京都府立医科大学：Rehabilitation Medicine

Subject

Rehabilitation Medicine

Staff

Professor Yasuo MIKAMI

Associate professor
Daisaku TOKUNAGA

Assistant professor （Lecturer）
Suzuyo OHASHI, Takashi KAWASAKI, Shogo TOYAMA

Koshiro SAWADA, Masaki KONDO, Hirokazu SHIRAISHI,

Assistant professor （Instructor）
Motohiko BANNO

Research Contents

Founding prospectus
With our rapidly aging population, it has become more important to increase healthy and disability-free life expectancy, and a demand for rehabilitation medicine has been growing. Rehabilitation medicine consists of a wide range of clinical work, from acute rehabilitation to recovery and chronic rehabilitation, and entails the treatment of disabling conditions, active management of disability, and prevention of secondary complications. Doctors working in rehabilitation medicine need a wide range of competencies to provide holistic and lifelong care to their patients with complex disabilities. The supply of specialists, however, is far from catching up with the ever-increasing need for rehabilitation medicine resulting from the rapid increase in high-age population. The sophistication of medicine in such fields as neonatal medicine, life-saving medicine, organ transplantation, and regenerative medicine and the more complex forms of impairment is also imperative. This is why we need special training programs to produce doctors with advanced competency in rehabilitation medicine, prepared for leadership in a medical team. Under these circumstances, the Department of Rehabilitation Medicine at Kyoto Prefectural University of Medicine was established on October 1, 2014, to become the central core of the expansion program of the integrated community care system in Kyoto.

1) Development of robot rehabilitation
（Robot rehabilitation center had established in our department in April 2015 and robot rehabilitation system had introduced）
2) Development of rehabilitation that applies biological physical stimulus (electrical stimulation,rTMS etc.)
3) Development of rehabilitation with combination of pharmacotherapy
4) Research of muscle loss from aging (sarcopenia)
5) Development of new prostheses and braces

Achievements

Mikami Y, Nagae M, Ikeda T, Tonomura H, Fujiwara H, Kubo T: Tubular surgery with the assistance of endoscopic surgery via midline approach for lumber spinal canal stenosis: a technical note. Eur Spine J 22: 2105-2112, 2013.
Tonomura H, Hatta Y, Mikami Y, Ikeda T, Harada T, Nagae M, Koike H, Hase H, Kubo T. Magnetic resonance imaging evaluation of the effects of surgical invasiveness on paravertebral muscles following muscle-preserving interlaminar decompression (MILD). J Spinal Disord Tech, in press, 2013.
Mizuno K, Mikami Y, Hase H, Ikeda T, Nagae M, Tonomura H, Shirai T, Fujiwara H, Kubo T. Innovative Technique for the Placement of the Drainage Tube for Microendoscopic Spinal Decompression. J Spinal Disord Tech. 2013, Epub ahead of print, 2013.
Ikoma K, Maki M, Kido M, Imai K, Arai Y, Fujiwara H, Mikami Y, Kubo T. Extra-articular dorsal closing-wedge osteotomy to treat late-stage Freiberg disease using polyblend sutures: technical tips and clinical results. Int Orthop.38:1401-5, 2014.
Oda R, Fujiwara H, Tokunaga D, Nakamura S, Taniguchi D, Kawahito Y, Seno T, Matsui T, Kubo T. How do anti-TNF therapies affect gait function in patients with rheumatoid arthritis? Int J Rheum Dis.17:57-62 ,2014.
Sakamoto K, Nakamura T, Uenishi H, Umemoto Y, Arakawa H, Abo M, Saura R, Fujiwara H, Kubo T, Tajima F. Immediate effects of unaffected arm exercise in poststroke patients with spastic upper limb hemiparesis. Cerebrovasc Dis.37:123-7,2014.
Kida Y, Morihara T, Kotoura Y, Hojo T, Tachiiri H, Sukenari T, Iwata Y, Furukawa R, Oda R, Arai Y, Fujiwara H, Kubo T. Prevalence and Clinical Characteristics of Osteochondritis Dissecans of the Humeral Capitellum Among Adolescent Baseball Players. Am J Sports Med. Epub ahead of print, 2014.
Konishi E, Nakashima Y, Mano M, Tomita Y, Nagasaki I, Kubo T,Araki N, Haga H, Toguchida J,Ueda T,Sakuma T, Imahori M, Morii E, Yoshikawa H, Tsukamoto Y,Futani H, Wakasa K, Hoshi M, Hamada S,Takeshita H, Inoue T, Aono M, Kawabata K, Murata H, Katsura K, Urata Y, Ueda H,Yagisawa A.Primary central chondrosarcoma of long bone, limb girdle and trunk: Analysis of 174 cases by numericalscoring on histology. Pathology International 65: 468–475, 2015
Mori G, Mikami Y, Arai Y, Ikeda T, Nagae M, Tonomura H, Takatori R, Sawada K, Fujiwara H, Kubo T. Outcomes in cases of lumbar degenerative spondylolisthesis more than 5 years after treatment with minimally invasive decompression: examination of pre- and postoperative slippage, intervertebral disc changes, and clinical results. J Neurosurg Spine. 24: 367-374, 2016.
Maeda H, Toyama S, Sawada K, Itoh N, Ohashi S, Ito T, Sagara A, Ikeda T, Arai Y, Mikami Y, Kubo T.
Recovery phase rehabilitation for atypical amyotorphic lateral sclerosis: A case with lumbar vertebral fracture complications.
J. Kyoto Pref. Univ. Med125(6):407-14, 2016
Maeda H, Toyama S, Sawada K, Itoh N, Ohashi S, Ito T, Sagara A, Ikeda T, Arai Y, Mikami Y, Kubo T.
A case of successful direct swallowing therapy by head rotation for postoperative bilateral recurrent laryngeal nerve paralysis following thoracic aortic aneurysm J. Kyoto Pref. Univ. Med 125(7): 463-9, 2016

Contact

TEL：81-75-251-5324
FAX：81-75-251-5327
e-mail：reha@koto.kpu-m.ac.jp

http://www.f.kpu-m.ac.jp/k/reha/