転倒予防のための複数課題条件下での注意運動介入法の開発

2010 年度 研究成果報告書

• 研究課題/領域番号: 21700671
• 研究種目: 若手研究(B)
• 配分区分: 補助金
• 研究分野: 応用健康科学
• 研究機関: 京都大学
• 研究代表者: 山田 実 京都大学, 医学研究科, 助教 (30525572)
• 研究期間 (年度): 2009 – 2010
• キーワード: 転倒予防 / 高齢者 / 障害物回避 / 複数課題条件

研究概要

複数課題下で障害物に注意を向けるという能力を強化することで、転倒予防に有用となるのかを検証した。対象は高齢者157名(84±6歳)であり、無作為に2群に割り付けた。各群でそれぞれ、複数課題条件下(MT群)と単一課題条件下(ST群)で24週間の障害物回避トレーニングを行った。複数課題下障害物接触回数では、有意な交互作用を認め、MT群でのみ接触回数の減少を認めた。さらに、MT群では有意に転倒発生が有意に少なかった。複数課題下での障害物回避トレーニングは転倒予防に有用である。

研究成果

• [雑誌論文] Using a Smartphone while walking -a measure of dual-tasking ability as a falls risk assessment tool (2011)
  • 著者名/発表者名: Yamada M, et al.
  • 雑誌名: Age Ageing 巻: 40 ページ: 516-9
  • DOI: DOI:10.1093/ageing/afr039
  • 査読あり
• [雑誌論文] Effect of resistance training on physical performance and fear of falling in elderly with different levels of physical well-being (2011)
  • 著者名/発表者名: Yamada M, et al.
  • 雑誌名: Age Ageing 巻: 40 ページ: 637-641
  • DOI: DOI:10.1093/ageing/afr068
  • 査読あり
• [雑誌論文] Differential determinants of physical daily activities in frail and non-frail community-dwelling older adults (2011)
  • 著者名/発表者名: Yamada M, et al.
  • 雑誌名: Journal of Clinical Gerontology and Geriatrics 巻: 2 ページ: 42-46
  • URL: http://dx.doi.org/10.1016/j.jcgg.2011.02.004
  • 査読あり
• [雑誌論文] The reliability and preliminary validity of game-based fall risk assessment in community-dwelling older adults (2011)
  • 著者名/発表者名: Yamada M, et al.
  • 雑誌名: Geriatr Nurs 巻: 32 ページ: 188-94
  • URL: http://dx.doi.org/10.1016/j.gerinurse.2011.02.002
  • 査読あり
• [雑誌論文] Measurements of stepping accuracy in a multi-target stepping task as a potential indicator of fall risk in elderly individuals (2011)
  • 著者名/発表者名: Yamada M, et al.
  • 雑誌名: Journals of Gerontology, Series A: Medical Sciences 巻: 66 ページ: 994-1000
  • DOI: DOI:10.1093/gerona/glr073
  • 査読あり
• [雑誌論文] Rhythmic stepping exercise under cognitive condition improves fall risk factors in community-dwelling older adults: preliminary results of cluster-randomized controlled trial (2011)
  • 著者名/発表者名: Yamada M, et al
  • 雑誌名: Aging and Mental Health 巻: 15 ページ: 647-653
  • DOI: DOI:10.1080/13607863.2010.551341
  • 査読あり
• [雑誌論文] Dual-task walk is a reliable predictor of falls in robust elderly adults (2011)
  • 著者名/発表者名: Yamada M, et al.
  • 雑誌名: J Am Geriatr Soc 巻: 59 ページ: 163-4
  • DOI: DOI:10.1111/j.1532-5415.2010.03206.x.
  • 査読あり
• [雑誌論文] Older adults at high risk of falling need more time for anticipatory postural adjustment in the precrossing phase of obstacle negotiation (2011)
  • 著者名/発表者名: Uemura K, Yamada, et al.
  • 雑誌名: J Gerontol A Biol Sci Med Sci 巻: 66 ページ: 904-9
  • DOI: DOI:10.1093/gerona/glr081
  • 査読あり
• [雑誌論文] The effect of choice reaction task on impact of single-leg landing (2011)
  • 著者名/発表者名: Shinya M, Yamada M, et al.
  • 雑誌名: Gait and Posture 巻: 34 ページ: 55-9
  • URL: http://dx.doi.org/10.1016/j.gaitpost.2011.03.011
  • 査読あり
• [雑誌論文] Differences in muscle coactivation during postural control between healthy older and young adults (2011)
  • 著者名/発表者名: Nagai K, Yamada M, et al.
  • 雑誌名: Archives of Gerontology and Geriatrics 巻: 53 ページ: 338-43
  • URL: http://dx.doi.org/10.1016/j.archger.2011.01.003
  • 査読あり
• [雑誌論文] Trail walking exercise and fall risk factors in community-dwelling older adults: preliminary results of a randomized controlled trial (2011)
  • 著者名/発表者名: Yamada M, et al.
  • 雑誌名: J Am Geriatr Soc 巻: 58 ページ: 1946-51
  • DOI: DOI:10.1111/j.1532-5415.2010.03059.x
  • 査読あり
• [雑誌論文] Fallers choose an early transfer gaze strategy during obstacle avoidance under dual-task condition (2011)
  • 著者名/発表者名: Yamada M, et al.
  • 雑誌名: Age Clin Exp Res 巻: 23 ページ: 316-319
  • URL: http://www.kurtis.it/aging/en/abstract.cfm/7258
  • 査読あり
• [雑誌論文] Seated stepping exercise under a dual-task condition imp roves ambulatory function with a secondary task: a randomized controlled trial (2011)
  • 著者名/発表者名: Yamada M, et al.
  • 雑誌名: Age Clin Exp Res 巻: 23 ページ: 386-392
  • URL: http://www.kurtis.it/aging/en/abstract.cfm/7326
  • 査読あり
• [雑誌論文] Predicting the probability of falls in community-dwelling elderly individuals using the trail walking test (TWT) (2010)
  • 著者名/発表者名: Yamada M, et al.
  • 雑誌名: Environmental Health and Preventive Medicine 巻: 15 ページ: 386-391
  • DOI: DOI:10.1007/s12199-010-0154-1
  • 査読あり
• [雑誌論文] Faster decline of physical performance in higherlevels of baseline locomotive function in older adults
  • 著者名/発表者名: Yamada M, et al.
  • 雑誌名: Geriatrics and Gerontology International 巻: (in press)
  • DOI: DOI:10.1111/j.1447-0594.2011.00757.x
  • 査読あり
• [雑誌論文] Complex obstacle negotiation exercise can prevent falls in community-dwelling elderly Japanese aged 75 years and above
  • 著者名/発表者名: Yamada M, et al.
  • 雑誌名: Geriatrics and Gerontology International 巻: (in press)
  • DOI: DOI:10.1111/j.1447-0594.2011.00794.x
  • 査読あり
• [雑誌論文] Objective assessment of abnormal gait in patients with rheumatoid arthritis using a smartphone
  • 著者名/発表者名: Yamada M, et al.
  • 雑誌名: Rheumatology International 巻: (in press)
  • DOI: DOI:10.1007/s00296-011-2283-2
  • 査読あり
• [雑誌論文] Maladaptive turning and gaze behavior induces impaired stepping on multiple footfall targets during gait in older individuals who are at high risk of falling
  • 著者名/発表者名: Yamada M, et al.
  • 雑誌名: Archives of Gerontology and Geriatrics 巻: (in press)
  • URL: http://dx.doi.org/10.1016/j.archger.2011.08.012
  • 査読あり
• [雑誌論文] Development of a new index for fall risk assessment in older adults
  • 著者名/発表者名: Yamada M, et al.
  • 雑誌名: International Journal of Gerontology 巻: (in press)
  • URL: ttp://dx.doi.org/10.1016/j.ijge.2011.08.001
  • 査読あり
• [雑誌論文] Effects of a DVD-based seated dual-task stepping exercise on the fall risk factors among community-dwelling elderly adults : A pilot feasibility study
  • 著者名/発表者名: Yamada M, et al.
  • 雑誌名: Telemedicine and E-Health 巻: (in press)
  • DOI: DOI:10.1089/tmj.2011.0054.
  • 査読あり
• [雑誌論文] Reliability and validity of gait analysis by Android-based smartphone
  • 著者名/発表者名: Nishiguchi Shu, Yamada Minoru, et al.
  • 雑誌名: Telemedicine and E-Health 巻: (in press)
  • DOI: DOI:10.1089/tmj.2011.0132.
  • 査読あり
• [雑誌論文] Fear of Falling Is Associated with Prolonged Anticipatory Postural Adjustment during Gait Initiation under Dual-task Conditions in Older Adults
  • 著者名/発表者名: Kazuki Uemura, Minoru Yamada, et al.
  • 雑誌名: Gait & Posture 巻: (in press)
  • DOI: DOI:10.1016/j.gaitpost.2011.09.100
  • 査読あり
• [雑誌論文] 4-week walking exercise program in patients with knee osteoarthritis improves the ability of dual-task performance: a randomized-controlled trial
  • 著者名/発表者名: Hiyama Y, Yamada M, et al.
  • 雑誌名: Clinical Rehabilitation 巻: (in press)
  • DOI: DOI:10.1177/0269215511421028
  • 査読あり
• [雑誌論文] Effects of fear of falling on musculer coactivation during walking
  • 著者名/発表者名: Nagai K, Yamada M, et al.
  • 雑誌名: Aging Clinical and Experimental Research 巻: (in press)
  • URL: http://www.ncbi.nlm.nih.gov/pubmed/21606665
  • 査読あり
• [学会発表] Complex obstacle negotiation exercise can prevent falls in community-dwelling elderly Japanese aged 75 years and above (2011)
  • 著者名/発表者名: Yamada M, et al.
  • 学会等名: The second scientific meeting of the Asian federation of osteoporosis sciences
  • 発表場所: Kobe
  • 年月日: 20110000
• [学会発表] The reliability and validity of the 3-colors walking test for measurement of risk of falling in people after stroke (2010)
  • 著者名/発表者名: Yamada M, et al.
  • 学会等名: Asian Congress of Medical and Care Facilities
  • 発表場所: Kyoto
  • 年月日: 20100000