Search

Your search keyword '"Konno, Shin-ichi"' showing total 153 results
Start Over Author "Konno, Shin-ichi" Publication Year Range Last 3 years
153 results on '"Konno, Shin-ichi"'

7. Foot Tapping Test as a Simple Quantitative Index of Motor Function for Lumbosacral Radiculopathy

Author

Kobayashi, Hiroshi, primary, Nikaido, Takuya, additional, Otani, Koji, additional, Watanabe, Kazuyuki, additional, Kato, Kinshi, additional, Kobayashi, Yoshihiro, additional, Hakozaki, Michiyuki, additional, Kameda, Takuya, additional, Kaneuchi, Yoichi, additional, Sekiguchi, Miho, additional, Yabuki, Shoji, additional, Konno, Shin-ichi, additional, and Matsumoto, Yoshihiro, additional

Published
2024
Full Text
View/download PDF

14. Assessment of Lumbar Spinal Stenosis as a Risk Factor for Development of Sleep Disorder: The Locomotive Syndrome and Health Outcome in Aizu Cohort Study (LOHAS)

Author

Kobayashi, Hiroshi, primary, Sekiguchi, Miho, additional, Otani, Koji, additional, Ono, Rei, additional, Nikaido, Takuya, additional, Watanabe, Kazuyuki, additional, Kato, Kinshi, additional, Kobayashi, Yoshihiro, additional, Yabuki, Shoji, additional, Konno, Shin-ichi, additional, and Matsumoto, Yoshihiro, additional

Published
2023
Full Text
View/download PDF

15. Chopart amputation with tendon balancing

Author

Ouchi, Kazuo, Oi, Naoyuki, Sato, Mari, Yabuki, Shoji, and Konno, Shin-Ichi

Subjects
tendon balancing, foot prosthesis, General Medicine, Chopart amputation
Abstract

Background: When foot necrosis occurs due to lower limb blood flow disorder caused by diabetes or peripheral arterial occlusion, many patients require lower limb amputation. The functional prognosis after lower limb amputation largely depends on whether the heel can be preserved. However, there are many reports that Chopart amputation causes varus and equinus deformity, and is functionally unfavorable. We herein report a case of Chopart amputation performed with muscle balancing. Postoperatively, the foot was not deformed and the patient was able to walk independently with a foot prosthesis. Case: A 78-year-old man presented with ischemic necrosis of his right forefoot. The range of necrosis extended to the central part of the sole, so Chopart amputation was performed. In the operation, to prevent varus and equinus deformity, the Achilles tendon was lengthened, the tibialis anterior tendon was transferred through a tunnel created in the neck of talus, and the peroneus brevis tendon was transferred through a tunnel created in the anterior part of the calcaneus. At the final follow-up 7 years after the operation, no varus or equinus deformity was observed. The patient became able to stand up and walk on his heel without a prosthesis. In addition, step motion was possible by wearing a foot prosthesis.

Published
2023

19. Additional file 1 of Age-Related Differences in the Limited Range of Motion of the Lower Extremity and Their Relation to Low Back Pain in Young Baseball Players: A Cross-Sectional Study of 1215 Players

Author

Kato, Kinshi, Otoshi, Kenichi, Tominaga, Ryoji, Kaga, Takahiro, Igari, Takahiro, Sato, Ryohei, Kaneko, Yota, and Konno, Shin-ichi

Abstract

Additional file 1: Table S1. The detailed diagnosis in players excluded from the study due to regular hospital visits for lower extremity problems.

Published
2023
Full Text
View/download PDF

20. Additional file 3 of Age-Related Differences in the Limited Range of Motion of the Lower Extremity and Their Relation to Low Back Pain in Young Baseball Players: A Cross-Sectional Study of 1215 Players

Author

Kato, Kinshi, Otoshi, Kenichi, Tominaga, Ryoji, Kaga, Takahiro, Igari, Takahiro, Sato, Ryohei, Kaneko, Yota, and Konno, Shin-ichi

Abstract

Additional file 3: Table S3. Comparison between participants with complete data and those with missing variables.

Published
2023
Full Text
View/download PDF

22. Grip Strength as a Screening Index for Severe Degenerative Cervical Myelopathy in Primary Care: Development of Cutoff Values Using Receiver Operating Curve Analysis

Author

Kobayashi, Hiroshi, Otani, Koji, Nikaido, Takuya, Watanabe, Kazuyuki, Kato, Kinshi, Handa, Junichi, Yabuki, Shoji, and Konno, Shin-Ichi

Subjects
cervical disc herniation, sarcopenia, primary care, cervical spondylotic myelopathy, degenerative cervical myelopathy, ossification of posterior longitudinal ligament, International Journal of General Medicine, General Medicine, early detection, Original Research
Abstract

Hiroshi Kobayashi, Koji Otani, Takuya Nikaido, Kazuyuki Watanabe, Kinshi Kato, Junichi Handa, Shoji Yabuki, Shin-Ichi Konno Department of Orthopaedic Surgery, Fukushima Medical University School of Medicine, Fukushima, JapanCorrespondence: Hiroshi Kobayashi 1-Hikarigaoka, Fukushima, 960-1295, JapanTel +8124-547-1276Fax +81 24-548-5505Email hiroshik@fmu.ac.jpPurpose: Early diagnosis of degenerative cervical spondylosis (DCM) is desirable because late treatment can lead to irreversible sequelae. No screening method has yet been established. Grip strength is commonly used in primary care settings to evaluate disease activity and diagnose sarcopenia. This single-center, cross-sectional study aimed to determine the diagnostic accuracy of grip strength for cervical myelopathy (DCM) and cutoff values for primary care DCM screening using area under the curve (AUC) and sensitivity values.Patients and Methods: The DCM group comprised 249 consecutive participants (165 males, 84 females; mean age, 65.1 years) with DCM who had undergone surgery at the affiliated hospital. The control group comprised 735 (280 males, 455 females; mean age, 65.8 years) participants undertaking a local government health checkup. Stratifying by age and sex, receiver operating characteristic (ROC) analyses were constructed for each group using minimum grip strength values for both hands. Based on ROC analysis, cut-off values were established so that the screening sensitivity would be 90% for either sex or age group, respectively.Results: According to age group and sex (males/females [M/F]), AUC values for a diagnosis of DCM in M/F were as follows: 40– 59 years, 0.92/0.87; 60– 69 years, 0.94/0.89; 70– 79 years, 0.89/0.91; and 80– 89 years, 0.97/0.97. Calculated M/F cutoff values were 41/24.5, 27/16, 27/15, and 20/10 kg, which were similar to cutoff scores for sarcopenia in M/F patients aged 60– 69 and 70– 79 years. M/F sensitivities in each age groups were 0.94/0.91, 0.92/0.90, 0.95/0.96, and 0.92/0.93. M/F specificities were 0.62/0.59, 0.84/0.83, 0.61/0.71, and 0.83/0.88.Conclusion: Grip strength had moderate-to-high diagnostic accuracy for DCM between participants in the control and DCM groups. We developed easily applicable cutoff values for primary care DCM screening with ≥ 90% sensitivity. In patients with sarcopenia, DCM should be differentially diagnosed in primary care.Keywords: degenerative cervical myelopathy, cervical spondylotic myelopathy, ossification of posterior longitudinal ligament, cervical disc herniation, primary care, early detection, sarcopenia

Published
2021

23. The association between clinical symptoms of lumbar spinal stenosis and MRI axial imaging findings

Author

Fushimi, Yuki, Otani, Koji, Tominaga, Ryoji, Nakamura, Masataka, Sekiguchi, Miho, and Konno, Shin-Ichi

Subjects
central stenosis, Cross-Sectional Studies, Lumbar Vertebrae, Spinal Stenosis, facet joint effusion, Surveys and Questionnaires, lateral recess stenosis, cross-sectional study, Humans, Original Article, General Medicine, sedimentation sign, Magnetic Resonance Imaging
Abstract

Purpose: In diagnosing lumbar spinal stenosis (LSS), Magnetic Resonance Imaging (MRI) is appropriate to confirm the presence of anatomical stenosis of the spinal canal or compression of the nerve roots. However, it is known that morphological LSS is often present in asymptomatic subjects. There is still controversy about the relationship between anatomical LSS and symptomatic LSS. The aim of this study was to assess the association between qualitative imaging findings on MRI of the lumbar spine and symptomatic LSS. Patients and methods: This was a cross-sectional study of 239 volunteers from an epidemiological survey that included 1,862 participants in total. MRI of the lumbar spine was evaluated in four categories: morphological grading of central stenosis and lateral recess stenosis, presence of the sedimentation sign, and severity of facet joint effusion. The relationship between these morphological evaluations and typical LSS symptoms as assessed by the self-administered, self-reported history questionnaire for lumbar spinal stenosis (LSS-SSHQ) was investigated by multiple logistic regression analysis. Results: The odds ratio of the most severe central stenosis to no stenosis was 15.5 (95%CI: 1.4-164.9). Only the most severe central stenosis was associated with typical LSS symptoms, but not all cases with typical LSS symptoms were due to severe central stenosis. Conclusion: Extreme severe central stenosis was strongly related to typical LSS symptoms. However, although subjects with severe central stenosis showed symptoms suggestive of LSS, these subjects did not always show typical LSS symptoms.

Published
2021

24. Relationship between dysphagia and motor function in community‐dwelling older people.

Author

Sato, Mari, Tominaga, Ryoji, Kurita, Noriaki, Sekiguchi, Miho, Otani, Koji, Konno, Shin‐ichi, and Oi, Naoyuki

Subjects
GRIP strength, DEGLUTITION disorders, INDEPENDENT living, DESCRIPTIVE statistics, LOGISTIC regression analysis, ODDS ratio, MOTOR ability, EARLY diagnosis
Abstract

Aim: Dysphagia is a problem typically associated with aging. The aim was to investigate the relationship between dysphagia and motor function using a simple assessment method that can be performed in the community setting, and to promote the early detection and prevention of dysphagia. Methods: Data from the Locomotive Syndrome and Health Outcome in Aizu Cohort Study (LOHAS) were used. Those aged ≥65 years were included. Motor function was assessed using a grip strength test, single limb standing test (SLS), and timed up and go test (TUG). Swallowing function was assessed using the Japanese version of the 10‐item Eating Assessment Tool (EAT‐10). The association between motor function and swallowing function was analyzed. Results: In total, 1732 participants were included. In logistic regression modes in which grip strength, SLS, and TUG results were included separately, the odds ratio for dysphagia increased by 1.08 (P = 0.001) for each 1‐kg decrease in grip strength, and increased by 1.15 (P < 0.001) for each 1‐s increase in TUG time. No association was found for SLS. In the model in which grip strength and TUG were included simultaneously, the odds ratio for dysphagia increased by 1.06 (P = 0.01) in grip strength, and increased by 1.11 (P = 0.009) in TUG time. Conclusion: Our results suggest that skeletal muscle strength and dynamic balance function are associated with dysphagia in community‐dwelling older people. Geriatr Gerontol Int 2023; 23: 603–608. [ABSTRACT FROM AUTHOR]

Published
2023
Full Text
View/download PDF

38. Generalization of a clinical diagnosis support tool for lumbar spinal stenosis: Can the ankle brachial pressure index be replaced by palpation of the posterior tibial artery in the lumbar spinal stenosis diagnostic support tool? (DISTO project)

Author

Nikaido, Takuya, primary, Sekiguchi, Miho, additional, Yonemoto, Koji, additional, Kakuma, Tatsuyuki, additional, Watanabe, Kazuyuki, additional, Kato, Kinshi, additional, Kobayashi, Hiroshi, additional, Tominaga, Ryoji, additional, Otani, Koji, additional, Yabuki, Shoji, additional, Kikuchi, Shin-ichi, additional, and Konno, Shin-ichi, additional

Published
2022
Full Text
View/download PDF

42. Pregnancy and Lactation-Associated Osteoporosis Successfully Treated with Romosozumab: A Case Report.

Author

Kaneuchi, Yoichi, Iwabuchi, Masumi, Hakozaki, Michiyuki, Yamada, Hitoshi, and Konno, Shin-ichi

Subjects
HIP fractures, TREATMENT effectiveness, LUMBAR pain, VERTEBRAL fractures, OSTEOPOROSIS, FEMUR neck
Abstract

Pregnancy- and lactation-associated osteoporosis (PLO) is a rare type of premenopausal osteoporosis that occurs mainly in the third trimester or immediately after delivery; one of its most common symptoms is back pain caused by a vertebral fracture. The pathogenesis of PLO is unclear, and there is no accepted consensus regarding the treatment of PLO. Although treatments with drugs such as bisphosphonate, strontium ranelate, denosumab, and teriparatide were reported, there is no report of a patient with PLO treated with romosozumab. We present the first case of a patient with PLO treated with romosozumab following 4-month teriparatide treatment. A 34-year-old primiparous and breastfeeding Japanese woman experienced severe low back pain 1 month postdelivery. She was diagnosed with PLO on the basis of low bone marrow density (BMD) and multiple vertebral fractures with no identified cause of secondary osteoporosis. She was treated with teriparatide injection for 4 months, but the treatment was discontinued because of the patient feeling severe nausea after every teriparatide injection and the appearance of new vertebral fractures. Thereafter, we used romosozumab for 12 months. After the romosozumab treatment, her BMD was increased from the baseline by 23.6% at L1–L4, 6.2% at the femoral neck, and 11.2% at the total hip. Treating PLO with 12-month romosozumab after 4 months of teriparatide injection remarkably increased the BMD of the lumbar spine, femoral neck, and total hip without subsequent fracture. Romosozumab has potential as a therapeutic option to improve the BMD and reduce the subsequent fracture risk of patients with PLO. [ABSTRACT FROM AUTHOR]

Published
2023
Full Text
View/download PDF

Catalog

Books, media, physical & digital resources
See catalog results