著者
Takayuki WATABE Hisayoshi SUZUKI Shuichi SASAKI Rikitaro SAKO Yoshihumi OZASA Jun NAGASHIMA Nobuyuki KAWATE Hiroo ICHIKAWA
出版者
Japanese Society for Brain Function and Rehabilitation
雑誌
Journal of Rehabilitation Neurosciences (ISSN:24342629)
巻号頁・発行日
vol.20, no.1, pp.7-12, 2020 (Released:2020-10-09)

The objectives of this study were to develop an oculomotor rehabilitation program by means of expert discussion, based on the results of a systematic review, that may be easily administered in clinical settings; it also aimed to evaluate the efficacy of the newly developed program in a single case. Four experts with extensive knowledge and experience of brain trauma rehabilitation (mean length of clinical experience 30.5  0.6 years) developed an oculomotor rehabilitation program on the basis of the types, duration, frequency, and timing of exercises previously found to be effective in available literature. In this program, a clinician indicated a target to the patient, who performed exercises to encourage fixation, saccade, pursuit, and vergence in sessions lasting 20 minutes a day, 6 days a week, for a total of 8 weeks. An immediate effect was evident after the first session, with an increase in oculomotor range of motion compared to before the session. The supraduction range of motion of the right eye increased from 1.44 mm before the start of the 8-week program to 4.36 mm after its completion; the patient’s ability to perform activities of daily living also improved. The use of this program improved contraction and weakness of the extraocular muscle, and increased the oculomotor range of motion.
著者
Eri Nojiri Yoshitaka Wada Midori Mochizuki Mizuki Sugiyama Nobuyuki Kawate
出版者
The Society of Physical Therapy Science
雑誌
Journal of Physical Therapy Science (ISSN:09155287)
巻号頁・発行日
vol.34, no.7, pp.485-491, 2022 (Released:2022-07-01)
参考文献数
29

[Purpose] To investigate how different ankle-foot orthosis functions with the same dorsiflexed setting of initial ankle joint angle affect the walking ability in individuals with chronic stroke. [Participants and Methods] In this randomized crossover study, participants underwent a 10-m walking test and walked on a WalkWay MW-1000 three times under these conditions: (1) without ankle-foot orthosis; (2) with ankle-foot orthosis with an adjustable posterior strut at 5° of fixed dorsiflexion; and (3) with ankle-foot orthosis with an adjustable posterior strut at 5–20° of restricted dorsiflexion. The primary outcome was walking speed on the 10-m walking test. The secondary outcomes were walking speed and spatiotemporal factors measured by the WalkWay MW-1000. [Results] Fifteen individuals (mean [standard deviation] age, 60.9 [8.6] years; male, 12) were enrolled. Walking speeds of the ankle-foot orthosis with fixed and restricted dorsiflexion groups were significantly higher than those without the orthosis; however, no outcomes differed significantly between ankle-foot orthosis with fixed versus restricted dorsiflexion groups. [Conclusion] In individuals with chronic stroke, ankle-foot orthosis function may be less important than the dorsiflexed setting of initial ankle joint angle in the ankle-foot orthosis.
著者
Naomi Kobinata Hideto Yoshikawa Yuji Iwasaka Nobuyuki Kawate
出版者
The Showa University Society
雑誌
The Showa University Journal of Medical Sciences (ISSN:09156380)
巻号頁・発行日
vol.33, no.2, pp.34-40, 2021 (Released:2021-06-15)
参考文献数
28

This retrospective study aimed to investigate the relationship between musical and linguistic abilities in patients with aphasia. We reviewed the clinical records of 32 stroke patients with aphasia admitted to subacute rehabilitation units between May 2014 and August 2018. We analyzed the results of melody and rhythm reproduction tests and subtests of auditory comprehension and speech sections in the Standard Language Test of Aphasia (SLTA) collected upon admission and discharge. The Spearman rank correlation coefficient (rs) was used to analyze the correlation between 1)the increase in melody reproduction test scores and SLTA auditory comprehension subtest scores, 2)the increase in melody reproduction test scores and SLTA speech subtest scores, 3)the increase in rhythm reproduction test scores and SLTA auditory comprehension subtest scores, and 4)the increase in rhythm reproduction test scores and SLTA speech subtest scores. There were significant positive correlations between melody reproduction and auditory comprehension subtest scores on the SLTA: “word comprehension” (n=14, rs=0.57, p<0.05) and “following verbal instructions” (n=31, rs=0.42, p<0.05). An SLTA speech subtest score—action naming—was positively correlated with rhythm reproduction (n=31, rs=0.44, p<0.05). This study implies that melody reproduction ability is related to auditory comprehension and that rhythm reproduction ability is related to speech production in patients with aphasia after experiencing a stroke.
著者
Takayuki WATABE Hisayoshi SUZUKI Shuichi SASAKI Rikitaro SAKO Yoshihumi OZASA Jun NAGASHIMA Nobuyuki KAWATE Hiroo ICHIKAWA
出版者
Japanese Society for Brain Function and Rehabilitation
雑誌
Journal of Rehabilitation Neurosciences (ISSN:24342629)
巻号頁・発行日
pp.200115, (Released:2020-03-05)

The objectives of this study were to develop an oculomotor rehabilitation program by means of expert discussion, based on the results of a systematic review, that may be easily administered in clinical settings; it also aimed to evaluate the efficacy of the newly developed program in a single case. Four experts with extensive knowledge and experience of brain trauma rehabilitation (mean length of clinical experience 30.5  0.6 years) developed an oculomotor rehabilitation program on the basis of the types, duration, frequency, and timing of exercises previously found to be effective in available literature. In this program, a clinician indicated a target to the patient, who performed exercises to encourage fixation, saccade, pursuit, and vergence in sessions lasting 20 minutes a day, 6 days a week, for a total of 8 weeks. An immediate effect was evident after the first session, with an increase in oculomotor range of motion compared to before the session. The supraduction range of motion of the right eye increased from 1.44 mm before the start of the 8-week program to 4.36 mm after its completion; the patient’s ability to perform activities of daily living also improved. The use of this program improved contraction and weakness of the extraocular muscle, and increased the oculomotor range of motion.