- 著者
- Fumihiro Matsuda Masahiko Mukaino Kei Ohtsuka Hiroki Tanikawa Kazuhiro Tsuchiyama Toshio Teranishi Yoshikiyo Kanada Hitoshi Kagaya Eiichi Saitoh
- 出版者
- Kaifukuki Rehabilitation Ward Association
- 雑誌
- Japanese Journal of Comprehensive Rehabilitation Science (ISSN:21855323)
- 巻号頁・発行日
- vol.7, pp.111-118, 2016 (Released:2016-12-30)
- 参考文献数
- 20
- 被引用文献数
- 19
Matsuda F, Mukaino M, Ohtsuka K, Tanikawa H, Tsuchiyama K, Teranishi T, Kanada Y, Kagaya H, Saitoh E. Analysis of strategies used by hemiplegic stroke patients to achieve toe clearance. Jpn J Compr Rehabil Sci 2016; 7: 111-118.Objective: The purpose of this study was to analyze the extent to which lower limb shortening and compensatory movements contribute to toe clearance during swing, and to identify the different strategies employed by healthy individuals and hemiplegic stroke patients to achieve toe clearance.Methods: The subjects comprised 18 hemiplegic stroke patients and 18 healthy individuals matched for age, gender, and walking speed. We calculated toe clearance and its components for comparison between the two groups. We also calculated the correlations between the components.Results: The foot-to-floor distance during mid-swing was smaller in hemiplegic stroke patients than in healthy individuals. Regarding the components, shortening of hip-toe length (SHTL) was smaller in stroke patients, whereas upward movement of the hip due to pelvic obliquity, upward movement of the foot due to abduction, and upward movement of the contralateral hip were all greater. Among hemiplegic stroke patients, there were significant negative correlations between SHTL and the other components.Conclusions: Hemiplegic stroke patients achieved smaller upward movement by lower limb shortening compared with healthy individuals. The contribution of hip hiking and other compensatory movements that correlated to SHTL appeared to be important in achieving toe clearance.
- 著者
- Ryuzo Yanohara Toshio Teranishi Yutaka Tomita Genichi Tanino Yoshiya Ueno Shigeru Sonoda
- 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.26, no.11, pp.1761-1765, 2014 (Released:2014-11-13)
- 参考文献数
- 23
- 被引用文献数
- 11 14
[Purpose] The aim of this study was to investigate the recovery process of standing postural control in hemiplegia after stroke. [Subjects and Methods] Thirty-four inpatients with hemiparesis after first-onset stroke were included in this study. We measured the center of pressure fluctuations during quiet standing using a force platform at 2, 4, and 6 weeks after admission. We assessed weight-bearing asymmetry, and velocity and amplitude of body sway. [Results] Weight-bearing asymmetry diminished in the first 2 weeks of observation. Velocity of body sway also decreased significantly in the first 2 weeks, though its amplitude only decreased significantly after 4 weeks of observation. [Conclusion] Amplitude of body sway requires a longer time for significant improvement than weight-bearing asymmetry and velocity of body sway. Although the loading function of the paretic lower limb improved at an early stage, attainment of optimum postural control, including management of the affected paretic lower limb, requires much time.
- 著者
- Takumi Kito Kazuhiro Nishii Runhong Yao Toshio Teranishi Tomohisa Sugiyama Kazuyoshi Sakai Mamoru Matsubara Kouji Yamada
- 出版者
- Fujita Medical Society
- 雑誌
- Fujita Medical Journal (ISSN:21897247)
- 巻号頁・発行日
- vol.5, no.3, pp.57-62, 2019 (Released:2019-08-01)
- 参考文献数
- 21
Objectives: Bone fractures affect the activities of daily living and lower quality of life, so investigating preventative measures is important. We developed novel stimulation equipment that combined a vibration stimulus with a shaking stimulus for preventing osteoporosis (one of the causes of bone fractures). We aimed to investigate the effect of this equipment on ovariectomized mice.Methods: Oophorectomy of 8-week-old female mice was done. The stimulation group was stimulated for 10 consecutive weeks.Results: The stimulation group showed significantly higher values (p<0.05) for osteoid thickness, osteoid volume-to-bone volume ratio and mineral apposition rate than those in the non-stimulation control group. The stimulation group showed significantly higher values (p<0.05) compared with the non-stimulation for expression of bone morphogenetic protein-2, interleukin-1β, interleukin-6 and myogenic determination gene in quadriceps femoris muscles (QFMs).Conclusions: These data suggest that cytokine secretion by QFMs carried a humoral factor throughout the body via the blood and blood vessels and acted on bone and various organs. Development of this stimulation method and its clinical application, new methods for preventing and treating osteoporosis could ensue.