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Development of a type specific physical therapy approach for osteoarthritis of the hip and knee

Research Project

Project/Area Number 23300200
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Rehabilitation science/Welfare engineering
Research InstitutionKyoto University

Principal Investigator

ICHIHASHI NORIAKI  京都大学, 医学(系)研究科(研究院), 教授 (50203104)

Co-Investigator(Kenkyū-buntansha) TATEUCHI Hiroshige  京都大学, 医学研究科, 助教 (60432316)
IKEZOE Tome  京都大学, 医学研究科, 講師 (10263146)
Co-Investigator(Renkei-kenkyūsha) TSUBOYAMA Tadao  京都大学, 医学研究科, 教授 (90261221)
Project Period (FY) 2011-04-01 – 2015-03-31
Project Status Completed (Fiscal Year 2014)
Budget Amount *help
¥18,590,000 (Direct Cost: ¥14,300,000、Indirect Cost: ¥4,290,000)
Fiscal Year 2013: ¥2,860,000 (Direct Cost: ¥2,200,000、Indirect Cost: ¥660,000)
Fiscal Year 2012: ¥4,420,000 (Direct Cost: ¥3,400,000、Indirect Cost: ¥1,020,000)
Fiscal Year 2011: ¥11,310,000 (Direct Cost: ¥8,700,000、Indirect Cost: ¥2,610,000)
Keywords変形性関節症 / トレーニング / 理学療法 / 歩行分析 / 膝関節 / 歩行 / 内反モーメント / 動作解析
Outline of Final Research Achievements

Gait analysis for osteoarthritis patients revealed that 1) variation in knee and hip motion during gait leads to different dynamic load, and that 2) difference in gait characteristics correlates with physical function such as muscle strength which is related to dynamic load. These results suggests that type specific physical therapy approach depending on gait characteristics may be useful for treatment of osteoarthritis. Our results also indicated that the use of unstable shoes for gait training, and high velocity resistance training may be effective for osteoarthritis patients.

Report

(4 results)
  • 2014 Final Research Report ( PDF )
  • 2013 Annual Research Report
  • 2012 Annual Research Report
  • 2011 Annual Research Report
  • Research Products

    (35 results)

All 2014 2013 2012 2011

All Journal Article (11 results) (of which Peer Reviewed: 11 results) Presentation (24 results)

  • [Journal Article] Compensatory turning strategies while walking in patients with hip osteoarthritis.2014

    • Author(s)
      Tateuchi H,Tsukagoshi R,Fukumoto Y, Akiyama H, So K, Yutaka Kuroda, Ichihashi N
    • Journal Title

      Gait Posture.

      Volume: 39(4) Issue: 4 Pages: 1133-7

    • DOI

      10.1016/j.gaitpost.2014.01.021

    • NAID

      120005439552

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Immediate effect of Masai Barefoot Technology shoes on knee joint moments in women with knee osteoarthritis.2014

    • Author(s)
      Tateuchi H, Taniguchi M, Takagi Y, Goto Y, Otsuka N, Koyama Y, Kobayashi M, Ichihashi N
    • Journal Title

      Gait Posture.

      Volume: 40(1): Issue: 1 Pages: 204-8

    • DOI

      10.1016/j.gaitpost.2014.03.190

    • NAID

      120005439551

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Functional performance of female patients more than 6 months after total hip arthroplasty shows greater improvement with weight-bearing exercise than withnon-weight-bearing exercise: a randomized controlled trial.2014

    • Author(s)
      Tsukagoshi R, Tateuchi H, Fukumoto Y, Ibuki S, Akiyama H, So K, Kuroda Y, Okumura H, Ichihashi N
    • Journal Title

      European J Phys Med Rehabil Med.

      Volume: 50(6) Pages: 665-75

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] The effect of walking speed on gait kinematics and kinetics afterendoprosthetic knee replacement following bone tumor resection.2014

    • Author(s)
      Okita Y, Tatematsu N, Nagai K, Nakayama T, Nakamata T, Okamoto T, Toguchida J, Ichihashi N, Matsuda S, Tsuboyama T
    • Journal Title

      Gait Posture

      Volume: 40(4) Issue: 4 Pages: 622-7

    • DOI

      10.1016/j.gaitpost.2014.07.012

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Effects of High-Velocity Resistance Training on Muscle Function, Muscle Property and Physical Performance in Individuals with Hip Osteoarthritis: a Randomized Controlled Trial.2014

    • Author(s)
      Fukumoto Y, Tateuchi H, Ikezoe T, Tsukagoshi R, Akiyama H, So K, Kuroda Y, Ichihashi N.
    • Journal Title

      Clin Rehabil.

      Volume: 28(1) Issue: 1 Pages: 48-58

    • DOI

      10.1177/0269215513492161

    • Related Report
      2013 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Pelvic instability and trunk and hip muscle recruitment patterns in patients with total hip arthroplasty.2013

    • Author(s)
      Tateuchi H, Tsukagoshi R, Fukumoto Y, Akiyama H, So K, Kuroda Y, Ichihashi N
    • Journal Title

      J Electromyogr Kinesiol

      Volume: 23 Pages: 151-8

    • NAID

      120005241436

    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Changes in Hip and Knee Muscle Strength in Patients following Total Hip Arthroplasty.2013

    • Author(s)
      Fukumoto Y, Ohata K, Tsukagoshi R, Kawanabe K, Akiyama H, Mata T, Kimura M, Ichihashi N.
    • Journal Title

      J Jpn Phys Ther Assoc

      Volume: 16 Pages: 22-27

    • NAID

      130004431355

    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Muscle mass and composition of the hip, thigh and abdominal muscles in women with and without hip osteoarthritis.2012

    • Author(s)
      Fukumoto Y, Ikezoe T, Tateuchi H, Tsukagoshi R, Akiyama H, So K, Kuroda Y, Yoneyama T, Ichihashi N.
    • Journal Title

      Ultrasound Med Biol.

      Volume: 38 Pages: 1540-1545

    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Stepping exercises improve muscle strength in the early postoperative phase after total hip arthroplasty: a retrospective study.2012

    • Author(s)
      Tsukagoshi R, Tateuchi H, Fukumoto Y, Okumura H, Ichihashi N.
    • Journal Title

      Am J Phys Med Rehabil

      Volume: 91 Pages: 43-52

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Dynamic hip joint stiffness in individuals with total hip arthroplasty: Relationships between hip impairments and dynamics of the other joints2011

    • Author(s)
      Tateuchi H, Tsukagoshi R, Fukumoto Y, Oda S, Ichihashi N
    • Journal Title

      Clinical Biomechanics

      Volume: 26 Pages: 598-604

    • NAID

      120003072127

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Immediate effects of different ankle pushoff instructions during walking exercise on hip kinematics and kinetics in individuals with total hip arthroplasty.2011

    • Author(s)
      Tateuchi H, Tsukagoshi R, Fukumoto Y, Oda S, Ichihashi N
    • Journal Title

      Gait Posture

      Volume: 33 Pages: 609-614

    • NAID

      120003072126

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Presentation] 変形性膝関節症患者における降段動作のパフォーマンスと運動学的・運動力学的変数の関連.2014

    • Author(s)
      小山 優美子,建内 宏重,西村 里穂,季 翔,梅垣 雄心,小林 政史,市橋 則明
    • Organizer
      第 41 回日本臨床バイオメカニクス学会
    • Place of Presentation
      奈良
    • Year and Date
      2014-11-21 – 2014-11-22
    • Related Report
      2013 Annual Research Report
  • [Presentation] 弾性ストラップによる立位・歩行時の股・膝関節アライメントの変化- 股関節サポーターの開発に向けた予備的研究.2014

    • Author(s)
      建内 宏重、小山 優美子、市橋 則明
    • Organizer
      第 41 回日本臨床バイオメカニクス学会
    • Place of Presentation
      奈良
    • Year and Date
      2014-11-21 – 2014-11-22
    • Related Report
      2013 Annual Research Report
  • [Presentation] Relationship between knee joint load and muscle activity of the lower Extremity in patients with medial knee osteoarthritis.2014

    • Author(s)
      Koyama Y, Tateuchi H, Saida K, Ji X, Umegaki H, Nishimura R, Kobayashi M, Ichihashi N
    • Organizer
      The XX ISEK Conference.
    • Place of Presentation
      Rome, Italy.
    • Year and Date
      2014-07-15 – 2014-07-18
    • Related Report
      2013 Annual Research Report
  • [Presentation] 変形性膝関節症患者の screw home movement に影響を与える因子の検討.2014

    • Author(s)
      小山 優美子, 建内 宏重, 齊田 高介, 季 翔, 梅垣 雄心, 西村 里穂, 小林 政史, 市橋 則明
    • Organizer
      第 49 回日本理学療法学術大会
    • Place of Presentation
      横浜
    • Year and Date
      2014-05-31 – 2014-06-01
    • Related Report
      2013 Annual Research Report
  • [Presentation] 変形性股関節症患者の歩行時股関節モーメントの推定に有用な運動学的変数は何か?2014

    • Author(s)
      建内 宏重, 塚越 累, 福元 喜啓, 黒田 隆, 宗 和隆, 秋山 治彦, 市橋 則明
    • Organizer
      第 49 回日本理学療法学術大会
    • Place of Presentation
      横浜
    • Year and Date
      2014-05-30 – 2014-06-01
    • Related Report
      2013 Annual Research Report
  • [Presentation] 人工股関節置換術後患者における起立動作の運動力学的非対称性と下肢筋力との関連.2014

    • Author(s)
      塚越 累, 建内 宏重, 福元 喜啓, 沖田 祐介, 秋山 治彦, 宗 和隆, 黒田 隆, 市橋 則明.
    • Organizer
      第 49 回日本理学療法学術大会
    • Place of Presentation
      横浜
    • Year and Date
      2014-05-30 – 2014-06-01
    • Related Report
      2013 Annual Research Report
  • [Presentation] .歩隔の変化が歩行・階段昇降時の外部膝関節内反モーメントに及ぼす影響.2014

    • Author(s)
      白鳥 早樹子, 建内 宏重, 小山 優美子, 市橋 則明
    • Organizer
      第 49 回日本理学療法学術大会
    • Place of Presentation
      横浜
    • Year and Date
      2014-05-30 – 2014-06-01
    • Related Report
      2013 Annual Research Report
  • [Presentation] 変形性股関節症患者における段差昇段時の運動学的・運動力学的特徴.2014

    • Author(s)
      福元 喜啓, 建内 宏重, 塚越 累, 沖田 祐介, 秋山 治彦, 宗 和隆, 黒田 隆, 市橋 則明
    • Organizer
      第 49 回日本理学療法学術大会
    • Place of Presentation
      横浜
    • Year and Date
      2014-05-30 – 2014-06-01
    • Related Report
      2013 Annual Research Report
  • [Presentation] Effect of Masai barefoot technology shoes on knee joint moments in patients with knee osteoarthritis.2013

    • Author(s)
      Tateuchi H, Taniguchi M, Takagi Y, Goto Y, Otsuka N, Koyama Y, Kobayashi M, Ichihashi N.
    • Organizer
      18th Annual Congress of the European College of Sport Science.
    • Place of Presentation
      Barcelona, Spain
    • Related Report
      2012 Annual Research Report
  • [Presentation] Factors related to knee adduction moment during gait differ with gait patterns in patients with knee osteoarthritis2013

    • Author(s)
      Koyama Y,Tateuchi H,Goto Y,Otsuka N,Kobayashi M,Ichihashi N
    • Organizer
      18th Annual Congress of the European College of Sport Science.
    • Place of Presentation
      Barcelona, Spain
    • Related Report
      2012 Annual Research Report
  • [Presentation] Compensatory mechanisms used by patients with hip osteoarthritis during walking and turning.2013

    • Author(s)
      Tateuchi H, Tsukagoshi R, Fukumoto Y, Kuroda Y, So K, Akiyama H, Ichihashi N.
    • Organizer
      XXIV Congress of the International Society of Biomechanics.
    • Place of Presentation
      Natal, Brazil.
    • Related Report
      2012 Annual Research Report
  • [Presentation] 変形性股関節症患者における方向転換方向時の動作特性.2013

    • Author(s)
      建内宏重, 塚越累,福元喜啓,黒田隆,宗和隆,秋山治彦,市橋則明
    • Organizer
      第48回日本理学療法学術大会
    • Place of Presentation
      愛知
    • Related Report
      2012 Annual Research Report
  • [Presentation] 変形性膝関節症患者における歩行パターン分類の試み クラスター分析による検討.2013

    • Author(s)
      小山優美子,建内宏重,後藤優育,大塚直輝,小林政史,市橋則明
    • Organizer
      第48回日本理学療法学術大会
    • Place of Presentation
      愛知
    • Related Report
      2012 Annual Research Report
  • [Presentation] 変形性股関節症患者における方向転換方向時の動作特性と機能評価スコアとの関連性.2013

    • Author(s)
      建内宏重, 塚越累,福元喜啓,黒田隆,宗和隆,秋山治彦,市橋則明
    • Organizer
      第40回日本股関節学会
    • Place of Presentation
      広島
    • Related Report
      2012 Annual Research Report
  • [Presentation] Gait parameters and knee adduction moment during walking in subjects with knee osteoarthritis2013

    • Author(s)
      Takagi Y, Tateuchi H, Goto Y, Otsuka N, Kobayashi M, Sato K, Ichihashi N
    • Organizer
      2nd Joint World Congress of the International Society for Posture & Gait Research (ISPGR) and Gait & Mental Function
    • Place of Presentation
      Akita, Japan
    • Related Report
      2011 Annual Research Report
  • [Presentation] Factors associated with restricted hip extension during gait in women after total hip arthroplasty2012

    • Author(s)
      Tsukagoshi R, Akiyama H, So K, Kuroda Y, Ichihashi N, Tateuchi H, Fukumoto Y
    • Organizer
      XIX Congress of the International Society of Electrophysiology and Kinesiology
    • Place of Presentation
      Brisbane, Australia
    • Related Report
      2011 Annual Research Report
  • [Presentation] Pelvic instability and delayed onset of the lumbar multifidus during prone hip extension in patients with total hip arthroplasty2012

    • Author(s)
      Tateuchi H, Tsukagoshi R, Fukumoto Y, Ichihashi
    • Organizer
      XIX Congress of the International Society of Electrophysiology and Kinesiology
    • Place of Presentation
      Brisbane, Australia
    • Related Report
      2011 Annual Research Report
  • [Presentation] 変形性膝関節症患者における重錘把持での歩行が膝内反モーメントに与える影響2012

    • Author(s)
      高木 優衣, 建内 宏重, 後藤 優育, 大塚 直輝, 小林 政史, 市橋則明
    • Organizer
      第47回日本理学療法学術大会
    • Place of Presentation
      兵庫
    • Related Report
      2011 Annual Research Report
  • [Presentation] 変形性膝関節症患者の歩行、立ち上がり動作、段階昇降動作時の膝関節モーメントの比較2012

    • Author(s)
      後藤 優育, 建内 宏重, 福元 喜啓, 高木 優衣, 大塚 直輝, 小林 政史, 市橋則明
    • Organizer
      第47回日本理学療法学術大会
    • Place of Presentation
      兵庫
    • Related Report
      2011 Annual Research Report
  • [Presentation] THA術後患者における歩行時の股関節パワーに影響を与える要因2012

    • Author(s)
      建内 宏重,塚越累,福元喜啓,秋山治彦,黒田隆,宗和隆,市橋則明
    • Organizer
      第39回日本股関節学会
    • Place of Presentation
      新潟
    • Related Report
      2011 Annual Research Report
  • [Presentation] Hip joint stiffness during walking in individuals with total hip arthroplasty2011

    • Author(s)
      Tateuchi H, Tsukagoshi R, Fukumoto Y, Oda S, Ichihashi N
    • Organizer
      The 16th international WCPT congress
    • Place of Presentation
      Amsterdam, Netherlands
    • Related Report
      2011 Annual Research Report
  • [Presentation] Stepping exercise improves muscle strength in the early postoperative phase after total hip arthroplasty. A clinical controlled trial2011

    • Author(s)
      Tsukagoshi R, Tateuchi H, Fukumoto Y, Okumura H, Ichihashi N
    • Organizer
      The 16th international WCPT congress
    • Place of Presentation
      Amsterdam, Netherlands
    • Related Report
      2011 Annual Research Report
  • [Presentation] 人工股関節全置換術術後患者における歩行時の股関節スティフネス 股関節の一次的障害と二次的問題との関連性2011

    • Author(s)
      建内宏重,塚越累, 福元喜啓, 小田伸午, 市橋則明
    • Organizer
      第46回日本理学療法学術大会
    • Place of Presentation
      宮崎
    • Related Report
      2011 Annual Research Report
  • [Presentation] 人工股関節全置換術術後患者における歩行時の下肢筋張力の推定. -患者個別筋骨格モデルシミュレーション解析による予備的研究-2011

    • Author(s)
      建内宏重, 塚越累, 福元喜啓, 沖田祐介, 市橋則明, 坪山直生, 黒田隆, 宗和隆, 秋山治彦
    • Organizer
      第38回日本股関節学会
    • Place of Presentation
      鹿児島
    • Related Report
      2011 Annual Research Report

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Published: 2011-04-06   Modified: 2019-07-29  

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