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Development of finger rhythm walking training that may be safely conducted by patients with Parkinson disease

Research Project

Project/Area Number 19K22784
Research Category

Grant-in-Aid for Challenging Research (Exploratory)

Allocation TypeMulti-year Fund
Review Section Medium-sized Section 58:Society medicine, nursing, and related fields
Research InstitutionKyoto Tachibana University

Principal Investigator

Murata Shin  京都橘大学, 健康科学部, 教授 (00389503)

Co-Investigator(Kenkyū-buntansha) 村田 潤  長崎大学, 医歯薬学総合研究科(保健学科), 准教授 (00304428)
相馬 正之  東北福祉大学, 健康科学部, 准教授 (40554994)
中野 英樹  京都橘大学, 健康科学部, 准教授 (60605559)
八谷 瑞紀  西九州大学, リハビリテーション学部, 准教授 (60610970)
中江 秀幸  東北福祉大学, 健康科学部, 准教授 (70550169)
兒玉 隆之  京都橘大学, 健康科学部, 教授 (80708371)
Project Period (FY) 2019-06-28 – 2022-03-31
Project Status Completed (Fiscal Year 2021)
Budget Amount *help
¥6,240,000 (Direct Cost: ¥4,800,000、Indirect Cost: ¥1,440,000)
Fiscal Year 2020: ¥2,080,000 (Direct Cost: ¥1,600,000、Indirect Cost: ¥480,000)
Fiscal Year 2019: ¥4,160,000 (Direct Cost: ¥3,200,000、Indirect Cost: ¥960,000)
Keywordsパーキンソン病者 / 指リズム歩行トレーニング / すくみ足 / パーキンソン病 / 指リズム歩行 / トレーニング / ランダム化比較試験 / パーキンソン病患者 / 指歩行トレーニング / 脳波解析
Outline of Research at the Start

パーキンソン病者は、病棟や自宅での自主練習中の転倒事故が多い。よって、すくみ足や小刻み歩行などの歩行障害が出現したパーキンソン病者であっても、安全に実施できる効果的なセルフトレーニング法の開発が急務の課題である。そこで今回、パーキンソン病者が安全にセルフトレーニングできる「指リズム歩行トレーニング」を開発し、その効果判定をランダム化比較試験による多施設共同研究によって検証することを目指した。

Outline of Final Research Achievements

The purpose of this study was to investigate the effects of finger rhythm walking training on frozen gait and electroencephalographic (EEG) activity in patients with Parkinson disease. Finger rhythm walking training was conducted for 3 minutes per session twice a day for 4 weeks. To determine the effects of intervention, acceleration and EEG activity under walking conditions in the presence or absence of a frontage were measured before and after intervention. The Freeze Index (FI), which reflects frozen gait, was calculated from the acceleration data. The results of this study suggested that finger rhythm walking training reduces frozen gait in patients with Parkinson disease, by decreased B-band hyperactivity in the frontal lobe.

Academic Significance and Societal Importance of the Research Achievements

高齢者に多く発症するパーキンソン病の代表的な症状には、すくみ足や小刻み歩行といった歩行障害が挙げられる。とくに、すくみ足はパーキンソン病者の約50%に出現し、転倒リスクを増加させることがわかっている。本研究で開発した「指リズム歩行トレーニング」は、実際に歩行せずに歩行機能を高める効果が示されたことから、その社会的意義が大きい。このトレーニングは、パーキンソン病者が転倒リスクを気にすることなく、自宅でも行える方法である。

Report

(4 results)
  • 2021 Annual Research Report   Final Research Report ( PDF )
  • 2020 Research-status Report
  • 2019 Research-status Report
  • Research Products

    (6 results)

All 2021 2020

All Journal Article (6 results) (of which Peer Reviewed: 6 results,  Open Access: 6 results)

  • [Journal Article] Factors associated with toe grip strength in patients with Parkinsonʼs disease2021

    • Author(s)
      相馬正之, 村田 伸, 中江秀幸, 中野英樹, 石田治久, 丸山ゆうみ, 長柄 均, 長柄祐子
    • Journal Title

      Japanese Journal of Health Promotion and Physical Therapy

      Volume: 11 Issue: 1 Pages: 1-5

    • DOI

      10.9759/hppt.11.1

    • NAID

      130008037461

    • ISSN
      2186-3741, 2187-3305
    • Year and Date
      2021-04-30
    • Related Report
      2021 Annual Research Report
    • Peer Reviewed / Open Access
  • [Journal Article] Association between toe-grip strength and gait in patient with Parkinsonʼs disease:analysis of temporal and spatial gait parameters in comfortable and fast walking2021

    • Author(s)
      相馬 正之, 村田 伸, 中江 秀幸, 中野 英樹, 石田 治久, 丸山 ゆうみ, 長柄 均, 長柄 祐子
    • Journal Title

      Japanese Journal of Health Promotion and Physical Therapy

      Volume: 10 Issue: 4 Pages: 195-198

    • DOI

      10.9759/hppt.10.195

    • NAID

      130007976922

    • ISSN
      2186-3741, 2187-3305
    • Year and Date
      2021-01-28
    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] The effect on posture control ability and walking ability by wearing insole that enhance the toe grip function in home-care patients with Parkinsonʼs disease.2020

    • Author(s)
      中江 秀幸, 村田 伸, 相馬 正之, 中野 英樹, 石田 治久, 丸山 ゆうみ, 長柄 均, 長柄 祐子
    • Journal Title

      Japanese Journal of Health Promotion and Physical Therapy

      Volume: 10 Issue: 3 Pages: 125-130

    • DOI

      10.9759/hppt.10.125

    • NAID

      130007925553

    • ISSN
      2186-3741, 2187-3305
    • Year and Date
      2020-10-02
    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Association between Floating Toes and Physical Functions in Parkinsonʼs Disease2020

    • Author(s)
      弓岡 まみ, 村田 伸, 兒玉 隆之, 中野 英樹, 相馬 正之, 佐藤 洋介, 村田 潤, 中江 秀幸
    • Journal Title

      Japanese Journal of Health Promotion and Physical Therapy

      Volume: 10 Issue: 3 Pages: 143-146

    • DOI

      10.9759/hppt.10.143

    • NAID

      130007925561

    • ISSN
      2186-3741, 2187-3305
    • Year and Date
      2020-10-02
    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Reliability of walking ability evaluation method in Parkinsonʼs disease patients2020

    • Author(s)
      八谷 瑞紀, 村田 伸, 大田尾 浩, 熊野 亘, 中村 正造
    • Journal Title

      Japanese Journal of Health Promotion and Physical Therapy

      Volume: 10 Issue: 2 Pages: 85-89

    • DOI

      10.9759/hppt.10.85

    • NAID

      130007884561

    • ISSN
      2186-3741, 2187-3305
    • Year and Date
      2020-07-22
    • Related Report
      2020 Research-status Report
    • Peer Reviewed / Open Access
  • [Journal Article] Relationships between different walking speeds and body composition or standing balance in home-care patients with Parkinsonʼs disease2020

    • Author(s)
      村田 伸, 兒玉隆之, 中野英樹, 相馬正之, 佐藤洋介, 弓岡まみ, 村田 潤, 中江秀幸
    • Journal Title

      Japanese Journal of Health Promotion and Physical Therapy

      Volume: 9 Issue: 4 Pages: 181-186

    • DOI

      10.9759/hppt.9.181

    • NAID

      130007795846

    • ISSN
      2186-3741, 2187-3305
    • Year and Date
      2020-01-31
    • Related Report
      2019 Research-status Report
    • Peer Reviewed / Open Access

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Published: 2019-07-04   Modified: 2023-01-30  

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