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The Mdial system for reconstruction of paraplegic locomotion - its development and refinement using virtual axis and motor power assist

Research Project

Project/Area Number 10838044
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeSingle-year Grants
Section一般
Research Field リハビリテーション科学
Research InstitutionFujita Health University

Principal Investigator

SAITOH Eiichi  Fujita Health University, School of Medicine, Dept.Rehabilitation Medicine, Professor, 医学部, 教授 (50162186)

Co-Investigator(Kenkyū-buntansha) SARAI Shoko  Fujita Health University, School of Medicine, Dept.Rehabilitation Medicine, Assistant Professor, 医学部, 助手 (30308879)
MIZUNO Masayasu  Fujita Health University, School of Medicine, Dept.Rehabilitation Medicine, Lecturer, 医学部, 講師 (10258246)
ONOGI Keiko  Fujita Health University, School of Medicine, Dept.Rehabilitation Medicine, Assistant Professor, 医学部, 助手 (50288479)
Project Period (FY) 1998 – 1999
Project Status Completed (Fiscal Year 1999)
Budget Amount *help
¥2,900,000 (Direct Cost: ¥2,900,000)
Fiscal Year 1999: ¥900,000 (Direct Cost: ¥900,000)
Fiscal Year 1998: ¥2,000,000 (Direct Cost: ¥2,000,000)
Keywordsparaplegic walk / orthosis / medial single hip joint / powered orthosis / rehabilitation / 対麻痺走行
Research Abstract

We have been developing the orthotic system called the medial system for reconstruction of paraplegic standing and walking. This system consists a medial single hip joint (MSH) and bilateral knee-ankle-foot orthoses and overcomes the orthotic demerits of bulkiness and tightness in daily using.
1. For refinement of this stem we developed a new hip joint having virtual axis by sliding mechanism. This modified MSH system was compared to the original MSH system in the gait function of 5 paraplegic patients. Cadence, stride, and velocity with the modified MSH system were always higher than with the original MSH system. The preferable height of the virtual axis was 60mm over the perineum in all patients except for one. In walking with the modified MSH we identified reduced pelvic rotation, whereas larger stride.
2. For overcoming the passivity problem of orthotic approach, we added motor power assist to the modified MSH system. Simple On/Off switching for control was adopted. In all of investigated three paraplegic cases, HR change in walking was smaller with powered orthosis than with non-powered one, however velocity was slower with powered orthosis than with non-powered one. For solving a problem of low velocity walking, we improved hip joint angular velocity from 15 to 50 degrees per second.
3. For further refinement of the modified MSH, we added hinge mechanism to the joint permitting abduction and adduction ranging of 10 degrees. With this mechanism patients seemed to turn easier than without it.

Report

(3 results)
  • 1999 Annual Research Report   Final Research Report Summary
  • 1998 Annual Research Report
  • Research Products

    (25 results)

All Other

All Publications (25 results)

  • [Publications] Suitor E, et al: "A Power-Assisted Modified Medial Single Hip Joint for Paraplegic Walking"Proceedings of World Congress of International Society for Prosthetics Orthotics. IX. 355-356 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 才藤栄一,他: "対麻痺者歩行のための力源付与内側単股継手の開発"リハビリテーション医学. 35・2. 971-971 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 皿井正子,他: "対麻痺者歩行のための内側股継手仮想軸について"リハビリテーション医学. 35・2. 972-972 (1998)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 小野木啓子,才藤栄一,他: "対麻痺者用の立位・歩行システム"クリニカルリハビリテーション. 8・10. 972-974 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 才藤栄一,他: "内側系システムによる対麻痺者の立位・歩行再建"日本義肢装具学会誌. 15. 62-63 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 才藤栄一: "胸・腰髄損傷患者の装具による歩行再建"日本パラプレジア医学会雑誌. 12・1. 16-19 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 才藤栄一: "装具療法 歩行関連障害のリハビリテーションプログラム入門"医歯薬出版,東京. 8 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 才藤栄一: "対麻痺歩行装具の開発と現状 労災リハビリテーション工学センター講習会記録集"労災リハビリテーション工学センター. 19 (1999)

    • Description
      「研究成果報告書概要(和文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Saitoh E,et al.: "A Power-Assisted Modified Medial Single Hip Joint for Paraplegic Walking"Proceedings of World Congress of International Society for Prosthetics and Orthotics. "IX". 355-356 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Saitoh E, et al.: "Development of a Power-Assisted Modified Medial Single Hip Joint for Paraplegic Walking."Japanese J.Rehabilitation Medicine. 35(2)(Japanese). 972 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Sarai S, et al.: "A Modification of Medial Single Hip Joint using Virtual Axis for Paraplegic Walking."Japanese J.Rehabilitation Medicine. 35(2)(Japanese). 972 (1998)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Onogi K, et al.: "Orthotic System for Paraplegic Standing and Walking."Clinical Rehabilitation. 8-(10)(Japanese). 972-974 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Saitoh E, et al.: "The Medial System for Reconstruction of Paraplegic Walking."Japanese J.Prostetics and Orthosis. 15(Japanese). 62-63 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Saitoh E.: "Orthotic Approaches for Reconstruction of Paraplegic Walking."J.Japan Medical Society Paraplegia. 12(Japanese). 16-19 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Saitoh E: "Orthotic Therapy"A Primer of Rehabilitation for Locomotive Disorders, Ishiyaku Publishers,Tokyo (Japanese). 109-116 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] Saitoh E: "Critical Review of Orthotic Approaches for Paraplegic Walk"A Instruction Course of Orthotic Approaches for Paraplegic Walking, Rosai Rehabilitation Engineering Center, Aichi (Japanese). 2-20 (1999)

    • Description
      「研究成果報告書概要(欧文)」より
    • Related Report
      1999 Final Research Report Summary
  • [Publications] 小野木啓子,才藤栄一,他: "対麻痺者用の立位・歩行システム"クリニカルリハビリテーション. 8・10. 972-974 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 才藤栄一,他: "内側系システムによる対麻痺者の立位・歩行再建"日本義肢装具学会誌. 15. 62-63 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 才藤栄一: "胸・腰髄損傷患者の装具による歩行再建"日本パラプレジア医学会雑誌. 12・1. 16-19 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] 才藤栄一: "対麻痺歩行装具の開発と現状 労災リハビリテーション工学センター講習会記録集"労災リハビリテーション工学センター. 19 (1999)

    • Related Report
      1999 Annual Research Report
  • [Publications] Saitoh E, et al: "A Power-Assisted Modified Medial Single Hip Joint for Paraplegic Walking" Proceedings of World Congress of International Society for Prosthetics and Orthotics. IX. 355-356 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 才藤栄一・他: "対麻痺者歩行のための力源付与内側単股継手の開発" リハビリテーション医学. 35・2. 971-971 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 皿井正子・他: "対麻痺者歩行のための内側股継手仮想軸について" リハビリテーション医学. 35・2. 972-972 (1998)

    • Related Report
      1998 Annual Research Report
  • [Publications] 才藤栄一: "胸・腰髄損傷患者の装具による歩行再建" 日本パラプレジア医学会雑誌. 12・1 印刷中.

    • Related Report
      1998 Annual Research Report
  • [Publications] 才藤栄一: "対麻痺歩行装具の開発と現状 労災リハビリテーション工学センター 講習会記録集" 労災リハビリテーション工学センター(印刷中), (1999)

    • Related Report
      1998 Annual Research Report

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Published: 1998-04-01   Modified: 2016-04-21  

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