Development of rehabilitation support system for improvement of hand paralysis and its effect verification.

手部麻痹改善康复支持系统开发及效果验证

• 批准号: 22K11307
• 负责人: 脇坂 成重
• 金额: $ 2.58万
• 依托单位: Fukuoka Sakurajyuji Medical Corporation (Sakura Cross Tip Rehabilitation Center SACRA)
• 依托单位国家: 日本
• 项目类别: Grant-in-Aid for Scientific Research (C)
• 财政年份: 2022
• 资助国家: 日本
• 起止时间: 2022-04-01 至 2025-03-31
• 项目状态: 未结题
• 来源: https://kaken.nii.ac.jp/grant/KAKENHI-PROJECT-22K11307/
• 关键词: 脳卒中; 手指麻痺; 手指リハビリテーション支援システム; Narem; 片麻痺; 運動主体感; 脳画像解析; 手指リハ支援システム

本研究は，申請者らが脳卒中後の手指麻痺の改善を目的として開発した手指リハビリテーション支援システム（Functional Trhabikitation Support System:Narem）の効果検証を行うことを目的とする．研究方法は，脳卒中者を対象とした無作為化比較試験を行うとともに，MRIを用いた脳内の構造的および機能的ネットワーク解析により，手指麻痺の回復に関わる神経メカニズムを解明していく．研究実施計画は，① 回復期・維持期脳卒中者30名程（回復期20名，維持期10名）を対象として無作為化比較試験によるNaremの効果検証を実施していく．② ①に並行して，脳卒中者30名程（回復期20名，維持期10名）を対象に，MRIを用いてNarem介入前後の拡散テンソル画像（DTI）と安静時機能画像（rsfMRI）を撮像し，脳の領域間ネットワークの構造的結合と機能的結合の変化を横断・縦断的に調査し，Naremによる手指麻痺の回復と神経ネットワークの関係性を解明していく．③ 手指麻痺に対する従来の治療法（CI療法、ミラー療法）単独での治療とNarem併用による治療効果の比較検証を行い，Naremを用いた手指麻痺に対する新たな治療法の確立を目指していく．2022年度の研究実績は，① 回復期8名，維持期30名の介入検証を実施．② 回復期0名，維持期0名（5月に3名撮影予定）の脳画像撮像を実施．③ 回復期1名，維持期7名の介入検証を実施．学会発表3演題（2演題発表済み・1演題発表予定），論文作成中．現時点での研究成果としては，維持期脳卒中者に対して，Naremによる手指トレーニングを行うことで，手指機能の改善や痙縮の軽減，生活場面での使用頻度の向上に繋がっており，Naremは脳卒中者の手指機能の回復を目的とした治療システムとして有効であることが示唆されている．

In this study, the applicant had no pain in his or her fingers after stroke. The purpose of this study was to improve the performance of the patients after stroke. The purpose of this study was to improve the performance of the patients after stroke. The purpose of this study was to improve the performance of patients with stroke after stroke. The purpose of this study was to improve the performance of patients with stroke after stroke. The purpose of this study was to improve the performance of patients with stroke after stroke. The MRI machine was used to analyze the performance of the machine built in the system, and the fingers were numb to answer the problem. The study showed that, 1, 30 stroke patients suffered from stroke during the recovery period (20 during the return period, 10 during the maintenance period). The performance of the system was not compared to the performance of the system. 2. 30 stroke sufferers (20 in recovery period, 10 in maintenance period). Before and after the intervention of Narem, MRI dispersed the image of the camera (DTI), the quiet time (rsfMRI), the snapshot of the camera, the combination of the machine and the machine, the combination of the power of the machine, and the cross-section of the image. Narem said that his fingers were paralyzed, and that his fingers were paralyzed. 3, that his fingers were paralyzed, his fingers were cured, and that he was treated only by the method of CI. The results of the treatment of Narem were compared with the results of the treatment of the disease, and the results of the treatment of the disease were compared with those of the Narem. The target of the new method of treatment was established by the use of Narem. There were 8 participants in the review period and 30 participants in the maintenance period. 2 0 in the review period, 0 in the maintenance period (3 in May). 1 in the review period and 7 in the maintenance period. Learn to perform in Table 3 (2 performance performance 1 performance schedule), and the text is in the middle of writing. In patients with stroke during the maintenance period, the patients with stroke have symptoms, and the Narem device can improve the performance of patients with stroke. During the maintenance period, the patients with stroke have the ability to improve their performance, and the patients with stroke in Narem have the ability to respond to the symptoms of stroke.

项目成果

維持期脳卒中者の手指麻痺に対する手指リハ支援システムの効果検証

手部康复支持系统对脑卒中患者手麻痹维持期的有效性验证

• 发表时间: 2023
• 作者: 菊池 真;幸野貴之;小島 隆;辰巳浩之;大﨑雄樹;二宮孝文;脇坂成重，松田鶴夫，玉利誠，鷲頭直美，遠藤正英，東世智;脇坂成重，松田鶴夫，玉利誠，鷲頭直美，遠藤正英，東世智
• 通讯作者: 脇坂成重，松田鶴夫，玉利誠，鷲頭直美，遠藤正英，東世智

脳損傷後の手指運動失調に対する手指リハビリテーション支援システムの開発とその効果ーシングルケースー

脑损伤后手部共济失调手部康复支持系统的研制及其效果 - 个案 -

• 发表时间: 2023
• 作者: 菊池 真;幸野貴之;小島 隆;辰巳浩之;大﨑雄樹;二宮孝文;脇坂成重，松田鶴夫，玉利誠，鷲頭直美，遠藤正英，東世智
• 通讯作者: 脇坂成重，松田鶴夫，玉利誠，鷲頭直美，遠藤正英，東世智