Publications by authors named "Atsuhiro Tsubaki"

Purpose: Belt electrode-skeletal muscle electrical stimulation (B-SES) improves muscle strength, mass, and exercise tolerance. However, its effects on skeletal muscle microvascular responsiveness remain unclear. In this study, we investigated the acute effects of a single B-SES session on gastrocnemius microvascular responsiveness in healthy young men.

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Background: The prevalence of cardiovascular diseases (CVD) is high worldwide. Occupational therapy (OT) allows individuals to participate in activities of daily living (ADLs) and improves their quality of life. However, whether OT improves health-related quality of life (HRQOL), ADLs, fatigue, occupational performance, rehospitalization, and mortality in patients with CVD remains unclear.

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Background: This study aimed to clarify the effects of veno-arterial extracorporeal membrane oxygenation (VA-ECMO) on skeletal muscle oxygen pressure and function in rats.

Methods: Male Sprague-Dawley rats (2-3 months old, n = 17) were randomized into control and VA-ECMO groups. All animals were anesthetized and mechanically ventilated.

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This report aimed to investigate the relationship between cerebral hemodynamics and orthostatic hypotension (OH) in a patient with acute exacerbation of chronic heart failure (HF) by measuring oxyhemoglobin (OHb) and regional cerebral oxygen saturation (rSO) using the wearable near-infrared spectroscopy (NIRS) device for risk management. A 61-year-old man was diagnosed with acute exacerbation of chronic HF. The patient was admitted to the hospital for the first time on day 0, and the first NIRS was performed on day 9.

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Objectives: This study examined the relationships between preoperative posterior pelvic tilt with muscle strength, gait speed, hip function, and quality of life in older patients with hip osteoarthritis.

Methods: This cross-sectional study included 65 patients with hip osteoarthritis (75.0 ± 10.

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Background: Vital signs help determine the safety of early mobilization in critically ill patients in intensive care units. However, none of these variables directly assess cerebral circulation. Therefore, we aimed to investigate the relationship of regional cerebral oxygen saturation (rSO) and vital signs with in-hospital death in critically ill patients.

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Objective: Patients with chronic kidney disease reportedly have decreased muscle oxygen utilization, which most substantially decreases exercise capacity, followed by cardiac reserve. However, determinants of longitudinal changes in exercise capacity in patients on hemodialysis (HD) and the effects of long-term exercise interventions (EI) are unknown. This study was conducted to clarify these concerns.

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Article Synopsis
  • Oxygenated haemoglobin (OHb) and total haemoglobin (THb) normally increase with exercise, but this response is lower in patients with chronic heart failure and remains unexplored post-cardiac surgery.
  • The study measured cerebral oxygenation in the prefrontal cortex (PFC) of 14 patients recovering from cardiovascular surgery during a cardiopulmonary exercise test (CPX).
  • Results showed that at peak exercise, OHb and regional cerebral oxygen saturation (rSO) significantly decreased while deoxygenated haemoglobin (HHb) increased, indicating reduced oxygen supply to the PFC in these patients.
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  • The study focuses on early mobilisation in patients with acute heart failure, assessing how their physical condition affects this process.
  • It investigates the relationship between regional cerebral oxygen saturation (rSO) and peripheral oxygen saturation (SpO) during initial mobilisation activities.
  • The findings show that while rSO significantly changed during sitting on the edge of the bed, SpO trends also changed but in a different manner, highlighting variances in their monitoring.
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  • The study examined oxygen levels in the prefrontal cortex of a 75-year-old man recovering from a left frontal lobe stroke while walking.
  • The patient walked after a brief rest, with their oxygen levels measured using a near-infrared spectroscopy device during both rest and walking phases.
  • Results showed significant decreases in oxyhemoglobin, deoxyhemoglobin, and total hemoglobin in both sides of the PFC during walking, with slower recovery in the affected side, highlighting the utility of wearable technology in stroke rehabilitation.
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  • This study investigates how raising the head affects oxygen levels in the brain of patients who recently suffered a stroke.
  • Researchers monitored changes in different types of hemoglobin and regional oxygen saturation using a technique called near-infrared spectroscopy in 76 patients.
  • Findings revealed that as head elevation increased, oxygenated hemoglobin levels decreased, but there was no significant relationship between changes in blood pressure and the levels of different hemoglobin types.
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  • * Participants showed increased levels of oxy-haemoglobin (OHb) in the motor cortex during both tasks, but the patterns differed: OHb peaked and then dropped during the real task, while it remained high during the virtual task.
  • * Additionally, higher OHb levels were found in the dorsal prefrontal cortex during the VR task compared to the real task, indicating distinct brain activity associated with virtual versus physical experiences.
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  • * The case study focuses on a male patient in his 70s who had surgery for a left temporal subdural hematoma, which he developed after a bicycle accident, leading to gait issues and reduced consciousness.
  • * Post-surgery monitoring using NIRS revealed significant changes in cerebral oxygen dynamics, particularly on postoperative day 2, indicating its potential role in assessing recovery and guiding rehabilitation efforts.
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Purpose: Oxygen extraction in skeletal muscle is an important determinant of exercise tolerance. Prolonged sitting decreases oxygen extraction in the gastrocnemius muscle. However, the underlying mechanism remains unknown, and preventive measures are yet to be established.

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Introduction: Belt electrode-skeletal muscle electrical stimulation (B-SES) is a treatment prescribed for individuals with difficulty performing exercise therapy that improves muscle strength, exercise tolerance, and glucose metabolism. However, the effects of B-SES on the hemodynamics of the central and lower extremity conduit arteries have not been studied. Therefore, this study compared the acute effects of B-SES on the central and lower extremity conduit arteries in healthy young males.

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Aim: Protein-energy wasting (PEW) is a common syndrome in patients undergoing haemodialysis (HD) and is associated with poor prognosis. Bioelectrical impedance analysis (BIA)-derived phase angle (PA) is useful for predicting PEW, but sex and age need to be considered. We aimed to reveal sex-specific cut-off values of PA predicting PEW in HD patients aged ≥65.

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Objective: This study aimed to clarify the effect of Type I diabetes (DIA) on transcapillary PO gradients, which are oxygen-driving factors between the blood and the interstitium, in the contracting muscle of rats.

Methods: Wistar male rats were divided into the diabetic (streptozocin i.p.

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Introduction Prolonged sitting-induced blood pooling in the lower legs can increase blood pressure through increased sympathetic nerve activity and peripheral vascular resistance, an aspect that has been understudied as a primary outcome. This study compared the effects of prolonged sitting with those of prolonged supination on blood pressure in healthy young men. Methods This randomized crossover study included 16 healthy young men (mean age: 21.

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Introduction: Patients with chronic kidney disease (CKD) are susceptible to frailty because of a range of nutrition-related factors. While protein restriction is commonly advised to preserve kidney function in patients with CKD, insufficient protein intake could potentially exacerbate frailty risk. This study aimed to elucidate the relationship between frailty and protein intake in patients with CKD.

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Objective: This study aims to examine the effect of sepsis on the dynamics of skeletal muscle partial oxygen pressure during muscle contractions as well as the effect of reactive oxygen species (ROS) scavenger (ascorbic acid, Asc).

Methods: Twenty-seven male Sprague-Dawley rats (2-3 months old) were randomly assigned to three groups; sham, cecal ligation and puncture (CLP), or CLP plus ascorbic acid treatment group (CLP + Asc). Electrical stimuli-induced muscle contractions and partial oxygen pressure measurements were performed at 3 h after CLP.

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Introduction: Patients on hemodialysis (HD) have a higher incidence of fractures than the general population. Sarcopenia is frequently observed in patients on HD; however, the association of falls with sarcopenia and its diagnostic factors, including muscle mass, muscle strength, and physical function, are incompletely understood.

Methods: This prospective cohort study was conducted at a single center.

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Aim: Hemodialysis (HD) patients have a high prevalence of frailty. The association between frailty and exercise capacity in HD patients has not been established. This study aimed to clarify the relationships between frailty and exercise capacity in HD patients.

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Background: The upper extremity siding cardiac implantable electrical device tends to have a limited range of motion during the perioperative period; however, the underlying reason lacks scientific evidence. This study aimed to investigate the safety of the two methods (stepwise or early) of postoperative early upper extremity rehabilitation.

Methods: We retrospectively investigated 650 consecutive patients with a new implantable pacemaker (PM), implantable cardioverter-defibrillator (ICD), cardiac resynchronization therapy (CRT), or generator exchange between March 2017 and December 2020.

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