Establishment of a quantitative index for stroke patient's gait training

• Project/Area Number: 25750235
• Research Category: Grant-in-Aid for Young Scientists (B)
• Allocation Type: Multi-year Fund
• Research Field: Rehabilitation science/Welfare engineering
• Research Institution: Fujita Health University
• Principal Investigator: Tanino Genichi 藤田保健衛生大学, 藤田記念七栗研究所, 助教 (70631753)
• Project Period (FY): 2013-04-01 – 2017-03-31
• Project Status: Completed (Fiscal Year 2016)
• Budget Amount: ¥4,030,000 (Direct Cost: ¥3,100,000、Indirect Cost: ¥930,000); Fiscal Year 2016: ¥130,000 (Direct Cost: ¥100,000、Indirect Cost: ¥30,000); Fiscal Year 2015: ¥2,210,000 (Direct Cost: ¥1,700,000、Indirect Cost: ¥510,000); Fiscal Year 2014: ¥260,000 (Direct Cost: ¥200,000、Indirect Cost: ¥60,000); Fiscal Year 2013: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
• Keywords: 脳卒中 / 片麻痺 / 歩行 / 関節角度

Outline of Final Research Achievements

The purpose of this study was to establish a gait training based on quantitative index for stroke patients. The subjects were stroke patients admitted to the Kaifukuki rehabilitation ward whose treadmill gait trainings were analyzed. The stroke patients were classified into sever, moderate, and mild paralysis after 2 weeks of hospitalization based on the function of their paralyzed lower limb. Maximum angles of the paralytic knee flexions at the stance and swing phases varied in patients with different paralysis severity. This suggests the need for a patient specific gait training index. By applying an electro-goniometer, we could verify possibility of the application of these indexes for gait training.

Research Products

• [Journal Article] 高強度・高密度リハビリテーションによる歩行再建 (2016)
  • Author(s): 冨田 憲，園田 茂，谷野元一，川上健司，加藤洋平
  • Journal Title: Jpn J Rehabil Med Volume: 53 Pages: 12-16
  • NAID: 130005125976
• [Journal Article] Influence of increased amount of exercise on improvements in walking ability of convalescent patients with post-stroke hemiplegia (2016)
  • Author(s): Kawakami K, Tanino G, Tomida K, Kato Y, Watanabe M, Okuyama Y, Sonoda S
  • Journal Title: J Phys Ther Sci Volume: 28 Pages: 602-606
  • NAID: 130005127359
  • Peer Reviewed
• [Journal Article] Changes in the gait ability of hemiplegic patients with stroke in the subacute phase: A pattern based on their gait ability and degree of lower extremity motor paralysis on admission (2014)
  • Author(s): Tanino G, Sonoda S, Watanabe M, Okuyama Y, Sasaki S, Murai H, Tomida K, Suzuki A, Kawakami K, Miyasaka H, Orand A, Tomita Y
  • Journal Title: Jpn J Compr Rehabil Sci Volume: 5 Pages: 40-49
  • NAID: 130005098610
  • Peer Reviewed / Open Access
• [Presentation] 回復期脳卒中片麻痺者の歩行における麻痺側遊脚期での膝関節屈曲角度 (2015)
  • Author(s): 小川浩紀, 谷野元一, 冨田憲, 鈴木享, 川上健司, 加藤洋平, 盛田豊次, 近藤 輝, 園田 茂
  • Organizer: 第13回日本臨床医療福祉学会
  • Place of Presentation: 愛知県名古屋市
  • Year and Date: 2015-08-27
• [Presentation] 回復期における脳卒中片麻痺患者の歩行の経時変化 (2014)
  • Author(s): 冨田 憲，鈴木 享，川上健司，加藤洋平，矢箆原隆造，山森裕之，小川浩紀，盛田豊次，谷野元一，富田 豊，園田 茂
  • Organizer: 第36回臨床歩行分析研究会定例会
  • Place of Presentation: 東京都大田区
  • Year and Date: 2014-10-24
• [Presentation] The Variation and Progress of the Assistance to the Walking of the Stroke (2013)
  • Author(s): Tanino G, Sonoda S, Watanabe M, Okuyama Y, Sasaki S, Murai H, Tomida K, Suzuki A, Kawakami K, Miyasaka H, Orand A, Tomita Y
  • Organizer: 7th International Society of Physical and Rehabilitation Medicine World Congress
  • Place of Presentation: Beijing, China