• Search Research Projects
  • Search Researchers
  • How to Use
  1. Back to previous page

Establishment and development of optimal physical preventive intervention without drugs or power supply equipment for venous thromboembolism

Research Project

Project/Area Number 17K10940
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Orthopaedic surgery
Research InstitutionKitasato University

Principal Investigator

Takahira Naonobu  北里大学, 医療衛生学部, 教授 (70236347)

Co-Investigator(Kenkyū-buntansha) 坂本 美喜  北里大学, 医療衛生学部, 講師 (40365177)
Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,680,000 (Direct Cost: ¥3,600,000、Indirect Cost: ¥1,080,000)
Fiscal Year 2019: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2018: ¥1,950,000 (Direct Cost: ¥1,500,000、Indirect Cost: ¥450,000)
Fiscal Year 2017: ¥1,820,000 (Direct Cost: ¥1,400,000、Indirect Cost: ¥420,000)
Keywords静脈血栓塞栓症 / 致死的肺血栓塞栓症 / 深部静脈血栓症 / エコノミークラス症候群 / 人工関節置換術合併症 / 理学的予防法 / 静脈血流 / 費用対効果 / 下腿筋ポンプ作用 / 静脈還流 / 足関節運動 / 間欠的空気圧迫装置 / 歩行 / 肺血栓塞栓症 / 呼吸 / 足関節自動運動 / 外科 / リハビリテーション / 医療・福祉 / 理学療法
Outline of Final Research Achievements

Venous thromboembolism is a preventable and fatal disease that has received much attention in society due to its attention in economy class syndrome. It is also one of the major complications in all surgical fields such as artificial joint replacement surgery. However, it has little evidence of effective physical prophylaxis, and current physical prophylaxis only recommends the use of portable, powered intermittent pneumatic devices. We have newly developed a non-powered "deep vein thrombosis preventive device" (this device) and established an optimal physical prevention method for venous thromboembolism without using drugs or power supply devices. As a result, it was found that this method using this device can improve venous blood flow stagnation and can be expected as a safe and effective method.

Academic Significance and Societal Importance of the Research Achievements

今回の研究により、薬剤や電源器具の用意ができない被災地に加えて施設や病院などへ、エビデンスに基づいた新たな最良の理学的予防法による静脈血栓塞栓症の予防法を提供することが可能になります。さらに、費用対効果に優れた方法として臨床応用へと展開することが可能になります。
本法が臨床的に安全性かつ有効性が実証されれば、日本発で世界初の新たな装置の開発・実用化に繋げられ、わが国の産業経済の発展に大きく寄与できます。また、広く致死的肺血栓塞栓症予防への貢献が可能となり、医療安全管理上わが国に大きな利益が得られることが期待できます。

Report

(4 results)
  • 2019 Annual Research Report   Final Research Report ( PDF )
  • 2018 Research-status Report
  • 2017 Research-status Report
  • Research Products

    (28 results)

All 2020 2019 2018 2017

All Journal Article (5 results) (of which Peer Reviewed: 5 results,  Open Access: 1 results) Presentation (21 results) (of which Int'l Joint Research: 3 results,  Invited: 1 results) Book (2 results)

  • [Journal Article] A portable pneumatic compression device to prevent venous thromboembolism in orthopedic patients with the highest risks of both venous thrombosis and bleeding: A case series study2020

    • Author(s)
      Takahashi Y, Takahira N, Shibuya M, Uchiyama K, Fukushima K, Iwase D, Kawamura T, Miyagi M, Higashiyama R, Moriya M, Sakai K, Tsuda K, Sakamoto M, Akamine A, Takaso M
    • Journal Title

      J Orthop Surg

      Volume: 28(1) Issue: 1 Pages: 1-6

    • DOI

      10.1177/2309499020905711

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Prophylaxis of deep vein thrombosis associated with leg cast immobilization using contrast bath treatment to regulate lower extremity venous flow: A pilot study2019

    • Author(s)
      Sakai K,Takahira N, Matsuo A, Tsuda K, Akamine A
    • Journal Title

      J Phys Med Rehabil

      Volume: 1(1) Pages: 1-5

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Effect of resistance of the exercise band on the peak femoral vein velocity during active ankle flexion2019

    • Author(s)
      Tsuda K,Takahira N,Ejiri M,Sakai K,Sakamoto M,Akamine A
    • Journal Title

      Phlebology

      Volume: - Issue: 3 Pages: 176-183

    • DOI

      10.1177/0268355519865164

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Effects of forced deep breathing on blood flow velocity in the femoral vein: Developing a new physical prophylaxis for deep vein thrombosis in patients with plaster cast immobilization of the lower limb2018

    • Author(s)
      Nakanishi K, Takahira N, Sakamoto M, Yamaoka-Tojo M, Katagiri M, Kitagawa J
    • Journal Title

      Thromb Res.

      Volume: 162 Pages: 53-59

    • DOI

      10.1016/j.thromres.2017.12.013

    • Related Report
      2018 Research-status Report 2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] Intense Triceps Surae Contraction Increases Lower Extremity Venous Blood Flow2017

    • Author(s)
      Tsuda K, Takahira N,Sakamoto M, Shinkai A, Kaji K, Kitagawa J
    • Journal Title

      Progress in Rehabilitation Medicine

      Volume: 2 Issue: 0 Pages: n/a

    • DOI

      10.2490/prm.20170009

    • NAID

      130005710188

    • ISSN
      2432-1354
    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Presentation] エノキサパリン投与患者における静脈血栓塞栓予防実施票を用いた血栓発生リスクスコアのカットオフ値の算出2019

    • Author(s)
      赤嶺 聡彦, 高平 尚伸, 石山 悠香, 冨澤 淳, 津田 晃司, 坂井 健太, 高橋 佳暉, 黒岩 政之, 厚田 幸一郎
    • Organizer
      日本薬学会年会
    • Related Report
      2019 Annual Research Report
  • [Presentation] High leg venous flow enhancement through a heavy resistance active ankle exercise for deep vein thrombosis prophylaxis2019

    • Author(s)
      Tsuda K, Takahira N, Sakai K, Takahashi Y
    • Organizer
      SICOT 2019 40th Orthopaedic World Congress
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] Examination of the resultant force that the posture accompanied by Japanese hip joint deep flexion gives to the femoral head2019

    • Author(s)
      Tozaki K, Takahira N, Sakurai D, Sakai R
    • Organizer
      SICOT 2019 40th Orthopaedic World Congress
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] The incidence of deep vein thrombosis (DVT) during hip arthroscopic surgery was comparable to the incidence of total hip arthroplasty2019

    • Author(s)
      Matsumoto M,Fukushima K,Koyama T,Ohashi Y,Uchiyama K,Takahira N, Takaso M
    • Organizer
      20th EFORT Congress 2019
    • Related Report
      2019 Annual Research Report
    • Int'l Joint Research
  • [Presentation] 整形外科手術後における最新のVTEの予防と医療安全対策2019

    • Author(s)
      高平尚伸
    • Organizer
      VTE予防セミナー
    • Related Report
      2019 Annual Research Report
    • Invited
  • [Presentation] 静脈血栓および出血性有害事象の高リスク患者における携帯型間欠的空気圧迫装置使用時の静脈血栓塞栓症の発生・発症率および安全性の検討2018

    • Author(s)
      高橋佳暉,高平尚伸,内山勝文,福島健介,岩瀬大,河村直,宮城正行,東山礼治,森谷光俊,坂井健太,津田晃司
    • Organizer
      第38回日本静脈学会総会
    • Related Report
      2018 Research-status Report
  • [Presentation] 足関節運動連動式下腿圧迫装置の開発と効果検証2018

    • Author(s)
      坂井健太,高平尚伸,津田晃司
    • Organizer
      第38回日本静脈学会総会
    • Related Report
      2018 Research-status Report
  • [Presentation] The incidence of venous thromboembolism associated with a portable intermittent pneumatic compression device-based preventive measure, and the safety and effectiveness of the device in patients with high risks of thrombosis and hemorrhage2018

    • Author(s)
      ・Takahashi Y, Takahira N, Shibuya M, Uchiyama K, Fukushima K, Iwase D, Miyagi M, Higashiyama R, Moriya M, Sakai K, Tsuda K, Sakamoto M
    • Organizer
      39th SICOT Orthopaedic World Congress
    • Related Report
      2018 Research-status Report
  • [Presentation] Effect of contrast bath on lower extremity venous flow for prophylaxis of deep vein thrombosis associated with leg cast immobilization2018

    • Author(s)
      Sakai K, Takahira N, Matsuo A, Tsuda K
    • Organizer
      39th SICOT Orthopaedic World Congress
    • Related Report
      2018 Research-status Report
  • [Presentation] Effect of exercise bands on lower extremity venous flow during active ankle exercise for prophylaxis of deep vein thrombosis2018

    • Author(s)
      Tsuda K, Takahira N, Sakai K, Takahashi Y
    • Organizer
      39th SICOT Orthopaedic World Congress
    • Related Report
      2018 Research-status Report
  • [Presentation] 静脈血栓リスクと出血リスクが共に高い患者における携帯型間欠的空気圧迫装置使用時の有効性および安全性の検討2018

    • Author(s)
      高橋佳暉,高平尚伸,内山勝文,福島健介,河村直,宮城正行,森谷光俊,澁谷真香,坂井健太,津田晃司
    • Organizer
      第45回日本股関節学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 深部静脈血栓症予防に対する足関節運動に連動して下腿を空気圧迫する装置の開発と下肢深部静脈血流に及ぼす影響2018

    • Author(s)
      坂井健太,高平尚伸,津田晃司,赤嶺聡彦
    • Organizer
      第45回日本股関節学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 深部静脈血栓症予防のための大腿静脈血流に対する足関節自動運動中の間欠的空気圧迫の効果2018

    • Author(s)
      坂井健太,高平尚伸,津田晃司,赤嶺聡彦
    • Organizer
      第45回日本股関節学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 運動用ゴムバンドが深部静脈血栓症予防のための足関節自動運動中の下肢静脈血流に及ぼす影響2018

    • Author(s)
      津田晃司,高平尚伸,坂井健太,高橋佳暉
    • Organizer
      第45回日本股関節学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 患者のリスクレベルに応じたVTEの予防対策2017

    • Author(s)
      高平尚伸
    • Organizer
      第2回南大阪整形外科冬季セミナー
    • Related Report
      2017 Research-status Report
  • [Presentation] 個々の整形外科患者のリスクレベルに応じたVTEの予防対策2017

    • Author(s)
      高平尚伸
    • Organizer
      整形外科医のためのVTEセミナー
    • Related Report
      2017 Research-status Report
  • [Presentation] VTE 予防策としての理学的予防法2017

    • Author(s)
      高平尚伸
    • Organizer
      第44回関西股関節研究会
    • Related Report
      2017 Research-status Report
  • [Presentation] 全身振動による筋柔軟性の向上が足関節自動運動時の下肢静脈最大血流速度に与える影響の検証2017

    • Author(s)
      須藤春奈,津田晃司, 高平尚伸
    • Organizer
      第36回関東甲信越ブロック理学療法士学会
    • Related Report
      2017 Research-status Report
  • [Presentation] 間欠的下腿圧迫は足関節自動運動時の下肢静脈最大血流速度をより増加させる2017

    • Author(s)
      坂井健太,津田晃司, 坂本美喜, 須藤春奈, 高平尚伸
    • Organizer
      第36回関東甲信越ブロック理学療法士学会
    • Related Report
      2017 Research-status Report
  • [Presentation] 人工関節周術期DVT/VTEに関する考え方, 主に術後スイッチング薬物療法に関して2017

    • Author(s)
      高平尚伸,福島健介,内山勝文,山本豪明,森谷光俊,峯岸洋次郎,相川淳,東山礼治,岩瀬大,南谷淳,河村直,高相晶士
    • Organizer
      第47回人工関節学会 シンポジウム
    • Related Report
      2017 Research-status Report
  • [Presentation] 静脈血栓塞栓症のマネジメントの基本, チームで行う個々の患者のリスクレベルに応じたVTE予防2017

    • Author(s)
      高平尚伸, 内山勝文, 福島健介, 森谷光俊, 峯岸洋次郎, 河村直, 松浦晃正, 峰原宏昌, 高相晶士
    • Organizer
      第44回日本股関節学会 シンポジウム
    • Related Report
      2017 Research-status Report
  • [Book] ここが大事!下肢変形性関節症の外来診療2019

    • Author(s)
      内尾祐司(編),高平尚伸
    • Total Pages
      220
    • Publisher
      南江堂
    • Related Report
      2019 Annual Research Report
  • [Book] 受診時年齢別発育性股関節形成不全の診かた・治しかた2019

    • Author(s)
      稲葉裕(編),中島康晴(編),高平尚伸
    • Total Pages
      168
    • Publisher
      メジカルビュー社
    • Related Report
      2019 Annual Research Report

URL: 

Published: 2017-04-28   Modified: 2021-02-19  

Information User Guide FAQ News Terms of Use Attribution of KAKENHI

Powered by NII kakenhi