Asahikawa Rehabilitation Hospital

Asahikawa, Japan

Asahikawa Rehabilitation Hospital

Asahikawa, Japan
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Haruna H.,Asahikawa Rehabilitation Hospital | Sugihara S.,Sapporo Shuuyuukai Hospital | Kon K.,Hokkaido University of Science | Kon K.,International University of Health and Welfare | And 2 more authors.
Rigakuryoho Kagaku | Year: 2011

[Purpose] This study analyzed the gait changes of post-stroke hemiplegic patients during continuous use of Gait Solution for the purpose of verifying the need to adjust users' body function. [Subjects] Three choronic hemiplegic patients. [Methods] The 3 participants were ordered to continuously use Gait Solution for 3 weeks. Measurement and examination were made of gait speed, unaffected side stride, and center of gravity height in the stance phase, and affected side ankle plantarflexion and dorsiflexion moment peak under the following 3 conditions: walking with AFO used usually, walking with Gait Solution on the first fitting day, and walking with Gait Solution 3 weeks after fitting Gait Solution. [Results] In 2 of 3 patients, a few of the parameters changed on the first fitting day, but after 3 weeks all the parameters had changed. [Conclusion] In order for Gait Solution to function effectively and change the parameters of walking, Gait Solution needs users body function to adjust to it.

Nimura A.,Asahikawa Medical College | Sato N.,Asahikawa Medical College | Sakuragi H.,Asahikawa Rehabilitation Hospital | Koyama S.,Asahikawa Rehabilitation Hospital | And 9 more authors.
Internal Medicine | Year: 2011

We describe a case of advanced atrioventricular (AV) block, in which treatment with cilostazol was effective in recovering the AV conduction. The patient was referred to our hospital for close examination of the advanced AV block and permanent pacemaker implantation. Although the patient had experienced thirddegree AV block with occasional AV synchrony for more than two days, the AV conduction completely recovered after treatment with oral cilostazol at 200 mg/day. Here we discuss the possible mechanism of the improvement in the AV conduction by cilostazol. © 2011 The Japanese Society of Internal Medicine.

Sato N.,Asahikawa University | Saijo Y.,Asahikawa University | Sasagawa Y.,Rumoi Municipal Hospital | Morimoto H.,Fukagawa Municipal Hospital | And 9 more authors.
Clinical and Experimental Hypertension | Year: 2015

Background: Combination antihypertensive therapy with an angiotensin receptor blocker (ARB) and a calcium channel blocker (CCB) or diuretics is common. This subanalysis investigated blood pressure (BP) variability in patients receiving ARB-based combination therapy. Methods: In a prospective, randomized, open-label trial, hypertensive outpatients (-65 years) who did not achieve their target BP with ARB monotherapy switched to losartan 50 mg/hydrochlorothiazide 12.5mg (ARB + D) or ARB plus amlodipine 5mg (ARB + C) for 12 months. Clinic BP and heart rate (HR), measured every 3 months, visit-to-visit variability and seasonal variation were evaluated. Results: No significant between-group differences in average, maximum, or minimum systolic or diastolic BP, or HR, were found. Visit-to-visit BP variability (systolic) was significantly higher in the ARB +D group than in the ARB + C group. When each group was subdivided into two seasonal groups (summer and winter), no significant between-group differences in BP were found. Multivariate regression analyses showed a tendency toward negative correlation between outdoor temperature and urinary albumin:creatinine ratio and estimated glomerular filtration rate at 12 months in the ARB + D group. Conclusion: Combination therapy with an ARB plus a CCB may be preferable to that with an ARB plus diuretics for decreasing BP variability. As for seasonal variability, both treatments can be used safely regardless of season. © 2014 Informa Healthcare USA.

Sato N.,Asahikawa University | Saijo Y.,Asahikawa University | Sasagawa Y.,Rumoi Municipal Hospital | Morimoto H.,Fukagawa Municipal Hospital | And 9 more authors.
Journal of Hypertension | Year: 2013

Objective: Combination therapy with angiotensin receptor blockers (ARBs) and calcium channel blockers or diuretics is common for hypertensive patients. This study aimed to determine which combination is better for elderly hypertensive patients. Methods: In this prospective, randomized, open-label trial, hypertensive outpatients aged at least 65 years who had not achieved their target blood pressure (BP) with standard ARB dosages were randomly assigned to receive either a fixed-dose combination of losartan (50 mg) and hydrochlorothiazide (12.5 mg) (ARB+D; n = 72) or a combination of amlodipine (5 mg) and the typical dosage of ARBs (ARB+C; n = 68) to evaluate the change in the BP, laboratory values and cognitive function. Results: At 3 months, the SBP/DBP was found to have significantly decreased from 156/83 ± 15/11 mmHg to 139/76 ± 14/10 mmHg in the ARB+D group and 155/83 ± 11/10 mmHg to 132/72 ± 14/10 mmHg in the ARB+C group. The BP reduction efficacy was greater in the ARB+C group than in the ARB+D group. At 6 months, the SBP/DBP reached the same level in both groups. At 12 months, the urine albumin/creatinine ratio was significantly decreased from the geometric mean of 17.1 to 9.6 mg/g in the ARB+D group, whereas it was increased from 19.8 to 23.7 mg/g in the ARB+C group. Conversely, the estimated glomerular filtration rate tended to show a decrease in the ARB+D group. There was no significant difference in mini-mental state examination after 1 year. Conclusion: ARB+amlodipine (5 mg) yielded a greater BP reduction, whereas ARB+HCTZ (12.5 mg) resulted in a greater reduction in the albuminuria, suggesting that each combination therapy is advantageous in a different manner for elderly hypertensive patients. © 2013 Lippincott Williams & Wilkins.

Inada T.,Sapporo Medical University | Inada T.,Asahikawa Rehabilitation Hospital | Kaneko F.,Sapporo Medical University | Hayami T.,Sapporo Medical University | Hayami T.,Shinshu University
Journal of Electromyography and Kinesiology | Year: 2016

Kinesthetic illusions by visual stimulation (KiNVIS) enhances corticomotor excitability and activates motor association areas. The purpose of this study was to investigate the effect of KiNVIS induction on muscular output function after short-term immobilization. Thirty subjects were assigned to 3 groups: an immobilization group, with the left hand immobilized for 12 h (immobilization period); an illusion group, with the left hand immobilized and additionally subjected to KiNVIS of the immobilized part during the immobilization period; and a control group with no manipulation. The maximum voluntary contraction (MVC), fluctuation of force (force fluctuation) during a force modulation task, and twitch force were measured both before (pre-test) and after (post-test) the immobilization period. Data were analyzed by performing two-way (TIME × GROUP) repeated measures ANOVA. The MVC decreased in the immobilization group only (pre-test; 37.8 ± 6.1 N, post-test; 32.8 ± 6.9 N, p < 0.0005) after the immobilization period. The force fluctuation increased only in the immobilization group (pre-test; 2.19 ± 0.54%, post-test; 2.78 ± 0.87%, p = 0.007) after the immobilization period. These results demonstrate that induction of KiNVIS prevents negative effect on MVC and force fluctuation after 12 h of immobilization. © 2016 Elsevier Ltd.

Okazaki S.,Asahikawa University | Hori J.-I.,Asahikawa University | Kita M.,Asahikawa University | Yamaguchi S.,Kitasaito Hospital | And 2 more authors.
Acta Urologica Japonica | Year: 2014

A 60-year-old woman was referred to our hospital because of gross hematuria, right lumbar pain and lower abdominal pain. Computed tomography (CT) scan revealed hydronephrosis of the right kidney, irregular bladder wall thickening at the right lateral and posterior portion and external iliac lymph node swelling of the right side. Laboratory data revealed disseminated intravascular coagulation syndrome (DIC) and eosinophilia. Because she developed a high fever that was caused by acute obstructive pyelonephritis of the right kidney, percutaneous nephrostomy was placed and the therapy for DIG was initiated. Pathological examination of transurethral resection of bladder tumor performed twice showed no malignancy but inflammatory infiltration of many eosinocytes, leading to the diagnosis of eosinophilic cystitis (EC). We considered the possibility of allergic reaction to the drugs she was taking as the etiology of EC and discontinued all drugs. Although eosinophilia was resolved afterward, she then developed brain infarction, followed by cerebral hemorrhage. She was transferred to a rehabilitation hospital for long-term care. CT scan that was performed 4 months after the initial presentation showed the resolution of hydronephrosis of the right kidney and external iliac lymph node swelling and the improvement of bladder wall thickness. Hydronephrosis of the right kidney has not recurred after removing the nephrostomy catheter. EC is a rare condition that could mimic an invasive bladder cancer. EC should be considered if bladder tumor is associated with eosinophilia. Therapeutic consideration for thromboembolic events should be made in patients with EC. © 2014, Editorial Board of Acta Urologica Japonica. All rights reserved.

Nakagawa N.,Asahikawa University | Matsuki M.,Asahikawa University | Matsuki M.,Kitasaito Hospital | Yao N.,Kitasaito Hospital | And 6 more authors.
Therapeutic Apheresis and Dialysis | Year: 2015

Metabolic syndrome confers an increased risk of cardiovascular disease (CVD) in the general population. The relationship between adiponectins, and clinical outcomes in patients undergoing hemodialysis remains controversial. We investigated whether adiponectins, biomarkers of inflammation, nutrition status and clinical features predict the mortality of patients undergoing hemodialysis for 6 years. We measured baseline plasma total and high-molecular-weight (HMW) adiponectins, tumor necrosis factor (TNF)-α, serum high sensitivity C-reactive protein (hsCRP), and clinical characteristics including visceral fat area (VFA) and the Geriatric Nutritional Risk Index (GNRI) in 133 patients undergoing chronic hemodialysis. Forty-one of the 133 patients died during follow-up. The deceased patients were significantly older, had more prior CVD and diabetes, higher TNF-α and hsCRP levels but lower GNRI. VFA, and total and HMW adiponectin did not significantly differ between the two groups. TNF-α and hsCRP levels and GNRI score were significant for predicting all-cause and cardiovascular mortality in receiver operating curve analyses. When stratified by a GNRI score of 96, Cox proportional hazards analyses identified TNF-α as a significant predictor of all-cause mortality (hazard ratio [HR] 1.23; P=0.038) and hsCRP as a significant predictor of all-cause and cardiovascular mortality (HR, 2.32, P=0.003; HR 2.30, P=0.012, respectively) after adjusting for age, sex, diabetes mellitus, and prior CVD, only in malnourished patients. These results demonstrate that malnutrition and the inflammatory markers TNF-α and hsCRP, but not metabolic markers, including VFA and adiponectins have a significant impact on 6-year all-cause and cardiovascular mortality in Japanese patients undergoing hemodialysis. Therapeutic Apheresis and Dialysis. © 2014 International Society for Apheresis.

Yokohama S.,Asahikawa Rehabilitation Hospital | Aoshima M.,Asahikawa Rehabilitation Hospital | Koyama S.,Asahikawa Rehabilitation Hospital | Hayashi K.,Asahikawa Rehabilitation Hospital | And 2 more authors.
Journal of Gastroenterology and Hepatology (Australia) | Year: 2010

Background and Aim: Although percutaneous endoscopic gastrostomy (PEG) has become established as a useful enteral nutrition technique, the associated risks must always be kept in mind. Recently, we experienced several patients who could orally ingest after PEG. To avoid unnecessary PEG, we investigated patients who could orally ingest after PEG, and analyzed predictive factors of postoperative oral feeding. Methods: We retrospectively analyzed data of 302 patients who underwent PEG at our hospital. After all patients were divided according to postoperative oral feeding status, we assessed factors of patients' backgrounds. In patients who could orally ingest after PEG, we investigated the course of oral feeding status. We attempted to identify predictive factors for postoperative oral feeding using logistic regression analysis. Results: Mean age was high in both groups, and overall condition was markedly poor. Forty-four patients (15%) were able to ingest orally after PEG. Enteral nutrition could be avoided during our observation period in 15 cases, because sufficient oral intake was achieved. Conversely, oral feeding was reduced or discontinued in 14 cases. Multivariate analysis identified the following independent predictive factors for postoperative oral feeding: (i) absence of dysphagia or aphagia; (ii) younger age; (iii) favorable performance status; (iv) presence of post-traumatic encephalopathy; and (v) preoperative swallowing training. Conclusions: A total of 15% of PEG cases were able to ingest orally after PEG. In patients showing positive predictive factors, indications for PEG should be carefully considered. © 2010 Journal of Gastroenterology and Hepatology Foundation and Blackwell Publishing Asia Pty Ltd.

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