Publications by authors named "Toshiki Matsunaga"

Unlabelled: Sakai R, Koike Y, Saito K, Matsunaga T, Shimada Y, Miyakoshi N. Aphasia testing (auditory comprehension domain) using a new eye-tracking system in healthy participants. Jpn J Compr Rehabil Sci 2022; 13: 31-35.

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Objectives: Wearable devices such as fitness trackers have become popular in the healthcare field. Tracking heart rate and respiratory rate, in addition to physical activity, may provide an accurate picture of daily health. We believe that a combination of two types of devices can simultaneously measure and record physical activity, heart rate, and respiratory rate.

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Article Synopsis
  • A study was conducted to test a robot designed for rehabilitation of paraplegics in combination with functional electrical stimulation (FES), focusing on its impact on gait.
  • Nine healthy participants walked on a treadmill under different conditions (with and without FES and at two speeds), while their required torque from the robot was measured for hip and knee joints.
  • Results showed that using FES reduced the torque needed for hip and knee movement during walking, suggesting that this approach could effectively aid paraplegics in rehabilitation.
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Objectives: The purpose of this study was to clarify the diagnostic accuracy of the mobile assessment of varus thrust using inertial measurement units (IMUs).

Methods: A total of 80 knees in 49 patients were enrolled in this study. On visual analysis of gait to determine the presence or absence of varus thrust, 23 knees were assigned to the Present group, 17 to the Ambiguous group, and 40 to the Absent group.

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Objectives: Previous studies have suggested that the effects of vitamin D in preventing osteoporotic fractures result in part from its influence on fall prevention. However, the effects of vitamin D on dynamic balance as a contributor to fall prevention have not been fully evaluated. Moreover, few studies have compared the effects of native and active forms of vitamin D.

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Objective: Falls are major contributors to elderly subjects becoming bedridden. Consequently, it is important to evaluate and minimize the risk of falls in the elderly. Trunk stability is important for balance function and is related to fall prevention in elderly women.

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Background: The locomotive syndrome risk test was developed to quantify the decrease in mobility among adults, which could eventually lead to disability. The purpose of this study was to establish reference values for the locomotive syndrome risk test for adults and investigate the influence of age and sex.

Methods: We analyzed 8681 independent community dwellers (3607 men, 5074 women).

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Objective: We developed a rehabilitation robot to assist hemiplegics with gait exercises. The robot was combined with functional electrical stimulation (FES) of the affected side and was controlled by a real-time-feedback system that attempted to replicate the lower extremity movements of the non-affected limb on the affected side. We measured the reproducibility of the non-affected limb movements on the affected side using FES in non-disabled individuals and evaluated the smoothness of the resulting motion.

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Study Design: In vivo biomechanical study using a three-dimensional (3D) musculoskeletal model for elderly individuals with or without pelvic retroversion.

Purpose: To evaluate the effect of pelvic retroversion on the sagittal alignment of the spine, pelvis, and lower limb in elderly females while standing and walking.

Overview Of Literature: Patients with hip-spine syndrome have concurrent hip-joint and spine diseases.

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Background: Given the extent of the surgical indications for pulmonary lobectomy in breathless patients, preoperative care and evaluation of pulmonary function are increasingly necessary. The aim of this study was to assess the contribution of preoperative pulmonary rehabilitation (PR) for reducing the incidence of postoperative pulmonary complications in non-small cell lung cancer (NSCLC) patients with chronic obstructive pulmonary disease (COPD).

Methods: The records of 116 patients with COPD, including 51 patients who received PR, were retrospectively analyzed.

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Article Synopsis
  • This study aimed to compare blood flow changes (postcontraction hyperemia) after muscle stimulation in individuals with upper extremity paralysis versus healthy controls.
  • It involved 13 healthy individuals and 11 patients, measuring blood flow in the basilic vein before and after electrical stimulation of the biceps muscle.
  • Results showed that while both groups experienced increased blood flow after stimulation, the change was less pronounced in patients with paralysis, indicating potential for assessing rehabilitation effects in these patients.
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The antifracture efficacy of vitamin D in osteoporosis is due to its direct action on bones and indirect extraskeletal effects to prevent falls. Eldecalcitol is an analog of active vitamin D3 that improves bone mineral density and reduces the risk of osteoporotic fractures. However, the effects of eldecalcitol on muscle strength and static and dynamic postural balance are unclear.

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The purpose of this study was to investigate the impact of high-frequency peripheral nerve magnetic stimulation on the upper limb function. Twenty-five healthy adults (16 men and 9 women) participated in this study. The radial nerve of the non-dominant hand was stimulated by high-frequency magnetic stimulation device.

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Article Synopsis
  • * Various metrics like locus length and area were measured to analyze trunk stability, with significant focus on LNG/AREA, which evaluates postural control through lower limb reflexes.
  • * Results showed no significant difference in LNG/AREA between age groups, suggesting that the device can effectively quantify trunk stability independently from the influence of lower extremities.
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Hemiplegia is a common sequel of stroke and assisted living care is needed in many cases. The purpose of this study was to evaluate the effect of using surface electrode stimulation device in rehabilitation, in terms of functional improvement in upper limb and the changes in brain activation related to central nervous system reconstruction. Five patients with chronic hemiplegia received electrical stimulation therapy using the orthosis-type surface electrode stimulation device for 12 weeks.

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The restoration of motor functions of patients with spinal cord injury (SCI) is one of important subjects for study. For this purpose, methods of functional neuromuscular stimulation (FNS) have been investigated in medical science and practice during these three decades. However, we have not achieved complete restoration of motor functions in SCI patients.

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As per present social needs, assisting machines are very much needed for persons of advanced age. We analyzed and developed a fitness apparatus suitable for meeting the requirement of elderly people. The proposed apparatus consists of a rowing machine and Functional Electrical Stimulation (FES), that can be used to exercise every muscle of a person of advanced age.

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Conclusions: Occupational therapy significantly improves shoulder range of motion in patients with accessory nerve palsy after radical neck dissection, but it has limited effects on the associated pain.

Objective: To evaluate the outcome of occupational therapy rehabilitation for patients with accessory nerve palsy.

Patients And Methods: The occupational therapy group involved 35 shoulders of 29 patients with accessory nerve palsy after radical neck dissection; the control group included 10 shoulders of 9 patients who did not receive occupational therapy.

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Objective.  To assess the orthotic effect of a functional electrical stimulation device (Akita Heel Sensor System; AHSS) in the treatment of hemiplegic gait with foot drop. Materials and Methods.

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Catchlike property is the force enhancement produced when a brief, high-frequency burst of pulses is added to a constant low-frequency stimulation. In functional electrical stimulation, constant low-frequency stimulation of approximately 20 Hz has primarily been used to reduce muscle fatigue. The purpose of this study was to investigate the effects of catchlike-inducing intermittent stimulation on muscle fatigue in relation to continuous intermittent low-frequency stimulation.

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Objective.  To evaluate the ability to relieve shoulder pain by implanting ceramic-case versions of radiofrequency microstimulators (RFM) in paralyzed shoulder muscles. Materials and Methods.

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We have previously restored ambulation in paraplegics by performing hybrid functional electrical stimulation (FES) with medial linkage knee-ankle-foot orthosis (MLKAFO). The most common MLKAFO (hinge-type MLKAFO) has the hypothetical axis that is lower than the physiological hip joint position, resulting in slow velocity and short step length. A new MLKAFO (sliding-type MLKAFO), which uses sliding medial linkages, has been developed to correct the axial discrepancy of the hinge-type MLKAFO that causes limited hip joint excursion.

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In most subjects with spinal cord injury, the spinal neurons below the level of injury are spared. Therefore, it is conceivable that the skeletal muscles innervated by these spinal nerves can be activated by applying therapeutic magnetic stimulation along the dorsal spine. The purpose of this study was to evaluate the ability of magnetic stimulation to prevent acute muscle atrophy in rats after hindlimb suspension.

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Functional electrical stimulation (FES) can improve the gait of stroke patients by stimulating the peroneal nerve in the swing phase of the affected leg, causing dorsiflexion of the foot that allows the toes to clear the ground. A sensor can trigger the electrical stimulation automatically during the stroke gait. We previously used a heel sensor system, which detects the contact pressure of the heel, in FES to correct foot drop gait.

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This study assessed the potential application and the effectiveness of functional magnetic stimulation (FMS) for preventing skeletal muscle atrophy in adult rats. FMS using magnetic stimulator was performed to rat soleus muscle by placing a round magnetic coil on the back of 3rd-5th lumbar vertebral level at 20 Hz frequency for 60 min/day up to 10 days. A reverse transcriptase-polymerase chain reaction was applied to evaluate relative amounts of mRNAs specific to four myosin heavy chain (MHC) isoforms [MHCIbeta, MHCIIa, MHCIIb, and MHCIId(x)] in rat soleus muscle during contractile activity by magnetic stimulation.

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