著者
Nobushige TAKAHASHI
出版者
脳機能とリハビリテーション研究会
雑誌
Journal of Rehabilitation Neurosciences (ISSN:24342629)
巻号頁・発行日
pp.181014, (Released:2019-09-30)

Currently, predatory publishers and open access journals are flourishing in the academic field, including in the area of rehabilitation. Manca and colleagues proposed a list of suspected predatory rehabilitation journals. The purpose of this study was to assess the involvement of Japanese researchers in predatory rehabilitation journals. This study assessed and analyzed the websites of 59 predatory journals listed by Manca and colleagues. Among the 59 journals, research papers of only 39 journals could be accessed from the websites. Among these 39 journals, Japanese researchers were found to be the members of the editorial board in 16 journals and research papers by Japanese researchers were published in 24 journals. Predatory journals are threatening the field of rehabilitation research in Japan because Japanese researchers are involved in predatory rehabilitation journals. Thus, researchers should carefully select a journal when submitting a research paper.
著者
Ito Ayahito Ishioka Toshiyuki
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.200512, (Released:2020-05-14)

Coronavirus disease 2019 (COVID-19) has a profound impact on our society, and health care professionals are challenged by the present outbreak. A recent study showed that a significant proportion of second-line workers and frontline workers experienced psychological distress. Although these findings suggest the possibility that rehabilitation therapists, especially those who work at the hospital, experience psychological distress, their mental health state has been largely dismissed and the number of an evidence-based practice is limited. Here, we discuss the importance of focusing on the mental health of therapists by introducing studies that focus on the mental health of health care workers during the COVID-19, SARS, and H1N1 influenza pandemics. We then noted the need to track the dynamic relationship between the mental health of therapists and the COVID-19 pandemic by employing longitudinal data collection with psychological measures that reliably and validly capture the mental health of therapists. This approach would be effective for preparation for future pandemics, as we have learned much from previous pandemics. We hope that our Tutorial Note will help readers who are interested in the mental health of rehabilitation therapists and encourage future studies.
著者
MOCHIMARU Masaaki
出版者
脳機能とリハビリテーション研究会
雑誌
Journal of Rehabilitation Neurosciences (ISSN:24342629)
巻号頁・発行日
pp.200622, (Released:2020-06-24)

Rehabilitation is a co-creative medical service that strongly requires patient involvement. Encouraging patients to continue rehabilitation is an important role of medical services, and evaluation technology is also important from that perspective. The evaluation technology for rehabilitation was developed from the physical structure evaluation using medical images to the physical function evaluation using motion capture, ground reaction force and digital human models. Also, the idea that what should be restored is not only physical function but also daily-living function has been advocated, and standard description and evaluation of daily-living functioning have been promoted since the latter half of the 1990s. Furthermore, since 2000, research to evaluate functional recovery of the cranial nervous system, which controls motor function recovery, has made rapid progress in the field of neuro-rehabilitation. The rehabilitation evaluation has been integrated by the evaluation of the physical function, daily-living functioning, and the functional recovery of the cranial nervous system. In the future, these three functional evaluation technologies will be implemented in cooperation with advanced medical equipment that can be used in hospitals and wearable equipment and nursing robots that can be used in daily life. We believe that each person will be able to continue their daily rehabilitation with motivation while confirming to what extent the effects of rehabilitation are exerted on their cranial nerves, motor functions, and daily-living functions.
著者
KATO Masaki TAKASUGI Jun ICHIKAWA Takeo OGA Tatsuhide
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.200508, (Released:2020-05-28)

There are few case reports of patients with hemiparetic stroke who had previously been diagnosed with poliomyelitis (polio). Herein, we present the case of an 84-year-old male stroke patient with right-sided hemiparesis and polio. He was infected with polio at age 6 and had severe right-leg palsy. He was able to walk independently, performed knee hyperextension, and walked using a cane prior to the stroke at age 84. He was transferred to our hospital 31 days post-stroke. At that time, manual muscle test (MMT) was Poor-to-Good for the right ankle muscles and Trace for the right hip and knee muscles. He required assistance from a therapist to walk even with grasping parallel bars because he could not hyperextend the right knee and the knee had collapsed. For physical therapy, he performed stretching, muscle strengthening, standing, and walking exercises. Consequently, he was able to walk with a walking frame independently at discharge (day 131 after the onset). He regained knee hyperextension and resolved the knee collapse. MMT for the right hip muscles became Poor. This hemiparetic stroke patient with polio had severe right leg palsy and consequently had trouble walking due to knee collapse. It is postulated that regaining the knee hyperextension enabled him to walk safely.
著者
Miho YOSHIOKA Zen KOBAYASHI Keisuke INOUE Mayumi WATANABE Kaori KATO Kazunori TOYODA Yoshiyuki NUMASAWA Shoichiro ISHIHARA Hiroyuki TOMIMITSU Shuzo SHINTANI
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.19, no.1, pp.33-36, 2019 (Released:2019-10-25)

The Trail Making Test (TMT) is widely used as a measure of attention impairment. The time needed to complete TMT (TMT score) is prolonged in association with attention impairment in patients with brain diseases. Thus far, however, there have been no reports of serial changes in the TMT score after minor ischemic stroke. We retrospectively investigated serial changes in the TMT score of 19 patients with minor ischemic stroke. We included patients in whom TMT could be performed both 4-11 days after onset (initial evaluation) and 14-47 days after onset (second evaluation). The mean value of the initial TMT-A scores was 58 seconds, and that of the initial TMT-B scores was 144 seconds. The mean value of the second TMT-A scores was 43 seconds, and that of the second TMT-B scores was 119 seconds. The TMT-A and TMT-B scores improved in 89 % and 74 % of patients, respectively. This study demonstrated that most minor ischemic stroke patients showed improvement in the TMT score 14 days or later after onset.
著者
YADA Takuya KAWASAKI Tsubasa
出版者
脳機能とリハビリテーション研究会
雑誌
Journal of Rehabilitation Neurosciences (ISSN:24342629)
巻号頁・発行日
pp.190520, (Released:2020-05-14)

両側延髄内側梗塞例は希有な症例であり,予後を含む詳細な臨床所見を記載した報告例は乏しい.われわれは,同部位梗塞後に予後良好であった症例を経験した.本症例における臨床所見,特に運動機能障害に着眼した評価結果について報告する.症例は40歳代の男性であり,左上下肢の動かしづらさを自覚した翌日に当院を受診し,入院した.第2病日の拡散強調画像において両側延髄内側(錐体,下オリーブ核,内側毛帯を含む)に高信号域がみられた.第2-3病日において,Brunnstrom recovery stage(BRS)はVI-VI-VI / V-V-V(上肢-手指-下肢, 右 / 左),Scale for the assessment and rating of ataxia(SARA)は合計9点(歩行3,立位2,坐位2,指追い試験0/1, 鼻-指試験0/1, 踵-すね試験0/2, 右/左),Functional independence measure(FIM)は121点(減点項目: 移動項目5点, 階段4点)であった.第15病日において,SARAは合計6.5点(歩行2, 立位1, 坐位2, 指追い試験0/1, 鼻-指試験0/1, 踵-すね試験0/1),FIMは124点(減点項目: 階段)に改善したが,BRSに変化は認められなかった.本症例は,体幹や左側上下肢の軽度運動機能障害が残存したが,第15病日にはFIMにて階段以外の日常生活活動が完全に自立した.
著者
Isato FUKUSHI Yasumasa OKADA
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.19, no.1, pp.22-32, 2019 (Released:2019-10-25)

Dyspnea is defined as “a subjective experience of breathing discomfort that consists of qualitatively distinct sensations that vary in intensity”. In patients especially with pulmonary diseases, dyspnea reduces daily activity, which worsens the physical condition, and thereby further increases dyspnea, forming a vicious cycle. In clinical practice, reduction of dyspnea in patients with diseases is crucial. One of the goals in pulmonary rehabilitation is reduction of dyspnea to break the above-mentioned vicious cycle. However, the mechanism of dyspnea perception has not been fully elucidated because it is complex and is not explained by a single factor such as changes in blood gas. Not all patients with chronic respiratory failure with hypercapnia are dyspneic, or not all patients with COPD with severe hypoxemia perceive dyspnea. To date, sufficiently effective methods to relieve dyspnea have not been established. We integrated the theories which explain the mechanisms of dyspnea perception with our considerations from the viewpoint of respiratory neurophysiology, and propose a model of dyspnea perception mechanism. In our model, dyspnea results from disassociation or mismatch between the neural respiratory motor output from the respiratory neural network in the lower brainstem and the actually accomplished ventilation. The projection modality of neural information on dyspnea to the higher sensory center of the brain, and the brain regions for comparison of the intended respiratory neural output from the brainstem respiratory center and the monitored actual ventilatory output remain unknown. Further clarification of these issues will enlighten understanding of the pathophysiology of dyspnea and contribute to more effective practice of pulmonary rehabilitation.
著者
Toru YAMADA
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.19, no.1, pp.10-21, 2019 (Released:2019-10-25)

Continuous wave functional near-infrared spectroscopy (CW-fNIRS) has potential advantages in the detection of cerebral functional activation, such as safety, portability, resistance to electromagnetic noise, time resolution higher than that of functional magnetic resonance imaging (fMRI), spatial resolution higher than that of electroencephalography (EEG), and the lack of need for subject restraint. However, for practical application of the fNIRS technique, a careful study design is required for experiments, practical measurements, and data analysis. Each step should be based on accurate knowledge of both the advantages and drawbacks of the fNIRS technique. This review will describe various signal components in the fNIRS measurement and their appropriate management through critical discussions on the measurement principle and the physiological origin of the signal.
著者
Shinichiro MAESHIMA Aiko OSAWA
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.19, no.1, pp.3-9, 2019 (Released:2019-10-25)

A variety of cognitive dysfunctions occur after subcortical damage. Aphasia and unilateral spatial neglect often result from lesions of the putamen and thalamus. They are particularly frequent during the acute stage of cerebral hemorrhage, with approximately 80 % of patients presenting such symptoms. To understand the mechanism by which they appear, we must not only consider causes related to damage to the subcortical white matter fibers, but also secondary functional decline caused by direct damage to the cortex as well as by diaschisis. Infratentorial lesions are known to cause language deficits, visuospatial inattention, executive function disorders, personal change, and other symptoms. Many of these reports pertain to cerebellar lesions; however, there are not a few cases where cognitive dysfunction develops because of brainstem lesions. Impairment of the cortical pontocerebellar tract’s fiber connections and damage to the brainstem reticular regulatory system may be considered as the mechanism by which cognitive dysfunction appears. Because of this, detailed cognitive function assessments must also be performed for patients with infratentorial lesions.
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.
著者
Nobushige TAKAHASHI
出版者
脳機能とリハビリテーション研究会
雑誌
Journal of Rehabilitation Neurosciences (ISSN:24342629)
巻号頁・発行日
vol.19, no.JPN, pp.44-48, 2019 (Released:2019-10-25)

Currently, predatory publishers and open access journals are flourishing in the academic field, including in the area of rehabilitation. Manca and colleagues proposed a list of suspected predatory rehabilitation journals. The purpose of this study was to assess the involvement of Japanese researchers in predatory rehabilitation journals. This study assessed and analyzed the websites of 59 predatory journals listed by Manca and colleagues. Among the 59 journals, research papers of only 39 journals could be accessed from the websites. Among these 39 journals, Japanese researchers were found to be the members of the editorial board in 16 journals and research papers by Japanese researchers were published in 24 journals. Predatory journals are threatening the field of rehabilitation research in Japan because Japanese researchers are involved in predatory rehabilitation journals. Thus, researchers should carefully select a journal when submitting a research paper.