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Effect of novel stroke rehabilitation focusing on improvement of peripheral nerve and skeletal muscle function

Research Project

Project/Area Number 17K13106
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Rehabilitation science/Welfare engineering
Research InstitutionKonan Women's University

Principal Investigator

NOZOE MASAFUMI  甲南女子大学, 看護リハビリテーション学部, 准教授 (10733298)

Project Period (FY) 2017-04-01 – 2020-03-31
Project Status Completed (Fiscal Year 2019)
Budget Amount *help
¥4,290,000 (Direct Cost: ¥3,300,000、Indirect Cost: ¥990,000)
Fiscal Year 2019: ¥650,000 (Direct Cost: ¥500,000、Indirect Cost: ¥150,000)
Fiscal Year 2018: ¥910,000 (Direct Cost: ¥700,000、Indirect Cost: ¥210,000)
Fiscal Year 2017: ¥2,730,000 (Direct Cost: ¥2,100,000、Indirect Cost: ¥630,000)
Keywords脳卒中 / 骨格筋機能障害 / サルコペニア / 神経伝導検査 / 神経筋電気刺激療法 / 末梢神経 / 骨格筋
Outline of Final Research Achievements

The purpose of this study was to identify the effects of new rehabilitation techniques on peripheral nerve and skeletal muscle dysfunction in patients with stroke. We examined the muscle dysfunction and functional outcome, and the relationship between peripheral nerve dysfunction and muscle dysfunction in these patients using various methods.
There was approximately 20% of patients may have skeletal muscle dysfunction even before the onset of stroke, and skeletal muscle dysfunction that occurs after the onset of stroke affects the functional outcome in these patients. We also found that peripheral nerve dysfunction occurred in some cases in the paralyzed lower limbs after stroke and was strongly associated with skeletal muscle dysfunction in the paralyzed lower limbs.

Academic Significance and Societal Importance of the Research Achievements

医療技術の発展に伴い、脳卒中の死亡率は低下しているのは事実である.その一方、脳卒中発症率が低下していることは明らかにされておらず、当然、脳卒中後の後遺症で苦しむ人が多いのが本邦の現状である.このような後遺症の代表が、運動麻痺を中心とした運動機能障害である.これまで、脳卒中後に生じる運動機能障害は、その病気の本態である脳に由来しているため、脳の機能を改善させることに注目されていた.一方、本研究結果によって、脳卒中患者における骨格筋機能障害が、身体機能に大きく影響を与えており、その骨格筋機能障害に対する治療が重要になることが明らかにできた.

Report

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

    (9 results)

All 2020 2018 2017

All Journal Article (5 results) (of which Int'l Joint Research: 2 results,  Peer Reviewed: 4 results,  Open Access: 1 results) Presentation (4 results) (of which Int'l Joint Research: 1 results)

  • [Journal Article] Non-paretic lower limb muscle wasting during acute phase is associated with dependent ambulation in patients with stroke2020

    • Author(s)
      Nozoe Masafumi、Kanai Masashi、Kubo Hiroki、Yamamoto Miho、Shimada Shinichi、Mase Kyoshi
    • Journal Title

      Journal of Clinical Neuroscience

      Volume: 74 Pages: 141-145

    • DOI

      10.1016/j.jocn.2020.02.020

    • Related Report
      2019 Annual Research Report
    • Peer Reviewed
  • [Journal Article] Peripheral motor nerve conduction abnormality, muscle strength, and muscle wasting in patients with acute stroke: A pilot study2020

    • Author(s)
      Nozoe Masafumi、Kubo Hiroki、Kanai Masashi、Yamamoto Miho、Shimada Shinichi、Mase Kyoshi
    • Journal Title

      Journal of Clinical Neuroscience

      Volume: 75 Pages: 80-84

    • DOI

      10.1016/j.jocn.2020.03.021

    • Related Report
      2019 Annual Research Report
  • [Journal Article] Neuromuscular electrical stimulation is ineffective for treating quadriceps muscle wasting with ruptured aneurysm: A case report.2018

    • Author(s)
      Nozoe M, Kamo A, Shimada S, Mase K.
    • Journal Title

      Ann Med Surg (Lond)

      Volume: 35 Pages: 90-04

    • DOI

      10.1016/j.amsu.2018.09.011

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Open Access / Int'l Joint Research
  • [Journal Article] Physical Activity, Physical Function, and Quadriceps Muscle Thickness in Male Patients with Sub-Acute Stroke during Hospitalization: A Pilot Study.2018

    • Author(s)
      Nozoe M, Kubo H, Furuichi A, Kanai M, Yamamoto M, Kobayashi M, Shimada S, Mase K.
    • Journal Title

      Eur Neurol

      Volume: 80 Issue: 3-4 Pages: 157-162

    • DOI

      10.1159/000494991

    • Related Report
      2018 Research-status Report
    • Peer Reviewed / Int'l Joint Research
  • [Journal Article] Quadriceps muscle thickness changes in patients with aneurysmal subarachnoid hemorrhage during the acute phase2017

    • Author(s)
      Nozoe Masafumi、Kanai Masashi、Kubo Hiroki、Kobayashi Miki、Yamamoto Miho、Shimada Shinichi、Mase Kyoshi
    • Journal Title

      Topics in Stroke Rehabilitation

      Volume: 25 Issue: 3 Pages: 209-213

    • DOI

      10.1080/10749357.2017.1413762

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Presentation] 急性期脳卒中患者における下肢運動神経伝導検査と下肢筋厚の変化2018

    • Author(s)
      野添匡史、金居督之、久保宏紀、島田眞一、間瀬教史
    • Organizer
      第55回日本リハビリテーション医学会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 急性期脳卒中患者における病前サルコペニアの有病率-横断研究-2018

    • Author(s)
      野添匡史、久保宏紀、金居督之、山本実穂、島田眞一、間瀬教史
    • Organizer
      第36回日本私立医科大学理学療法研究会学術集会
    • Related Report
      2018 Research-status Report
  • [Presentation] 病前サルコペニアの有無が脳卒中後急性期病院退院時の機能予後に与える影響-前向きコホート研究-2018

    • Author(s)
      野添匡史、山本実穂、久保宏紀、金居督之、島田眞一、間瀬教史
    • Organizer
      第16回日本神経理学療法学会学術大会
    • Related Report
      2018 Research-status Report
  • [Presentation] Prevalence of pre-hospital sarcopenia in elderly patients with acute stroke2018

    • Author(s)
      Nozoe M, Kanai M, Kubo H, Yamamoto M, Shimada S, Mase K
    • Organizer
      11th International SCWD Conference on achexia, sarcopenia and muscle wasting
    • Related Report
      2018 Research-status Report
    • Int'l Joint Research

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

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