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Faculty of Medicine College Hospital Rehabilitation part |
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Papers 【 display / non-display 】
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SBi Silicone<sup>Ⓡ</sup>インプラントによる人工中手指節間関節置換術後 Reviewed
前田 翔吾, 大田 智美, 中武 潤, 荒川 英樹
日本ハンドセラピィ学会誌 17 ( 1 ) 41 - 47 2025.3
Language:Japanese Publishing type:Research paper (scientific journal) Publisher:一般社団法人 日本ハンドセラピィ学会
今回,SBi Silicone<sup>Ⓡ</sup>インプラントの人工中手指節間(MP)関節置換術後,通常プロトコルではなく,術後2週から尺側偏位防止スプリントのみを使用し経過をみた症例を担当した.70代の右利きの女性で,関節リウマチ由来の右手変形の外観の矯正と右手指機能改善を希望され,右示指から小指の人工MP関節置換術が施行された.通常プロトコル通りの介入を予定していたが,アウトリガー付き動的スプリントは装着ストレスが強く,術後12日目から日中・夜間の尺側偏位防止スプリントのみを使用した.術指MP関節の屈曲角度を段階的に増やし,インプラント折損に留意した.術後3か月で,右示指から小指の尺側偏位角度は5°程,MP関節自動屈曲角度は60°程,伸展角度は-20°程で,Hand20はスコア4.5点,HAQ-DIは0.5となった.経過途中から尺側偏位防止スプリントのみの使用に変更しても,屈曲角度の調整を行うことで,術指の尺側偏位防止及びインプラントの折損を防止できる可能性がある.
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Nakatake J., Miyazaki S., Arakawa H., Chosa E.
PeerJ 13 ( 4 ) e19324 2025
Language:English Publishing type:Research paper (scientific journal) Publisher:PeerJ
Background. Understanding elementary feeding movements and postures is essential for improving assessment and intervention strategies in occupational therapy, particularly for individuals with eating difficulties, and for educating caregivers and students. However, the current assessment tools lack precision in evaluating complex feeding movements and often rely on subjective judgments rather than objective measures. We aimed to determine elementary movements and postures corresponding to different feeding phases using principal component analysis (PCA). Methods. This cross-sectional observational study was conducted at a Local National University Hospital and included 45 healthy, right-handed adult volunteers (23 men and 22 women) aged 20–39 years (mean age, 27.3 years), with no neurological or musculoskeletal impairments. Movements during yogurt feeding using a spoon were captured with a three-dimensional inertial sensor motion capture system. Principal components (PCs) and their scores were derived from PCA of whole-body joint motion data across four feeding phases. PC scores were compared between phases using Friedman’s and post-hoc tests. Results. The primary PC, representing whole-body movement, accounted for 50.0% of the variance; the second PC, associated with hand direction changes, accounted for 13.7%. The cumulative variance of the first five PCs was 83.1%, including individual body-part movements and fixations or combinations of these. Significant differences existed between feeding phases, particularly in the reaching and transport phases, which showed greater whole-body movement than that during the spooning and mouth phases. Hand direction changes were more prominent during the spooning phase than during the mouth phase. Conclusions. PCA helped determine key elementary movements and their corresponding feeding phases, which can be used to assess patients with feeding difficulties and guide occupational therapy interventions. Portions of this text were previously published as part of a preprint
DOI: 10.7717/peerj.19324
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Miyazaki S., Fujii Y., Tsuruta K., Yoshinaga S., Hombu A., Funamoto T., Sakamoto T., Tajima T., Arakawa H., Kawaguchi T., Nakatake J., Chosa E.
PeerJ 12 ( 10 ) e18351 2024
Language:English Publishing type:Research paper (scientific journal) Publisher:PeerJ
Background. Understanding the gait pattern of patients eligible for total hip arthroplasty (THA) due to hip osteoarthritis (OA) offers valuable information for improving locomotive syndrome (LS). This study aims to measure the gait patterns of THA-eligible patients using an optical motion capture system and to analyze these patterns using principal component analysis (PCA). Additionally, this study examines the relationship between THA-induced gait patterns and LS. Methods. This before-after study included 237 patients who underwent unilateral primary THA due to hip OA. The primary outcome measures were spatiotemporal gait parameters. Secondary outcome measures included three LS risk tests: a stand-up test, a two-step test, a 25-question Geriatric Locomotive Function Scale (GLFS-25), and total clinical decision limits stages. PCA was performed using 16 spatiotemporal gait parameters collected before and three months after THA. Principal components (PC) were selected to achieve a cumulative contribution rate of 90% (0.9) or higher. Each summarized PC was compared using a paired t-test before and three months after THA. Furthermore, multiple regression analysis was conducted to determine how changes in each PC between before and three months after THA related to changes in the four LS evaluation items. Results. PCA identified three principal components (PC1, PC2, PC3) that accounted for a cumulative contribution rate of 0.910 using 16 spatiotemporal gait parameters. When comparing before and three months after THA for all three PCs, significant differences were observed in each PC (p < 0.001), with overall walking ability and stance phase being higher three months after THA than before THA, while the asymmetry of support time was lower three months after THA. The results of multiple regression analysis revealed that PC1, PC2, and PC3 were the most influential factors in total clinical decision limits stage. For each LS risk test, the factors related to the stand-up test were identified as PC1, PC2, and PC3, while the factors related to the two-step test were identified as PC1 and PC2. The factors related to the GLFS-25 were also identified as PC1 and PC2. Conclusions. The most important findings of this study indicate that the three PCs represent over 90% of the 16 spatiotemporal gait parameters, which are associated with total clinical decision limits stage and LS risk tests. The present results suggest that PC1 represents overall walking ability, PC2 represents the stance phase, and PC3 represents asymmetry of support time. Gait pattern characteristics, such as overall walking ability, stance phase, and asymmetry of support time, were clearly defined by these PCs. Regarding the relationship between PC and LS, all three PCs are related to total clinical decision limits stage. In addition, PC1 and PC2 related to all three LS risk tests, and PC3 related only to the stand-up test.
DOI: 10.7717/peerj.18351
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Effect of age on upper limb, neck, and trunk kinematics during activities of daily living Reviewed
Nakatake J., Arakawa H., Shogo M., Totoribe K., Chosa E.
Heliyon 9 ( 10 ) e20535 2023.10
Language:English Publishing type:Research paper (scientific journal) Publisher:Heliyon
Motion analysis during activities of daily living has been conducted in numerous studies. However, information is lacking regarding age-related differences that affect clinical assessment and treatment goals. This study aimed to examine the effect of age on kinematics during activities of daily living. Three-dimensional motions of the shoulder, elbow, neck, and trunk of 12 younger adults (age, 29.8 ± 5.4 years; 7 men and 5 women) and 10 older adults (age, 69.5 ± 4.9 years; 6 men and 4 women) were measured during the acts of reaching for a table, bringing a glass to the mouth for drinking, wiping the buttocks, tying shoelaces, washing hair, washing the axilla, reaching for a high shelf, and reaching for the floor. The ranges of motion and sequential joint angles were compared between age groups by using discrete analysis and statistical parametric mapping, respectively. The ranges of motion of all joint angles in older and younger adults were comparable in the drinking, washing hair, washing the axilla, and reaching for the floor tasks. Statistical parametric mapping indicated that older adults had significantly poorer neck extension than did younger adults during the drinking (67–92% cycle time) and tying shoelaces (64–95% cycle time) tasks. Kinematics were mostly maintained in healthy older adults during activities of daily living. However, reduced motions were confirmed later during some tasks. The results indicated that existing knowledge combined with the current findings, which take age into account, could be used in clinical settings to assess the kinematics of activities of daily living and set treatment goals.
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Development of a video camera-type kayak motion capture system to measure water kayaking Reviewed
Shigeaki Miyazaki, Go Yamako, Ryo Kimura, Niroshan G Punchihewa, Tsubasa Kawaguchi, Hideki Arakawa, Etsuo Chosa
PeerJ 2023.7
Language:English Publishing type:Research paper (scientific journal)
DOI: 10.7717/peerj.15227
Books 【 display / non-display 】
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急性期のリハビリテーション医学・医療テキスト(第2版)
荒川 英樹( Role: Sole author , 安静と臥床の病態生理)
日本リハビリテーション医学教育推進機構 2024
Language:Japanese Book type:Textbook, survey, introduction
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消化器外科のリハビリテーション医学・医療テキスト
荒川英樹( Role: Sole author , 血栓症)
医学書院 2024
Language:Japanese Book type:Scholarly book
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標準リハビリテーション医学(第4版)
荒川 英樹( Role: Sole author , ロコモティブシンドローム)
医学書院 2023
Language:Japanese Book type:Scholarly book
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臨床麻酔科学書
荒川英樹,恒吉勇男( Role: Joint author , 術後早期離床・リハビリテーション)
中山書店 2022.7
Language:Japanese Book type:Scholarly book
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総合力がつくリハビリテーション医学・医療テキスト
荒川 英樹( Role: Sole author , 10. 薬物治療)
日本リハビリテーション医学教育推進機構 2021
Language:Japanese Book type:Textbook, survey, introduction
MISC 【 display / non-display 】
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パラアスリートを取り巻く環境から Invited
荒川英樹
総合リハビリテーション 52 ( 5 ) 511 - 515 2024
Authorship:Lead author Language:Japanese Publishing type:Article, review, commentary, editorial, etc. (scientific journal)
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リハビリテーション科医に必要な診察,評価手技6 認知機能(MMSE, HDS-R) Invited
荒川英樹
クリニカルリハビリテーション 33 ( 9 ) 901 - 906 2024
Authorship:Lead author Language:Japanese Publishing type:Rapid communication, short report, research note, etc. (scientific journal)
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安静臥床の病態生理とリハビリテーション治療
荒川英樹
宮崎県医師会医学会誌 47 ( 2 ) 135 - 141 2023.9
Publishing type:Article, review, commentary, editorial, etc. (other)
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肩関節の機能解剖 Reviewed
宮﨑茂明、落合優、石田康行、荒川英樹、帖佐悦男
リハビリテーション診療に必要な動作分析 2023年7月増刊号 ( 289 ) 93 - 98 2023.7
Publishing type:Article, review, commentary, editorial, etc. (scientific journal)
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10.薬物療法
荒川英樹、山田尚基
総合力がつくリハビリテーション医学・医療テキスト 1 169 - 195 2021.2
Language:Japanese Publishing type:Article, review, commentary, editorial, etc. (trade magazine, newspaper, online media) Publisher:一般社団法人日本リハビリテーション医学教育推進機構
Presentations 【 display / non-display 】
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日常生活の上肢リサーチ動作に対する加齢の影響
中武潤、前田翔吾、荒川英樹、鳥取部光司、帖佐悦男
第38回日本整形外科学会基礎学術集会 2023.10.19
Event date: 2023.10.19 - 2023.10.20
Presentation type:Oral presentation (general)
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人工膝関節置換術は変形性膝関節症患者のロコモティブシンドロームを改善する:ロコモ度3に着目した前向きコホート研究
宮﨑茂明、吉永砂織、鶴田来美、本部エミ、藤井良宜、荒川英樹、坂本武郎、中村嘉宏、日吉優、帖佐悦男
第38回日本整形外科学会基礎学術集会 2023.10.20
Event date: 2023.10.19 - 2023.10.20
Presentation type:Oral presentation (general)
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循環器疾患患者の地域生活における運動器障害の危機管理~循環器疾患のロコモティブシンドローム~
荒川英樹、帖佐悦男
第34回日本運動器科学会 2023.7.8
Event date: 2023.7.8 - 2023.7.9
Presentation type:Oral presentation (general)
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精神科療養病棟における運動器障害の危機管理~精神疾患患者のロコモティブシンドローム~
荒川英樹、帖佐悦男
第34回日本運動器科学会 2023.7.8
Event date: 2023.7.8 - 2023.7.9
Presentation type:Oral presentation (general)
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特例補装具支給規定見直しへの取り組み
川野彰裕、梅﨑哲矢、帖佐悦男、荒川英樹、鳥取部光司、荒川英樹、帖佐悦男
第60回日本リハビリテーション医学会学術集会 2023.6.29
Event date: 2023.6.29 - 2023.7.2
Presentation type:Symposium, workshop panel (public)
Available Technology 【 display / non-display 】
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障がい者スポーツにおけるマイオカインなどの内的因子に関する研究
リハビリテーション医療に関連した新規リハビリテーション治療装置の開発
災害リハビリテーション活動に関する研究Related fields where technical consultation is available:リハビリテーション治療、障がい者スポーツ、運動療法、ロボットリハビリテーション、災害リハビリテーション、防災活動、避難所支援
Message:宮崎から産官学連携で医科学研究の成果を発信しましょう!