Publications by authors named "Kai Ushio"

Purpose: Identifying risk factors for breast cancer-related lymphedema (BCRL) is crucial for its prevention, necessitating large-scale epidemiological studies. Despite their suitability for large-scale surveys, to our knowledge, databases have not been the basis of any study done to investigate BCRL risk factors. This study aimed to test the hypothesis that a database-based study would be useful for identifying BCRL risk factors.

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  • High-density surface electromyography (HD-sEMG) is used to analyze motor unit activity in the suprahyoid muscles of Parkinson's disease (PD) patients, focusing on muscle recruitment and action potential changes.
  • This study involved measuring electrical activity during tongue elevation in both PD patients and healthy controls, assessing various metrics, and evaluating the effects of cervical percutaneous interferential current stimulation over 8 weeks.
  • Results indicate that PD patients had lower muscle activation compared to controls, but stimulation improved some muscle activity metrics, suggesting HD-sEMG is a valuable tool for studying swallowing-related issues in PD.
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  • The study investigates the mechanisms behind chronic knee osteoarthritis pain and pain after knee surgery, focusing on brain connectivity, specifically involving the anterior insular cortex (aIC).
  • Fifteen patients with knee osteoarthritis underwent magnetic resonance imaging and clinical assessments before and six months after knee arthroplasty, along with 15 matched control patients for comparison.
  • Results revealed that changes in resting-state functional connectivity (rs-FC) between the aIC and specific brain regions correlated with pain levels, suggesting that rs-FC may help understand knee OA and postoperative pain.
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Objective: Muscle fatigue contributes to anterior cruciate ligament (ACL) injuries, with increased knee and hip abduction observed during fatigue. However, there have been no reports revealing the differences between fatigue tasks or the duration of these changes. In this study, we conducted single-leg drop landings before and after hip and knee fatigue tasks to elucidate the changes in lower limb biomechanics over time.

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Aspiration pneumonia is the leading cause of death in patients with Parkinson's disease. The incidence of silent aspiration is high in such patients owing to decreased pharyngeal and laryngeal sensation; thus, interventions for this condition may help prevent pneumonia. In this single-arm, open-label study, we used a cervical percutaneous interferential current stimulation device to activate pharyngeal and laryngeal sensory nerves.

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Background: High-density surface electromyography (HD-sEMG) has enabled non-invasive analysis of motor unit (MU) activity and recruitment, but its application to swallowing-related muscles is limited.

Objective: We aimed to investigate the utility of HD-sEMG for quantitatively evaluating the MU recruitment characteristics of the suprahyoid muscles during tongue elevation.

Methods: We measured the sEMG activity of the suprahyoid muscles of healthy participants during tongue elevation using HD-sEMG.

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  • The study aimed to validate clinical prediction rules for identifying locomotive syndrome in older adults living in the community, which can help in early detection.
  • Researchers evaluated physical function tests and demographic factors from 280 participants, mainly women with an average age of 74.8 years, to assess the severity of locomotive syndrome.
  • The results showed that the first two predictive models had moderate accuracy in discriminating the stages of locomotive syndrome, indicating their reliability for use in this population.
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[Purpose] This study aimed to investigate whether modification of vastus medialis activity can delay the varus thrust. [Participants and Methods] Ten participants (Kellgren-Laurence grades I: n=2, II: n=6, and III: n=2) diagnosed with knee osteoarthritis were enrolled. The intervention involved free walking on a 10-m walkway at any speed after donning a functional electrical stimulation set to contract the vastus medialis before heel contact.

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This study investigated whether the progression of liver fibrosis affects the prevalence of sarcopenia and incidence of decreased gait speed in older patients with chronic liver disease (CLD). Patients with CLD aged ≥ 60 years were classified into low, intermediate, and high fibrosis 4 (FIB-4) index groups according to the degree of liver fibrosis. The prevalence of sarcopenia and incidence of decreased gait speed (< 1.

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  • Foot arch dynamics play a crucial role in dynamic postural control, especially in adolescent athletes, but their effects are not well understood.
  • This study aimed to investigate how foot arch stiffness, intrinsic foot muscle structure, and toe strength relate to postural stability during jump landings and rebounds.
  • Results indicated that athletes with stiffer arches showed poorer stability and performance in dynamic balance tasks compared to those with normal or flexible arches, suggesting that arch stiffness can negatively impact athletic performance.
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Background: Parkinson's disease (PD) presents with motor symptoms that hinder physical activity. This study aimed to thoroughly investigate swallowing dysfunction in patients with PD using videofluoroscopy (VF) and the Movement Disorder Society (MDS)-Unified PD Rating Scale (UPDRS) sub-scores.

Methods: This study was part of an intervention project to evaluate the effectiveness of cervical percutaneous interferential current stimulation in patients with Hoehn and Yahr stages 2-4 PD.

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Introduction: Parkinson's disease (PD) leads to various types of swallowing disorders. We investigated the effect of cervical percutaneous interferential current stimulation on dysphagia. By conducting detailed qualitative and quantitative analysis of videofluoroscopic examination, we aimed to understand dysphagia in patients with PD and investigate its effects on swallowing function.

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Background: Competitive adolescent athletes should be aware of the early signs of chronic ankle instability (CAI) and the connection between the condition and performance.

Purpose: To investigate whether CAI is related to foot alignment and morphology as well as dynamic postural stability after a jump landing among adolescent competitive athletes with and without a history of a lateral ankle sprain and CAI.

Study Design: Cross-sectional study; Level of evidence, 3.

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Background And Purpose: Several noninvasive tools assess swallowing disorders, including electronic stethoscope artificial intelligence (AI) analysis for remote diagnosis, with the potential for telemedicine. This study investigated the swallowing sound index in patients with Parkinson's disease (PD).

Methods: This single-arm, open-label trial assessed the impact of cervical percutaneous interferential current stimulation on swallowing in patients with PD classified as Hoehn-Yahr stages 2-4.

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[Purpose] To examine the effect of lateral wedged insoles on the rotation mechanism of the knee joint in patients with knee osteoarthritis. [Participants and Methods] The participants included 11 patients with medial knee osteoarthritis. We asked all participants to stand up from a 40-cm-high chair, and we measured the rotation angle of the knee joint during the movement.

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Background: Foot malalignment can augment the risk of lower-extremity injuries and lead to musculoskeletal disorders. This study aimed to clarify the contribution of rearfoot alignment to plantar pressure distribution and spatiotemporal parameters during gait in healthy adolescent athletes.

Methods: This retrospective study included 39 adolescent athletes who were divided into the rearfoot eversion and control groups according to a leg heel angle of 7°.

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Background: Intrinsic foot muscle exercises are used in clinical and sports practice to improve performance. Force generation during toe flexion is greater in the standing posture than in the sitting posture; nonetheless, the mechanism underlying the activation of intrinsic foot muscles during force generation and whether there exists a difference between these two postures still remain unclear.

Research Question: Are the activities of intrinsic foot muscles affected by standing and sitting postures during gradual force generation?

Methods: Seventeen men participated in the laboratory based cross-sectional study.

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Background: The characteristics of foot structure in adolescents and adults are different, affecting sports performance and leading to the progression of foot and lower extremity disorders.

Research Question: This study aimed to investigate the relationship between the intrinsic foot muscles (IFM) and plantar fascia morphology and the repetitive rebound jumping and jump landing ability in adolescent athletes.

Methods: A total of 60 adolescent athletes (35 boys and 25 girls) participated in this study.

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The anaerobic threshold (AT) is the point of the aerobic-to-anaerobic metabolic switch. Despite the many clinical applications of AT, this measurement requires sophisticated equipment and skills. Here, we investigated a simple measurement method for AT using percutaneous oxygen saturation (SpO) and pulse rate (PR) with a pulse oximeter in a study of exercise stress on healthy volunteers.

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Background: Diminished balance is associated with the incidence of ankle and lower extremity injuries in adolescents. Although flexible flatfoot is a common foot condition in pediatric and adolescent populations, the association between balance control and foot morphology remain unclear in adolescent athletes.

Methods: Rearfoot angle in the double-limb standing position, body mass index (BMI), and isometric muscle strength related to the knee joint were retrospectively reviewed in 101 adolescent athletes (75 boys and 26 girls) with a mean age of 14.

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Decreased muscle-to-fat mass ratio (MFR) is associated with pediatric nonalcoholic fatty liver disease (NAFLD) and may reduce muscular fitness. Regular exercise in sports clubs has not led to reductions in obesity in children and adolescents; they may have decreased MFR. Decreased MFR could cause reduced muscular fitness, which may put them at risk for NAFLD development.

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. The physical condition of athletes can be assessed easily and quantitatively using objective indicators. Bioelectrical impedance measures the phase angle (PA), representing hydration and cell function, and is a potential clinical indicator of physical condition.

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Purpose: Expectation affects pain experience in humans. Numerous studies have reported that pre-stimulus activity in the anterior insular cortex (aIC), together with prefrontal and limbic regions, integrated pain intensity and expectations. However, it is unclear whether the resting-state functional connectivity (rs-FC) between the aIC and other brain regions affects chronic pain.

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