研究者詳細 - 田代　英之

論文 - 田代　英之

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Association Between Occupational Participation and Quality of Life in Japanese Older Adults

Suguru Shimokihara, Kazuki Yokoyama, Hikaru Ihira, Yuriko Matsuzaki-Kihara, Atsushi Mizumoto, Hideyuki Tashiro, Hidekazu Saito, Keitaro Makino, Kiyotaka Shimada, Kosuke Yama, Ryo Miyajima, Takeshi Sasaki, Nozomu Ikeda

OTJR: Occupational Therapy Journal of Research ( SAGE Publications ) 2025年03月

Positive associations between occupational participation and quality of life (QoL) are known in various populations, but there are few reports in older adults in Japan. To quantify the association between occupational participation in meaningful occupations and QoL among Japanese community-dwelling older adults. A self-administered questionnaire was sent to 626 older adults. QoL was assessed using the World Health Organization (WHO)-five well-being index, and occupational participation in meaningful occupations was measured with the self-administered occupational performance index. The association between occupational participation and QoL was analyzed. Among 367 participants, significant associations were found between occupational participation in meaningful occupations and QoL. In addition, participants with lower QoL exhibited lower levels of occupational participation in occupational control, occupational balance, and satisfaction of performance domains. There is a positive association between occupational participation and QoL among Japanese older adults. Occupational therapists should prioritize occupational participation to support the well-being of older adults.

DOI

Association Between the Use of Information and Communication Technology Tools and Each Domain of Cognitive Function Among Community-Dwelling Older Adults: A Prospective Cohort Study

Kazuki Yokoyama, Hikaru Ihira, Suguru Shimokihara, Yuriko Matsuzaki-Kihara, Atsushi Mizumoto, Hideyuki Tashiro, Hidekazu Saito, Keitaro Makino, Shunpei Katsuura, Kiyotaka Shimada, Kosuke Yama, Ryo Miyajima, Takeshi Sasaki, Nozomu Ikeda

Cureus 17 ( 2 ) e79188 2025年02月

DOI

Linear association between frailty as assessed by the Kihon Checklist and quality of life in community-dwelling older adults: A cross-sectional population-based study

Annals of Geriatric Medicine and Research ( The Korean Geriatrics Society ) 2024年10月

DOI

Concern about falling is related to threat-induced changes in emotions and postural control in older adults

Hideyuki Tashiro, Sota Hirosaki, Yui Sato, Megumi Toki, Hikaru Ihira, Naoki Kozuka

Gait & Posture 2024年10月

担当区分：筆頭著者 , 責任著者

Dual-task interference of reactive stepping kinematics for balance recovery strategies in older adults

Hideyuki Tashiro, Sota Hirosaki, Yui Sato, Megumi Toki, Hikaru Ihira, Naoki Kozuka

Human Movement Science 98 103291 2024年09月 [査読有り]

担当区分：筆頭著者 , 責任著者

DOI

Development of the Self-Assessment Self-Disclosure Questionnaire to Examine the Association between Self-Disclosure and Frailty among Community-Dwelling Older Adults in Japan

Kazuki Yokoyama, Hikaru Ihira, Yuriko Matsuzaki-Kihara, Atsushi Mizumoto, Hideyuki Tashiro, Kiyotaka Shimada, Kosuke Yama, Ryo Miyajima, Takeshi Sasaki, Naoki Kozuka, Nozomu Ikeda

Geriatrics 9 ( 3 ) 2024年05月 [査読有り]

The effect of cognitive tasks on reactive stepping in young and older adults

Hideyuki Tashiro, Sota Hirosaki, Yui Sato, Megumi Toki, Hikaru Ihira, Naoki Kozuka

Gait & Posture ( Elsevier BV ) 2023年10月 [査読有り]

担当区分：筆頭著者 , 責任著者

DOI

Physical activity is associated with walking and balance ability but not fatigue, knee extension strength, or body composition in adults with cerebral palsy: a pilot cross-sectional study

Yui Sato, Hideyuki Tashiro, Kanta Fukumoto, Sota Hirosaki, Megumi Toki, Naoki Kozuka

International Journal of Rehabilitation Research ( Ovid Technologies (Wolters Kluwer Health) ) 2023年07月 [査読有り]

Common secondary impairments associated with aging in adults with cerebral palsy (CP) decrease physical functions, including walking and balance ability, and increase the sense of fatigue. This motor dysfunction results in decreased physical activity (PA) and could be associated with obesity and sarcopenia. This study examined the association of daily PA levels with fatigue, physical function, and body composition in 22 adults with CP (age, 37.4 ± 14.7 years; Gross Motor Function Classification System level, I: 6, II: 16). The level of daily PA was divided into percent of sedentary behavior, light PA, and moderate-to-vigorous PA (%MVPA) per day. These outcomes were examined for correlation with the Fatigue Severity Scale, knee extension strength, comfortable and maximum walking speed, Timed-Up-and-Go-Test (TUG), and body fat percentage and skeletal muscle mass using Spearman’s rank correlation coefficient. An additional partial correlation analysis with sex and age adjustment was performed. The %MVPA correlated positively with comfortable walking speed (rs = 0.424, P = 0.049) and negatively with TUG (rs = −0.493, P = 0.020). The partial correlation revealed associations of %MVPA with maximum walking speed (r = 0.604, P = 0.022) and TUG (r = −0.604, P = 0.022). The results show that among adults with CP, increased PA is associated with improvements in mobility but not in perceived fatigue or body composition, regardless of sex and age. Maintaining and improving %MVPA and walking and balance ability in adults with CP have a positive impact on each other, and potentially on overall health management.

DOI

Spatiotemporal Characteristics of Lateral Reactive Stepping in Individuals with Chronic Stroke

Tashiro H, Sato y, Kanta F, Toki M, Kozuka N

Journal of Motor Behavior Published online ( 6 ) 744 - 754 2022年05月 [査読有り] [国際誌]

担当区分：筆頭著者 , 責任著者

We compared the spatiotemporal characteristics of lateral perturbation-induced reactive stepping in stroke subjects with those of age-matched controls. We subjected 12 stroke subjects and 17 healthy elderly controls to lateral stepping. We analyzed first-step spatiotemporal parameters during stepping and recorded the selected reactive step types at the stepping threshold. Stroke subjects showed a lower stepping threshold and more frequently used medial steps than controls. Stroke subjects also had a longer delay prior to foot-off in lateral steps when perturbed toward the nonparetic side, and in medial steps when perturbed toward both sides than controls. Thus, the time deficits in reactive stepping in individuals with stroke may be attributed to stroke-related sensorimotor impairments, indicating their limitations in balance control.

DOI PubMed

成人脳性麻痺者の座位行動および身体活動と体組成・骨密度の関連

佐藤優衣, 田代英之, 福本幹太, 小塚直樹

日本重症心身障害学会誌 46 ( 3 ) 355 - 361 2021年12月 [査読有り]

Effects of Fear of Falling on the Single-Step Threshold for Lateral Balance Recovery in Older Women

Hideyuki Tashiro, Yui Sato, Kanta Fukumoto, Megumi Toki, Naoki Kozuka

Journal of Geriatric Physical Therapy ( Ovid Technologies (Wolters Kluwer Health) ) Publish Ahead of Print 2021年11月 [査読有り]

担当区分：筆頭著者 , 責任著者

DOI

Effects of cane use on walking parameters and lower limb muscle activity in adults with spastic cerebral palsy: a cross-sectional study

Inoue T, Sato Y, Shimizu K, Tashiro H, Yokoi Y, Kozuka N

Journal of Physical Therapy Science ( Society of Physical Therapy Science ) 33 ( 7 ) 544 - 548 2021年06月 [査読有り]

DOI

Utility of Dynamic Balance Measurements in Discriminating Community Ambulation Levels Among Individuals with Stroke: A Cross-sectional Study

Hideyuki Tashiro, Takuya Isho, Takanori Takeda, Takahito Nakamura, Naoki Kozuka, Fumihiko Hoshi

Journal of Stroke and Cerebrovascular Diseases ( Elsevier BV ) 29 ( 4 ) 104603 - 104603 2020年04月 [査読有り] [国際誌]

担当区分：筆頭著者 , 責任著者

OBJECTIVE: To examine the association between dynamic balance measurements and community ambulation levels among individuals with chronic stroke. METHODS: This cross-sectional study was performed in 2-day care facilities for older adults located in urban areas. Forty-seven community-dwelling poststroke adults who could walk independently were participated. Community ambulation performance was assessed using the Functional Ambulation Classification of the Hospital at Sagunto (FACHS). Dynamic balance and mobility were measured with the Mini-Balance Evaluation Systems Test (Mini-BESTest), the Timed Up and Go (TUG) test, and 10 m maximum walking speed. RESULTS: Participants were classified into 3 groups according to FACHS scores: household (n = 15), neighborhood (n = 19), and community walkers (n = 13). Neighborhood and community walkers scored significantly higher on the Mini-BESTest and had a shorter TUG test time than household walkers. Community walkers had a significantly faster walking speed than household walkers, whereas neighborhood walkers did not have a faster walking speed than household walkers. Ordinal logistic regression analyses revealed the Mini-BESTest score (odds ratio [OR] 1.24; 95% confidence interval [CI]: 1.07-1.44) and the TUG test time (OR .91; 95% CI: .85-.98) were significantly associated with ambulation levels after adjusting for confounders. CONCLUSIONS: Dynamic balance measurement tools may have better responsiveness in detecting community ambulation levels among individuals with chronic stroke than walking speed.

DOI PubMed

脳卒中片麻痺者における側方からの外乱刺激に対する足踏み反応の特性：予期的姿勢制御の役割

田代英之

札幌医科大学大学院保健医療学研究科博士課程後期学位論文 2020年03月 [査読有り]

担当区分：筆頭著者

Slower Reorientation of Trunk for Reactive Turning while Walking in Hemiparesis Stroke Patients.

Nakamura T, Higuchi T, Kikumoto T, Takeda T, Tashiro H, Hoshi F

Journal of Motor Behavior 2019 Jan 2 ( 6 ) 1 - 7 2019年01月 [査読有り] [国際誌]

We examined the behavioral characteristics of reactive turning in hemiplegic stroke patients when they were informed of the turning direction just before turning was required at an unpredictable time. Eleven stroke patients and 20 healthy elderly control people were asked to initiate a turn as soon as a visual cue to inform them of the turning direction was activated unpredictably using a foot switch. Both the segmental reorientation and stepping type when turning 90° while walking were measured. The results indicated preserved segmental reorientation of the head and pelvis in stroke patients. Stroke patients showed delays in pelvic turning but not in head turning. Their delayed pelvic movement might be due to motor dysfunction and the time taken to ensure stability when deciding when to turn.

DOI PubMed

Life-Space Mobility and Relevant Factors in Community-dwelling Individuals with Stroke in Japan: A Cross-sectional Study.

Hideyuki Tashiro, Takuya Isho, Takanori Takeda, Takahito Nakamura, Naoki Kozuka, Fumihiko Hoshi

Progress in rehabilitation medicine 4 ( 4 ) 20190014 - 20190014 2019年 [査読有り] [国内誌]

Objective: Individuals with stroke frequently experience mobility deficits and limited community reintegration. This study aimed to investigate life-space mobility and relevant factors in community-living individuals with stroke. Methods: This was a cross-sectional study of 46 community-dwelling individuals with chronic stroke in Japan (mean age 72.7 ± 7.4 years; mean time post-stroke 63.6 ± 43.3 months; 26 men/20 women). We measured life-space mobility using a Japanese translation of the Life-Space Assessment. The following factors that might affect life-space mobility were assessed: the ability to perform activities of daily living, physical performance, fear of falling, and cognitive function. Results: A total of 41 participants (89.1%) had restricted life-space mobility (Life-Space Assessment score <60 points). A multiple linear regression analysis showed that limitations in activities of daily living, walking speed, and Falls Efficacy Scale-International scores were independently related to Life-Space Assessment scores. This model explained 51.3% of the variance in Life-Space Assessment scores. Conclusions: Most individuals with stroke had restricted life-space mobility. Life-space mobility was associated with the ability to perform activities of daily living, walking speed, and fear of falling. These findings could contribute to the development of rehabilitation interventions for regaining life-space mobility in individuals with stroke.

DOI PubMed

Relationship of dynamic balance and mobility to community ambulation following stroke.

Tashiro H, Isho T, Hoshi F

Archives of Physical Medicine and Rehabilitation 98 ( 10 ) e101 - e102 2017年10月 [査読有り]

jerk最小モデルを用いた歩行動作の重心移動軌跡の予測の為の基礎的研究

武田尊徳, 山崎弘嗣, 田代英之, 中村高仁, 星文彦

理学療法-臨床・研究・教育 ( 公益社団法人埼玉県理学療法士会 ) 24 ( 1 ) 62 - 67 2017年03月 [査読有り]

本研究は歩行中の重心移動のパターンを評価するための基礎的な指標を得ることを目的とし，jerk最小モデルから予測される運動軌道との差を検討した。対象は健常成人女性8名とし，3次元動作解析装置を用いて歩行時の重心移動を計測した。jerk最小モデルを用いて計算される1歩行周期の重心移動の最適軌道を基準とし，軌道波形のピークの位置から定性的な一致度を調べ，前後，左右，上下の3方向で実測値との差の実効値を算出した。前後，左右方向の実測軌道と最適軌道は波形が類似しており，上下方向においては軌道のパターンの差が顕著であった。重心変位の最大値で正規化した実効値は左右方向15.7%，前後方向2.4%，上下方向70.1%であった。左右，前後の2方向において健常成人における実測軌道は予測した最適軌道に近似し，本研究で示した数値を用いて歩行動作の機能的制限を定量化することが可能である。本研究は歩行動作における重心移動解析の基礎的資料となり得る。

DOI CiNii

慢性脳卒中患者における日常生活活動能力と身体活動の経時的変化

田代英之, 武田尊徳, 中村高仁, 星文彦

北海道理学療法 ( (公社)北海道理学療法士会 ) 33 15 - 19 2016年07月 [査読有り]

慢性脳卒中患者において,日常生活活動(ADL)能力や身体活動を維持向上していくことは,介護予防や生活の質の観点から重要である.本研究の目的は,慢性脳卒中患者のADL能力と身体活動の経時的な変化を明らかにすることであった.対象は,通所型介護サービスを利用する慢性脳卒中患者26名とし,ADL能力の指標としてBarthel Index(BI),身体活動の指標としてLife-Space Assessment(LSA)と各生活空間(住居内,居近隣,自宅近隣,町内,町外)における活動頻度を評価し,初回調査とその1年後に実施した追跡調査の結果を比較した.その結果,BIは維持されていたものの,LSA,町外における活動頻度が,初回調査から1年後に有意に低下した.このことから,通所型介護サービスを利用する慢性脳卒中患者では,ADL能力のみならず,町外における身体活動への介入が必要であることが示唆された.(著者抄録)

Accelerometry-Based Gait Characteristics Evaluated Using a Smartphone and Their Association with Fall Risk in People with Chronic Stroke

Takuya Isho, Hideyuki Tashiro, Shigeru Usuda

JOURNAL OF STROKE & CEREBROVASCULAR DISEASES ( ELSEVIER SCIENCE BV ) 24 ( 6 ) 1305 - 1311 2015年06月 [査読有り]

Background: The smartphone, which contains inertial sensors, is currently available and affordable device and has the potential to provide a self-assessment tool for health management. The aims of this study were to use a smartphone to record trunk acceleration during walking and to compare accelerometry variables between post-stroke subjects with and without a history of falling. Methods: This cross-sectional study was conducted in 2 day care centers for elderly adults. Twenty-four community-dwelling adults with chronic stroke (mean age, 71.6 +/- 9.7 years; mean time since stroke, 68.5 +/- 38.7 months) were enrolled. Acceleration of the trunk during walking was recorded in the anteroposterior and mediolateral directions and quantified using the autocorrelation coefficient, harmonic ratio, and interstride variability (coefficient of variation of root mean square acceleration). Fall history in the past 12 months was obtained by self-report. Results: Eleven participants (45.8%) reported at least one fall in the past 12 months and were classified as fallers. Fallers exhibited significantly higher interstride variability of mediolateral trunk acceleration than nonfallers. In the logistic regression analysis, interstride variability of mediolateral trunk acceleration was significantly associated with fall history (adjusted odds ratio, 1.462; 95% confidence interval, 1.009-2.120). The area under the receiver operating characteristic curve for interstride variability of mediolateral trunk acceleration to discriminate fallers from nonfallers was .745 (95% confidence interval, .527-.963). Conclusions: The results suggest that quantitative gait assessment using a smartphone can provide detailed and objective information about subtle changes in the gait pattern of stroke subjects at risk of falling.

DOI

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