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Trajectory of Walking Function in Late-Stage Older Individuals Managed with a Regular Exercise Program: A 5-Year Longitudinal Tracking with an IoT Gait Analysis System Using Accelerometers

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Open Journal of Therapy and Rehabilitation 2024年第2期12卷 174-184页

作者： taisuke ito Waseda Elderly Health Association Co. Ltd. Tokyo Japan

Purpose: This study focused on maintaining and improving the walking function of late-stage older individuals while longitudinally tracking the effects of regular exercise programs in a day-care service specialized for preventive care over 5 years, using detailed gait function measurements with an accelerometer-based system. Methods: Seventy individuals (17 male and 53 female) of a daycare service in Tokyo participated in a weekly exercise program, meeting 1 - 2 times. The average age of the participants at the start of the program was 81.4 years. Gait function, including gait speed, stride length, root mean square (RMS) of acceleration, gait cycle time and its standard deviation, and left-right difference in stance time, was evaluated every 6 months. Results: Gait speed and stride length improved considerably within six months of starting the exercise program, confirming an initial improvement in gait function. This suggests that regular exercise programs can maintain or improve gait function even age groups that predictably have a gradual decline in gait ability due to enhanced age. In the long term, many indicators tended to approach baseline values. However, the exercise program seemingly counteracts age-related changes in gait function and maintains a certain level of function. Conclusions: While a decline in gait ability with aging is inevitable, establishing appropriate exercise habits in late-stage older individuals may contribute to long-term maintenance of gait function.

关键词： Late-Stage Elderly Exercise Gait Function Accelerometer IoT-Based Gait Analysis Device

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The Immediate Analgesic Effect and Impact on Gait Function of Transcutaneous Electrical Nerve Stimulation in Late-Stage Elderly Individuals with Knee Pain: Examination of Gait Function Using an IoT-Based Gait Analysis Device

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Open Journal of Therapy and Rehabilitation 2024年第2期12卷 185-195页

作者： taisuke ito Waseda Elderly Health Association Co. Ltd. Tokyo Japan

Purpose: This study verified the effects of transcutaneous electrical nerve stimulation (TENS), which can be worn during walking and exercise, in elderly individuals with late-stage knee pain who exercise regularly. Methods: Thirty-two late-stage elderly individuals were evaluated for knee pain during rest, walking, and program exercises, with and without TENS. Gait analysis was performed using an IoT-based gait analysis device to examine the effects of TENS-induced analgesia on gait. Results: TENS significantly reduced knee pain during rest, walking, and programmed exercises, with the greatest analgesic effect observed during walking. The greater the knee pain without TENS, the more significant the analgesic effect of TENS. A comparison of gait parameters revealed a significant difference only in the gait cycle time, with a trend towards faster walking with TENS;however, the effect was limited. Conclusion: TENS effectively relieves knee pain in late-stage elderly individuals and can be safely applied during exercise. Pain management using TENS provides important insights into the implementation of exercise therapy in this age group.

关键词： Late-Stage Elderly Knee Joint Pain Exercise Transcutaneous Electrical Stimulation IoT-Based Gait Analysis Device

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Phase 1/2 study of concurrent chemoradiotherapy with weekly irinotecan hydrochloride for advanced/recurrence uterine cancer:A multi-institutional study of Kansai Clinical Oncology Group

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Chinese Journal of Cancer Research 2020年第2期32卷 218-227页

作者： Satoshi Takeuchi Haruo Kuroboshi taisuke Mori Kimihiko ito Eiji Kondo Tsutomu Tabata Yoshio Itani Ryuji Kawaguchi Kyosuke Takeuchi Toshinori Soejima Ryohei Sasaki Department of Obstetrics and Gynecology National Hospital Organization Kobe Medical CenterKobe 6540155Japan Division of Gynecologic Oncology Department of GynecologyWomen Health CareKobe Tokushukai HospitalKobe 6500017Japan Department of Obstetrics and Gynecology Kyoto Prefectural University of MedicineKyoto 6028566Japan Department of Obstetrics and Gynecology Kansai Rosai HospitalAmagasaki 6608511Japan Department of Obstetrics and Gynecology Mie University Graduate Medical School Faculty of MedicineTsu5148507Japan Department of Obstetrics and Gynecology Tokyo Women’s Medical UniversityTokyo 1628666Japan Department of Obstetrics and Gynecology Nara Prefectural Nara Hospital(Nara Prefectural General Medical Center)Nara 6308581Japan Department of Palliative Care Palliative Care Center of Yao-city HospitalOsaka 5810069Japan Department of Obstetrics and Gynecology Nara Medical UniversityNara 6348521Japan I0Department of Radiation Oncology Kobe University Graduate School of MedicineKobe 6500017Japan departm ent of Radiation Oncology Hyogo Ion Beam Medical Center Kobe Proton CenterKobe 6500047Japan

Objective:Concurrent chemoradiotherapy using cisplatin was thought to be standard treatment for squamous cell carcinoma of cervix,but it had not been effective for *** chemoradiotherapy using irinotecan hydrochloride(CPT-11)had been effective for colorectal cancer,thus,we chose CPT-11 as a candidate for gynecologic *** evaluate the maximum tolerated dose(MTD)of weekly CPT-11 with external pelvic radiotherapy,a phase 1/2 study was conducted according to modified Fibonacci ***:Eligible patients were advanced uterine cancer with measurable diseases[performance score(PS):0-2].Study period was from August 1 st,2002 to December 31 st,*** starting dose level(DL)of CPT-11 was 30 mg/m2(DL1)given weekly for 4 ***,dose escalation was scheduled in 10 mg/m2 increments to 60 mg/m^2(DL4).The fixed radiotherapy consisted of whole pelvic 1.8 Gy/d,once a day in weekday for five weeks and it amounted to 45 Gy(25 fractions)in ***:Seventeen patients were *** for toxicities,one(1/17:5.9%)grade(G)4 neutropenia lasting 7 days had been seen in DL4.G2 diarrhea was identified in 35.3%(6/17)of the patients,and 11.8%(2/17)G3 diarrhea was observed in DL3 and ***,the MTD of CPT-11 was defined as dose of 60 mg/m^*** recommended dose was decided as 50 mg/m^*** response rate was 88.2%[9 complete response(CR),3 partial response(PR),3 stable disease(SD),2 not evaluable(NE)].Disease control rate at 1 month after treatment completion was 100%but distant metastases were found in 24%(4/17)in longer ***:MTD was 60 mg/m^2 and recommended dose was set as 50 mg/*** concurrent chemoradiation using weekly CPT-11 was feasible at 50 mg/m^2,and it might be effective even in adenocarcinoma of the uterus.

关键词： Concurrent chemoradiotherapy(CCRT) irinotecan hydrochloride(CPT-11) cervical adenocarcinoma endometrial cancer

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Factors associating with oxygenation of lower-limb muscle tissue in hemodialysis patients

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World Journal of Nephrology 2016年第6期5卷 524-530页

作者： Haruhisa Miyazawa Susumu Ookawara Kiyonori ito Katsunori Yanai Hiroki Ishii taisuke Kitano Mitsutoshi Shindo Yuichiro Ueda Yoshio Kaku Keiji Hirai Taro Hoshino Kaoru Tabei Yoshiyuki Morishita Division of Nephrology First Department of Integrated Medicine Saitama Medical Center Jichi Medical University Department of Internal Medicine Minami-uonuma City Hospital

AIM To evaluate the lower-limb muscle oxygenation in hemodialysis(HD) patients and identify the factors associating with muscle *** Sixty-seven HD patients(53 men and 14 women; mean age, 67.1 ± 1.2 years; mean HD duration, 5.6 ± 0.9 years) were recruited. In addition, 15 healthy individuals(nine men and six women; mean age, 38.2 ± 4.6 years) were recruited as the control group. Lower-limb muscle regional saturation of oxygen(rS O_2) was monitored on the lateral side of the gastrocnemius muscle before HD using an INVOS 5100C(Covidien Japan, Tokyo, Japan), which utilizes near-infrared spectroscopy. Here, we evaluated the association between lower-limb muscle rS O_2 and clinical *** The r SO_2 values were significantly lower in patients undergoing HD than in healthy individuals(50.0%± 1.7% vs 76.8% ± 2.5%, P < 0.001). Lower-limb muscle r SO_2 showed significant positive correlations with diastolic blood pressure, blood urea nitrogen concentration, serum creatinine concentration, serum potassium concentration, serum inorganic phosphate concentration, and serum albumin concentration as well as negative correlation with HD duration. We conducted a multiple linear regression analysis using parameters that were significantly correlated with the lower-limb muscle r SO_2 in a simple linear regression analysis. Multiple regression analysis demonstrated that lowerlimb muscle r SO_2 was independently associated with serum inorganic phosphate(standardized coefficient: 0.27) and serum albumin concentrations(standardized coefficient: 0.24). In addition, there were no differences in lower-limb muscle r SO_2 between diabetic and nondiabetic HD patients. This study has several limitations. Firstly, its sample size was relatively small. Secondly, we could not evaluate the association between lowerlimb muscle r SO_2 and calculated nutritional markers, including normalized protein catabolic rate and body mass index, anthropometric measurements representing

关键词： Regional saturation of oxygen Lower-limb muscle Sarcopenia Protein-energy wasting Nutritional status Inorganic phosphate Albumin Hemodialysis

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