HIMURO Nobuaki

写真a

Affiliation

School of Medicine, Department of Public Health

Job title

Associate Professor
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Education 【 display / non-display 】

  • 2010
    -
    2013

    Sapporo Medical University   Graduate School of Medicine   博士課程  

  • 2008
    -
    2010

    Sapporo Medical University   Graduate School of Health Sciences   博士課程前期  

  • 1996
    -
    2000

    Sapporo Medical University   School of Health Sciences   Department of Physical Therapy  

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Research Experience 【 display / non-display 】

  • 2022.12
    -
    Now

    Sapporo Medical University   医学部公衆衛生学講座   准教授

  • 2015.04
    -
    2022.11

    Sapporo Medical University   医学部公衆衛生学講座   講師

  • 2013.04
    -
    2015.03

    Sapporo Medical University   医学部公衆衛生学講座   助教

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Research Areas 【 display / non-display 】

  • Life sciences   Healthcare management, medical sociology  

  • Life sciences   Rehabilitation science  

  • Life sciences   Hygiene and public health (non-laboratory)  

  • Life sciences   Hygiene and public health (laboratory)  

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Affiliation 【 display / non-display 】

  • Sapporo Medical University   School of Medicine, Dept.of Public Health   准教授  

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Research Interests 【 display / non-display 】

  • physical therapy

  • epidemiology

  • public health

  • family

  • rehabilitation

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Papers 【 display / non-display 】

  • Cross-cultural adaptation, validity and reliability of the Japanese version of ABILHAND-kids for children with cerebral palsy using Rasch measurement model.

    Sayaka Katori, Nobuaki Himuro, Yukihiro Kitai, Ryo Tanabe, Hirofumi Ohnishi

    Disability and rehabilitation     1 - 9  2024.04  [International journal]

    Authorship：   Corresponding author

    　View Summary

    PURPOSE: The aim of this study was to develop the Japanese version of the ABILHAND-Kids and to examine its psychometric properties for Japanese children with cerebral palsy (CP). METHODS: The experimental version of 75 items was developed using forward-backward translation method. Parents of 137 children with CP answered it. Their responses were analyzed to successive items, and psychometric properties of the final version were investigated through the Rasch measurement model. RESULTS: The Japanese version of the ABILHAND-Kids contained 22 items. It showed valid item-patient targeting, no significant floor and ceiling effects, and no differential item functioning for demographic and clinical subgroups. All items contributed to the definition of one-dimensional measure. For internal consistency, the person separation index was 0.94. For test-retest reliability, the intraclass correlation coefficients were 0.96 (95% CI: 0.92-0.98). The minimal detectable difference was calculated with a logit score of 0.79 and a total raw score of 4.50. The logit score showed a strong correlation with the Manual Ability Classification System level (ρ= -0.70) and the Gross Motor Function Classification System level (ρ= -0.62). CONCLUSIONS: The Japanese version of the ABILHAND-Kids was found to be valid and reliable. It appears to be a good tool for assessing manual abilities in daily activities in children with CP.

    DOI PubMed

  • The Contributions of Knee Extension Strength and Hand Grip Strength to Factors Relevant to Physical Frailty: The Tanno-Sobetsu Study.

    Toshiaki Seko, Hiroshi Akasaka, Masayuki Koyama, Nobuaki Himuro, Shigeyuki Saitoh, Shunichi Ogawa, Sayo Miura, Mitsuru Mori, Hirofumi Ohnishi

    Geriatrics (Basel, Switzerland)   9 ( 1 )  2024.01  [Refereed]  [International journal]

    　View Summary

    Sarcopenia is the core factor of frailty. This study specifically focused on lower limb muscle strength and examined muscle indices that indicate the risk of frailty or pre-frailty in older adults. The study included 327 community-dwelling individuals aged ≥65 years (43.7% male) who participated in the cohort. Frailty was defined based on five symptoms: weight loss, low activity level, exhaustion, weakness and slowness. Participants were classified into frail (three or more applicable), pre-frail (one to two applicable) and non-frail groups. Muscle strength (knee extension strength, toe grip strength and hand grip strength) were assessed, and appendicular muscle mass was assessed via a bioelectrical impedance analysis. The adjusted odds ratio (OR) of muscle indices for with frailty (frail group vs. pre-frail group) or pre-frailty (pre-frail group vs. non-frail group) were calculated. The prevalence of frail and pre-frail was 7% and 40%, respectively. Adjusted for age, sex, albumin and medical history, knee extension strength was significantly associated with frailty (odds ratio 0.95, 95% CI 0.92-0.98), while hand grip strength was associated with pre-frailty (odds ratio 0.92, 95% CI 0.88-0.97) but not with other muscle indices. This study is significant for identifying knee extension strength as a factor relevant to frailty in older adults considered pre-frailty, emphasizing the importance of this specific muscle measure in predicting and managing frailty.

    DOI PubMed

  • Reliability and validity of the Japanese version of the Visual Function Classification System for children with cerebral palsy.

    Hisato Nishibu, Yousuke Ikeda, Takahito Inoue, Nobuaki Himuro

    Child: care, health and development    2023.09  [Refereed]  [International journal]

    Authorship：   Last author  , Corresponding author

    　View Summary

    BACKGROUND: Children with cerebral palsy (CP) often experience visual dysfunction that affects motor function and activities of daily living, but no 'gold standard' classification of visual function has been established. In recent years, however, a valid and reliable Visual Function Classification System (VFCS) for children with CP has been developed. AIMS: To examine the reliability and validity of the Japanese version of the VFCS in individuals with CP. METHODS: The translation of the VFCS was performed according to international standards for the translation of measurements. We conducted questionnaires of professionals (three physicians, eight physical therapists, five occupational therapists, six speech-language-hearing therapists and a certified orthoptist) regarding the content validity of the Japanese version of the VFCS. For reliability and concurrent validity, 148 individuals with CP were classified twice by professionals using the Japanese version of the VFCS, Gross Motor Function Classification System (GMFCS), Manual Ability Classification System (MACS), Communication Function Classification System (CFCS) and Eating and Drinking Ability Classification System (EDACS), with several weeks between each evaluation. RESULTS: The content validity of the Japanese version of the VFCS almost met the criteria set. The percentage of positive and neutral opinions given by the professionals with regard to the four items ranged from 74% to 92%. The intra-rater reliability was 0.86 (95% CI 0.75-0.96) by Cohen's kappa and 0.93 (95% CI 0.88-0.96) by intraclass correlation coefficient. The inter-rater reliability was 0.67 (95% CI 0.56-0.78) by Cohen's kappa and 0.79 (95% CI 0.69-0.86) by intraclass correlation coefficient. The Spearman correlation coefficients between the VFCS and the GMFCS, MACS, CFCS and EDACS were 0.783, 0.764, 0.738, 0.738 and 0.830, respectively. The concurrent validity was confirmed by the correlations observed with other classification systems. CONCLUSIONS: The results indicated good reliability and validity for the Japanese version of the VFCS.

    DOI PubMed

  • The Current State of Shared Decision Making in Goal Setting for the Field of Pediatric Rehabilitation and Challenges in Goal Setting : A Qualitative Study Using a Questionnaire

    Kusumoto Yasuaki, Himuro Nobuaki, Nishibu Hisato, Kimoto Minoru, Miyamoto Kiyotaka, Takaki Kenji, Takahashi Eri, Abe Hirokazu

    The Japanese Journal of Pediatric Physical Therapy ( Japanese Society of Pediatric Physical Therapy )  1 ( 1 ) 7 - 17  2023.03  [Refereed]

    　View Summary

    Objective: This study aimed to investigate the gap between the knowledge and practice of shared decision making（SDM）and differences in goal setting according to patient’s age range and years of therapist’s experience. Methods: A total of 115 therapists working with pediatric patients were surveyed via a web-based questionnaire to determine the burden of goal setting as well as the status and content of SDM practice related to goal setting. The results were compared in two groups according to years of the therapist’s experience, and the contents of free descriptions were subjected to qualitative descriptive analysis. Results: Over two-thirds of the subjects felt burdened by goal setting. There was no difference in the status of SDM practice between the two groups, while there were differences in the content of goal setting based on the age of the target patients. Additionally, there was a discrepancy between the state of SDM practice and the outcome of the qualitative descriptive analysis. Conclusions: Therapists in the pediatric field face a gap in their knowledge and practice of SDM, suggesting differences in the content of goal setting depending on the years of experience.

    DOI

  • Characterization of prehospital time delay in primary percutaneous coronary intervention for acute myocardial infarction: analysis of geographical infrastructure-dependent and -independent components.

    Keisuke Oyatani, Masayuki Koyama, Nobuaki Himuro, Tetsuji Miura, Hirofumi Ohnishi

    International journal of health geographics   22 ( 1 ) 7 - 7  2023.03  [Refereed]  [International journal]

    　View Summary

    BACKGROUND: Prehospital delay in reaching a percutaneous coronary intervention (PCI) facility is a major problem preventing early coronary reperfusion in patients with ST-elevation myocardial infarction (STEMI). The aim of this study was to identify modifiable factors that contribute to the interval from symptom onset to arrival at a PCI-capable center with a focus on geographical infrastructure-dependent and -independent factors. METHODS: We analyzed data from 603 STEMI patients who received primary PCI within 12 h of symptom onset in the Hokkaido Acute Coronary Care Survey. We defined onset-to-door time (ODT) as the interval from the onset of symptoms to arrival at the PCI facility and we defined door-to-balloon time (DBT) as the interval from arrival at the PCI facility to PCI. We analyzed the characteristics and factors of each time interval by type of transportation to PCI facilities. In addition, we used geographical information system software to calculate the minimum prehospital system time (min-PST), which represents the time required to reach a PCI facility based on geographical factors. We then subtracted min-PST from ODT to find the estimated delay-in-arrival-to-door (eDAD), which represents the time required to reach a PCI facility independent of geographical factors. We investigated the factors related to the prolongation of eDAD. RESULTS: DBT (median [IQR]: 63 [44, 90] min) was shorter than ODT (median [IQR]: 104 [56, 204] min) regardless of the type of transportation. However, ODT was more than 120 min in 44% of the patients. The min-PST (median [IQR]: 3.7 [2.2, 12.0] min) varied widely among patients, with a maximum of 156 min. Prolongation of eDAD (median [IQR]: 89.1 [49, 180] min) was associated with older age, absence of a witness, onset at night, no emergency medical services (EMS) call, and transfer via a non-PCI facility. If eDAD was zero, ODT was projected to be less than 120 min in more than 90% of the patients. CONCLUSIONS: The contribution of geographical infrastructure-dependent time in prehospital delay was substantially smaller than that of geographical infrastructure-independent time. Intervention to shorten eDAD by focusing on factors such as older age, absence of a witness, onset at night, no EMS call, and transfer via a non-PCI facility appears to be an important strategy for reducing ODT in STEMI patients. Additionally, eDAD may be useful for evaluating the quality of STEMI patient transport in areas with different geographical conditions.

    DOI PubMed

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Books and Other Publications 【 display / non-display 】

  • Crosslink basic リハビリテーションテキスト 人間発達学

    浅野大喜( Part： Contributor, 第2章各論10「家族関係の発達」)

    メジカルビュー社  2021.11

  • 小児リハ評価ガイド : 統合と解釈を理解するための道しるべ

    楠本泰士, 友利幸之介( Part： Contributor, 第1章「評価尺度の特性 信頼性・妥当性・反応性」, 第2章「MACS 脳性麻痺児の手指操作能力を評価しよう」, 「CFCS 脳性麻痺児・者のコミュニケーション能力を分類しよう」, 「EDACS 脳性麻痺児・者の摂食・嚥下能力を分類しよう」, 「TUG 歩行機能とバランス能力を評価しよう」, 「ABILOCO-Kids 脳性麻痺児の歩行遂行能力を評価しよう」, 「FMS 日常生活の移動能力を評価しよう」, 「MPOC 家族の思いを評価しよう」))

    メジカルビュー社  2019.10 ISBN: 9784758319485

  • イラストでわかる人間発達学

    上杉 雅之( Part： Contributor, 第3章「発達検査」)

    医歯薬出版  2015.09 ISBN: 4263219457

    ASIN

  • いのちはどう生まれ、育つのか――医療、福祉、文化と子ども (岩波ジュニア新書)

    道信 良子( Part： Contributor, 「優貴にとって「動く」ということ」)

    岩波書店  2015.03 ISBN: 4005007996

    ASIN

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Misc 【 display / non-display 】

  • 重度脳性麻痺児の乳幼児期の哺乳と6歳時点の摂食機能の関連についての後方視的調査

    西部 寿人, 浅沼 秀臣, 金田 直樹, 横井 恵巨, 古俣 春香, 樋室 伸顕

    日本新生児成育医学会雑誌 ( (公社)日本新生児成育医学会 )  33 ( 2 ) 360 - 360  2021.04

  • Let's Think!!臨床研究 臨床家と研究者の役割と責任

    樋室 伸顕

    理学療法学 ( (公社)日本理学療法士協会 )  47 ( Suppl.1 ) 25 - 26  2021.03

  • パーキンソン病患者におけるCanadian Occupational Performance Measure(COPM)の妥当性

    小林 英司, 樋室 伸顕, 三谷 有司, 綱島 拓哉, 野村 恭平, 高田 一史

    理学療法学 ( (公社)日本理学療法士協会 )  47 ( Suppl.1 ) 100 - 100  2021.03

  • 日本小児理学療法学術集会抄録の計量書誌学的分析 子どもたちのFUNのために私たちがすべき研究はなにか

    阿部 広和, 楠本 泰士, 高木 健志, 西部 寿人, 樋室 伸顕

    理学療法学 ( (公社)日本理学療法士協会 )  47 ( Suppl.1 ) P - 9  2021.03

  • 地域連携クリティカルパスが適用された急性心筋梗塞患者における予後規定要因の検討

    小山 雅之, 樋室 伸顕, 佐藤 琢真, 簑島 暁帆, 竹内 利治, 橋本 暁佳, 齋藤 重幸, 三浦 哲嗣, 寳金 清博, 大西 浩文

    日本循環器病予防学会誌 ( (一社)日本循環器病予防学会 )  55 ( 3 ) 224 - 224  2020.11

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Awards 【 display / non-display 】

  • 最優秀賞

    2021.12   第8回日本小児理学療法学会学術大会   脳性麻痺児における日本語版Edinburgh Visual Gait Score（観察的歩行評価）の信頼性・妥当性

    Winner： 阿部 広和, 小柳 翔太郎, 楠本 泰士, 樋室 伸顕

  • 最優秀賞

    2021.11   第8回日本予防理学療法学会学術大会   非糖尿病高齢者における下肢筋量がインスリン抵抗性進展に及ぼす影響

    Winner： 世古 俊明, 赤坂 憲, 樋室 伸顕, 小山 雅之, 森 満, 大西 浩文

  • 最優秀賞

    2018.12   第5回日本小児理学療法学会学術大会   脳性麻痺児の移動能力は歩行能力評価尺度でどのくらい評価できるのか

    Winner： 樋室伸顕, 西部寿人

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Research Projects 【 display / non-display 】

  • 小児理学療法研究を推進するための基盤づくり

    基盤研究(C)

    Project Year :

    2021.04
    -
    2024.03
     

    樋室 伸顕

    　View Summary

    日本の小児理学療法の研究は、臨床家と研究者の協働による継続した研究活動が少なく、臨床と研究の結びつきが弱い。そのため日本の小児理学療法における学術的な基盤や指針が存在しない。一方で日本には療育という独自の文化があり、臨床では効果をあげている。これを科学的に定義づけることで、臨床と研究が結びついた日本発の小児理学療法研究の発展へとつながるのではないかと考えた。そこで本研究では、臨床家から臨床上の疑問を集め、それを研究疑問へと構造化する。その疑問の解決のために臨床家とともにシステマティックレビューをおこない、成果はオープンアクセス誌で公表する。同時に新たな研究課題を明確にして公開することで、さらなる研究活動の発展へとつなげる。臨床と研究がつながった小児理学療法研究推進のための基盤をつくることが本研究の目的である。 今年度は、臨床家から募集した臨床上の疑問のうち、4つを研究疑問へと構造化した。そのうち1編は学会発表を終え論文化しており現在投稿準備中である。うち1編はデータベース検索を終え現在1次スクリーニング中、うち1編はPROSPEROへ登録作業中、1編は研究計画書を作成している。

  • 地域一般住民高齢者における重症化予防・介護予防対象ハイリスク者同定の試み

    基盤研究(C)

    Project Year :

    2020.04
    -
    2023.03
     

    大西 浩文, 小山 雅之, 斉藤 重幸, 樋室 伸顕

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    本研究は、我々が継続している地域一般住民コホートにおける高齢者を対象に、高血圧、糖尿病、循環器疾患への罹患とフレイル・サルコペニアの進展の両者に共通する危険因子を明らかにすることを目的としている。令和2年度は平成29年度の受診者で65歳以上の342名を対象とした横断的検討を行い、男女とも下肢筋量体重比(%)とインスリン抵抗性の指標であるHOMA-IRとの間に有意な関連を認めることを確認した。 今年度は縦断的な検討を行うこととし、平成29年度の健診にて65歳以上でフレイル・サルコペニア関連の検査を受けた者のうち初年度の時点で糖尿病の者を除外し、平成30年、令和元年の健診を3年連続受診した206名を対象として、初年度の下肢筋量体重比(%)の男女別中央値で高群、低群の2群に分け、その後のHOMA-IRの変動について、繰り返し測定二元配置分散分析を行ったところ、年齢とともにHOMA-IRは有意に上昇し、下肢筋量体重比(%)が低い群では高い群と比較してHOMA-IRが高く推移することが示された。また、年次と下肢筋量体重比との間には有意な交互作用は認めなかった。また、平成29年受診者中、糖尿病を除外して、令和元年の健診も受診した241名を対象とし、令和元年度の時点でHOMA-IR≧1.73のインスリン抵抗性進展の有無を従属変数とした多重ロジスティック回帰分析を行うと、年齢、性別、腹部肥満の有無で調整後の下肢筋量体重比低下のオッズ比は2.67（95%CI：1.44-4.95）であり、さらに初年度のHOMA-IRで調整してもオッズ比2.17（95%CI：1.07-11.75）であった。以上の結果より、縦断的な検討において、初年度の下肢筋量体重比の低下は、将来のインスリン抵抗性進展の強いリスク因子である可能性が示唆された。

  • A longitudinal study of changes in mobility function in children with cerebral palsy using clinically applicable measurement scales

    Grant-in-Aid for Scientific Research (C)

    Project Year :

    2017.04
    -
    2022.03
     

    Nobuaki Himuro

    　View Summary

    The decline of mobility in persons with cerebral palsy is a limitation to social participation and a risk for disease. Therefore, prevention of mobility decline is an urgent issue in rehabilitation. In this study, we investigated the mobility of persons with cerebral palsy using clinically applicable measurement scales. The Japanese versions of various functional classification systems and gait-related measurement scales related to the mobility abilities of persons with cerebral palsy were developed, and examined their reliability and validity in persons with cerebral palsy in Japan. Furthermore, we showed that it is necessary to combine multiple measurement scales to accurately assess the mobility abilities of persons with cerebral palsy.

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Committee Memberships 【 display / non-display 】

  • 2023.08
    -
    Now

      システマティック・レビュー委員

  • 2021.09
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    Now

      評議員

  • 2014.12
    -
    Now

      評議員

  • 　
    -
    2023.10

      システマティック・レビュー支援チーム

  • 　
    -
    2023.08

      文献検索チーム

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