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Study on the relationship between psychological characteristics and functional recovery of stroke patients by brain network analysis

Research Project

Project/Area Number 26350602
Research Category

Grant-in-Aid for Scientific Research (C)

Allocation TypeMulti-year Fund
Section一般
Research Field Rehabilitation science/Welfare engineering
Research InstitutionMorinomiya Hospital Neurorehabilitation Research Institute

Principal Investigator

Hattori Noriaki  社会医療法人大道会(神経リハビリテーション研究部), 神経リハビリテーション研究部, 研究員 (70513141)

Co-Investigator(Renkei-kenkyūsha) Kokubo Kae  
Project Period (FY) 2014-04-01 – 2019-03-31
Project Status Completed (Fiscal Year 2018)
Budget Amount *help
¥4,940,000 (Direct Cost: ¥3,800,000、Indirect Cost: ¥1,140,000)
Fiscal Year 2018: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2017: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2016: ¥780,000 (Direct Cost: ¥600,000、Indirect Cost: ¥180,000)
Fiscal Year 2015: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2014: ¥1,170,000 (Direct Cost: ¥900,000、Indirect Cost: ¥270,000)
Keywords脳卒中 / やる気 / アパシー / リハビリテーション / 片麻痺 / MRI / 麻痺 / 日常生活動作 / うつ
Outline of Final Research Achievements

The purpose of this study was to reveal the psychological characteristics required for effective rehabilitation for stroke patients, and to find the related brain networks. We recruited stroke patients in the subacute state, admitted to a convalescent rehabilitation ward for intensive rehabilitation, and assessed their psychological symptoms, degree of hemiparesis and activities of daily living by standardized scales at admission and discharge, and conducted Magnetic Resonance Imaging to identify the stroke lesions.
The results of multiple regression analysis showed that the interaction between apathy score and severity of hemiparesis contributed to the model that predicts the improvement of hemiparesis. On the other hand, the apathy score did not correlate with age, severity of hemiparesis at admission, or duration from onset to admission. It was suggested that the severer the hemiparesis is, the more important the motivation is for recovery of motor function after stroke.

Academic Significance and Societal Importance of the Research Achievements

脳梗塞後の回復期リハビリテーションにおいて、より片麻痺が重症なほど、アパシー傾向が少ない、すなわち、やる気を持っていることが機能回復に重要であることが明らかになった。
脳卒中リハビリテーションにおいては、早期から、目標達成への意欲を高められるようなプログラムを作成し、リハビリテーションを行うことが重要であると考えられる。

Report

(6 results)
  • 2018 Annual Research Report   Final Research Report ( PDF )
  • 2017 Research-status Report
  • 2016 Research-status Report
  • 2015 Research-status Report
  • 2014 Research-status Report

Research Products

(45 results)

All 2019 2018 2017 2016 2015 2014

All Journal Article (6 results) (of which Peer Reviewed: 2 results,  Acknowledgement Compliant: 1 results) Presentation (38 results) (of which Int'l Joint Research: 10 results,  Invited: 2 results) Book (1 results)

  • [Journal Article] 脳卒中の病巣解析による予後予測の動向2018

    • Author(s)
      服部憲明,宮井一郎
    • Journal Title

      総合リハビリテーション

      Volume: 46 Pages: 601-607

    • Related Report
      2018 Annual Research Report
  • [Journal Article] 脳卒中リハビリテーションに有用な脳画像診断2018

    • Author(s)
      服部憲明
    • Journal Title

      分子脳血管病

      Volume: 17 Pages: 83-86

    • Related Report
      2017 Research-status Report
  • [Journal Article] Large-Scale Phase Synchrony Reflects Clinical Status After Stroke: An EEG Study2017

    • Author(s)
      Kawano Teiji、Hattori Noriaki、Uno Yutaka、Kitajo Keiichi、Hatakenaka Megumi、Yagura Hajime、Fujimoto Hiroaki、Yoshioka Tomomi、Nagasako Michiko、Otomune Hironori、Miyai Ichiro
    • Journal Title

      Neurorehabilitation and Neural Repair

      Volume: 31 Pages: 561-570

    • DOI

      10.1177/1545968317697031

    • Related Report
      2017 Research-status Report
    • Peer Reviewed
  • [Journal Article] 脊髄小脳変性症に対するリハビリーテション2016

    • Author(s)
      服部憲明
    • Journal Title

      リハ医学

      Volume: 53 Pages: 520-523

    • NAID

      130005169706

    • Related Report
      2016 Research-status Report
  • [Journal Article] 高次脳機能障害の発症・回復・リハビリテーション介入の原理2016

    • Author(s)
      服部憲明
    • Journal Title

      Monthly Book MEDICAL REHABILITATION

      Volume: 192 Pages: 17-23

    • Related Report
      2015 Research-status Report
  • [Journal Article] Executive Dysfunction in Patients with Putaminal Hemorrhage.2015

    • Author(s)
      Kokubo K, Suzuki K, Hattori N, Miyai I, Mori E
    • Journal Title

      J Stroke Cerebrovasc Dis.

      Volume: 24 Pages: 1978-1985

    • DOI

      10.1016/j.jstrokecerebrovasdis.2015.04.047

    • Related Report
      2015 Research-status Report
    • Peer Reviewed / Acknowledgement Compliant
  • [Presentation] 脳梗塞患者の心理特性と片麻痺回復の関連について2019

    • Author(s)
      服部憲明、小久保香江、平松佑一、藤本宏明、河野悌司、畠中めぐみ、矢倉 一、望月秀樹、宮井一郎
    • Organizer
      第43回日本脳卒中学会学術集会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 脳波位相同期指数による脳卒中後の失語症評価2019

    • Author(s)
      河野悌司, 服部憲明, 宇野裕, 畠中めぐみ, 矢倉一, 藤本宏明, 吉岡知美, 長廻倫子, 乙宗宏範, 望月秀樹, 北城圭一, 宮井一郎
    • Organizer
      第45回日本リハビリテーション医学会 近畿地方会学術集会
    • Related Report
      2018 Annual Research Report
  • [Presentation] Comparison of EEG synchrony measures for post-stroke neurorehabilitation.2018

    • Author(s)
      Kawano T, Hattori N, Hatakenaka M, Uno Y, Yagura H, Fujimoto H, Yoshioka T, Nagasako M, Otomune H, Kitajo K, Miyai I
    • Organizer
      IEEE Systems, Man, and Cybernetics Society 2018
    • Related Report
      2018 Annual Research Report
  • [Presentation] Assessment of neural networks related to post-stroke aphasia with the EEG phase synchrony index.2018

    • Author(s)
      T, Hattori N, Uno Y, Hatakenaka M, Yagura H, Fujimoto H, Yoshioka T, Nagasako M, Otomune H, Mochizuki H, Kitajo K, Miyai I.
    • Organizer
      48th Society for Neuroscience
    • Related Report
      2018 Annual Research Report
  • [Presentation] 脳波位相同期による脳卒中後の失語症評価2018

    • Author(s)
      河野悌司, 服部憲明, 畠中めぐみ, 宇野裕, 矢倉一, 藤本宏明, 吉岡知美, 長廻倫子, 乙宗宏範, 北城圭一, 宮井一郎
    • Organizer
      第59回日本神経学会学術大会
    • Related Report
      2018 Annual Research Report
  • [Presentation] 脳卒中後の運動回復における脳波位相同期指数の有用性に関する検討2018

    • Author(s)
      河野悌司,服部憲明,畠中めぐみ,宇野裕,矢倉一,藤本宏明,吉岡知美,長廻倫子,北城圭一,宮井一郎
    • 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 Annual Research Report
  • [Presentation] Correlation between progression and ataxia and cerebellar degeneration detected by MR spectroscopy in spnocerebellar degeneration2017

    • Author(s)
      Hattori N,Otomune Hironori,Fujimoto H,Hatakenaka M,Yagura H,Mihara M,Mochizuki H,Miyai I.
    • Organizer
      The XXIII World Congress of Neurology
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Optimizing neurorehabilitation for stroke using an exoskeleton robot.2017

    • Author(s)
      Hatakenaka M, Furukawa J ,Teramae T ,Jino A, Hiramatsu Y,Hattori1 N,Kawano T,Otomune H,Fujimoto H, Yagura H,Gloger M, Noda T, Miyai I, Morimoto J.
    • Organizer
      The XXIII World Congress of Neurology
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Electroencephalogram phase synchrony correlates with post-stroke upper limb motor impairment.2017

    • Author(s)
      Kawano T. Hattori N, Uno Y,Hatakenaka M, Yagura H, Fujimoto H, Yoshioka T,Nagasako M, Otomune H, Kitajo K, Miyai I.
    • Organizer
      The XXIII World Congress of Neurology
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Comparing and aproximating the data of Kinect and 3D motion capture analysis for gait2017

    • Author(s)
      Otomune H,Hattori N,Fujimoto H,Nagasako M,Yoshioka T,Hatakenaka H,Yagura H,Mihara M,Miyai I,Omori T,Mochizuki H.
    • Organizer
      The XXIII World Congress of Neurology
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Electroencephalogram phase synchrony reflects the clinical status of the post stroke aphasia.2017

    • Author(s)
      Kawano T,Hattori N, Uno Y,Hatakenak M,Yagura H,Fujimoto H,Yohioka T,Nagasako M,Kitajo K,Otomune H,Miyai I.
    • Organizer
      Neuroscience 2017
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Decoding neurofeedback training to improve hemiparesis after stroke-a pilot study.2017

    • Author(s)
      Hattori N,Shibata K,Hatakenaka M, Kawano T,Yagura H,Sasaki Y,Watanabe T, Kawato M,Mochizuki H,Miyai I.
    • Organizer
      real-time functional imaging and neurofeedback conference(rtFIN2017)
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] Assessments of post-stroke aphasia and recovery with the resting state EEG phase synchrony index.2017

    • Author(s)
      Kawano T,Hattori N,Uno Y,Hatakenak M, Yagura H,Fujimoto H,Yoshioka T, Nagasako M,Otomune H,Kitajo K,Miyai I.
    • Organizer
      real-time functional imaging and neurofeedback conference(rtFIN2017)
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] fNIRS-mediated neurofeedback for cerebellar ataxia: potential for augmenting rehabilitation outcome.2017

    • Author(s)
      Fujimoto H,Mihara M,Hattori N,Otomune H, Hiramatsu Y,Hatakenaka M,Yagura H, Kawano T,Yoshioka T,Nagasako M,Mochizuki H, Miyai I
    • Organizer
      real-time functional imaging and neurofeedback conference(rtFIN2017)
    • Related Report
      2017 Research-status Report
    • Int'l Joint Research
  • [Presentation] 脳波位相同期は脳卒中後の半側空間無視重症度を反映する.2017

    • Author(s)
      河野悌司,服部憲明,畠中めぐみ,宇野裕,北城圭一,矢倉 一,藤本宏明,吉岡知美,長廻倫子,宮井一郎.
    • Organizer
      第54回日本リハビリテーション医学会学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] 回復期リハビリテーション病棟に入院した脳卒中患者の合併症の推移.2017

    • Author(s)
      矢倉 一,宮井一郎,畠中めぐみ,河野悌司,藤本宏明,長廻倫子,吉岡知美,乙宗宏範,服部憲明.
    • Organizer
      第1回日本リハビリテーション医学会秋季学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] 脳波位相同期指数(PSI)による脳卒中後の失語症評価.2017

    • Author(s)
      河野悌司,服部憲明,畠中めぐみ,宇野裕,矢倉 一,藤本宏明,吉岡知美,長廻倫子,乙宗宏範,北城圭一,宮井一郎.
    • Organizer
      第1回日本リハビリテーション医学会秋季学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] 教育講演 神経疾患に対するリハビリテーション~最近の話題~ 脊髄小脳変性症に対するリハビリテーション2017

    • Author(s)
      服部憲明
    • Organizer
      第1回日本リハビリテーション医学会秋季学術集会
    • Related Report
      2017 Research-status Report
  • [Presentation] EEG phase synchrony reflects the severity of left unilateral spatial neglect after stroke.2016

    • Author(s)
      河野悌司,服部憲明,畠中めぐみ,宇野裕,北城圭一,矢倉一,藤本宏明,吉岡知美,長廻倫子,宮井一郎
    • Organizer
      第57回日本神経学会学術大会
    • Place of Presentation
      兵庫
    • Related Report
      2016 Research-status Report
  • [Presentation] 感覚運動野の脳波位相同期は脳卒中後の上肢運動機能を反映する.2016

    • Author(s)
      河野悌司,服部憲明,畠中めぐみ,宇野裕,北城圭一,矢倉一,藤本宏明,宮井一郎.
    • Organizer
      第7回日本ニューロリハビリテーション学会学術集会
    • Place of Presentation
      兵庫
    • Related Report
      2016 Research-status Report
  • [Presentation] 半球間の大域的脳波位相同期は脳卒中後の日常生活能力と関係する.2016

    • Author(s)
      宇野裕,服部憲明,河野悌司,畠中めぐみ,宮井一郎,北城圭一.
    • Organizer
      第7回日本ニューロリハビリテーション学会学術集会
    • Place of Presentation
      兵庫
    • Related Report
      2016 Research-status Report
  • [Presentation] 脳卒中半側空間無視病態とα波周波数との関連.2016

    • Author(s)
      岡崎由香,服部憲明,河野悌司,宇野裕, 畠中めぐみ,宮井一郎,北城圭一.
    • Organizer
      第7回日本ニューロリハビリテーション学会学術集会
    • Place of Presentation
      兵庫
    • Related Report
      2016 Research-status Report
  • [Presentation] 左頭頂葉病変により道具の使用障害を呈した3 症例の検討.2016

    • Author(s)
      小久保香江,畠中めぐみ,服部憲明,宮井一郎.
    • Organizer
      第7回日本ニューロリハビリテーション学会学術集会
    • Place of Presentation
      兵庫
    • Related Report
      2016 Research-status Report
  • [Presentation] 重度失語症の回復機序の検討-左大脳全脳損傷後に失語症が改善した症例の機能的MRIによる検討-.2016

    • Author(s)
      服部憲明,矢倉一,畠中めぐみ,河野悌司,藤本宏明,吉岡知美,長廻倫子,宮井一郎.
    • Organizer
      第53回日本リハビリテーション医学会学術集会
    • Place of Presentation
      京都
    • Related Report
      2016 Research-status Report
  • [Presentation] 文字に特異な視覚性保続を認めた一例2016

    • Author(s)
      田中恵子,吉岡知美,服部憲明,博野信次,宮井一郎
    • Organizer
      第40回日本高次脳機能障害学会学術総会
    • Place of Presentation
      長野
    • Related Report
      2016 Research-status Report
  • [Presentation] EEG phase synchrony reflects the severity of left unilateral spatial neglect after stroke.2016

    • Author(s)
      Kawano T,Hattori N,Hatakenaka M,Uno Y,Kitajo K,Yagura H,Fujimoto H,Yosioka T,Nagasako M,Miyai I.
    • Organizer
      第46回北米神経科学会
    • Place of Presentation
      米国・サンディエゴ
    • Related Report
      2016 Research-status Report
    • Int'l Joint Research
  • [Presentation] EEG phase synchrony of sensorimotor area reflects limb functions after stroke.2015

    • Author(s)
      Kawano T, Hattori N, Uno Y, Kitajyo K, Hatakenaka M, Yagura H, Fujimoto H, Yoshioka T, Nagasako M, Miyai I.
    • Organizer
      Neuroscience 2015
    • Place of Presentation
      アメリカ・シカゴ
    • Year and Date
      2015-10-18
    • Related Report
      2015 Research-status Report
    • Int'l Joint Research
  • [Presentation] 安静時脳波位相解析の神経リハビリテーションへの応用2015

    • Author(s)
      服部憲明
    • Organizer
      第39回日本リハビリテーション医学会近畿地方会
    • Place of Presentation
      大阪
    • Year and Date
      2015-09-12
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] 高次脳機能障害とリハビリテーション2015

    • Author(s)
      服部憲明
    • Organizer
      日本リハビリテーション看護学会 第52回研修会
    • Place of Presentation
      滋賀
    • Year and Date
      2015-09-05
    • Related Report
      2015 Research-status Report
    • Invited
  • [Presentation] 脳卒中患者における感覚運動野の脳波位相同期と運動機能との関連2015

    • Author(s)
      河野悌司,服部憲明,宇野裕,北城圭一,畠中めぐみ,矢倉一,藤本宏明,吉岡知美,長廻倫子,宮井一郎.
    • Organizer
      第56回日本神経学会学術大会
    • Place of Presentation
      新潟
    • Year and Date
      2015-05-22
    • Related Report
      2015 Research-status Report
  • [Presentation] 虚血性脳卒中患者における半球間脳波位相同期とADL指標に関する報告2015

    • Author(s)
      河野悌司,服部憲明,宇野裕,北城圭一,畠中めぐみ,矢倉一,藤本宏明,乙宗宏範,宮井一郎
    • Organizer
      第6回日本ニューロリハビリテーション学会学術集会
    • Place of Presentation
      秋田
    • Year and Date
      2015-02-21
    • Related Report
      2014 Research-status Report
  • [Presentation] 脳卒中片麻痺患者の手指伸展運動時の主動作筋、拮抗筋、近位筋の活動特性2015

    • Author(s)
      神尾 昭宏,服部 憲明,畠中 めぐみ,矢倉 一,河野 悌司,藤本 宏明,宮井 一郎
    • Organizer
      第6回日本ニューロリハビリテーション学会学術集会
    • Place of Presentation
      秋田
    • Year and Date
      2015-02-21
    • Related Report
      2014 Research-status Report
  • [Presentation] Phase synchrony of resting state electroencephalography in ischemic stroke:I. Distinct effects of band frequency on various aspects of functional outcome.2014

    • Author(s)
      Kawano T,Hattori N, Uno Y, Kitajyo K, Hatakenaka M,Yagura H,Fujimoto H,Yoshioka T,Nagasako M, Otomune H,Miyai I.
    • Organizer
      第44回北米神経学会
    • Place of Presentation
      アメリカ ワシントンD.C
    • Year and Date
      2014-11-19
    • Related Report
      2014 Research-status Report
  • [Presentation] Phase synchrony of resting state electroencephalography in ischemic stroke: II. Distinct effects of lesion side on the relationship between hemispheric asymmetry in large-scale synchrony networks and functional recovery.2014

    • Author(s)
      UNO Y, KAWANO T, HATTORI N, HATAKENAKA M, MIYAI I, KITAJO K
    • Organizer
      第44回北米神経学会
    • Place of Presentation
      アメリカ ワシントンD.C
    • Year and Date
      2014-11-19
    • Related Report
      2014 Research-status Report
  • [Presentation] 脳卒中片麻痺患者の手指伸展運動時の共同運動パターン2014

    • Author(s)
      神尾昭宏,服部 憲明,畠中めぐみ,亀田彬宣,宮井一郎
    • Organizer
      第8回Motor Control 研究会
    • Place of Presentation
      筑波
    • Year and Date
      2014-08-08
    • Related Report
      2014 Research-status Report
  • [Presentation] Large-scale EEG phase synchrony associated with functional recovery after ischemic stroke.2014

    • Author(s)
      Uno Y, Kawano T,Hattori N, Hatakenaka M,Miyai I, Kitajo K.
    • Organizer
      Organization for Human Brain Mapping 2014 Annual Meeting
    • Place of Presentation
      ドイツ・ハンブルグ
    • Year and Date
      2014-06-11
    • Related Report
      2014 Research-status Report
  • [Presentation] 虚血性脳卒中患者における脳波位相同期と臨床指標の関連.2014

    • Author(s)
      河野悌司,服部憲明,宇野裕,北城圭一,畠中めぐみ,矢倉一,藤本宏明,吉岡知美,長廻倫子,乙宗宏範,宮井一郎
    • Organizer
      第55回日本神経学会学術大会
    • Place of Presentation
      博多
    • Year and Date
      2014-05-22
    • Related Report
      2014 Research-status Report
  • [Presentation] Kinectを用いた3次元歩行解析システムの開発2014

    • Author(s)
      乙宗宏範,服部憲明,前田彬,森正志,工藤俊介,藤田暢一,藤本宏明,河野悌司,長廻倫子,吉岡知美,畠中めぐみ,矢倉一,大森隆司,宮井一郎.
    • Organizer
      第55回日本神経学会学術大会
    • Place of Presentation
      博多
    • Year and Date
      2014-05-21
    • Related Report
      2014 Research-status Report
  • [Book] 脳卒中の神経リハビリテーション 新しいロジックと実践2017

    • Author(s)
      宮井一郎,三原雅史,矢倉一,畠中めぐみ,小久保香江,服部憲明,河野悌司,柴田徹,藤井由記代
    • Total Pages
      338
    • Publisher
      中外医学社
    • ISBN
      9784498067240
    • Related Report
      2017 Research-status Report

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Published: 2014-04-04   Modified: 2020-03-30  

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