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Studies of innovative gate training using repetition of facilitation exercise or functional vibratory stimulation for patients with hemiplegia

Research Project

Project/Area Number 22300190
Research Category

Grant-in-Aid for Scientific Research (B)

Allocation TypeSingle-year Grants
Section一般
Research Field Rehabilitation science/Welfare engineering
Research InstitutionKagoshima University

Principal Investigator

KAWAHIRA Kazumi  鹿児島大学, 大学院・医歯学総合研究科, 教授 (20117493)

Co-Investigator(Kenkyū-buntansha) SHIMODOZONO Megumi  鹿児島大学, 医歯学総合研究科, 准教授 (30325782)
SUEYOSHI Yasuhiro  鹿児島大学, 教育学部, 准教授 (30196688)
HAYASHI Ryota  鹿児島大学, 理工学研究科, 講師 (40288949)
ETO Seiji  鹿児島大学, 医学部・歯学部附属病院, 講師 (70295244)
Project Period (FY) 2010 – 2012
Project Status Completed (Fiscal Year 2012)
Budget Amount *help
¥12,480,000 (Direct Cost: ¥9,600,000、Indirect Cost: ¥2,880,000)
Fiscal Year 2012: ¥1,690,000 (Direct Cost: ¥1,300,000、Indirect Cost: ¥390,000)
Fiscal Year 2011: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Fiscal Year 2010: ¥9,620,000 (Direct Cost: ¥7,400,000、Indirect Cost: ¥2,220,000)
Keywords歩行訓練 / 片麻痺 / 促通法 / 促通反復療法 / ロボット / 脳卒中 / リハビリテーション / 歩行解析 / 機能的振動刺激法 / ジャイロセンサー / 振動モーター / トレッドミル / 床反力
Research Abstract

We have developed innovative facilitation exercises, so called Repetition of Facilitation Exercise (RFE), for a hemiparetic limbs and have been confirmed to promote the functional recovery of hemiplegic limbs (Kawahira et al., 2004; Kawahira et al., 2010; Shimodozono et al., 2012). We studied efficacy of the gait training using RFEs for patients with hemiplegia adressing changes in the gaits during RFEs or functional vibratory stimulation (FVS) and those after 4 weeks gait training. The changes in the gait were evaluated using force plate(WinFDM: Zebris), tread mill with force plate (C-MILL: Forcelink) and 3-D motion analysis. Comparing with gait of control, gait with RFE or FVS showed improvements in gate parameters. Gate training with RFEs for 4 weeks promoted many parameters such as gate speed, cadence, single support time in patients with chronic hemiplegia.

Report

(4 results)
  • 2012 Annual Research Report   Final Research Report ( PDF )
  • 2011 Annual Research Report
  • 2010 Annual Research Report
  • Research Products

    (30 results)

All 2013 2012 2011 2010 2009 2008 Other

All Journal Article (17 results) (of which Peer Reviewed: 10 results) Presentation (5 results) (of which Invited: 1 results) Book (3 results) Remarks (5 results)

  • [Journal Article] Benefits of a repetitive facilitative exercise program for the upper paretic extremity after subacute stroke: A randomized controlled trial.2013

    • Author(s)
      Shimodozono M, Noma T, Nomoto Y, Hisamatsu N, Kamada K, Miyata R, Matsumoto S, Ogata A, Etoh S, Basford JR, Kawahira K
    • Journal Title

      Neurorehabil Neural Repair

      Volume: 27(4) Pages: 296-305

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] Benefits of a repetitive facilitative exercise program for the upper paretic extremity after subacute stroke: A randomized controlled trial2013

    • Author(s)
      Shimodozono Megumi
    • Journal Title

      Neurorehabil Neural Repair

      Volume: 27 Pages: 296-305

    • Related Report
      2012 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 物理療法のエビデンスと実践2012

    • Author(s)
      川平和美、下堂薗恵
    • Journal Title

      振動刺激. 臨床リハ

      Volume: 21(6) Pages: 574-579

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] 私の診療経験から; 脳卒中後の片麻痺と歩行障害へのリハビリテーションの革新を目指す2012

    • Author(s)
      川平和美
    • Journal Title

      臨床と研究

      Volume: 89(10) Pages: 1427-1431

    • NAID

      40019466078

    • Related Report
      2012 Final Research Report
  • [Journal Article] 物理療法のエビデンスと実践, 振動刺激2012

    • Author(s)
      川平和美
    • Journal Title

      臨床リハ

      Volume: 21 Pages: 574-579

    • Related Report
      2012 Annual Research Report
  • [Journal Article] 温泉・温熱、振動刺激のリハビリテーション医療への応用拡大; 新たなリハ治療法の確立とエビデンス蓄積2011

    • Author(s)
      川平和美
    • Journal Title

      日本温泉気候物理医学会雑誌

      Volume: 75(1) Pages: 5-8

    • NAID

      10030214138

    • Related Report
      2012 Final Research Report
  • [Journal Article] 脳卒中片麻痺患者への 3 種の麻痺側加重指導が歩行に及ぼす影響について2011

    • Author(s)
      上間智博、松元秀次、種田沙織、竹下加奈子、川平和美
    • Journal Title

      日本義肢装具学会誌

      Volume: 27 (2) Pages: 105-111

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] 物理療法のエビデンスとトッピクス; 痙縮に対する振動刺激2011

    • Author(s)
      野間知一、川平和美
    • Journal Title

      総合リハ

      Volume: 39 (4) Pages: 332-337

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] 脳卒中片麻痺患者への3種の麻痺側加重指導が歩行に及ぼす影響について2011

    • Author(s)
      上間智博、松元秀次、種田沙織、竹下加奈子、川平和美
    • Journal Title

      日本義肢装具学会誌

      Volume: 27 Pages: 105-111

    • Related Report
      2011 Annual Research Report
    • Peer Reviewed
  • [Journal Article] 物理療法のエビデンスとトッピクス;痙縮に対する振動刺激2011

    • Author(s)
      野間知一、川平和美
    • Journal Title

      総合リハビリテーション

      Volume: 39 Pages: 332-337

    • Related Report
      2011 Annual Research Report
  • [Journal Article] 会長講演;今日の先端科学を明日のリハビリテーションへ2010

    • Author(s)
      川平和美
    • Journal Title

      Jpn J Rehabil Med

      Volume: 47 Pages: 755-762

    • Related Report
      2010 Annual Research Report
  • [Journal Article] 片麻痺回復のための改革的リハビリテーションを目指して-効率的な神経路再建/強化の理論と実際-2010

    • Author(s)
      川平和美
    • Journal Title

      Jpn J Rehabil Med

      Volume: 47 Pages: 315-319

    • Related Report
      2010 Annual Research Report
  • [Journal Article] Improvements in limb kinetic apraxia by repetition of a newly designed facilitation exercise in a patient with corticobasal degeneration2009

    • Author(s)
      KAWAHIRA K, NOMA T, IIYAMA J, ETOH S, OGATA A, SHIMODOZONO M
    • Journal Title

      Int J Rehab Res

      Volume: 32 (2) Pages: 178-183

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] After-unilateral grip fatigue reduces ipsilateral short interval intracortical inhibition in primary motor cortex2009

    • Author(s)
      Takahashi K, Maruyama A, Maeda M, Eto S, Hirakoba K, Kawahira K, Rothwell JC
    • Journal Title

      Clinical Neurophysiolog

      Volume: 120 Pages: 198-203

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] Antispastic effects of the direct application of vibratory stimuli to the spastic muscles of hemiplegic limbs in post-stroke patients2009

    • Author(s)
      Noma T, Matsumoto S, Etoh S, Shimodozono M, Kawahira K
    • Journal Title

      Brain Injury 2009

      Volume: 23 (7-8) Pages: 623-631

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Journal Article] 機能的振動刺激を用いた脳卒中片麻痺患者; 歩行訓練支援システムの開発2009

    • Author(s)
      末吉靖宏,川平和美,村山真紀,下堂薗恵
    • Journal Title

      第21回バイオメカニズムシンポジウム

      Pages: 405-414

    • Related Report
      2012 Final Research Report
  • [Journal Article] 機能的振動刺激法と促通法が片麻痺患者の歩行へ与える効果2008

    • Author(s)
      村山真紀, 下堂薗恵, 川平和美, 末吉靖宏
    • Journal Title

      臨床リハ

      Volume: 45 (1) Pages: 66-67

    • Related Report
      2012 Final Research Report
    • Peer Reviewed
  • [Presentation] Combined therapy of The Robot suit HALL and Repetitive Facilitation Exercise might promote Recovery of the gait in patients with neuromuscular disease.2013

    • Author(s)
      Kazumi Kawahira
    • Organizer
      International Forum on Cybernics
    • Place of Presentation
      Tokyou
    • Year and Date
      2013-03-23
    • Related Report
      2012 Final Research Report
  • [Presentation] 招待講演; 脳卒中片麻痺への促通反復療法2012

    • Author(s)
      川平和美
    • Organizer
      中国ウルムチリハビリテーション医学会
    • Place of Presentation
      中国 ウルムチ市
    • Related Report
      2012 Final Research Report
  • [Presentation] 特別講演; 片麻痺促通反復療法; 川平法の理論と研究2011

    • Author(s)
      川平和美
    • Organizer
      中国上海市リハビリテーション医学会
    • Place of Presentation
      中国 上海市
    • Related Report
      2012 Final Research Report
  • [Presentation] 促通反復療法(川平法)の理論と実際;神経路の強化・再建を目指して2010

    • Author(s)
      川平和美
    • Organizer
      第55回北海道リハビリテーション学会
    • Place of Presentation
      札幌市
    • Year and Date
      2010-07-17
    • Related Report
      2010 Annual Research Report
  • [Presentation] Combined therapy of The Robot suit HALL and Repetitive Facilitation Exercise might promote Recovery of the gait in patients with neuromuscular disease

    • Author(s)
      Kazumi Kawahira
    • Organizer
      International Forum on Cybernics 2013
    • Place of Presentation
      Tokyo
    • Related Report
      2012 Annual Research Report
    • Invited
  • [Book] 家庭でできる脳卒中片マヒのリハビリ; やさしい図解,川平法.2012

    • Author(s)
      川平和美
    • Total Pages
      100
    • Publisher
      (監修)小学館
    • Related Report
      2012 Final Research Report
  • [Book] 家庭でできる脳卒中片マヒのリハビリ; やさしい図解, 川平法2012

    • Author(s)
      川平和美
    • Total Pages
      99
    • Publisher
      小学館
    • Related Report
      2012 Annual Research Report
  • [Book] 片麻痺回復のための運動療法;促通反復療法「川平法」の理論と実際 第2版2010

    • Author(s)
      川平和美
    • Total Pages
      224
    • Publisher
      医学書院、東京
    • Related Report
      2010 Annual Research Report
  • [Remarks] テレビ放送1)川平和美:NHKスペシャル「脳がよみがえる」、2011年9月4日,(再放送:9月13日、18日)NHK「朝イチ」、2011年9月14日

    • Related Report
      2012 Final Research Report
  • [Remarks] 雑誌、週刊誌等1)市川衛:NHKスペシャル「脳がよみがえる」脳卒中リハビリ革命主婦と生活社,2011年・あきらめていたマヒが改善;「川平法」の真実.pp42-79,・最新研究で見えてきた「脳の回復のメニズム」.pp80-117

    • Related Report
      2012 Final Research Report
  • [Remarks] 雑誌、週刊誌等2)鹿児島大学病院霧島リハビリテーションセンターの奇跡;「川平法」脳卒中リハビリで動いた!週間現代53(41)191-198,講談社、2011年

    • Related Report
      2012 Final Research Report
  • [Remarks] 雑誌、週刊誌等3)介護を乗り切るリハビリの力;慢性期のまひにも有効.注目のニューロリハビリ.促通反復療法.東洋経済新聞6365:66-67,東洋経済新聞社、2011年

    • Related Report
      2012 Final Research Report
  • [Remarks]

    • URL

      http://www.kufm.kagoshima-u.ac.jp/~rehabil/koza/jobs/sensin.html-

    • Related Report
      2012 Final Research Report

URL: 

Published: 2010-08-23   Modified: 2019-07-29  

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