Mikako Tsunematsu
| Faculty of Health Care,Department of Acupuncture and Moxibustion | Associate Professor |
| Graduate School of Health Sciences,Doctoral Program in Health Sciences | Associate Professor |
| Graduate School of Health Sciences,Master's and Doctoral Programs in Acupuncture and Moxibustion | Associate Professor |
Last Updated :2026/08/07
■Researcher basic information
■Career
■Research activity information
Award
- May 2025
- Oct. 2019
33th ICMART World Congress on Medical Acupuncture, Poster Award
Influence of Washing Hands and Using Gloves on the Hygiene of Acupuncture Needles : Observation of Bacteriological Tests
Mikako Tsunematsu, Motoyuki Imai, Kenji Imai - May 2019
The Japan Society of Acupuncture and Moxibustion, Student Poster Award
Effect of acupuncture stimulation on university students with low back pain
Ozawa Yuma;Ohta Konomi;Ohtsuka Kohhei;Higashino Erika;Tsunematsu Mikako;Hisajima Tatsuya - Jul. 2017
5th International Conference and Expo on Acupuncture and Oriental Medicine, Best Poster Award
Acupuncture Combined with a Walking Advice Program Improved Physical Activity, Walking Ability and Low Back Pain Level in the Elderly: Three case studies
Mikako Tsunematsu
Paper
- Survey on the status of infection control measures during acupuncture and moxibustion treatment under the COVID-19 pandemic
TSUNEMATSU Mikako; SUGAWARA Masaaki; SHINBARA Hisashi; UEHARA Akihito; IKUCHI Yuya; TAKANO Michiyo; TAGUCHI Taro; TOMITA Kenichi; NAKAMURA Masako; FUKUYO Yasufumi; FUKUDA Shimpei; MIYAWAKI Taro; FURUSE Nobutatsu; MORITA Akira; YAMAZAKI Toshiya; YAMASHITA Hitoshi; Safety Committee; Clinical Information Departmen; The Japan; Society of Acupuncture; Moxibustion
Journal of the Japan Society of Acupuncture and Moxibustion, May 2026, [Reviewed]
To clarify the status of infection control measures implemented at massage, shiatsu, acupuncture, and moxibustion clinics during the COVID-19 pandemic, an online survey was conducted among licensed practitioners throughout Japan between July and September 2023. A total of 328 responses were analyzed. Most respondents relied on information provided by the Ministry of Health, Labour and Welfare and professional organizations, and widely implemented infection control measures such as ventilation, mask wearing, and hand hygiene. However, a small number of practitioners reported practices that were inconsistent with established guidelines, suggesting the need for continued dissemination and promotion of appropriate infection prevention measures. - The Influence of Different Hand Hygiene Operations on the Hygiene of Acupuncture Needles: Including a Comparison of the Influence of Acupuncturist's eyesight
Tsunematsu Mikako; Imai Motoyuki; Imai Kenji
Japanese Acupuncture and Moxibustion, 2023, [Reviewed]
Ten visually impaired acupuncturists and twelve sighted acupuncturists touched acupuncture needles under four conditions: before handwashing, after hand rub disinfection, after putting on nitrile gloves without surface disinfection, and after putting on nitrile gloves with surface disinfection. The needles touched by the subjects were placed on agar plates, and the appearance of bacterial colonies was observed. Bacterial colonies were detected on 11, 4, 2, and 0 needles out of 22, respectively, under the following conditions: before handwashing, after hand rub disinfection, after glove donning without surface disinfection, and after glove donning with alcohol disinfection. A difference in colony appearance was observed between bare hands before handwashing and after the three hand hygiene procedures. No difference in bacterial colony detection patterns was observed between visually impaired acupuncturists and sighted acupuncturists. Appropriate hand hygiene procedures during acupuncture treatment were considered to reduce bacterial contamination of acupuncture needles, regardless of the acupuncturist's visual impairment status. - Feasibility Study on the Application of Compact Ultrasound Imaging Devices in the Field of Acupuncture and Moxibustion
Mikako Tsunematsu
Nov. 2021, [Reviewed]
【Objective】Ultrasound imaging devices have recently been utilized in the musculoskeletal field, but issues such as large device size and high cost remain. This study investigated the potential application of a compact ultrasound imaging device, capable of imaging via USB connection to a computer, in the acupuncture and moxibustion field. 【Methods】Ten subjects participated: five university faculty members licensed as acupuncturists and five undergraduate students enrolled in acupuncture programs. Subjects attempted to image acupuncture needles (stainless steel needles, diameter 0.30 mm, length 60 mm) inserted into the shoulder joint and thigh region under conditions of approximately 10° angle and 20 mm depth within 10 minutes. Imaging was performed using a compact ultrasound imaging device (fST9600, LEKIO Power Technology Co., Ltd., hereinafter referred to as the compact device) and a conventional ultrasound imaging device (F-37, Hitachi, Ltd., hereinafter referred to as the conventional device). Imaging of the acupuncture needles was performed using both devices. We compared (1) measured values obtained using the measurement function of the ultrasound imaging device (hereinafter referred to as measured values) and (2) estimated values calculated by measuring the non-inserted portion with a ruler and subtracting this length from the total needle length (60mm) used in the experiment (hereinafter referred to as estimated values). Subjects were also asked to complete a questionnaire regarding their experience using the devices. 【Results】In comparing measured values and estimated values, a difference was observed for the thigh region using the compact device (P=0.045), but no difference was observed for the shoulder joint region. Furthermore, no difference was observed between measured values and estimated values for either the shoulder joint or thigh regions using the conventional device. Regarding usability, the compact device showed a tendency to be easier to carry than the conventional device (P=0.01). No difference in operability was observed between the two devices. [Discussion and Conclusion] The compact device demonstrated imaging capability equivalent to the conventional device for objects of approximately 0.3 mm in size. Furthermore, the compact device was suggested to be easier to handle. - Influence of Using Gloves and Finger Stalls During Operations of Acupuncture Needles. Observation Under an Electron Microscope: A Pilot Study
Tsunematsu Mikako; Imai Motoyuki; Imai Kenji
Japanese Acupuncture and Moxibustion, Aug. 2019, [Reviewed]
The aim of this study is to evaluate by a scanning electron microscope (SEM) whether using gloves and finger
stalls can prevent foreign bodies adhering to the acupuncture needle from the fingers of the acupuncturist. After
attaching sodium bicarbonate to their fingers, the acupuncturist touched the acupuncture needles under three
conditions: bare hands, using powdered latex finger stalls and using powder-free nitrile gloves.
The acupuncture needles were observed by an SEM. Additionally, the elemental components of the foreign bodies
on the surface of the needle were analyzed with energy dispersive X-ray spectrometry. After touching the
acupuncture needle with bare hands, we observed that there was adhesion of foreign bodies containing elements of
sodium to the surface of the acupuncture needle. After touching the acupuncture needle using powdered latex finger
stalls, we observed that there was adhesion of foreign bodies containing elements of silicon and magnesium to the
surface of the acupuncture needle. After touching the acupuncture needle using powder-free nitrile gloves, we did not
observe that there was any adhesion of foreign bodies to the surface of the acupuncture needle. In conclusion, using
powder-free gloves prevents foreign bodies from adhering to the acupuncture needles from the fingers of the
acupuncturist - Survey on Hepatitis B Prevention Measures at Acupuncture and Moxibustion Training Schools in Japan
Mikako Tsunematsu; Hisashi Shinbara; Masaaki Sugawara; Nobutatsu Furuse; Akihito Uehara; Yuya Kikuchi; Taro Taguchi; Toshiya Yamazaki; Safety Committee; Academic Research Departmen; Japan; Society of Acupuncture; Moxibustion
The Japan Society of Acupuncture and Moxibustion, Aug. 2018, [Reviewed]
【Purpose】This study aims to investigate awareness and actual practices regarding hepatitis B vaccination and viral hepatitis-related testing (hereinafter referred to as hepatitis testing) at educational institutions training acupuncturists, moxibustion practitioners, and massage therapists (hereinafter referred to as acupuncture training schools). 【Methods】Questionnaires were sent to 160 acupuncture and moxibustion training schools nationwide in Japan, requesting responses regarding the actual status of Hepatitis B vaccination and hepatitis testing among faculty and students at each school. Results: Questionnaires were returned from 124 of the 160 schools (response rate: 77.5%). Among acupuncture and moxibustion training schools, 75/124 schools (60.5%) mandated or recommended hepatitis B vaccination for faculty, and 72/124 schools (58.1%) did so for students. Regarding hepatitis B vaccination costs, among schools that responded: - For faculty: 37/78 schools (47.4%) covered the full cost. - For students: 46/71 schools (64.8%) required students to cover the full cost themselves. This was the most common response. Regarding future policies on hepatitis B vaccination, 63/124 schools (50.8%) for faculty and 72/124 schools (58.1%) for students stated they would recommend it but not mandate it. Schools not conducting hepatitis screening were 57/124 schools (46.0%) for faculty and 58/124 schools (46.8%) for students. Among schools conducting hepatitis testing, 55/67 schools (82.1%) covered the full cost for faculty, and 35/64 schools (54.7%) covered the full cost for students. Furthermore, only 41/124 schools (33.1%) provided sufficient explanation of the necessity of hepatitis B vaccination to students across multiple subjects. [Conclusion] Awareness regarding hepatitis B vaccination and hepatitis testing among both faculty and students at acupuncture and moxibustion training schools was low. This study suggests a need for initiatives to promote hepatitis B countermeasures within these training schools. - 中高齢女性における運動器の疼痛および身体機能は日常の身体活動量に関連する
恒松 美香子; 久野 譜也
Health Sciences, Apr. 2010, [Reviewed]
腰および膝に疼痛を有する中高齢者の身体活動量(PA)維持に有効な対策に関する知見を得るため、腰痛および膝痛の両症状を有する自立した生活が可能な中高齢女性を対象として、疼痛症状および身体機能レベルとPAとの関連を検討した。地域在住の60歳代および70歳代の女性で、腰痛および膝痛改善の運動教室に参加を希望した28例を対象者とした。PAは、加速度計を用いて歩数および歩行によるエネルギー消費量を評価した。疼痛レベルは質問紙による腰痛(RDQ)および膝痛(WOMAC)を、腰下肢の身体機能は体力テストにより評価した。重回帰分析で、歩数および歩行によるエネルギー消費量には、膝伸展筋力およびRDQ得点が有意に関連することが示された。腰痛および膝痛を有する中高齢女性のPAを維持する上で、特に膝伸展筋力維持と腰痛ケアを行うことが重要である可能性が示唆された。 - 鍼施術が筋骨格系に痛みを訴える中高齢者の身体活動量に及ぼす影響
恒松 美香子; 恒松 隆太郎; 宮本 俊和; 吉川 恵士; 久野 譜也
日本温泉気候物理医学会雑誌, Feb. 2009, [Reviewed]
筋骨格系の疼痛症状の改善を目的に鍼施術を受療した中高齢者55例を対象として、鍼施術の受療を契機とした、症状、行動および気分の変化と、身体活動量の関係を検討し、鍼施術が身体活動量増加に与える影響を明らかにした。鍼施術、身体活動量および健康関連QOLに関する調査を行った。鍼施術受療を契機とした症状、行動および気分の変化として調査した7項目おいて、鍼施術が症状、行動および気分に対し、良い影響を与えることが示唆された。運動の頻度、外出・旅行の頻度、気分の変化および症状に対しての対処の見通しで、鍼施術受療を契機として望ましい変化を認めた群は、変化無しもしくは望ましくない変化を認めた群よりも、歩行による身体活動量は有意に高値を示した。筋骨格系に症状を有する中高齢者で、鍼施術受療が身体活動量増大の契機となる可能性が示唆された。 - 日本医学柔整鍼灸専門学校におけるOSCE実施に関する検討
Mar. 2006 - Influence on Individual Finger Stalls in Pain during Acupuncture Operation
HANDA Mikako; TSUNEMATSU Ryutaro; TOKUTAKE Tadashi; MIYAMOTO Toshikazu; NAKANO Hideki
The Journal of The Japan Acupuncture & Moxibustion Society, Aug. 2004, [Reviewed]
[Objective] In this study, the pain of receiving acupuncture was evaluated with or without individual finger stalls.
[Design] In a randomized, subject- and operating person-blind, controlled study.
[Methods] Sixteen acupuncturists and same number of normal volunteers participated in this study. Two needles were inserted into each side of the lumbar muscles. The trials were carried out twice using finger stalls and with bare fingers. These trials were performed in random order. Right after the insertion of needles and at the beginning of electrical stimulation, the subjects were asked to answer a questionnaire about the severity and quality of pain on receiving acupuncture. Durations of procedures were measured. We asked the acupuncturists whether they felt any difficulty in performing acupuncture using finger stalls.
[Result] The majority of acupuncturists reported that using the finger stalls during treatment was inconvenient. Although the severity of pain of acupuncture did not significantly differ between that with and that without finger stalls, the average value was slightly higher with finger stalls. The qualities of pain on receiving acupuncture did not significantly differ between the two methods, however, the numbers of selected words differed on some items. The subjects could not recognize the use of individual finger stalls. The use of finger stalls did not influence the duration of the procedure.
[Conclusion] In this study, the qualities of pain on receiving acupuncture did not significantly differ between that with and that without finger stalls. The subjects could not recognize the use of individual finger stalls. - 脳血管障害患者におけるLipoprotein(a)測定とその意義
Feb. 1996, [Reviewed] - 全自動酵素免疫測定装置エルジア・F300によるHCV関連抗体測定について
Jun. 1994
MISC
- 鍼施術を活用した高齢者の身体活動量増大の取り組み 腰痛を有する高齢者における一例
Nov. 2022 - コロナ禍における治療院の感染対策 各感染対策のエビデンス
Nov. 2021 - コロナ禍で考えたこと コロナ禍を経て今、改めて考える鍼灸の安全性
Oct. 2021 - 患者さんに説明するはりきゅうの安全性 七 はり
May 2020
Lead - 鍼灸安全性ガイドラインの改訂について
May 2019 - Adverse events associated with acupuncture and moxibustion and the latest information on preventive measures against hepatitis B
SHINBARA Hisashi; FURUSE Nobutatsu; SUGAWARA Masaaki; UEHARA Akihito; KIKUCHI Yuya; TAGUCHI Taro; TSUNEMATSU Mikako; YAMAZAKI Toshiya
Zen Nihon Shinkyu Gakkai zasshi (Journal of the Japan Society of Acupuncture and Moxibustion), 2018
The Japan Society of Acupuncture and Moxibustion - 日本医学柔整鍼灸専門学校におけるOSCE実施に関する検討
May 2006 - つぼおしREFRESH 風邪
Feb. 2006 - つぼおしREFRESH 便秘
Dec. 2005 - つぼおしREFRESH 腰痛
Nov. 2005 - つぼおしREFRESH 生理痛
Sep. 2005 - つぼおし REFRESH 頭痛
Aug. 2005 - つぼおしREFRESH 目の疲れ
Jul. 2005 - つぼおしREFRESH 肩こり
Jun. 2005 - つぼおしREFRESH むくみ
May 2005
Books and other publications
- Acupuncture and Moxibustion Safety Guidelines 2025 Edition (Revised 2nd Edition)
Contributor
Sep. 2025 - 鍼灸安全対策マニュアル
Contributor
31 Jul. 2024 - 鍼通電療法の極意
Contributor
Aug. 2023 - 鍼灸安全対策ガイドライン2020年版
Contributor
29 May 2020
9784263240885 - 必修テキスト鍼 灸マッサージ師のためのスポーツ東洋療法
Contributor
Sep. 2018 - 臨床で知っておきたい鍼灸安全の知識
Contributor
2009
Lectures, oral presentations, etc.
- 大腿四頭筋への鍼通電刺激が重心動揺に与える影響
31 May 2026 - 刺鍼フィードバック機能を備えた刺鍼練習機に関する基礎的検討
31 May 2026 - Literature Review of Experimental Studies Aimed at Preventing Acupuncture-Related Pneumothorax Incident
Mikako Tsunematsu
39th ICMART International Congress on Medical Acupuncture, 08 Nov. 2025 - Can acupuncture needle hygiene be maintained outdoors?
Tsunematsu Mikako; Imai Kenji; Wada Tsunehiko
31 May 2025, (公社)全日本鍼灸学会 - 鍼灸師養成学校における気胸事故予防教育についての現状調査
May 2025 - マスターズ陸上選手に対する鍼施術の1症例
May 2025 - 足三里への鍼通電刺激に対する血中免疫応答の部位特異性
May 2025 - Can acupuncture needle hygiene be maintained outdoors? Research for disaster stricken areas and sports sites .
Mikako Tsunematsu, Tsunehiko Wada, Kenji Imai
37th ICMART International Congress on Medical Acupuncture, 28 Sep. 2024 - Necessary Contents for Safe Acupuncture in Disaster Areas: Through Interviews with Acupuncturists
Tsunematsu Mikako, Ikemune Sachiko, Imai Kenji
25 May 2024, (公社)全日本鍼灸学会 - コロナ禍における鍼灸施設の状況に関する調査 パンデミック下での感染対策の状況
Apr. 2024 - 鍼灸施術に応用できる腰痛に関連する要因の検討
Apr. 2024 - ヒトにおける足三里への鍼通電刺激は全血LPS耐性を変容するか?
Apr. 2024 - Interview Research on the Content Required for Safe Acupuncture in Disaster Stricken Areas
Milkako Tsunematsu; Sachiko Ikemune; Ritsuna Noguchi; Kenji Imai
36th ICMART International Congress on Medical Acupuncture, 30 Sep. 2023 - 災害被災地での安全な鍼施術法構築に関する研究 活動経験のある鍼灸師の語りの考察
May 2023 - Treatment of head numbness using acupuncture: A case report assessment by heart rate variability and earlobe blood flow .
Mikako Tsunematsu; Daiyu Shinohara; Kenji Imai
35th ICMART World Congress o n Medical Acupuncture, 30 Sep. 2022 - 施術室外での手指衛生操作に関する検討 災害被災地、スポーツ現場を想定して
May 2022 - Influence of Using Gloves and Finger Stalls During Operations of Acupuncture Needles: Observation Under an Electron Microscope
Mikako Tsunematsu; Motoyuki Imai; Kenji Imai
34th ICMART World Congress on Medical Acupuncture, 04 Jul. 2021 - 肩甲骨下神経刺激が肩関節可動域改善をもたらした1症例
May 2021 - 衛生的な鍼施術法構築に関する研究 臨床室内での実践的検討
May 2021 - 小型超音波画像診断装置の鍼灸領域における活用可能性の検討
Feb. 2021 - 手指衛生操作と鍼灸針の衛生状態についての細菌学的検討 晴眼者および視覚障害者を対象とした検討
Aug. 2020 - Influence of Washing Hands and Using Gloves on the Hygiene of Acupuncture Needles : Observation of Bacteriological Tests
Mikako Tsunematsu; Motoyuki Imai; Kenji Imai
33th ICMART World Congress on Medical Acupuncture, 26 Oct. 2019 - 抜鍼時の施術者手指への体液付着抑制状況 グローブおよび綿花使用による比較
May 2019 - 腰痛を有する大学生に対する鍼刺激の効果(第2報)
May 2019 - Influence of washing hands and using gloves during hygienic operations involving acupuncture needles: Observation of bacteriological tests
Mikako Tsunematsu; Motoyuki Imai; Kenji Imai
ICMART-iSAMS 2018, 09 Sep. 2018 - 開業鍼灸院を対象とした鍼灸の安全性に関するアンケート調査
May 2018 - グローブや指サック装着が鍼灸針の衛生的操作に与える影響 走査電子顕微鏡を用いた検討
May 2018 - 鍼灸師のグローブ着用に対する意識の変化についての研究(第二報) 臨床経験年数の違いによる検討
May 2018 - 腰痛に対するより有効な刺激方法に関する研究
May 2018 - Acupuncture combined with a walking advice program improved physical activity, walking ability and low back pain level in the elderly: Three case studies
Mikako Tsunematsu
5th International Conference and Expo on Acupuncture and Oriental Medicine, 27 Jul. 2017 - 鍼灸師のグローブ着用に対する意識の変化についての研究 パームスタンプ法を用いた検討
May 2017 - 鍼灸のリスク管理に関する卒後教育の現状調査
May 2017 - 鍼灸師養成学校におけるB型肝炎ワクチンに関する調査
May 2017 - 鍼灸師養成学校学生の手指衛生操作の現状と意識に関する研究
May 2017 - グローブ装着による、手指衛生環境の変化 パームスタンプ法を用いた検討
Feb. 2017 - 筑波大学理療科教員養成施設における卒後臨床教育の実態
May 2016 - 鍼治療を併用した運動指導が身体活動量の増加をもたらした1症例 腰痛を有する高齢者における検討
May 2016 - 鍼刺激感覚と腰痛症状改善の関連についての検討
Feb. 2016 - 筑波大学理療科教員養成における鍼灸臨床活動の実態
May 2015 - 刺鍼時の感覚表現と鍼刺激の強度および快不快感との関連の検討(第二報)
May 2015 - 刺鍼時の感覚表現と鍼刺激の強度および快不快感との関連の検討
May 2014 - 鍼臨床の皮膚消毒操作に関連する要因の検討
Jun. 2013 - 鍼灸臨床の手指衛生操作に関連する要因の検討
Jun. 2012 - 膝痛を訴える中高齢者における鍼施術を加えた運動の効果
Aug. 2011 - 体幹筋トレーニングによる骨盤底筋と排尿状態に関する生活の質への影響
Dec. 2010 - 鍼施術を加えた運動療法が中高齢者の膝関節症状、身体機能及び身体活動量改善に及ぼす影響
Dec. 2009 - 鍼施術を加えた運動療法が身体活動量増大に及ぼす影響 変形性膝関節症患者を対象とした研究
May 2009 - 変形性膝関節症患者の膝伸展筋力に鍼施術が与える効果
May 2008 - 慢性運動器疾患の疼痛レベル及びその機能低下が身体活動量減少におよぼす影響
Dec. 2007 - 鍼施術の受療動機に関する調査
May 2007 - 鍼施術が中高年者の身体活動量の増大に及ぼす影響
Dec. 2006 - 日本医学柔整鍼灸専門学校におけるOSCE実施に関する検討
May 2005 - 施術者間における触診評価 主観的硬度評価と筋硬度計による検討
May 2005 - 指サック使用が刺鍼操作,触診操作に与える影響
May 2004 - 指サックが刺鍼手技に与える影響 継続的使用による痛みの変化
May 2003 - 指サックの刺鍼手技に与える影響
May 2002 - 脳血管障害患者におけるLp(a)の測定
Apr. 1995
Research Themes
- 衛生的な鍼施術法構築に関する研究ー在宅、スポーツ現場、災害被災地についての検討
01 Apr. 2020 - 31 Mar. 2023 - Research on the Construction of a Hygienic Acupuncture Treatment Procedure
Grant-in-Aid for Scientific Research (C)
Teikyo Heisei University
Apr. 2017 - Mar. 2020
This study aimed to establish a viable and effective hand hygiene operation for acupuncturists to prevent infection accidents associated with acupuncture treatment, regardless of acupuncturists’ eyesight. We confirmed that hand washing with standard running water and using soap and scrubbing to disinfect reduced the amount of bacteria adhering to acupuncture needles. It was also found that wearing medical gloves (hereinafter called gloves) could inhibit the adhesion of bacteria and foreign substances to acupuncture needles from acupuncturist' fingers and the adhesion of blood and other patient body fluids to acupuncturists' fingers at the time of needle removal. Furthermore, the timing and methods of hand hygiene in the clinical room were also examined, and it was confirmed that scrubbing to disinfect and putting on gloves immediately before acupuncture are hygienically effective and feasible even for acupuncturists with visual impairment.
■Achievement List
Research Seeds
■University education and qualification information
