Tomoyoshi Kobari
| Faculty of Health Care and Medical Sports,Department of Rehabilitation,Physical Therapy Major | Assistant Professor |
| Faculty of Health Care and Medical Sports,Department of Physical Therapy | Assistant Professor |
Last Updated :2025/10/21
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Paper
- Relationship between the amount of physical activity and brain structure in patients with chronic stroke
Tomoyoshi Kobari; Takashi Murayama; Yumi Ikeda
Neurological Research, 14 Jun. 2024, [Reviewed] - Effects of a treatment program based on constraint-induced movement therapy for the lower extremities on gait and balance in chronic stroke: a 6-month follow-up pilot study.
Tomoyoshi Kobari; Takashi Murayama; Kazuhiro Matsuzawa; Katsuya Sakai
International journal of rehabilitation research., 01 Jun. 2023, [Reviewed]
Constraint-induced movement therapy (CIMT) for the lower extremities CIMT (LE-CIMT) has been shown feasible and promising but the long-term outcomes remain uncertain. In this pilot study, we recruited eight participants with chronic stroke from our facility for persons with disabilities to determine changes in gait and balance throughout an extended treatment program based on the principles of LE-CIMT. The program consisted of a run-in phase (3 weeks), LE-CIMT phase (3 weeks), and maintenance phase (6 months). In the LE-CIMT phase (3.5 h/day, 5 days/week, 3 weeks), the participants received task-oriented training (3 h) and transfer package training (30 min). The maintenance phase (30 min/day, 2-3 times/week, 6 months) included a transfer package and conventional training. The assessments were performed in the beginning and after each phase using the Fugl-Meyer Assessment, 6-min walk test (6MWT), Berg Balance Scale (BBS), and 10-m walk test from which walking speed, cadence, and stride length were derived. Overall, 6MWT, BBS, walking speed, and cadence improved significantly over time (analysis of variance P < 0.001). When comparing the results from before to after the LE-CIMT phase, 6MWT, BBS, walking speed, and cadence improved significantly ( P = 0.002 to 0.022). At the end of the 6-month maintenance phase, further improvements relative to the after LE-CIMT phase were found for 6MWT, walking speed, and cadence ( P = 0.002 to 0.034). These pilot results suggest that an extended treatment program based on the principles of LE-CIMT can improve balance and more so walking in the chronic phase of stroke. - Anatomical Increased/Decreased Changes in the Brain Area Following Individuals with Chronic Traumatic Complete Thoracic Spinal Cord Injury.
Takashi Murayama; Kousuke Takahama; Kazumasa Jinbo; Tomoyoshi Kobari
Physical therapy research, 2021, [Reviewed]
OBJECTIVES: This study aimed to investigate anatomical changes in the brain following chronic complete traumatic thoracic spinal cord injury (ThSCI) using voxel-based morphometry (VBM). That is, it attempted to examine dynamic physical change following thoracic injury and the presence or absence of regions with decreased and increased changes in whole brain volume associated with change in the manner of how activities of daily living are performed. METHODS: Twelve individuals with chronic traumatic complete ThSCI (age; 21-63 years, American Spinal Injury Association Impairment Scale; grade C-D) participated in this study. VBM was used to investigate the regions with increased volume and decreased volume in the brain in comparison with healthy control individuals. RESULTS: Decreases in volume were noted in areas associated with motor and somatosensory functions, including the right paracentral lobule (PCL)-the primary motor sensory area for lower limbs, left dorsal premotor cortex, and left superior parietal lobule (SPL). Furthermore, increased gray matter volume was noted in the primary sensorimotor area for fingers and arms, as well as in higher sensory areas. CONCLUSIONS: Following SCI both regions with increased volume and regions with decreased volume were present in the brain in accordance with changes in physical function. Using longitudinal observation, anatomical changes in the brain may be used to determine the rehabilitation effect by comparing present cases with cases with cervical SCI or cases with incomplete palsy.
MISC
- 慢性期脳卒中片麻痺者に対する下肢CI療法が身体機能と脳活動動態に及ぼす影響
Oct. 2021 - 脳卒中重度上肢麻痺例に対する修正CI療法の実践と長期経過について
Aug. 2019 - 下肢麻痺に対するCI療法をベースとした集中訓練により身体機能と自己効力感が向上した慢性期脳卒中片麻痺症例
Aug. 2019 - 上肢CI療法後に生じた脳解剖学的変化
May 2019 - 重度片麻痺の失語症者に対し、Transfer Packageの工夫を行った一例
Sep. 2018 - 電気刺激療法を併用した集中的課題指向型訓練が有効であった脳卒中重度上肢麻痺例
Oct. 2017 - 経皮的神経電気刺激と課題指向型訓練の併用が慢性期脳卒中片麻痺者の歩行能力に及ぼす影響
Oct. 2017 - 慢性期脳卒中下肢麻痺1例に対する下肢CI療法の試み
Sep. 2017 - 慢性期脳卒中例に対する下肢CI療法の治療効果と脳機能結合性の変化
Sep. 2017 - 重度片麻痺患者に対する装具療法を併用したCI療法の試み
Sep. 2016 - 回復期重度片麻痺者に対するCI療法と装具療法を併用して実施した一例
Aug. 2016 - 高次脳機能障害者の単独外出獲得に求められる要素についての検討
2014
