A5031946177- Dysphagia Assessment and Management
- Tracheal and airway disorders
- Voice and Speech Disorders
- Esophageal and GI Pathology
- Musculoskeletal pain and rehabilitation
- Obstructive Sleep Apnea Research
- Balance, Gait, and Falls Prevention
- Respiratory Support and Mechanisms
- Cervical and Thoracic Myelopathy
- Chronic Obstructive Pulmonary Disease (COPD) Research
- Amyotrophic Lateral Sclerosis Research
- Child Nutrition and Feeding Issues
- Palliative Care and End-of-Life Issues
- Management of metastatic bone disease
- Lower Extremity Biomechanics and Pathologies
- Delphi Technique in Research
- Acute Ischemic Stroke Management
- Fibromyalgia and Chronic Fatigue Syndrome Research
- Pregnancy-related medical research
- Mechanical Circulatory Support Devices
- Osteoarthritis Treatment and Mechanisms
- Nutritional Studies and Diet
- Streptococcal Infections and Treatments
- Geriatric Care and Nursing Homes
- Orthopaedic implants and arthroplasty
University of Tokyo Hospital
2017-2024
The University of Tokyo
2013-2024
Kyorin University Hospital
2022-2023
Stanford University
2019
Johns Hopkins Medicine
2012-2017
Johns Hopkins University
2012-2017
In Japan, a public long-term care insurance system was launched in 2000. Residents can receive according to their needs, as determined by nationally standardized certification system. The present report describes the details of services covered insurance. Long-Term Care Insurance Act categorizes into three major types: in-home, nursing-home, and community-based services. In-home include visiting, commuting, short-stay, other Welfare, health, medical facilities provide nursing-home for...
Stroke is a major cause of disability and mortality worldwide requires long-term care, including rehabilitation. This study aims to elucidate the association between care-need levels after discharge outcomes in patients with stroke.
Evaluating knee osteoarthritis is an important issue. Gait pattern has been suggested to be related the progression of osteoarthritis; however, there are only a few studies elucidating motion features associated with osteoarthritis. Therefore, our objective analyze elevation angle patients during gait and clarify movement by approximate plane angle. As result, same planar law could applied as well healthy people. The have slopes that differ from Our validation results shown these angular...
Respiratory rehabilitation reduces breathlessness from patient with respiratory dysfunction. Chest expansion score, which represents the circumference magnitude of thoracic cage, is used for a target when treating patients disease. However, it often difficult to understand changes in status and be motivated therapy continuously. We developed new measurement system biofeedback named BREATH shows chest scores real time. The purpose this study was determine reliability validity novel advance...
<h3>BACKGROUND:</h3> In the course of therapy patients with COPD, non-pharmacologic treatment, such as rehabilitation, plays an important role. Although some studies have provided concrete evidence effectiveness rehabilitation in improving functional outcomes subjects its mortality-reducing effect has been insufficient. present study, we examined whether had positive effects on in-hospital mortality COPD. <h3>METHODS:</h3> We used Japanese Diagnosis Procedure Combination nationwide...
[Purpose] To examine the variations in lumbopelvic rhythm and lumbar-hip ratio frontal plane. [Subjects Methods] Markers were placed on T10 T12 spinous processes, bilateral paravertebral muscles at T11 level, pelvis, femur. Lumbar spine hip angles measured during lateral trunk bending using three-dimensional motion analysis. Data from movement categorized into descending (start of to when angle reached its maximum value) ascending (from end movement) phases. The was calculated as lumbar...
Dual-task performance holds significant relevance in real-world scenarios. Implicit learning is a possible approach for improving dual-task performance. Analogy learning, utilizing single metaphor to convey essential information about motor skills, has emerged as practical method fostering implicit learning. However, evidence supporting the effect of on gait-cognitive insufficient. This exploratory study aimed examine effects and explicit both gait cognitive tasks. Tandem was employed...
切迫流早産に対する安静療法により廃用症候群が生じるが，その対応法は明らかでない．切迫流早産への適切なリハビリテーションを明らかにするため，当院にてリハビリテーションを行った産科周産期の患者について，診療録を後方視的に調査・検討した．3 年間で11 人の切迫流早産の患者にリハビリテーションを施行し，8 人は入院中に分娩，3 人はADLが自立し妊娠を継続し自宅退院した．入院中に分娩に至った8 人も，分娩後速やかにADLは自立し，母体の予後は良好であった．リハビリテーション介入と切迫流早産の進行に明らかな関係はなかった．個々の患者毎に適切なリハビリテーションを行うことで，切迫流早産の進行に影響を与えずに廃用症候群を改善できる可能性がある．
【目的】頭頸部癌への化学放射線療法(chemoradiation therapy, CRT)に伴う嚥下障害に対する予防的リハビリテーションにおいて,行動変容手法を用いたハンドブックを導入し,患者アドヒアランスの向上度を検証した.【方法】対象は,頭頸部癌に対するCRTを完遂した患者.ハンドブックを用いてトレーニングを行った患者を導入群,過去にハンドブックを用いずに行った患者を対照群とした.自主トレーニングの実施率が80%以上の患者を高アドヒアランスとした.【結果】高アドヒアランスは導入群15名中4名(26.7%),対照群15名中7名(46.7%)で,両群に有意差はなかった.CRT終了時の口腔粘膜炎グレードは,導入群で有意に高かった.その他の因子は両群に差はなかった.【結論】ハンドブックの導入により,患者アドヒアランスは向上しなかった.ただし,口腔粘膜炎等のトレーニングの阻害要因が重度な場合,ハンドブックは患者の意欲維持やトレーニング継続に寄与する可能性がある.
To prevent aspiration, patients with irreversible dysphagia may undergo surgeries that separate the esophagus and trachea. Such interventions result in loss of vocal function require alternative communication methods. We report a patient amyotrophic lateral sclerosis (ALS) who used esophageal speech after receiving central-part laryngectomy (CPL) to aspiration.A 64-year-old woman ALS was admitted our hospital. The maintained good cognitive oral presented mild dysarthria dysphagia. Faced...
神経筋疾患の摂食嚥下障害は，脳卒中や頭頚部がんなどと異なり経時的に増悪することが多く，定期的な評価と病態や予後に合わせた治療方針の検討を必要とする．咽喉頭機能のみでなく，四肢体幹機能・呼吸機能・耐久性・認知機能など全身の機能を評価する．評価・対応は，一般的な嚥下機能障害に対するものに，疾患特有のものを追加する．神経筋疾患患者は，全身の機能障害により移動能力やコミュニケーション能力の低下などの制約があり，食事を人生の楽しみとしていることも多い．そのため，摂食嚥下障害があるからといって安易に摂食制限をせず，疾患の予後や経口摂取によるリスクなどを踏まえ，患者や家族と共に方針を決定すべきである．