BIOPHILIA
Online ISSN : 2186-8913
Print ISSN : 2186-8433
ISSN-L : 2186-8433
Volume 2015, Issue 3
The Proceedings of IBRC 2015
Displaying 1-22 of 22 articles from this issue
Message
  • (Taki) Shigeo Takizawa
    Article type: Message
    2015 Volume 2015 Issue 3 Pages 241
    Published: October 22, 2015
    Released on J-STAGE: April 26, 2016
    JOURNAL FREE ACCESS
    Dear colleagues,
    On behalf of International Biophilia Rehabilitation Academy and the joint meeting organization of the "12th International Biophilia Rehabilitation Conference (IBRC), Public Citizen Lectures and Workshop" and the "19th Biophilia Rehabilitation Conference, Public Citizen Lectures and Workshop" (IBRC-BRC), I am pleased to announce my heartfelt greetings to my friends all over the world.
    In the twenty-first Century, an aging society is increasing in countries all over the world, especially in the Northern hemisphere. The average longevity of Japanese is already over eighty years, there is no doubt but that Japan is the world's top country for longevity. In order to establish a well aging society, it is very important to enable elderly people continuing an independence life. And in order to realize it, we had started a standing committee in 1993, as the society for the socio-medical rehabilitation of the 21st century, and we were able to have a first academic meeting of the Biophilia Rehabilitation Academy in 1998.
    We had held the first IBRC with the government of Commonwealth of the Northern Mariana Islands in 2002. It was held there in order to organize the International Academy as a study group and to establish the new civilization for solving the social disruption (Aging Crisis). Based on such an actual achievement, we hold the IBRC-BRC on a title “From Experience to A Science; Rehabilitation Medicine inevitably being restructured" this year. The IBRC-BRC is a leading international forum for the proposition of rehabilitation medicine, which can realize functional recovery. The rehabilitation medicine must be the thing to re-acquires the people's body function with activating works of the brain by the latent powers which we have in the brain, and the Acceptance of Disability of people must not occupy a big portion of it. The word “Biophilia” represents this process. We have built the fundamental concept of the rehabilitation medicine restructuring from the Acceptance of Disability.
    Our study is for making a super-aged society sustainable and then it is not only the medical field but also psychosocial, economical, engineering and administrative fields. It is our great pleasure to have an opportunity of holding a joint meeting of the IBRC-BRC this year in Japan with honorable greetings of Minister of State for Healthcare Policy Akira AMARI and Keio university president Atsushi Seike. I extend my heartfelt gratitude from the bottom of heart to Honorable Minister of State Akira AMARI and Honorable university president Atsushi Seike.
    I am looking forward to a fruitful meeting to all colleagues who want to make a super-aged society sustainable and to restructure the rehabilitation medicine.
    Thank you very much.
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  • Business Model of the Rehabilitation System of Motivative Exercise and Assessment of Rehabilitation Efficacy by Brain Function Measurement
    Toshiyuki Tanaka
    Article type: Message
    2015 Volume 2015 Issue 3 Pages 242
    Published: October 22, 2015
    Released on J-STAGE: April 26, 2016
    JOURNAL FREE ACCESS
    In recent years, rapid aging has become an important problem in many countries. Although one physical therapist (PT) manages one patient in conventional rehabilitation, this system cannot be used to handle the rapidly increasing number of patients. Therefore, we proposed a system in which one PT manages many patients using certain devices, the so-called motivative exercise (Takizawa method). During the stages of diagnosis and treatment in a general hospital, one doctor examines a large number of patients, and the hospital gains considerable income from the patients. However, in the current rehabilitation system, each hospital gains scanty income from patients, because one PT manages one stroke patient for a certain length of time. Therefore, in the current system, an economically disadvantaged hospital cannot hire more PTs. Since one PT manages many patients in motivative exercise, one PT can gain much higher income for the hospital; thus, the hospital can hire more PTs. We believe that a small hospital can hire a few PTs; therefore, motivative exercise would produce jobs for many PTs. We think that the current rehabilitation system would be rejuvenated by motivative exercise.
    A traditional method for measuring rehabilitative efficacy is the rehabilitation score prepared by a PT; recent methods include brain function measurement by functional magnetic resonance imaging (fMRI) and near infrared spectroscopy (NIRS) with computer analysis. Our research laboratory uses brain function measurement for the evaluation. For measurement of the inner structure of the brain, fMRI examination is better than NIRS examination because of its superior resolution. However, fMRI examination cannot be performed when using some devices, since the patient may not move during examination and may not use some metal objects near the fMRI scanner. Therefore, NIRS is a better examination for evaluating the efficacy of rehabilitation. An NIRS image has lower resolution than that of an fMRI image, and only near-surface information is obtained through NIRS. We evaluated depth information of affected area on an NIRS image using approach of inverse problem in engineering, and measured the rehabilitative efficacy from the viewpoint of brain function recovery. We hope that new researchers participate in our approach of providing important innovations in the field of the rehabilitation, through a workshop and research exchange in the 12th IBRC.
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  • Akira AMARI
    Article type: Message
    2015 Volume 2015 Issue 3 Pages 243
    Published: October 22, 2015
    Released on J-STAGE: April 26, 2016
    JOURNAL FREE ACCESS
    I would like to extend my heartfelt celebration to the joint meeting of the "12th International Biophilia Rehabilitation Conference, Public Citizen Lectures and Workshop" and the "19th Biophilia Rehabilitation Conference, Public Citizen Lectures and Workshop".
    The Cabinet developed the Healthcare Policy as one of the most important initiatives for the realization of the growth strategy last year. Japan aims to realize the leading edge medical technology and service in the world and establish the longest healthy life expectancy in the world, and thereby it aims to foster the medical, pharmaceutical products and the medical equipment as a strategic industry and make it a pillar of the Japanese Economic Revitalization.
    An improvement and restoration of activities of daily living and quality of life are a very important theme for the realization of health and longevity within our society. The development of rehabilitation medicine is indispensable for that purpose. I believe that the activities of the International and Domestic Biophilia Rehabilitation Academies (IBRA–BRA) are extremely meaningful, which have approached the innovative rehabilitation based on clinical needs.
    In addition, international expansion of medical services will be a major pillar in the healthcare policy of Japan. It is very important for Japan to cooperate with the countries, which have volition in the development of medical treatment to advance the improvement of new medical technology and services. I am expecting an expansion of the technology to each country facing the aging crisis, which is based on the innovative rehabilitation medicine that the IBRA-BRA has been advocating for.
    In closing, I express my greetings to you with my expectation to further progress in the studies of the Biophilia Rehabilitation through this joint meeting.
    Thank you very much.
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  • Atsushi Seike
    Article type: Message
    2015 Volume 2015 Issue 3 Pages 244
    Published: October 22, 2015
    Released on J-STAGE: April 26, 2016
    JOURNAL FREE ACCESS
    The 12th International Biophilia Rehabilitation Conference and the 19th Conference of the Biophilia Rehabilitation Academy are held under the main theme "the proposition of the restructuring rehabilitation medicine and the autonomous rehabilitation that realize cerebral functions activate". Both of them are organized on three campuses of the Keio University as Hiyoshi, Yagami, and SFC under co-sponsorship of us. Prof. Shigeo Takizawa, the Biophilia Institute, Conference Chair is an old alumnus and Prof. Toshiyuki Tanaka is one of Keio University of science and engineering, Conference Co-Chair.
    On behalf of the entire community of Keio University, it is my great honor to extend my congratulatory address for its successful holding. Since the International Biophilia Rehabilitation Academy (IBRA) activity contributes to the improvement of the functional recovery of advanced age disabled persons and the welfare of the people of each country, it is evaluated highly from the government of each country. I am aware that the IBRA expects sublimating from "experience" to a "science" about the proposal of the autonomous rehabilitation technique. And in the history of 19 times holding, 5 times of Conferences were held in the Keio University. Then an international workshop was held the in the historical and well-known Mita library. It is pleased for me that the participation of the Keio persons including has been contributing to the IBRA activity.
    The medical treatment fee system of the rehabilitation medicine has been used the institution norm and a staff assignment norm for many years. It was not an idea of medicine on the basis of the recovery asking and there were some doctors who have doubts about the propriety of it. Moreover there is a move to use a cure effect norm by the Central Council on Medical Service Facilities. Adding that, the measure of the improvement in rehabilitation medicine by WHO has also started. The IBRA members have looked to study mechanism for a cerebral function in order to enable to overcome and/or cure from the diagnosis of the impairment by the Kaken grant, which was Prof. Yoshiyasu Takefuji of Keio University a representative.
    As Prof. Newton’s discovery of the universal gravitation was found out historically from the apple falling, there were many examples that experiential phenomenon became the explanation of advanced scientific phenomenon, theorization and progress of a science.
    In the IBRC 2015, a researcher gathers from some countries in the world, and they will study how to realize advanced age disabled person's functional restoration and especially the cerebral function activation in rehabilitation medicine due to base on the technological innovation and the enforcement propulsion of autonomous rehabilitation. An advanced age disabled person's functional restoration realization means elderly people's independence living, and the result of IBRC 2015 involves a big possibility of making a super-aged society sustainable.
    I express deep gratitude to the efforts of IBRA and BRA participants in order to achieve greater success in the advancement of science.
    And I express congratulations with preying to become their endeavor a big gospel to world people who acquire long life living.
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  • Mieczyslaw Pokorski
    Article type: Message
    2015 Volume 2015 Issue 3 Pages 245
    Published: October 22, 2015
    Released on J-STAGE: April 26, 2016
    JOURNAL FREE ACCESS
    It takes me a great pleasure to be able to participate in the 12th International Biophilia Rehabilitation Conference (IBRC) to be held in Tokyo and Kyoto on October 23-27 2015 by the International Biophilia Rehabilitation Academy (IBRA).. This a meeting of international experts on rehabilitation medicine, collaborating and sympathizing with the Biophilia Rehabilitation Academy (BRA).
    This organization, for years, advocates, a change in rehabilitation paradigm, to meet the challenge of the population aging worldwide, and, as a result, rapidly increasing need to prevent and treat the physical, but also cognitive and psychological decline of the old age Health and psychosocial problems of the aged are a global issue. Nowhere else as much as in Japan does the problem of a super-aged society come to the fore. The needs are tremendous and the human and economic resources are out of pace with the ever increasing longevity.
    New approaches to rehabilitation, new ways of thinking, and a courage to change old habits related to one-to-one, therapist-to-patient, rehabilitation are necessary to achieve progress.Motivated rehabilitation advocated by BRA, which involves the patient’s own psychosomatic skills to reacquire bodily functions, using the brain’s dormant reserve, has proven superior for the patient and also is labor and cost saving. Restructuring the rehabilitative treatment is a must.Therefore, I greatly appreciate the activity and leading role of the IBRA in the rehabilitation field of research. I welcome the conference and am sure that it will be as successful and scientifically valuable as ever.
    I wish all the success to the IBRA in this endeavor which helps combat frailty and disability of the aged. Biophilia – ‘love for life’ is inevitably linked to the physical and mental well-being and to maintaining healthspan, irrespective of age.
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  • Gelu Onose
    Article type: Message
    2015 Volume 2015 Issue 3 Pages 246
    Published: October 22, 2015
    Released on J-STAGE: April 26, 2016
    JOURNAL FREE ACCESS
    Like in my previous greetings, I constantly appreciate the main focus of the International Biophilia Rehabilitation Academy: to stress upon one of the greatest challenges at this beginning of millennium, at global level, i.e. the accelerated demographic ageing process.
    As acknowledged at the European Union, too, there are strong connections between chronic diseases, frailty – inevitably related to ageing – and disability: their amount increase within the overall population, as people’s mean life duration and respectively, life expectancy, are enhancing, thus being a continuously growing social burden and related concern. Accordingly, I salute, once again, the adequate orientation of the IBRA academic endeavors, and particularly the theme chosen by the organizers for the 12th IBRC: ”Rehabilitation to the brain to to enable functional recovery”; this including because, as it is known, the severe brain degenerative, including cerebral-vascular sufferance – more frequent in elderly, especially in the ”oldest olds” – have the greatest disabling potential, resulting in impairments/ deficits, more or less marked and/or extended, mainly of: motor/ neural-muscle (tone and/or trophicity), coordination, balance, sensitive (including pain)/ – for TBI also sensory(al) –, cognitive/ consciousness/ behavioral, and/or communication, sphincter(s) control, endocrinological – kind(s).
    Therefore, I wish great success also the this current – the 12th – edition of the IBRC !
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  • -International Biophilia Rehabilitation Academy
    Raoul Sagini
    Article type: Message
    2015 Volume 2015 Issue 3 Pages 247
    Published: October 22, 2015
    Released on J-STAGE: April 26, 2016
    JOURNAL FREE ACCESS
    International experience in the field of IBRA (International Biophilia Rehabilitation Academy), allows us to continue to develop a course of experimental research and several years of innovation on rehabilitation: in this context also the 12th conference IBRC will be a great opportunity of study and discussion on these issues. The rehabilitative intervention begins at the very moment when the damage is established. This is is defined by a careful balance between stabilization of the outcomes and the presence of potential for recovery.
    This integrated social-health path is in intimate connection with programs of health intervention, aimed at developing all the potential resources of the individual that amplify and reinforce the rehabilitation intervention, allowing the integration or reintegration of the patient in the different cycles of social life and improvement of quality of life and survival. Types of disability and handicap pose new problems and progressively increasing as evidenced by the most recent epidemiological data relating to serious disability such as that arising from serious brain damage as trauma, states of coma, vascular malformations, spinal cord injury cervical complete, ischemic heart disease, heart failure, respiratory failure, and so on.
    The evaluation and programming of the intervention should follow the WHO recommendations, endorsed by the Europe Council, and we should consider inadequate in rehabilitation ICD (International Classification of Diseases references) and so we have to integrate them with the classification of the consequences Disease, as well as contained in the ICIDH (International Classification of Impairment, Disabilities and Handicaps) of WHO. Today, the rehabilitation intervention, based on our experience is aimed towards four objectives: - The recovery of a functional competence which, for pathological reasons, has been lost; - The evocation of a skill that did not appear during development; - The need to put a barrier to functional regression trying to modify the natural history of chronic diseases and reducing the risk factors and the progression; - The possibility of finding facilitating and alternatives formulas based on consistent and integrated.scientific research
    This further comparison in Japan as part of the International Rehabilitation Conference in Tokyo and Kyoto 22 to 27 October 2015 will be the achievement of states of knowledge and the development of further research in the field of rehabilitation.
    I wish us all a fruitful conference that will be the successful culmination of all the positive forecasts announced.
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  • Invitation to IBRC 2015
    Jose Leon-Carrion
    2015 Volume 2015 Issue 3 Pages 248
    Published: October 22, 2015
    Released on J-STAGE: April 26, 2016
    JOURNAL FREE ACCESS
    It is my pleasure to invite you to attend the 12th INTERNATIONAL BIOPHILIA REHABILITATION CONFERENCE (IBRC) in Tokyo and Kyoto, Japan, on October 22nd-27th, 2015. The IBRC is a leading international forum for advances in rehabilitation medicine that may lead to functional recovery and reintegration into society. The conference will focus on relevant advances in rehabilitation, designed to treat neuropsychological dysfunctions and disorders resulting from brain injury, particularly in the aging population. The ultimate goal is to help restore patients to their optimal levels of functioning and thereby improve the welfare of an aging society and all those who suffer TBI. The International Biophilia Rehabilitation Academy (IBRA), this year’s host, is increasingly endorsed each year, with international conferences hosted in Cancun, Mexico and Seville, Spain in 2014. This year, the IBRA, along with its co-host, Prof. Toshiyuki Tanaka of Keio University, would like their Japanese and international colleagues to share their experiences in Japan. The conference will be held in Tokyo and Kyoto, fascinating cities which provide an exotic backdrop for this exchange of ideas, developments and breakthroughs in rehabilitation strategies.
    We look forward to welcoming you in Tokyo and Kyoto.
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Keynote address
  • "Rehabilitation Medicine inevitably being restructured"
    (Taki) Shigeo Takizawa
    Article type: Keynote address
    2015 Volume 2015 Issue 3 Pages 249
    Published: October 22, 2015
    Released on J-STAGE: April 26, 2016
    JOURNAL FREE ACCESS
    It is my honor that I can present the keynote address as the chair of IBRC 2015, in which I emphasize that the restructuring of the rehabilitation medicine is indispensable.
    I will show clearly what the heading means. It surely serves as the method for the RCT enforcement. And then I present about the process which was the difficulty of us till today according to the speech of others, which I remained in my heart.
    I designate the following matters in this presentation in order to clarify the importance of our study; i) Some words concerning studies of Rehabilitation medicine; ii) The reactions that have been shown by some persons concerned about the Rehabilitation Medicine restructuring; iii) The social situation changing in relation to reactions; iv) Recognition of the society related to our presentation.
    I really hope that this presentation has a big meaning for maintaining the elderly and the advanced age disabled people living independently in the world. And I also hope you can share my experience each together. It means that you can form rank with us to start develops of human beings' property and becomes an opportunity to contribute greatly.
    I extend my heartfelt gratitude to all who want the super-aged society sustainable with joining our study.
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  • Toshiyuki Tanaka
    Article type: Keynote address
    2015 Volume 2015 Issue 3 Pages 250-251
    Published: October 22, 2015
    Released on J-STAGE: April 26, 2016
    JOURNAL FREE ACCESS
    In the present report, we discuss a new business model for rehabilitation and the use of brain function measurement with functional Near Infrared Spectroscopy (fNIRS). In Japan, hospitals have several diagnostic and treatment departments, and one doctor examines many patients in each department. Although this traditional business model is well managed in most departments, in the rehabilitation department, one physical therapist (PT) examines only a few patients daily. Hence, the management strategy for rehabilitation is poor. Thus, large and wealthy hospitals may have a separate rehabilitation department and employ PTs, whereas small hospitals may not. We have proposed a new rehabilitation system wherein one PT trains many patients by using rehabilitation devices. As one PT can examine many patients by using such devices, small hospitals can hire several PTs in the rehabilitation department, which could consequently increase the job opportunities for PTs in the country. In this new rehabilitation system, the benefit of the devices and recovery level of the patients can be confirmed by measuring site activation in brain.
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  • Takuji Shirasawa
    Article type: Keynote address - Abstract
    2015 Volume 2015 Issue 3 Pages 252
    Published: October 22, 2015
    Released on J-STAGE: April 26, 2016
    JOURNAL FREE ACCESS
    Brain diseases such as Alzheimer’s Disease, Parkinson’s disease, and injury such as stroke have been considered to result in permanent loss of neurons with no possibility of cellular regeneration. This widely held belief has been challenged by evidence that certain brain areas retain the capability to generate new neurons in rodents and humans. The neuronal stem cells are found in hippocampus and cerebral cortex in human brains, suggesting the regenerative capacities in those areas of human brains.
    Recent studies also indicates that exposure to an enriched environment produces a significant increase in hippocampal neurogenesis in rodents. These regenerative capabilities of adult brains can be applied for the prevention of neurodegenerative diseases such as Alzheimer’s disease, or the rehabilitation after the brain injuries such as cerebral stroke. In this lecture, I will talk on the biology, physiology, pathology of neuronal stem cells in the contest with the clinical applications.
    I will also show the evidence that environmental enrichment such as exercises or social interactions would enhance the neurogenesis and improve learning and memory in Alzheimer’s disease mouse model. Finally, I will show an intervention study conducted in Finland that followed 1,260 elderly people aged 60~77 with or without intervention with diet, exercise and lifestyle for 2 years. The study showed the intervention is effective for the prevention for the decline of cognitive function with elderly people. I will also focus on the dietary factors such as omega 3 fatty acid and coconut oil that would prevent Alzheimer’s disease in the lecture.
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  • Mieczyslaw Pokorski
    Article type: Keynote address
    2015 Volume 2015 Issue 3 Pages 253
    Published: October 22, 2015
    Released on J-STAGE: April 26, 2016
    JOURNAL FREE ACCESS
    This presentation is designed to give you an overview of the current status of memory function and disorders, and of the molecular basis of memory. I will attempt to demonstrate the possible advantages of clinically-oriented approaches to tackle memory disorders and testing. Memory can be defined as a mental ability to retain information and reconstruct past experience. Memory processing requires complex collaboration of several brain systems; as it involves encoding the information to be remembered, creating a record of the encoded information, and calling it back on a cue. Memory function depends, to a great extent, on psychosomatic health conditions. Organic diseases, which affect bodily organs, disturb memory function. The case in point is here neurodegenerative brain conditions, but any diseased organ, even remotely located from the brain, may affect memory. Psychological disorders, characterized by alterations in thinking, mood, behavior, or associated with distress, also are potent detriments to memory function. The entwined interaction between deteriorating health condition and memory decline is an area of limited understanding. Although ‘health’ is rather a hazy qualification, as it does not have well-defined boundaries, current stratification of memory seems more clear-cut. The basic memory types we currently distinguish are episodic, semantic, procedural, and working memories. This division does not require, as was the case in the past, an arbitrarily set length of short-term or long-term memory. Moreover, each type outlined above has its own fairly specific neuroanatomical localization, and therefore, points to regional brain insufficiency that may be tested.
    On the molecular side, glutaminergic neurotransmission is essential for the memory processes. Stimulation of NMDA and AMPA ionotropic receptors by glutamate increases the influx of Ca2+ into the postsynaptic neuron. Calcium/calmodulin-dependent protein kinase II (CaMKII) is an intracellular detector Ca2+ and is now considered the ‘memory switch’ that is responsible for sustained memory of an event after the stimulus that evoked it had ceased to act., CaMKII phosphorylates AMPA channels and helps anchor them to NMDA receptors, perpetuating the events.
    Memory disorders are subject to rehabilitation which is now understood as being much broader than just physical rehabilitation due to handicap stemming from diseases such as stroke or iatrogenic causes such as accidents. Rehabilitation, in the modern sense, heavily relies upon motivational aspects expressed by the rehabilitant, i.e., on psychosomatic approaches. There is a paradigm shift in rehabilitation techniques called the motivated rehabilitative exercise. It appears that our understanding of memory shortage and disorders undergoes a similar paradigm shift of late. There is a new stratification of memory and its losses in clinical medicine which goes away from the old-fashioned theories of short and long-term memories. Those old views are arbitrary, confusing, and do not help explain mechanisms underlying memory changes. Nor do they take into account the molecular basis of memory. Science builds up on previous research data and achievements. The only way to the progress, however, is not to be hesitant with advancing new ideas, even if they turn around the old concepts and habits of thinking. Memory rehabilitation is a kind of motivative brain exercise. It also improves the patient’s emotional status raising his self-esteem, which gives the patient a better control over his disease or a better psychological grip on aging. Further exploration of mechanisms involved with memory is essential to obtain a more refined understanding of memory processes.
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General Presentation 1
  • Weining C. Chang, Yvonne Toh, Qian Qian Fan, Annabel S. H. Chen
    Article type: Proceeding
    2015 Volume 2015 Issue 3 Pages 254-261
    Published: October 22, 2015
    Released on J-STAGE: April 26, 2016
    JOURNAL FREE ACCESS
    Positive attitude toward aging and a flexible coping style have been found to facilitate successful aging. Cognitive beliefs such as hope and positive attitude towards aging has been found to slow down the negative impact of aging on brain functions; furthermore, the negative effect of stress on aging can be ameliorated by the moderating effects of goal oriented and situation driven selection and compensation of different coping strategies. An empirical study conducted in Singapore is presented. Using both the primary control belief strategies and the secondary control beliefs and strategies, Singaporean elderly studied (ages of 55 and 84 (males: N=81; females: N= 50) showed positive adjustment. Different coping strategies showed different effects on different symptoms assessed by the General Health Questionnaire. We trace the philosophical origins of the Asian conceptualization of life-span development and the positive beliefs and values on aging to show that: In this modern Asian community, the traditional beliefs and values still persist. With a more positive conceptualization of aging, the Singaporean elderly are actively engaging in situation-oriented and goal-driven selection of a variety of coping strategies to manage their aging.
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  • Shaohua QI, Qing XIA, Yunchao SHAO, Xiaofeng WANG, Yuwei LIN, Yiming W ...
    Article type: Abstract
    2015 Volume 2015 Issue 3 Pages 262
    Published: October 22, 2015
    Released on J-STAGE: April 26, 2016
    JOURNAL FREE ACCESS
    Objective: To study the effectiveness of early low frequency electric stimulation of quadriceps on patients operated with total knee arthroplasty. Methods: Forty two patients operated with total knee arthroplasty were randomly divided into two groups. Patients in control group were received routine rehabilitation treatment,but treatment group received routine one and low frequency electric stimulation of quadriceps. VAS, swelling degree and KSS test were performed before and after the treatment. Result: One week later,the value of VAS, swelling degree and pain relieve,range of motor(ROM) and so on in treatment group.No significantly difference in joint stability and so on between the two groups after treatment. Conclusion: Early low frequency electric stimulation of quadriceps can improve function on patients operated with total knee arthroplasty.
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  • Jose Leon-Carrion
    Article type: Abstract
    2015 Volume 2015 Issue 3 Pages 263
    Published: October 22, 2015
    Released on J-STAGE: April 26, 2016
    JOURNAL FREE ACCESS
    As one ages, the brain becomes exposed to the accumulative effects of biological wear and tear. Although the human brain has a considerable potential for plasticity, any breakdown in this plasticity may be key to pathogenesis for Alzheimer’s or neurovascular disease. Five to ten percent of the population aged 65 and older show dementia, as does approximately fifty percent of people over 85. For highly accomplished individuals, the first sign of cognitive deterioration is an increase in the time and effort needed to carry out a task. The diagnosis of dementia is based on: 1) a history of persistent and progressive decline; 2) cognitive scores in one or more tests that fall beyond 2 SD’s from age and education-matched ranges; 3) change in scores that exceed 1 SD within a 6-12 month test/retest period; 4) scores below 36 in the Mini-mental State Exam are considered abnormal; 5) patients should be retesting in 12-18 months. The cognitive rehabilitation of elderly people requires specific programs.
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  • Ioan-Sorin Stratulat
    Article type: Abstract
    2015 Volume 2015 Issue 3 Pages 264
    Published: October 22, 2015
    Released on J-STAGE: April 26, 2016
    JOURNAL FREE ACCESS
    The recent discovery of water channels, the so-called „water-transporting molecules” at the level of biological structures and ultrastructure, opens up new directions in medical rehabilitation research concerning the role of these channels in cell function. There are various number of water channels in the body, wich were analyzed from an ultramolecular point of view and also by their phisiological role. Concerning the brain and the connection with Alzheimer’s disease, the role of these channels are crucial. From the perspective of an ageing society, preventing the Alzheimer’s disease is one of the key points and, for this reason, the water channels, as we call them „aquaporins” have a crucial role.
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  • Hiroaki OKAWAI, Hiroya KAKEGAWA, Mitsuru TAKASHIMA
    Article type: Proceeding
    2015 Volume 2015 Issue 3 Pages 265-266
    Published: October 22, 2015
    Released on J-STAGE: April 26, 2016
    JOURNAL FREE ACCESS
    This paper describes that a bedding material of carbon fiber has successfully improved human's health at the range that the subject is not aware of own variation in a few days but the precise data showed improvement. For the state of health, there is little accuracy in the conscious answer of a human for a question. In order to solve this problem, a detecting method of physiological body condition for the unconscious responses for the stimuli, reflecting activities of autonomic nervous system during sleep, was tried. Such method was performed by body motion wave (BMW) named by Okawai et al[1]. A bedding material is not only for rest but also, as it were, for rehabilitation tool to recover the state of health.
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General Presentation 2
  • (Out patient of Geriatric Health Services Facility)
    Yoshiko Morita, Tomoji Ishimaru, Masahiro Hirayama, Shigeo Takizawa, ...
    Article type: Proceeding
    2015 Volume 2015 Issue 3 Pages 267
    Published: October 22, 2015
    Released on J-STAGE: April 26, 2016
    JOURNAL FREE ACCESS
    [Introduction] We reported the clinical study of the developed device, the consumption living with slight dementia elderly and the effect of the Takizawa Method here for many years. The studies were found the good outcome Therefore the investigation of the mechanism is required for the Motivative exercise that is a core exercise program, we planned to brain function evaluation performed using functional near-infrared spectroscopy (fNIRS).
    [Method] It is the intention of clarifying the specificity by comparing the Motivative exercise by unaffected side priority to the passive exercise by passive. We set 13 subjects by consent among out patients of the Geriatric Health Services Facility. They were 2 females and 11 males and age 54-91 (mean age 71 years), and had aftereffect of cerebrovascular disease, (8 Cerebral infarction, 7 Cerebral hemorrhage, 3 Cerebral infarction and hemorrhage crossover, and 6 left hemiplegia and 7 right hemiplegia). The evaluation criteria is using the ADL evaluation that are used in the outpatient service. In addition, two subjects were excluded because of the insufficiency of a measurement. We examined the activation region of the brain at the time of performing bilateral simultaneous ankle and knee training named the motivative exercise by using devices and the passive exercise. We used FOIRE-3000 manufactured by Shimadzu Corp as the NIRS device. We measured 45 channel 14 set as the sending and receiving optical fiber. We placed the parietal region (CZ) to the location of the light-sending fiber 7 (middle of the channel 10-23) upon measurement. The Test was carried out for 4 days of 16 to 19 March, 2010. The Patients tasks were the bilateral simultaneous and autonomous ankle and knee training by using the motivative exercise devices and the passive exercise. Take a rest of 20 seconds from the start, task30 seconds, the rest20 seconds as one cycle, and was carried out for 3 cycles. We made a task cycle for each patient, which is 20 seconds rest from a start - 30 seconds task - 20 seconds rest and performed three cycles. The evaluation was determined by the load average of the three cycles exercise. This analysis was performed using the Functional Optical Imager for Research (FOIRE) software equipped with FOIRE-3000 and performed multiple examination of the oxy hemoglobin change at the time of rest and task.
    [Result] The motivative exercise made brain broadly active significantly (P <0.01) for comparing the autonomous motivative exercise to the passive exercise by the physical therapist.
    [Discussion] The elderly who require nursing care are increasing rapidly with the progress of aging. A development of an effective rehabilitation method is an important theme subject in the aging society. We reported that aggravation was not realized for both the degree of independence in daily living and the nursing care level and the enforcement of the method on twice or fourth in a week showed significantly effective. The introductory trial of the autonomous rehabilitation method (the motivate exercise and Takizawa method patented in USA) that we had reported and this study could show effectiveness to establish the independence life of the elderly who require nursing care.
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  • (Inpatient of Geriatric Health Services Facility) R000006968
    Shigeo Takizawa, Kentaro Nagaoka, Tsutomu Jimbo, Hideo Kijima, Hajime ...
    Article type: Proceeding
    2015 Volume 2015 Issue 3 Pages 268
    Published: October 22, 2015
    Released on J-STAGE: April 26, 2016
    JOURNAL FREE ACCESS
    We have reported the significant outcome of the Takizawa Method Rehabilitation here over the course of many years. The investigation of the mechanism is required therefore we planned to perform brain function evaluations using functional near-infrared spectroscopy (fNIRS). It is the intention of clarifying the specificity by comparing the Motivative exercise by the unaffected side priority to the passive exercise as seen in the many studies done. We selected 13 subjects by consent among inpatients of the Geriatric Health Services Facility. The motivative exercise significantly made the brain broadly active (P <0.05) for comparing the autonomous motivative exercise to the passive exercise by the physical therapist. This study proves the mechanism of the effective method that we have used for many years in our organization.
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Poster presentation
  • ANA CAPISIZU, ANDREEA ZAMFIRESCU, ANCA MIRSU-PAUN, GELU ONOSE, SORINA ...
    Article type: Proceeding
    2015 Volume 2015 Issue 3 Pages 269
    Published: October 22, 2015
    Released on J-STAGE: April 26, 2016
    JOURNAL FREE ACCESS
    Aim: Rehabilitation after stroke help patients to become more independent as possible and to achieve a better quality of life. Exercise repeated encourages brain plasticity and helps reduce disability. Stroke is common in the elderly population and the leading cause of disability.
    Methods: It is a prospective-cross-sectional study for 1 year in Geriatric Department “St.Luca”Bucharest. 119 inpatients(62, 2% female, mean-age 79.03±7.13) with one first unilateral stroke and no severe cognitive impairment were enrolled. Functionality was assessed by Tinetti-dynamic-Scale( Romanian version), Barthel-Index and Reisberg-Scale. Data were collected twice, at inclusion(T1) and after 1 month(T2) of daily physical activity (practicing isolated movements, repeatedly changing from one kind of movement to another, rehearsing complex movements that require a great deal of coordination and balance, such as walking up or down stairs or moving safely between obstacles). Statistical multivariate analyses were made by SPSS 22.0.
    Results: Paired sample t-tests were conducted to examine group differences. Improvement in scores for all three assessment instruments were obtained: Tinetti t(36) = 3.78, p <0.0001, scores decreased 1,40 units; Barthel t(36) = 11.79, p<0.0001, scores increased 7.16 units; and Reisberg t(36) = - 7.61, p < 0.0001,scores decreased 0.54 units.
    Conclusion: KT had a positive impact on functional capacity after one month of treatment. Patients with KT improved on Reisberg and Tinetti scales statistically significant. Physical therapists and physicians establish exercise programs, compensatory strategies to reduce the effect of remaining deficits.
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  • R.G. Bellomo, G. Barassi, E. Ancona, L. Trivisano, R. Saggini
    Article type: Proceeding
    2015 Volume 2015 Issue 3 Pages 270-272
    Published: October 22, 2015
    Released on J-STAGE: April 26, 2016
    JOURNAL FREE ACCESS
    In this study 50 subjects (mean age 48.5 years) were evaluated and treated because suffering from neuromotor cognitive and / or mental disabilities.Subjects underwent two evaluations, (T0) and (T1) through, FIM and Tinetti SCALE and Computerized Postural assessment .Considering the scores of the FIM scale, neurological patients went from a score of 84,323 to 97,29 after 20 sessions of treatment (p=0.0487), patients with mental disabilities increased from a score of 76,895 to 94,63 (p = 0.0383). In all patients the FIM scale score increased from 82,692 to 95,75 (p = 0.0107).Gait and balance, evaluated through Tinetti scale, improved from 20,105 to 24,474 (p=0.04) for patients with mental disabilities, from 11,774 to 13,742 (p = 0.4688) for patients with neuromotor disabilities. In all patients the Tinetti score rose from 13,385 to 17,885 (p = 0.4688).The positive results suggests that we continue to develop rehabilitation techniques in water in the future.
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Editorial
  • Let join to the Clinical test meeting
    Shigeo Takizawa
    Article type: Editorial
    2015 Volume 2015 Issue 3 Pages iii-iv
    Published: October 22, 2015
    Released on J-STAGE: April 26, 2016
    JOURNAL FREE ACCESS
    Introduction At the IBRC 2015, we will carry out the meeting of the randomized controlled trial (RCT) between Motivative Exercise by oneself and Passive Exercise by a physical therapist about the intervention technique of rehab medicine as well as the meeting done last year. We are glad to hold the meeting showing as the result of our previous endeavor. Although the details of enforcement will be decided at a meeting, the members of universities in Romania (agreed this year) and Italy (agreed last year) decided to join the RCT until today. The mechanism clarification of the motivative exercise is progressing about the cerebral function. Both of the cerebral function study and the RCT will conduce to the restructuring of the Rehabilitation medicine. Since any grant is not obtained at present, the RCT will be carried out at the burden of each participating institution. The devices are offered by the IBRA. However, please shoulder the mailing cost. After the test, it is easy to make and a fabrication of the devices is freely possible in your country. We expect your participation in the clinical test which opens one field of a new science by the restructuring of the Rehab medicine The subject for discussion of the meeting is prepared by PDF in the web link. http://www.biophilia.pw/test/RCTenforcement.pdf This document is detailed information of it. If you have any question and/or opinion, please send me an e-mail to the following e-mail address.
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