研究者詳細 - 田平　隆行

論文 - 田平　隆行

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田平隆行, 下木原俊 . 【他職種を知る;チーム医療・多職種協働を目指す専門医のために】チーム医療・多職種協働における作業療法士の役割本人の個性や残存能力を活かした生活のなかでの大切な活動への支援 . 老年精神医学雑誌35 ( 11 ) 1137 - 1144 2024年11月

Shimokihara S, Ikeda Y, Matsuda F, Tabira T . Association Between Subjective Memory Complaints in Daily Life and Smartphone Proficiency Among Community-Dwelling Middle-Aged and Older Adults: A Cross-Sectional Population-Based Study. . Cureus16 ( 10 ) e72578 2024年10月国際誌

Shimokihara S., Tabira T., Maruta M., Han G., Sagari A., Iso N., Okabe T., Minami T., Kawagoe M. . Does Dialysis Therapy Cause Cognitive Impairment in Older Adults? A Propensity Score Matching Retrospective Study From a Japanese Long-Term Care Insurance Certification Survey . Asia-Pacific Journal of Public Health36 ( 8 ) 10105395241286649 - 10105395241286649 2024年10月国際誌

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Asia-Pacific Journal of Public Health

This study explored the longitudinal connection between dialysis therapy in older adults and the incidence of cognitive impairment, and trends of general abilities. We conducted a retrospective propensity score matching (PSM) analysis of data from the care-needs certification survey in City A, Japan, spanning 2017 to 2021. Our sample comprised 11 443 initially cognitively intact older adults from the baseline year 2017. Among them, individuals had received dialysis therapy at baseline, and 216 individuals were included after PSM. The dialysis group had a significantly lower incidence of cognitive impairment during follow-up than the control group (P = 0.02). The competing risk of death was significantly higher in the dialysis group than in the control group (P <.001). Both groups showed a decline in their comprehensive ability over the time. There have been several reports of a negative association between dialysis and cognitive impairment, but more detailed investigation of the longitudinal relationship may be needed. Comprehensive support remains critical for both dialysis and non-dialysis older adults.

DOI： 10.1177/10105395241286649

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PubMed

Akaida S., Tabira T., Tateishi M., Shiratsuchi D., Shimokihara S., Kuratsu R., Akasaki Y., Hidaka Y., Makizako H. . Averting older adults' memory function decline via meaningful activities: a follow-up longitudinal study . European Geriatric Medicine15 ( 6 ) 1793 - 1801 2024年9月国際誌

記述言語：日本語掲載種別：研究論文（学術雑誌）出版者・発行元：European Geriatric Medicine

Purpose: The purpose of the study was to investigate the effects of satisfaction with meaningful activities and their performance on the memory function among community-dwelling older adults 3 years later. Methods: A longitudinal analysis was conducted on 288 community-dwelling older adults aged 65 years and more who had completed the survey in 2019 and 2022 as participants in the Tarumizu Study. Meaningful activities were assessed in 2019 using the Aid for Decision-Making in Occupation Choice for activities. Satisfaction with and performance of meaningful activities were assessed, and the bottom 25% were classified into two groups: low satisfaction and low performance. Memory function was assessed using the National Center for Geriatrics and Gerontology-Functional Assessment Tool in 2019 and 2022. Changes in memory function over 3 years were analyzed by satisfaction and performance of meaningful activities. Results: Two-way analysis of variance with group (satisfaction with and performance of meaningful activities) and time (2019 and 2022) as factors showed no statistically significant group-time interaction for memory in the satisfaction with meaningful activities group (F = 1.4, p = 0.24). Meanwhile, a statistically significant group-time interaction was observed for memory in the meaningful activity performance group, indicating that high performance of meaningful activities may play a protective role against memory decline (F = 7.4, p = 0.007). Conclusion: Higher performance of meaningful activities may protect against age-related changes in memory. A careful assessment of meaningful activities, and engagement that enhances performance may be useful in designing health support against memory decline.

DOI： 10.1007/s41999-024-01044-4

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PubMed

その他リンク： https://link.springer.com/article/10.1007/s41999-024-01044-4/fulltext.html

Shimokihara S., Tabira T., Maruta M., Makizako H., Han G., Ikeda Y., Kamasaki T., Akasaki Y., Hidaka Y., Kumura Y., Kukizaki W., Nakahara R., Matsunaga S., Medina L., Kubozono T., Ohishi M. . Smartphone Proficiency in Community-Dwelling Older Adults is Associated With Higher-Level Competence and Physical Function: A Population-Based Age-Specific Cross-Sectional Study . Journal of Applied Gerontology44 ( 1 ) 7334648241261885 - 7334648241261885 2024年6月国際誌

記述言語：日本語掲載種別：研究論文（学術雑誌）出版者・発行元：Journal of Applied Gerontology

With the rapid development of information and communication technology, smartphone ownership has increased among older adults. While previous research has examined the impact of smartphone use on the health of older adults, this study focuses on the less-explored relationship between smartphone use, proficiency, and health-related outcomes including higher-level competence. The study was a cross-sectional survey of 208 community-dwelling older adults who used smartphones daily. Smartphone use, including years of use and applications, was assessed and categorized by age group. Health-related outcomes were measured, including cognitive and psychological function, higher-level competence, basic daily abilities, and physical function. The results indicated that smartphone proficiency decreased with age, with older adults primarily using basic smartphone applications. Notably, higher smartphone proficiency was positively associated with higher-level competence and physical functions. The study underscores the importance of considering smartphone proficiency when assessing older adults’ life skills and physical performance in our digital society.

DOI： 10.1177/07334648241261885

Scopus

PubMed

その他リンク： https://journals.sagepub.com/doi/full-xml/10.1177/07334648241261885

下木原俊, 田平隆行, 堀田牧 . 地域在住認知症高齢者のADL能力と要介護度との関連 . 日本老年療法学会誌3 ( 0 ) n/a 2024年4月

記述言語：日本語出版者・発行元：一般社団法人日本老年療法学会

【目的】本研究では，地域在住認知症高齢者のADL能力を詳細に評価し，要介護度との関連性を探索的に検討することを目的とした。【方法】対象者は，国内の外来及び通所施設を利用する地域在住認知症高齢者とした。対象者のADL能力は生活行為工程分析表（PADA-D）にて評価した。多変量解析にて，要介護認定無しおよび要支援群と軽度要介護群（要介護1-2）の2群で，ADLと要介護度との関連性を検討した。さらに，要介護度の重症度と有意な関連を認めた各ADL項目を構成する工程の点数を比較した。【結果】解析対象となった地域在住認知症高齢者は105名（平均年齢80.36±8.41歳，女性73％）であった。PADA-DのADL項目のうち，調理・家事・買い物・洗濯・服薬管理・金銭管理にて，要介護度の重症度と有意な関連を認めた（p＜.05）。各ADL工程の点数比較では，家事の「寝具管理」「ゴミ捨て」，買い物の「目的の売場に行く」「商品選択」，洗濯の「洗濯機に入れる」「スタートさせる」，金銭管理の「日常の現金使用」が要介護1-2の高齢者でより障害されていた（p＜.05）。【結論】地域在住認知症高齢者では，手段的ADLのうち確認・操作・管理の要素を含む工程障害が要介護度の悪化との関連性が高い可能性がある。認定症ケア従事者は，PADA-Dのような詳細なADL評価を行い，環境・人的側面から自立支援を行う必要がある。

DOI： 10.57270/jgts.2024_002_oa

CiNii Research

下木原俊, 田平隆行, 堀田牧 . 地域在住認知症高齢者のADL能力と要介護度との関連　生活行為工程分析表(PADA-D)を用いた横断的探索研究 . 日本老年療法学会誌3 jgts.2024_002_OA - jgts.2024_002_OA 2024年4月

記述言語：日本語出版者・発行元：(一社)日本老年療法学会

【目的】本研究では,地域在住認知症高齢者のADL能力を詳細に評価し,要介護度との関連性を探索的に検討することを目的とした。【方法】対象者は,国内の外来及び通所施設を利用する地域在住認知症高齢者とした。対象者のADL能力は生活行為工程分析表(PADA-D)にて評価した。多変量解析にて,要介護認定無しおよび要支援群と軽度要介護群(要介護1-2)の2群で,ADLと要介護度との関連性を検討した。さらに,要介護度の重症度と有意な関連を認めた各ADL項目を構成する工程の点数を比較した。【結果】解析対象となった地域在住認知症高齢者は105名(平均年齢80.36±8.41歳,女性73%)であった。PADA-DのADL項目のうち,調理・家事・買い物・洗濯・服薬管理・金銭管理にて,要介護度の重症度と有意な関連を認めた(p<.05)。各ADL工程の点数比較では,家事の「寝具管理」「ゴミ捨て」,買い物の「目的の売場に行く」「商品選択」,洗濯の「洗濯機に入れる」「スタートさせる」,金銭管理の「日常の現金使用」が要介護1-2の高齢者でより障害されていた(p<.05)。【結論】地域在住認知症高齢者では,手段的ADLのうち確認・操作・管理の要素を含む工程障害が要介護度の悪化との関連性が高い可能性がある。認定症ケア従事者は,PADA-Dのような詳細なADL評価を行い,環境・人的側面から自立支援を行う必要がある。(著者抄録)

Ishii R., Kirimoto H., Yoshimura M., Tabira T. . Editorial: Translational research of occupational therapy and neurorehabilitation, volume II . Frontier Hum NeuroScience18 1426481 - 1426481 2024年4月国際誌

下木原俊, 田平隆行, 堀田牧 . 地域在住認知症高齢者のADL能力と要介護度との関連生活行為工程分析表(PADA-D)を用いた横断的探索研究 . 日本老年療法学会誌3 jgts.2024_002_OA - jgts.2024_002_OA 2024年4月

Kamasaki T, Otao H, Tanaka S, Hachiya M, Kubo A, Okawa H, Sakamoto A, Fujiwara K, Suenaga T, Kichize Y, Shimokihara S, Maruta M, Han G, Mizokami Y, Tabira T . Age-specific comparisons in the rate of force development of toe pressure strength and its association with the timed up and go test. . European geriatric medicine15 ( 3 ) 689 - 698 2024年3月国際誌

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：European Geriatric Medicine

Purpose: It has recently been recommended that Rate of Force Development (RFD) be evaluated in addition to maximal muscle strength. There are no studies on RFD of toe pressure strength, and its importance in older adults and the extent to which it is associated with aging needs to be clarified. This study purpose was to examine the association between the RFD of toe pressure strength and timed up and go test (TUG) in an age-specific study. Methods: This study is a cross-sectional study. Participants in the study included 159 younger adults (26.3 ± 13.1 years, 52% male) and 88 older adults (75.0 ± 6.2 years, 26% male). The RFD of toe pressure strength was determined from the force–time curve obtained during the toe pressure strength assessment, and the ability to exert maximum muscle force in the shortest possible time was assessed. Regression analysis was performed for each group to test the association between RFD of toe pressure strength and TUG by age. Results: Younger adults showed no association between TUG and RFD of toe pressure strength, and significant association between TUG and RFD of toe pressure strength was found only in the older adults (standard regression coefficient = − 0.19, p = 0.048). Conclusion: This study showed a significant association between TUG and RFD of toe pressure strength in older adults. These findings show that RFD is one of the functions that should be assessed, particularly in older adults. Furthermore, it was suggested that approaching RFD could improve gait, standing, and sitting movements.

DOI： 10.1007/s41999-024-00959-2

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PubMed

その他リンク： https://link.springer.com/article/10.1007/s41999-024-00959-2/fulltext.html

釜崎大志郎, 大田尾浩, 八谷瑞紀, 北島貴大, 中村正造, 手塚善貴, 下木原俊, 丸田道雄, 室谷健太, 田平隆行 . 高齢の慢性期脳卒中片麻痺患者を対象とした杖使用の有無を判別する身体機能の検討　居住地域の変量効果を考慮した横断研究 . 理学療法さが10 ( 1 ) 19 - 28 2024年3月

記述言語：日本語出版者・発行元：(公社)佐賀県理学療法士会

[目的]高齢の慢性期脳卒中片麻痺患者を対象に,杖使用の有無を判別する身体機能について検討することを目的とした。[対象と方法]対象は,高齢の慢性期脳卒中片麻痺患者とした。居住地域を含む基本情報に加えて,握力,膝伸展筋力,30-second chair stand test(30CST),開眼片脚立ち時間,最大歩行速度,timed up and go testを測定した。分析には,杖使用の有無を従属変数,居住地域を変量効果とした一般化線形混合モデルを用いた。[結果]分析対象者は,高齢の慢性期脳卒中片麻痺患者206名(平均年齢77±7歳,女性49%)であった。分析の結果,杖使用の有無には麻痺側の膝伸展筋力(推定値-0.13,p=0.049)と30CST(-0.18,p=0.013)が関係することが明らかになった。[結語]高齢の慢性期脳卒中片麻痺患者の杖使用の有無には,下肢筋力が関係することが明らかになった。杖の処方を検討する際には,下肢筋力に着目する必要性が示唆された。(著者抄録)

釜崎大志郎, 大田尾浩, 八谷瑞紀, 北島貴大, 中村正造, 手塚善貴, 下木原俊, 丸田道雄, 室谷健太, 田平隆行 . 高齢の慢性期脳卒中片麻痺患者を対象とした杖使用の有無を判別する身体機能の検討居住地域の変量効果を考慮した横断研究 . 理学療法さが10 ( 1 ) 19 - 28 2024年3月

田平隆行, 下木原俊 . 【認知症の人に対する新時代の作業療法】高齢者や認知症の人の「暮らし」の障害に対する作業療法の視点 . 作業療法ジャーナル57 ( 12 ) 1336 - 1341 2023年11月

丸田道雄, 下木原俊, 赤崎義彦, 日高雄磨, 田平隆行 . 注意バイアスと楽観性および悲観性との関連 . 日本作業療法学会抄録集57回 PP - 9 2023年11月

高橋啓, 石橋裕, 田平隆行 . 人工股関節全置換術後のクライエントに対する生活行為工程分析表(PADA-D)を用いた作業療法実践 . 日本作業療法学会抄録集57回 PD - 8 2023年11月

Kamasaki T, Otao H, Hachiya M, Tanaka S, Ochishi K, Shimokihara S, Maruta M, Han G, Akasaki Y, Hidaka Y, Tabira T . Association between toe pressure strength in the standing position and maximum walking speed in older adults. . Annals of geriatric medicine and research27 ( 4 ) 338 - 345 2023年9月国際誌

記述言語：英語掲載種別：研究論文（学術雑誌）出版者・発行元：Annals of Geriatric Medicine and Research

Background: Considering concerns about conventional toe grip strength, we devised a method to measure toe pressure strength in the standing position, which is close to the actual motion. This study examined the association between toe pressure strength in the standing position and walking speed among older adults. Methods: This cross-sectional study included 150 communi-ty-dwelling older adults (81±8 years, 73% female) who participated in the physical fitness test. We analyzed the correlation between the participants’ maximum walking speed and physical function. Furthermore, we performed regression analysis with the maximum walking speed as the dependent variable to examine the association with toe pressure strength in the standing position. We also examined the association between maximum walking speed and toe pressure strength in the standing position by introducing a covariate. Results: Correlation analysis revealed a significant positive correlation between maximum walking speed and toe pressure strength in the standing position, with a moderate effect size (r=0.48, p<0.001). Moreover, multiple regression analysis with covariates showed an association between maximum walking speed and toe pressure strength in the standing position (standardization factor=0.13, p<0.026). Conclusion: Toe pressure strength in the standing position was associated with maximum walking speed. This finding clari-fies the significance of assessing toe pressure strength in the standing position and suggests that enhanced toe pressure strength in the standing position may increase maximum walking speed.

DOI： 10.4235/agmr.23.0113

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PubMed

Shimokihara S., Maruta M., Han G., Ikeda Y., Kamasaki T., Hidaka Y., Akasaki Y., Tabira T. . Real-World Navigation With Application: Characteristics of Gaze Behavior and Associated Factors in Older Adults . Innovation in Aging7 ( 8 ) igad108 2023年9月国際誌

記述言語：日本語掲載種別：研究論文（学術雑誌）出版者・発行元：Innovation in Aging

Background and Objectives: Advancing age might impair real-world navigation ability. The use of mobile devices by older adults has grown rapidly in recent years. Navigation applications (apps) in mobile devices may facilitate the freedom of outings for older adults. Our aim is to investigate age-related differences in real-world app-based navigation walking in terms of accuracy, efficiency, and gaze behavior; and to explore clinical factors associated with navigation walking in older adults. Research Design and Methods: A total of 20 community-dwelling older adults and 16 young adults completed a route navigation task using a navigation app while recording their gaze behavior. Outcomes were compared in both groups and a general linear regression was used to explore clinical factors associated with app-based navigation walk in older adults. Results: Compared with young participants, older participants had more stops and root errors and less fixation time, smaller amplitude of saccades. Additionally, older adults were more likely to glance at their smartphones while app-based navigation walking. Furthermore, gait speed and the following assessment scores were significantly associated with navigation walking in older adults: Mini-Mental State Examination, Life-Space Assessment, and the short version of the Mobile Device Proficiency Questionnaire. Discussion and Implications: For app-based navigation walks, differences in accuracy and gaze behavior were found to exist with age. Additionally, efficient real-world navigation walks in older adults require the extent of life space and proficiency with mobile devices, along with walking speed and cognitive function. It is possible that age-related functional decline, such as the visual field and shifting attention between mobile devices and the real world, may have influenced the results. The study also suggests the need to understand the level of proficiency with mobile devices so that older adults can continue to go out freely. These findings give the basis for providing older adults with appropriate navigation assistance. Translational Significance: Real-world navigation ability is known to decline with age. Many older adults are now using mobile devices, but little is known about their accuracy and gaze behavior while using navigation applications. Our study revealed that older participants exhibited more stops and errors, smaller saccade angles and fixation durations, and glanced at smartphones more frequently than younger participants during navigation tasks. Efficient navigation was associated not only with cognitive and physical function but also with life space and mobile device proficiency. Our findings provide valuable insights for enhancing the use of technology by older adults and improving their navigation in the real world.

DOI： 10.1093/geroni/igad108

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PubMed

丸田道雄, 田平隆行 . 【多職種による多面的なサルコペニア・フレイル対策】認知的・精神心理的・社会的フレイル対策としての作業療法アプローチ . 日本サルコペニア・フレイル学会雑誌7 ( 1 ) 57 - 61 2023年6月

記述言語：日本語出版者・発行元：(一社)日本サルコペニア・フレイル学会

認知的,精神心理的,社会的フレイルへの対策では,身体的側面を含めた包括的な介入が基本となり,多職種による集学的なアプローチが軸となる。そのなかでも認知的,精神心理的,社会的側面への支援では,個々人の生活歴や価値観,環境要因などを考慮する必要があるため,とくに,作業療法の専門性を活かしたアプローチは有効と考えられる。作業療法では,認知機能障害に伴う生活行為の問題や精神心理症状といった個別性の高い生活課題への支援や,個々人にあった社会参加の促進などが重要であろう。また,地域や集団に対しても生活行為に焦点をあて,個々人の生活状況や価値観,目標を取り入れた作業療法アプローチは有益と考えられる。しかし,本領域における作業療法のエビデンスは不足しているため,今後の積極的な作業療法の効果検証が求められる。(著者抄録)

Kamasaki T., Otao H., Hachiya M., Kubo A., Okawa H., Fujiwara K., Sakamoto A., Shimokihara S., Maruta M., Han G., Tabira T. . Domains of the Kihon Checklist Associated with Prefrailty among Community-Dwelling Older Adults . Annals of Geriatric Medicine and Research27 ( 2 ) 106 - 115 2023年5月国際誌

記述言語：日本語掲載種別：研究論文（学術雑誌）出版者・発行元：Annals of Geriatric Medicine and Research

Background: Various functions are involved in prefrailty. However, no studies have examined more relevant functions. Therefore, this study examined the domains of the Kihon Checklist (KCL) associated with prefrailty by comparing them to robustness measures, using the KCL to comprehensively assess life-related functions in community-dwelling older adults. Methods: The 194 (mean age, 75±6 years) participants were community-dwelling older adults. Their robustness and preferences were assessed using the Japanese Cardiovascular Health Study criteria. Comprehensive life-related functions were assessed using the KCL, and each physical function was measured. Results: The main KCL characteristics associated with robustness and prefrailty were physical function (odds ratio [OR]=1.83; 95% confidence interval [CI], 1.17–2.88), nutritional status (OR=8.16; 95% CI, 2.96–22.48), and depressed mood (OR=3.46; 95% CI, 1.76–6.79). In particular, older adults had difficulty moving, including climbing stairs and getting up from a chair, which suggested a strong fear of falling. The participants also reported psychological characteristics such as low life fulfillment, a low sense of self-usefulness, and a strong sense of boredom. Conclusions: Prefrail individuals were characterized by poor physical function and nutritional status, as well as depressive mood. Prefrailty may be prevented or improved by approaches to improve physical function and fear of falling in addition to psychological interventions that encourage activity and a sense of self-usefulness.

DOI： 10.4235/agmr.23.0019

Scopus

PubMed

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