研究者業績

谷川 広樹

タニカワ ヒロキ  (Hiroki Tanikawa)

基本情報

所属
藤田医科大学 保健衛生学部 リハビリテーション学科 理学療法治療学 講師
学位
博士(医学)(藤田保健衛生大学)

J-GLOBAL ID
201501010307909466
researchmap会員ID
7000013047

受賞

 1

論文

 85
  • Hiroki Tanikawa, Hitoshi Kagaya, Shota Itoh, Kento Katagiri, Hikaru Kondoh, Kenta Fujimura, Satoshi Hirano, Toshio Teranishi
    Journal of Rehabilitation Medicine - Clinical Communications 7 jrmcc40827-jrmcc40827 2024年9月3日  
    Objective: To demonstrate the long-term efficacy of repeated botulinum toxin A injections into the same muscles for ameliorating lower limb spasticity and gait function.Design: Single-case studyPatient: A 36-year-old woman with right cerebral haemorrhage received her first botulinum toxin A injection 1,296 days after onset. The patient underwent 30 treatments over 12 years after the first injection to improve upper and lower limb spasticity and abnormal gait patterns. The mean duration between injections was 147 days.Methods: The Modified Ashworth Scale, passive range of motion, gait velocity, and degree of abnormal gait patterns during treadmill gait were evaluated pre-injection and at 2, 6, and 12 weeks after every injection.Results: The follow-up period showed no injection-related adverse events. Comfortable overground gait velocity gradually improved over 30 injections. The Modified Ashworth Scale and passive range of motion improved after each injection. Pre-injection values of the degree of pes varus, circumduction, hip hiking, and knee extensor thrust improved gradually. However, the degree of contralateral vaulting, excessive lateral shift of the trunk, and insufficient knee flexion did not improve after 30 injections.Conclusion: Repeated botulinum toxin A injections effectively improve abnormal gait patterns, even when a single injection cannot change these values.
  • 伊藤 翔太, 藤村 健太, 柴田 理姫, 谷川 広樹, 前田 寛文, 加賀谷 斉
    日本ボツリヌス治療学会雑誌 10(1) 70-70 2024年9月  
  • 伊藤 翔太, 谷川 広樹, 近藤 輝, 小関 秀宙, 片桐 健登, 伊藤 俊貴, 藤村 健太, 寺西 利生
    愛知県理学療法学会誌 36(特別号) np1-np1 2024年4月  
  • 伊藤 翔太, 谷川 広樹, 近藤 輝, 小関 秀宙, 片桐 健登, 伊藤 俊貴, 藤村 健太, 寺西 利生
    愛知県理学療法学会誌 36(特別号) np1-np1 2024年4月  
  • Kenta Fujimura, Hitoshi Kagaya, Ryoka Itoh, Chiharu Endo, Hiroki Tanikawa, Hirofumi Maeda
    European journal of physical and rehabilitation medicine 60(2) 216-224 2024年4月  
    BACKGROUND: Shoulder subluxation caused by paralysis after stroke is a serious issue affecting shoulder pain and functional prognosis. However, its preventive treatment has not been fully investigated. AIM: To investigate the effects of repetitive peripheral magnetic stimulation (rPMS) on the prevention of shoulder subluxation. DESIGN: A single-center, parallel-group, prospective randomized, open-blinded, end-point study. SETTING: Convalescent rehabilitation ward. POPULATION: We included 50 inpatients in the convalescent rehabilitation ward with post-stroke, having upper limb paralysis, and the acromio-humeral interval (AHI) was within 1/2 finger-breadth. METHODS: A blinded computer-based allocation system was used to randomly assign patients into two groups: 1) conventional rehabilitation plus rPMS therapy (rPMS group, N=25); and 2) conventional rehabilitation alone (control group, N=25). Blinded assessors evaluated the patients before the intervention (T0), 6 weeks after (T1), and 12 weeks after (T2). The primary outcome was the change in AHIs from T0 to T1 between the groups. In contrast, the secondary outcomes were shoulder pain, spasticity, active range of motion, and Fugl-Meyer Assessment upper extremity (FMA-UE) score. RESULTS: Twenty-two patients in the rPMS group and 24 in the control group completed T1, whereas 16 in the rPMS group and 11 in the control group completed T2. The change in AHI was significantly lower in the rPMS group than in the control group ([95% CI, -5.15 to -0.390], P=0.023). Within-group analysis showed that AHI in the rPMS group did not change significantly, whereas it increased in the control group (P=0.004). There were no significant differences between T1 and T2 within or between the groups. Moreover, AHI did not show differences in patients with severe impairment but decreased in the rPMS group in patients with mild impairment (P=0.001). CONCLUSIONS: The rPMS may be a new modality for preventing shoulder subluxation. The association between motor impairment and the sustained effect needs to be further examined. CLINICAL REHABILITATION IMPACT: Applying rPMS to the muscles of the paralyzed shoulder after a stroke may prevent shoulder subluxation.

MISC

 36

書籍等出版物

 4

講演・口頭発表等

 55

共同研究・競争的資金等の研究課題

 6

その他

 2
  • AI技術などを用いたビッグデータの解析技術、超音波画像の処理/解析技術 *本研究ニーズに関する産学共同研究の問い合わせは藤田医科大学産学連携推進セン ター(fuji-san@fujita-hu.ac.jp)まで
  • 三次元動作解析装置、痙縮定量的評価機器、末梢磁気刺激装置 *本研究シーズに関する産学共同研究の問い合わせは藤田医科大学産学連携推進セン ター(fuji-san@fujita-hu.ac.jp)まで