2021 Fiscal Year Final Research Report
Investigation of appropriate verbal instructions to improve leg extension angle during gait.
| Project/Area Number |
20K23255
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| Research Category |
Grant-in-Aid for Research Activity Start-up
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| Allocation Type | Multi-year Fund |
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| Review Section |
0909:Sports sciences, physical education, health sciences, and related fields
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| Research Institution | Kagoshima University |
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Principal Investigator |
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| Project Period (FY) |
2020-09-11 – 2022-03-31
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| Keywords | ウェアラブルセンサー / リハビリテーション / 歩行 / 教示 / 関節角度 |
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| Outline of Final Research Achievements |
In healthy young participants, the immediate effects showed an increase gait speed with an increase in TLA and ankle plantarflexion angle. It was suggested that verbal instructions focused on joint movements during gait increased gait speed with changes in gait.
Based on the results, we also examined the immediate effect of real-time gait feedback in 1 inpatient. Gait feedback Targets of feedback used TLA and ankle plantar flexion angle during gait measured by wearable sensors. Gait feedback showed the immediate effects an increase gait speed. As the patient responded well to TLA compared with ankle movement, it is necessary to further study to clarify the appropriate feedback targets and intervention effects considering of physical function and other factors.
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| Free Research Field |
リハビリテーション
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| Academic Significance and Societal Importance of the Research Achievements |
歩行能力向上に向けた理学療法において，歩行中の関節角度を変化させるような教示を与えて歩行練習をすることが多い。しかし，症例の特性に応じて歩行練習の指標に関する根拠を示した報告はなく，今回の報告が歩行中の関節運動を変化させることにより，着目した関節運動の変化を伴う歩行速度増加を示すものとなった。
臨床現場における検討では，症例によっては歩行速度を変化させやすい，変化させにくい関節運動がある可能性が示された。そのため，症例の疾患や身体機能を加味して，効果的に歩能力向上に寄与する歩行練習の指標を検討していくことが，臨床現場における効果的な歩行練習の実現に繋がると考える。
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