リハビリテーション医学講座

• 講座概要
• 教授挨拶
• スタッフ
• 主な業績

講座概要

リハビリテーション科とは新専門医制度で設置された19の基本領域の中のひとつです。多くの診療科が治療の目標とするものは臓器や器官であるのに対し、リハビリテーション科の治療の目標とするものは障害、機能と活動です。従って、すべての疾病者や障害者がリハビリテーションの対象となります。それ故、適切なリハビリテーションをおこなうためには幅広い医学的知識と臨床能力が必要となります。リハビリテーションは理学療法、作業療法、言語療法、摂食・嚥下療法、義肢・装具療法など多くの知識、技術が必要ですが、その中心となるものが運動療法です。リハビリテーション医学・医療をとおして患者を良くすることがリハビリテーション科医の使命となります。

教授挨拶

医学や医療の進歩により、多くの疾病から生命が救えるようになってきました。生命を救う治療が進歩した現在、患者の要望は「元気に動ける」となってきています。リハビリテーション科はこの患者の要望に最も応えることのできる診療科のひとつです。運動療法の有用性は筋力増強だけではなく、心肺機能の改善、免疫機能の上昇、内臓疾患（糖尿病、高脂血症、高血圧等）の改善、認知症の改善や、がんの進行抑制効果等、いろいろとわかってきています。これからの時代は疾病を治すだけではなく、より元気で健康に、より活動性を維持できることが求められています。リハビリテーションの対象者は脳卒中、外傷性脳損傷、脊髄損傷、小児疾患、切断、骨関節疾患、関節リウマチ、神経筋疾患、循環器疾患、呼吸器疾患、内部障害、摂食嚥下障害など多岐にわたります。そのためには呼吸や循環の管理、体液調節などの全身管理だけではなく、摂食や嚥下、膀胱や排泄機能、認知症や高次脳機能障害や義肢・装具などの生活動作関連や、運動学や運動生理学を理解する必要があります。また手術手技などの外科的手技や超音波エコーなどの内科的手技の習得も必要です。リハビリテーション科では、これらの知識や手技の習得も可能です。さらに急性期の患者だけではなく、回復期、維持期の患者に対する治療や全身管理や社会貢献を行うことができます。また障がい者スポーツにも力を入れています。

講座スタッフ

教授	西村　行秀	にしむら ゆきひで
講師	西山　一成	にしやま かずなり
専門研修医	鵜浦　高行	うのうら たかゆき

講座の主な業績

【令和６（2024）年度】

1. Fujita Y, Kamijo Yi*, Umemoto Y, Kinoshita T, Hashizaki T, Murai K, Yoshikawa T, Umemoto Y, Kaminaka C, Shibasaki M, Tajima F, Nishimura Y. Observations of cold-induced vasodilation in persons with spinal cord injuries. Spinal Cord. 2024 Feb 22. doi: 10.1038/s41393-024-00960-3. 2024.
2. Kondo T, Tsuboi H, Nishiyama K, Takahashi G, Nishimura Y*. Effects of rehabilitation treatments jointly considered by physiatrists and rehabilitation therapists in patients with severe burn injury. Burns. Aug;50(6):1621-1631. doi: 10.1016/j.burns.2024.03.034. Epub 2024 Apr 4. 2024.
3. Kouda K*, Banno M, Umemoto Y, Kinoshita T, Nishimura Y, Mikami Y, Kubo T, Tajima F. The Acute Effect of Hot Water Immersion on Cardiac Function in Individuals with Cervical Spinal Cord Injury. Journal of Clinical Medicine. 13(24), 7593; https://doi.org/10.3390/jcm13247593 .2024.

【令和５（2023）年度】

1. Minami K, Kami K, Nishimura Y, Kawanishi M, Imashiro K, Kami T, Habata S, Senba E, Umemoto Y, Tajima F. Voluntary running-induced activation of ventral hippocampal GABAergic interneurons contributes to exercise-induced hypoalgesia in neuropathic pain model mice. Scientific Reports. 2023; 61: p139-144. 
2. Kawanishi M, Kami K, Nishimura Y, Minami K, Senba E, Umemoto Y, Kinoshita T, Tajima F. Exercise-induced increase in M2 macrophages accelerates wound healing in young mice. Physiological Reports. 2023；2(14)：doi.org/10.21203/rs.3.rs-2173132/v1.
3. Nishiyama K, Nishimura Y(Corr), Au JS, Kamijo YI, Moriki T, Mukai Y, Umemoto Y, Kouda K, Ogawa T, Tajima F. Serum concentrations of ketones increase after handergometer exercise in persons with cervical spinal cord injuries: a preliminary prospective study. Spinal Cord. 2023; 61: p139-144.
4. Hashizaki T, Nishimura Y, Ogawa T, Ohno C, Kouda K, Umemoto Y, Taniguchi T, Yamada H , Tajima F. Effectiveness of a 3-Week Rehabilitation Program CombiningMuscle Strengthening and Endurance Exercises Prior to Total Knee Arthroplasty: A Non-Randomized Controlled Trial. Jounal of Clinical Medicine. 2023；12(4) 1523：doi.org/10.3390/jcm12041523.
5. Tsuji T, Wada C, Kawanishi M, Fujita Y, Kamijo Yi, Umemoto Y, Kouda K, Nishiyama K, Tajima F, Nishimura Y(Corr). Quantification of physical activities simulated exercise therapy in ambulatory inpatients using surface electromyogram from the vastus medialis. Fortune Journals. 2023; doi. 10.26502/josm.511500085.
6. Asaeda M, Mikami Y, Nishimura Y, Shimokawa T, Shinohara H, Kawasaki T, Kouda K, Ogawa T, Okawa H, Uenishi H, Kuroda R, Mikami Y, Tajima F, Kubo T. A cross-sectional survey of consistent rehabilitation through long-term care insurance in Japan: a questionnaire survey. Annals of Medicine & Surgery. 2023；85(1)：p17-23. doi: 10.1097/MS9.0000000000000199.
7. Mukai Y, Kawasaki T, Kamijo Yi, Furusawa K, Ibusuki T, Sakurai Y, Nishimura Y, Umemoto Y, Tajima F. Renal and Endocrine Responses to Arm Exercise in Persons with Cervical Spinal Cord Injury. Journal of Clinical Medicine. 2023；12(4) 1670： doi. 10.3390/jcm12041670.
8. Araki S, Kamijo YI, Sato C, Sakurai Y, Murai K, Yoshioka I, Ogawa T, Umemoto Y, Nishimura Y, Tajima F. Total hemoglobin mass correlates with peak oxygen consumption in patients with chronic stroke. Cerebrovasc Dis. 52:75–80 . 2023.
9. Shiozaki K, Asaeda M, Hashimoto T, Umemoto Y, Ito H, Takahashi T, Nishimura Y, Tajima F, Kouda K. Effects of Physiatrist and Physiotherapist-supervised Therapeutic Exercise on Physical Function in Frail Older Patients with Multimorbidity. Progress in Rehabilitation Medicine. 2023；8:20230012. doi: 10.2490/prm.20230012. eCollection 2023. PMID: 37020723

【令和４（2022）年度】

1. Ohno C, Ogawa T *, Taniguchi T, Kinoshita T, Fujita Y, Nishimura Y, Yamada H, Tajima F. Effect of 3-week preoperative rehabilitation on pain and daily physical activities in patients with severe osteoarthritis undergoing total knee arthroplasty. British Journal of Pain. doi.org/10.1177/20494637221084190,2022           
2. Nishimura Y, Nakamura T, Kamijo YI, Arakawa H, Umemoto Y, Kinoshita T, Sakurai Y, Tajima F *. Increased serum levels of brain-derived neurotrophic factor following wheelchair half marathon race in individuals with spinal cord injury. J Spinal Cord Med 45:455-460,2022
3. Kinoshita T, Nishimura Y *, Umemoto Y, Fujita Y, Kouda K, Yasuoka Y, Miyamoto K, Kato S, Tajima F. Effects of early rehabilitation in the intensive care unit for patients with severe COVID-19 pneumonia: A retrospective cohort study. Journal of Clinical Medicine 11:357.doi: 10.3390/jcm11020357,2022  
4. Zaiki R, Kamijo Y-I *, Moriki T, Umemoto Y, Mukai Y, Mikami Y, Kouda K, Ogawa T, Nishimura Y, Tajima F. Dose-response rehabilitation organized by PROr in out-patients with chronic cerebrovascular disorder: A single-center retrospective cohort study. J of Stroke and Cerebrovascular Diseases 31: doi.org/　10.1016/j.jstrokecerebrovasdis.2022.106375,2022
5. Kawasaki S, Nishimura Y *, Kouda K, Umemoto Y, Kinoshita T, Hashizaki T, Kawanishi M, Nakamura T, Tajima F. Follow-up study of subdermal low-echoic lesions in the ischial region in wheelchair users with spinal cord injuries. Frontiers in Medicine, section Dermatology 9:848338.doi: 10.3389/fmed.2022.848338,2022    
6. Nishiyama K, Kamijo YI *, Van Der Scheer J, Kinoshita T, Goosey Tolfrey V, Hoekstra S, Nishimura Y, Kawasaki T, Tajima F. Lipid metabolism after mild cold stress in persons with a cervical spinal cord injury. Spinal Cord  doi: 10.1038/s41393-022-00788-9. Online ahead of print,2022
7. Kinoshita T, Kamijo Y-I *, Kouda K, Yasuoka Y, Nishimura Y, Umemoto Y, Ogawa T, Mikami Y, Kawanishi M, Tajima F. Evaluation of severe adverse events during rehabilitation for acute-phase patients: a retrospective cohort study. Medicine. 2022 inprint           
8. Araki S, Kamijo YI *, Sato C, Sakurai Y, Murai K, Yoshioka I, Ogawa T, Umemoto Y, Nishimura Y, Tajima F. Total hemoglobin mass correlates with peak oxygen consumption in patients with chronic stroke. Cerebrovasc Dis. 2022 inprint           
9. Nishimura Y *, Tsuboi H, Murata K, Minoshima Y, Sato H, Umezu Y, Tajima F. Comparison of erector spinae fatigability between female patients with Parkinson’s disease and healthy individuals: a cross sectional pilot study. BMC Neurology  22:189 .　https://doi.org/10.1186/s12883-022-02719-w,2022          
10. Kinoshita T, Nishimura Y *, Umemoto Y, Kawasaki S, Yasuoka Y, Minami K, Koike Y, Tajima F. Characteristics of falls occurring during rehabilitation in an acute care hospital in older and non-older patients: a retrospective cohort study. Frontiers in Medicine, section Geriatric Medicine 2022 inprint    
11. 　Tsuboi H, Takahashi K, Sugano N, Nishiyama K, Komoribayashi N, Itabashi R, Nishimura Y . Effect of Early Mobilization in Patients with Stroke and Severe Disturbance of Consciousness: Retrospective Study. Journal of Stroke and Cerebrovascular Diseases. 2022 inprint    
12. Kinoshita T, Nishimura Y , Umemoto Y, Kawasaki S, Hori S, Yasuoka Y, Banno M, Tajima F. Investigation of Adverse Events Occurring During Rehabilitation in Acute Care Hospital. Journal of Clinical Medicine. 2022 inprint　　　 
13. Kawanishi M, Kami K, Nishimura Y, Minami K, Senba E, Umemoto Y, KinoshitaT, Tajima F. Exercise-induced increase in M2 macrophages accelerates wound healing in young mice. Physiological Reports. 2022 inprint.      
14. 　Nishiyama K, Nishimura Y, Jason SA, Kamijo YI, Moriki T, Mukai Y, Umemoto Y, Kouda K, Ogawa T, Tajima F. Serum concentrations of ketones increase after hand-ergometer exercise in personswith cervical spinal cord injuries: a preliminary prospective study. Spinal Cord. 2023 Feb;61(2):139-144. doi: 10.1038/s41393-022-00859-x. Epub 2022 Oct 14.       
15. Tsuji T, Wada C, Kawanishi M, Fujita Y, Kamijo YI, Umemoto Y, Kouda K, Nishiyama K, Tajima F, Nishimura Y. Quantification of Physical Activities Simulated Exercise Therapy in Ambulatory Inpatients Using Surface Electromyogram from the Vastus Medialis. Journal of Orthopaedics and Sports Medicine. 2023;5(1):87-97.

【令和３（2021）年度】

1. Kinoshita T, Nishimura Y, Umemoto Y, Koike Y, Kouda K, Ogawa T, Suenaga T, Tajima F. Case Report: Rehabilitation for Lower Extremity Pain due to Venous Stasis in a Patient with Multisystem Inflammatory Syndrome in Children. Frontiers in Pediatrics, section Pediatric Infectious Diseases. 2022. 06. Jan. doi:10.3389/fped.2021.810811.
2. Kawasaki S, Nishimura Y *, Kamijo YI, Uenishi H, Nakamura T, Kouda K, Koike Y, Nakamura T, Tajima F. Relationship between ultrasonographically low-echoic lesions under the skin, wheelchair sitting time, and interface pressure on ischial region in individuals with chronic spinal cord injury. J Spinal Cord Med. 44:978-984,2021
3. Kinoshita T, Yoshikawa T, Nishimura Y, Kamijo YI, Arakawa H, Nakamura T, Hashizaki T, Hoekstra SP, Tajima F *. Mobilization within 24 hours of new-onset stroke enhances the rate of home discharge at 6-months follow-up: a prospective cohort study. Int J Neurosci 131:1097-1106,2021      
4. Akiyama Y *, Sasaki A, Fujii Y, Fujisawa R, Sasaki N, Nikai H, Endo F, Baba S, Hasegawa Y, Kimura T, Takahara T, Nitta1 H, Otsuka K, Koeda K, Nishimura Y, Iwaya T. Efficacy of enhanced prehabilitation for patients with esophageal cancer undergoing esophagectomy. Esophagus 18 ;56–64,2021       
5. Sato H, Nishimura Y, Tsuboi H, Minoshima Y, Sakata T, Umezu Y, Tajima F *. Differences in fatigability of vastus medialis muscle between patients with limb symmetry index of <90% and ≥90% after chronic anterior cruciate ligament reconstruction. Knee 31:39-45,2021
6. Miya K *, Nishimura Y, Tsuboi H, Sasa W, Yamabe D, Endo H, Murakami H, Doita M. Fatigue-related differences in erector spinae between adult spinal deformity patients and healthy individuals using surface electromyographic power spectral analysis. JIMA. 73:117-126,2021    
7. Ohko H, Umemoto Y, Kojima D, Nishimura Y, Mikami Y, Kouda K, Ogawa T, Tajima F *. Hot bathing has the potential to provide a new means of secretiong brain-derived neurotrophic factor. Cognition & REHABILITATION 2:77-86,2021