著者

Ryo Momosaki Shoji Kinoshita Wataru Kakuda Naoki Yamada Masahiro Abo

出版者

徳島大学医学部

雑誌

The Journal of Medical Investigation (ISSN:13431420)

巻号頁・発行日

vol.63, no.3.4, pp.153-158, 2016 (Released:2016-09-17)

参考文献数

26

被引用文献数

8

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The purpose of this study was to review the best available evidence of noninvasive brain stimulation, including repetitive transcranial magnetic stimulation (rTMS) and transcranial direct current stimulation (tDCS) for dysphagia after acquired brain injury. We searched randomized controlled trials that compared noninvasive brain stimulation with control used to improve dysphagia after acquired brain injury. We assessed dysphagia severity rating scales and penetration-aspiration scale as outcomes immediately after intervention. We calculated the pooled estimate of the standardized mean difference (SMD) to combine individual results. We included 8 published studies. Two heterogenous trials of 48 patients showed that rTMS was associated with a significant improvement in the dysphagia severity rating scale score (SMD 2.95). Three homogeneous trials of 88 patients showed a significant effect of rTMS on the penetration-aspiration scale score (SMD 0.77). Two homogeneous trials of 34 patients showed that tDCS was associated with a significant improvement in the dysphagia severity rating scale score (SMD 1.20). The review provided low-quality evidence for the effectiveness of noninvasive brain stimulation in improving dysphagia after acquired brain injury. Further trials of larger sample sizes are needed to determine the most appropriate noninvasive brain stimulation protocol. J. Med. Invest. 63: 153-158, August, 2016

著者

Kazuya Tamura Yuya Ueda Takashi Saito Ryo Goto Naoki Yamada Kiyomasa Nakatsuka Kazuaki Uchida Kana Horibe Kenta Saeki Haruhi Encho Masato Tezuka Mao Mukaijo Rei Ono

出版者

The Japanese Society of Physical Fitness and Sports Medicine

雑誌

The Journal of Physical Fitness and Sports Medicine (ISSN:21868131)

巻号頁・発行日

vol.12, no.5, pp.133-139, 2023-09-25 (Released:2023-09-13)

参考文献数

34

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Outdoor play during childhood is vital for physical, cognitive, and social development. Outdoor play is influenced by friends, though the relationship between outdoor play and the number of close friends is not clear. This study aimed to investigate the association between peer group size and outdoor play among children aged 9–12 years. This study was cross-sectional in design. We recruited fourth- to sixth-grade children from two public elementary schools. Outdoor play contents and duration on weekdays were collected via a questionnaire, and the total duration of outdoor play on five weekdays was calculated. We asked the children to nominate up to 10 of their closest friends. We calculated the peer group size as the total number of reciprocal closest friends for each child. A multivariate linear regression analysis was conducted to investigate the association between peer group size and outdoor play duration, adjusted for gender, grade, school, body mass index, sports club participation, and screen time. This study included 291 children (137 girls, mean age: 10.6 ± 1.0 years). The peer group size was associated with outdoor play duration after adjusting for confounding factors (β: 0.18, 95% CI: 0.07-0.30). This study revealed that children aged 9–12 years, with larger peer group size showed a significantly longer duration of outdoor play.

著者

Wataru Kakuda Ryo Momosaki Naoki Yamada Masahiro Abo

出版者

The Japanese Society of Internal Medicine

雑誌

Internal Medicine (ISSN:09182918)

巻号頁・発行日

vol.55, no.23, pp.3515-3519, 2016-12-01 (Released:2016-12-01)

参考文献数

20

被引用文献数

2 11

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Structural and functional abnormalities of the prefrontal cortex seem to correlate with fatigue in patients with chronic fatigue syndrome (CFS). We consecutively applied facilitatory high-frequency repetitive transcranial magnetic stimulation (rTMS) to the dorsolateral prefrontal cortex (DLPFC) of seven CFS patients over three days. Five patients completed the 3-day protocol without any adverse events. For the other two patients, we had to reduce the stimulation intensity in response to mild adverse reactions. In most of the patients, treatment resulted in an improvement of fatigue symptoms. High-frequency rTMS applied over the DLPFC can therefore be a potentially useful therapy for CFS patients.