
1. 手指運動機能を評価できるウェアラブルセンサを開発する
2. 頸髄症患者の手指運動の特徴を抽出し、定量化する
3. 日常生活動作との関連性を調査し、障害の早期発見や最適な治療を選択ができるプログラムを開発する
4. 個人の症状に合わせた運動法や補助具の使用を検討し、科学的根拠のあるリハビリテーション法を構築する

Outline of Final Research Achievements

To quantitatively evaluate the impairment of fine motor skills in patients with cervical myelopathy (CM), a small wearable sensor was attached to the fingers to investigate motor parameters during grip and release movements. The results showed that patients with CM showed a decrease in the number of grip and release, a decrease in movement speed, and an increase in the time required to switch between finger flexion and extension compared to healthy subjects. In addition, the results of pre-postoperative evaluation of the grip and release movements of patients with CM showed an increase in the number of grip and releases and speed of movement, but no change in the time required to switch between movements. In conclusion, the characteristics of hand movements in patients with CM were quantitatively clarified, and basic knowledge was obtained for the early detection of disability and proposal of exercise methods to prevent the progression of symptoms.

Academic Significance and Societal Importance of the Research Achievements

本研究では,術前頚髄症患者の手指運動の特徴をウェアラブルセンサを用いて定量化した.また,術前から術後における手指運動機能の経時的変化も評価することが可能となった.これらの結果は,頚髄症患者の手指運動障害の基礎的知見となり,運動の特徴に合わせた運動法の提案やリハビリテーション介入法の開発に貢献できる.

Report

(5 results)
  • 2023 Annual Research Report   Final Research Report ( PDF )
  • 2022 Research-status Report
  • 2021 Research-status Report
  • 2020 Research-status Report
  • Research Products

    (38 results)

All 2024 2023 2022 2021 2020

All Journal Article (13 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 13 results,  Open Access: 6 results) Presentation (25 results) (of which Int'l Joint Research: 4 results,  Invited: 1 results)

  • [Journal Article] The Effect of Lateral Wedge Insole on Gait Variability Assessed Using Wearable Sensors in Patients with Medial Compartment Knee Osteoarthritis2023

    • Author(s)
      Ishii Yosuke、Ishikawa Masakazu、Kurumadani Hiroshi、Sunagawa Toru、Date Shota、Takahashi Makoto、Iwamoto Yoshitaka、Adachi Nobuo
    • Journal Title

      Journal of Healthcare Engineering

      Volume: 2023 Issue: 1 Pages: 1-7

    • DOI

      10.1155/2023/6172812

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Effects of metacarpophalangeal joint position and finger joint movement speed on lumbrical muscle activity2023

    • Author(s)
      Kurumadani Hiroshi、Ueda Akio、Date Shota、Ishii Yosuke、Nakashima Yuko、Sunagawa Toru
    • Journal Title

      Hand Surgery and Rehabilitation

      Volume: 42 Issue: 5 Pages: 424-429

    • DOI

      10.1016/j.hansur.2023.06.004

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Measurement of the lumbrical muscle activity of the hand using electromyography supported by the ultrasound imaging technique with string navigation2023

    • Author(s)
      Kurumadani Hiroshi、Ueda Akio、Date Shota、Ishii Yosuke、Goto Naoya、Nakashima Yuko、Sunagawa Toru
    • Journal Title

      Journal of Biomechanics

      Volume: 158 Pages: 111748-111748

    • DOI

      10.1016/j.jbiomech.2023.111748

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Effect of extension of the ulnar fingers on force control and muscle activity of the hand during a precision pinch2023

    • Author(s)
      Date Shota、Kurumadani Hiroshi、Kurauchi Kazuya、Fukushima Toshiyuki、Goto Naoya、Sunagawa Toru
    • Journal Title

      Journal of Hand Surgery (European Volume)

      Volume: 49 Issue: 5 Pages: 608-616

    • DOI

      10.1177/17531934231211254

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Intramuscular and intermuscular coherence analysis while obstacle crossing during treadmill gait2023

    • Author(s)
      Wen Lin、Watanabe Tatsunori、Iwamoto Yoshitaka、Ishii Yosuke、Miyoshi Fumiya、Shiraishi Kanako、Date Shota、Siu Ka-Chun、Kirimoto Hikari、Takahashi Makoto
    • Journal Title

      Somatosensory & Motor Research

      Volume: 41 Issue: 4 Pages: 1-11

    • DOI

      10.1080/08990220.2023.2296516

    • Related Report
      2023 Annual Research Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] 症例報告 ロボット療法と課題練習によるピアノ演奏能力の改善2022

    • Author(s)
      石垣 賢和、花田 恵介、伊達 翔太、竹林 崇
    • Journal Title

      作業療法ジャーナル

      Volume: 56 Issue: 2 Pages: 177-181

    • DOI

      10.11477/mf.5001202883

    • ISSN
      0915-1354
    • Year and Date
      2022-02-15
    • Related Report
      2022 Research-status Report
    • Peer Reviewed
  • [Journal Article] Effect of the position of the interphalangeal joint on movements of the trapeziometacarpal joint during thumb opposition2022

    • Author(s)
      Kurumadani Hiroshi、Kurauchi Kazuya、Date Shota、Ishii Yosuke、Sunagawa Toru
    • Journal Title

      Journal of Hand Surgery (European Volume)

      Volume: 47 Issue: 5 Pages: 495-500

    • DOI

      10.1177/17531934211065879

    • Related Report
      2022 Research-status Report
    • Peer Reviewed
  • [Journal Article] Correlation between kinesthetic motor imagery of an amputated limb and phantom limb pain2022

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

      Prosthetics and Orthotics International

      Volume: 46 Issue: 4 Pages: 320-326

    • DOI

      10.1097/pxr.0000000000000122

    • Related Report
      2022 Research-status Report
    • Peer Reviewed
  • [Journal Article] Brachialis Muscle Activity Can Be Measured With Surface Electromyography: A Comparative Study Using Surface and Fine-Wire Electrodes2021

    • Author(s)
      Date Shota、Kurumadani Hiroshi、Nakashima Yuko、Ishii Yosuke、Ueda Akio、Kurauchi Kazuya、Sunagawa Toru
    • Journal Title

      Frontiers in Physiology

      Volume: 12 Pages: 1-7

    • DOI

      10.3389/fphys.2021.809422

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Quantitative evaluation of abnormal finger movements in myelopathy hand during the grip and release test using gyro sensors2021

    • Author(s)
      Date S, Nakanishi K, Fujiwara Y, Yamada K, Kamei N, Kurumadani H, Yoshimura M, Ueda A, Ishii Y, Ohta R, Kotaka S, Tsuchikawa Y, Nakamae T, Ishikawa M, Hirao K, Fujimoto Y, Adachi N, Sunagawa T.
    • Journal Title

      PLOS ONE

      Volume: 16 Issue: 10 Pages: e0258808-e0258808

    • DOI

      10.1371/journal.pone.0258808

    • Related Report
      2021 Research-status Report
    • Peer Reviewed / Open Access
  • [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 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 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 Research-status Report
    • Peer Reviewed / Open Access
  • [Presentation] 術後頚髄症患者の手指運動機能の経時的変化とADLとの関係2024

    • Author(s)
      伊達翔太,藤原靖,山田清貴,車谷洋,砂川融
    • Organizer
      第29回広島県作業療法学会
    • Related Report
      2023 Annual Research Report
  • [Presentation] 鏡視下腱板修復術後患者の日常生活での上肢使用状況の変化2024

    • Author(s)
      福島敏之,車谷洋,伊達翔太,中邑祥博,砂川融
    • Organizer
      第29回広島県作業療法学会
    • Related Report
      2023 Annual Research Report
  • [Presentation] 手指関節運動シナジーの臨床応用に向けた研究2023

    • Author(s)
      車谷洋,伊達翔太,倉内和哉,砂川融
    • Organizer
      第35回日本ハンドセラピィ学会学術集会
    • Related Report
      2023 Annual Research Report
  • [Presentation] Effects of motor nerve conduction abnormality and thenar muscle atrophy for thumb joint movements in patients with carpal tunnel syndrome2023

    • Author(s)
      Hiroshi Kurumadani, Akira Kodama, Teruyasu Tanaka, Shota Date, Toru Sunagawa
    • Organizer
      13th Asian-Pacific Federation of Societies for Surgery of the Hand, 9th Asian-Pacific Federation of Societies for Hand Therapy congress
    • Related Report
      2023 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Electrophysiological Validation of the Brachialis and Biceps Brachii Functions in Dynamic Elbow Flexion2023

    • Author(s)
      Shota Date, Hiroshi Kurumadani, Kazuya Kurauchi, Yosuke Ishii, Toru Sunagawa
    • Organizer
      XXVIII Federation of European Societies for Surgery of the Hand
    • Related Report
      2023 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Coordinated muscle activity during chopstick manipulation2023

    • Author(s)
      Kazuya Kurauchi, Hiroshi Kurumadani, Shota Date, Toru Sunagawa
    • Organizer
      XXIX Congress of International Society of Biomechanics
    • Related Report
      2023 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 肘屈曲運動時における上腕筋および上腕二頭筋の役割の違い~表面筋電図を用いた検討~2023

    • Author(s)
      伊達翔太,倉内和哉,車谷洋,砂川融
    • Organizer
      第38回日本整形外科学会基礎学術集会
    • Related Report
      2023 Annual Research Report
  • [Presentation] 尺側指の伸展がつまみ動作時の力制御と手指筋活動へ与える影響2023

    • Author(s)
      伊達翔太,車谷洋,砂川融
    • Organizer
      第57回日本作業療法学会
    • Related Report
      2023 Annual Research Report
  • [Presentation] 示指分回し運動時における尺側指の伸展が手指筋活動に与える影響2023

    • Author(s)
      倉内和哉,伊達翔太,車谷洋,砂川融
    • Organizer
      第57回日本作業療法学会
    • Related Report
      2023 Annual Research Report
  • [Presentation] 箸開閉操作時の手指関節運動と関節間協調運動の特徴2023

    • Author(s)
      車谷洋, 倉内和哉,伊達翔太,後藤直哉,福島敏之,砂川融
    • Organizer
      第57回日本作業療法学会
    • Related Report
      2023 Annual Research Report
  • [Presentation] 手関節肢位が虫様筋の筋活動に与える影響2023

    • Author(s)
      後藤直哉,車谷洋,上田章雄,伊達翔太,砂川融
    • Organizer
      第57回日本作業療法学会
    • Related Report
      2023 Annual Research Report
  • [Presentation] 鏡視下腱板修復術後患者の上肢活動量 -三軸加速度計を用いた横断的研究-2023

    • Author(s)
      福島敏之,車谷洋,伊達翔太,中邑祥博,砂川融
    • Organizer
      第57回日本作業療法学会
    • Related Report
      2023 Annual Research Report
  • [Presentation] 患者に連れ添う最先端医療:モバイル端末を用いた患者・病態評価 頸髄症患者の手指運動の特徴 ジャイロセンサーを用いた定量的評価2022

    • Author(s)
      伊達 翔太, 中西 一義, 藤原 靖, 山田 清貴, 亀井 直輔, 車谷 洋, 藤本 吉範, 安達 伸生, 砂川 融
    • Organizer
      第95回日本整形外科学会学術集会
    • Related Report
      2022 Research-status Report
    • Invited
  • [Presentation] 極小筋に対する表面電極貼付の超音波エコーを使った一工夫 手の虫様筋の計測2022

    • Author(s)
      車谷 洋, 上田 章雄, 石井 陽介, 伊達 翔太, 中島 祐子, 砂川 融
    • Organizer
      第33回日本整形外科超音波学会
    • Related Report
      2022 Research-status Report
  • [Presentation] エコーによる筋の位置同定と筋電図計測への応用 上腕筋の筋活動計測2022

    • Author(s)
      伊達 翔太, 車谷 洋, 中島 祐子, 石井 陽介, 砂川 融
    • Organizer
      第33回日本整形外科超音波学会
    • Related Report
      2022 Research-status Report
  • [Presentation] 上肢挙上動作時の肩関節周囲筋の筋活動 筋シナジー解析を用いた筋協調性の定量評価2022

    • Author(s)
      伊達 翔太, 原田 洋平, 車谷 洋, 横矢 晋, 安達 伸生, 砂川 融
    • Organizer
      第37回日本整形外科学会基礎学術集会
    • Related Report
      2022 Research-status Report
  • [Presentation] The characteristics of the muscle activity and coordination of the elbow flexors - a surface electromyographic study2022

    • Author(s)
      S. Date , K. Kurauchi, H. Kurumadani, A. Ueda, T. Sunagawa
    • Organizer
      International Federation of Societies for Surgery of the Hand - International Federation of Societies for Hand Therapy - Federation of European Societies for Surgery of the Hand Congress
    • Related Report
      2022 Research-status Report
  • [Presentation] Comparing Surface and Intramuscular Electromyography Patterns of the Brachialis Muscle during the Dynamic Elbow Movement2021

    • Author(s)
      Shota Date, Hiroshi Kurumadani, Yuko Nakashima, Akio Ueda, Toru Sunagawa
    • Organizer
      The XXVIII Congress of the International Society of Biomechanics
    • Related Report
      2021 Research-status Report
    • Int'l Joint Research
  • [Presentation] 頸髄症患者の手指運動の特徴 ウェアラブルセンサを用いた定量的評価2020

    • Author(s)
      伊達翔太、中西一義、車谷洋、 亀井直輔、 中前稔生、 土川雄司、山田清貴、平尾健、藤本吉範、安達伸生、砂川融
    • Organizer
      第35日本整形外科学会基礎学術集会
    • Related Report
      2020 Research-status Report
  • [Presentation] 頚髄症患者の手指運動障害の特徴および手指機能とADLとの関係2020

    • Author(s)
      伊達翔太、中西一義、藤原靖、山田清貴、藤本吉範、車谷洋、亀井直輔、安達伸夫、砂川融
    • Organizer
      第14回日本作業療法研究学会
    • Related Report
      2020 Research-status Report
  • [Presentation] 手根管症候群が母指運動へ及ぼす影響 モーションキャプチャーシステムを用いた母指三次元動作解析2020

    • Author(s)
      兒玉祥、車谷洋、伊達翔太、後藤直哉、四宮陸雄、中島祐子、砂川融、安達伸生
    • Organizer
      第35日本整形外科学会基礎学術集会
    • Related Report
      2020 Research-status Report
  • [Presentation] 手根管症候群と母指CM関節症の母指代償運動パターンに関する研究2020

    • Author(s)
      車谷洋、兒玉祥、四宮陸雄、中島祐子、後藤直哉、伊達翔太、安達伸生、砂川融
    • Organizer
      第35日本整形外科学会基礎学術集会
    • Related Report
      2020 Research-status Report
  • [Presentation] 手根管症候群術後運動機能評価としての母指3次元動作解析法の検討2020

    • Author(s)
      兒玉祥、車谷洋、伊達翔太、後藤直哉、四宮陸雄、中島祐子、砂川融、安達伸生
    • Organizer
      第63回日本手外科学会
    • Related Report
      2020 Research-status Report
  • [Presentation] 手根管症候群と母指CM関節症の母指運動障害の特徴2020

    • Author(s)
      車谷洋、兒玉祥、伊達翔太、安達伸生、砂川融
    • Organizer
      第63回日本手外科学会
    • Related Report
      2020 Research-status Report
  • [Presentation] ボール回転運動時の手指関節運動の協調性 -運動シナジー解析から-2020

    • Author(s)
      車谷洋、後藤直哉、伊達翔太、砂川融
    • Organizer
      中部日本ハンドセラピィ研究会
    • Related Report
      2020 Research-status Report

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Published: 2020-04-28   Modified: 2025-01-30  

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