"Overcome Disability by Motivative Exercise: a Paradigm Shift in Rehabilitation" Adopted Joint Polish - Japanese Research Seminar: Under the Agreement on Scientific Cooperation Between the Polish Academy of Sciences and the Japan Society for the Promotion of Science
Purpose: The selected joint seminar has allowed us to summarize our research activities and to report them worldwide. It is a happy occasion for me to be able to make a generous contribution to humanity. We use the photo and video (JP) from NHK news in 1998 to report on the initiation and regimentation of the research in order to introduce the Joint Seminar. It is available to watch those for checking to select us by PAN and JSPS on our web site. I want to explain how the organization to overcome disability by the motivative exercise and ensure a Paradigm Shift in Rehabilitation was formed after I, a merely retired city councilor, want to explain how I had been able to organize the seminar “Overcome Disability by Motivative Exercise: a Paradigm Shift in Rehabilitation,” which was formed. As I don’t think I will never have the same opportunity as the joint seminar selection accepted, so I would like to introduce the origins of the NHK News as a beginning for the acknowledgment.
It is my pleasure to send the congratulatory address to you for the Japan Society for the Promotion of Science (JSPS) and the Polish Academy of Sciences (PAN) for organizing a joint seminar. The applicant, the Biophilia Institute, has requested us to publish the joint seminar proceedings in the journal Biophilia in the event of its acceptance. The review by the representative scientific organizations, PAN and JSPS of the two countries was concluded, and the application was accepted. We had been asked again to publish the papers in Biophilia, so we started to prepare for it. It led to the publication of this issue of Biophilia. Although the conference is not positioned as a conference presentation of the International Biophilia Rehabilitation Academy, I understand that it is also a seminar on our activities. There is a COVID-19 influence; therefore, the meeting is held by Zoom. Anyway we feel that the conference's content will be linked to the diversification of interventions in rehabilitation medicine. I sincerely wish you to be a fruitful meeting! Thank you.
It takes me great pleasure to confirm the materialization of the efforts to organize a joint research seminar on medical rehabilitation under the aegis of the Japan Society for the Promotion of Science (JSPS) and the Polish Academy of Sciences (PAN). Due to the spiking second wave of COVI-19 infections, the event will be held on the Tokyo-based ZOOM platform on November 12-14, 2020. The meeting will consist of presentations, lectures, discussions, and a practice workshop. A multisystem inflammatory nature of COVID-19 disease has created a spate of difficult to overcome challenges. Beside threatening acute respiratory distress syndrome, neurologic symptoms are a frequent accompaniment involving both and peripheral nervous systems. The disease is a scourge that increases the need for effective post-infection rehabilitation in both pulmonary and neuromuscular realms, burdening the already stretched medical rehabilitation, healthcare, and socioeconomic resources. In this context, a rehabilitative paradigm shift from the manual therapist-assisted to ‘motivated exercise’ advocated by the Takizawa method developed at the International Biophilia Academy (IBRA) in Tokyo comes in even handier.
I held the 21st Congress of the International Biophilia Rehabilitation Academy (IBRC2017）as the chairperson in Poland in 2017.
Because this conference was held in Poland, I was nominated as a speaker for this Joint seminar of the Polish Academy of Science (PAN) and the Japan Society for the Promotion of Science (JSPS).
I was asked by the Japanese chief organizer to give a talk on the purpose of IBRC2017 - 21st Congress, which was named "Rehabilitation in XXI Century - Aging and Life Course," as president of the Association. My research is slightly different from the subject of this seminar. Therefore I will present it in the workshop belonging to the seminar.
The motivative exercise is the foundation of autonomous kinetic rehabilitation named Takizawa Rehab Method, based on United States Patent "US.PAT. 7153250 Method for managing exercise for functional recovery and muscle strengthening, 26 DEC. 2006." And it is used as the Rehab Intervention technique for functional disorders resulting from cerebrovascular episodes, with significant effects for regaining walking and overcoming functional disabilities.
The scientific goals consist of introducing and implementing a new rehabilitative paradigm, called the Takizawa method and motivative exercise, consisting of self-exercise, with the help of patented technical innovations, involving a healthy patient to move and exercise the disabled limb. Another goal would be to perform the method's fundamental standardization to disseminate the new technique in a verifiable and controlled manner across various countries. Finally, the seminar will be an international platform for rehabilitation and physiotherapy professionals to design randomized control trials (RCT) to assess the true value of a new physiotherapeutic paradigm in rehabilitation medicine.
When the current state of society continues as it is, the elderly will become dependent on society. Elderly people are socially dependent for a long time until the end. In order to build a sustainable aging society, it is necessary for the elderly and the elderly with disabilities to continue to be actively involved in society. Making this possible will be the realization of the "Health Power Strategy through Life Innovation." In this paper, functional near-infrared spectroscopy (fNIRS) and magnetic resonance imaging (MRI) are performed on the same patient, and the relationship between brain function and rehabilitation obtained by fNIRS and MRI is reported.
Half century ago, in Japan many disabled seniors were used to be bed ridden until to die. Even inpatients in the hospital could be trained with few therapists and aids. We accepted passively their fate once the seniors suffered from disease to disabled often went to bed ridden after the events at that period.
Just then Kyoko Takizawa RPT developed Initiative self-training with many kinds of simple tools by her own made to treat her patients followed by a few aids.
We could start our research to certify the advantage of this program in 2005 and 2007 respectively. The former study in nursing home in Kanagawa Prefecture we clarified the data by FIM score. The latter in community field network we clarified the data by Long Term Care Insurance Survey (LTCIS) in Miecho, Ohita Prefecture
We have gotten expected results, better in Initiative self-training group than conventional passive training group according to statistics both trials in Kanagawa and Miecho
Prof. Takizawa and we Biophilia members have payed attention to this Initiative self-training program fit to group training in long term nursing home or community field. Prof. Takizawa is happened to be her son luckily just beside her noticed to find this program must save us from the coming aging crisis of ourselves. But she had stubbornly denied to teach her program to him for many years.
We are afraid to sure the shortage of public insurance funds has begun already now. The disabled or frail patients need to maintain their physical capacity or ADL ability only by the public care insurance but by themselves. Initiative self-training will assist to save from these difficult situations to live the residual independent life longer.
I supported this project three times as a Ph.D senior researcher at the Kanagawa Prefectural Institute of Advanced Industrial Science and Technology for 4 years until 1999. After my retirement, I accepted the Institute's ambition to help humanity by studying rehabilitation medicine restructuring. Through research, he hoped to make society sustainable even after the advent of an aging society. I have been an unpaid principal researcher, as with Professor Takizawa at the Institute.
I have contributed to the devices' research and development for 21 years,
Several measuring devices were developed from 1995 in order to capture the Motivative exercise by simple rehabilitation tools numerically, which is Patapata and Korokoro.
The first prototype was achieved to reduce the small size for practical use in rehabilitation centers.
Two types of measuring device are developed and named the "RehaDevice" by the micro control computer's significant improvement;
1) microSD card version
This type is stand alone. It means that all input and output for the Motivative exercise can do in this RehaDevice. The measurement data is written into the microSD card.
2) Version by a smartphone application called "RehaCommander."
Communication between the RehaDevice and the RehaCommander is performed by BLE, namely wireless.
In addition, there are two types of the RehaDevice, one dedicated to Patapata and another one that has a Korokoro function and can be made into Patapata with an attachment.
I am confident that the above mentioned developments will help us realize our goal of establishing a sustainable super-aging society.
There are various types of elderly in the community, ranging from healthy to frail and those who need nursing care. We have conducted researches on “gait,” “foot,” and “the elderly” in the community from the viewpoint of medical engineering and medical information. I have found that foot care is important for the continuation of positive activities. We would like to utilize this research to improve the effectiveness of rehabilitation of paralyzed patients with sequelae of cerebrovascular diseases.
Introduction: The population rate of the elderly is steadily increasing in Japan, where 28.7% of the population represents a super-aging society. The population of some regions will decrease by 40% within the next 20 years, and the youth population will also decrease. Because the population composition is expected to remain the same for some time, there is an urgent need to develop and apply advanced technology in taking care of the elderly. Senior citizens tend to become bedridden, whether at home or in facilities and hence, are more prone to bedsores. Bedsores are caused by increased forces applied to the sacrum and other protruding bones, and they can be mitigated by dispersing the pressure applied to these areas. The aim of this study is to develop a pressure-dispersing cushion and verify the effects of the pressure-dispersing cushion on the reduction of bedsores.
Our purpose There is no doubt that the core of existing rehabilitation medicine is passive exercises by physical therapists as an intervention. Furthermore, today, the introduction of robots and team medicine is being promoted. However, the autonomous kinetic rehabilitation named the Takizawa method by motivative exercise that we have been promoting has not been incorporated into this approach. We aim to position autonomous kinetic rehabilitation as a therapeutic intervention method so that users/patients can experience its benefits and further enhance their health.
This video session demonstrates the practical method, which joint seminar presentations showed in maintaining physical function and overcoming disability. It is hoped that the simple implementation of the Takizawa method of rehabilitation will improve medical care, which has often been shown to be inefficient. First, we will describe the inefficiencies in the United States, Japan and our research showed. Next, I will show the present situation of effective rehabilitation, the rehabilitation of 30% of the bedridden elderly who regained their gait, and the scene of exercises performed.
It is a great pleasure to held the Joint Seminar of the Polish Academy of Science (PAN) and the Japan Society for the Promotion of Science (JSPS) on 12-14 November, 2020, by the webinar. I am Toshiyuki Tanaka, chairperson of Biophilia Rehabilitation Academy (BRA) in Japan. I am part of the Faculty of Science and Technology at Keio University, which is a long established private institution founded in Japan in 1858 by Yukichi Fukuzawa. Keio University is well known to researchers worldwide for the students and professors who produce high quality research.
The presentation wants to introduce a new kind of Integrated Rehabilitation Approach dedicated to Osteoporosis. Osteoporosis is a multifactorial disorder associated with degeneration of bone structure and decreased bone mass. In the general population it affects more than 1/3 women and 1/5 men aged over 50 years old, casuing many problems for those who suffer from this pathology, prticularly due to an incresed fragility. Many advances has been made in the management of this pathology, starting from the evaluation techniques up to the pharmacological and surgical field. Also in the rehabilitation field there has been an evolution of the approach to this pathology, thanks to introduction of new technologies and the discovery of new methods of treatments.The opportunity to apply approaches like Focused Mechanical-Acoustic Vibrations, Physical Exercise performed on a Computerized Elispheric Unstable Setting and treatment of Musculoskeletal Dysfunctions of Myofascial Origin through the Manual and Electrical stimulations of specific Key Trigger Points allow us to get new perspectives in the management of this complex pathology, in order to give to the patients the opportunity to live their lives with the highest possible quality.