Updated on 2024/06/21

写真a

 
UEDA MASAYA
 
Organization
Graduate School of Rehabilitation Science Division of Rehabilitation Science Lecturer
School of Medicine Department of Rehabilitation Science
Title
Lecturer
Affiliation
Institute of Rehabilitation Science
Affiliation campus
Habikino Campus

Position

  • Graduate School of Rehabilitation Science Division of Rehabilitation Science 

    Lecturer  2022.04 - Now

  • School of Medicine Department of Rehabilitation Science 

    Lecturer  2022.04 - Now

Degree

  • 保健学修士 （ Osaka Prefecture University ）

  • 保健学修士 （ Osaka Prefecture University ）

Research Areas

  • Life Science / Rehabilitation science  / EEG, ERP, neurocognitive function, brain tumor

  • Life Science / Rehabilitation science  / EEG, ERP, neurocognitive function, brain tumor　

Professional Memberships

  • Japanese Society of Clinical Neurophysiology

    2020.07 - Now   Domestic

  • Japanese Society of Clinical Neurophysiology

    2020.07 - Now

  • 日本作業療法士協会

    2014 - Now   Domestic

  • 日本作業療法士協会

    2014 - Now

Awards

  • 白鳥賞

    2018.03   大阪府立大学  

  • 優秀賞

    2016.11   第36回近畿作業療法学会  

  • 最優秀賞

    2015.11   第35回近畿作業療法学会  

Job Career (off-campus)

  • Osaka Metropolitan University School of Medicine Department of Rehabilitation Science

    2022.04 - Now

  • Kyoto University Hospital   Rehabilitation Unit

    2018.10 - 2022.03

  • Kyoto University Hospital   Rehabilitation Unit

    2018.10 - 2022.03

  • 社会医療法人清恵会　清恵会三宝病院   リハビリテーション部   作業療法士

    2014.04 - 2018.09

Education

  • Osaka Prefecture University   The second semester of doctoral program  

    2018.04

  • Osaka Prefecture University   Master's Course   Graduated/Completed

    2016.04 - 2018.03

  • Osaka Prefecture University   Bachelor's Course   Graduated/Completed

    2010.04 - 2014.03

Papers

  • 2者間の心拍同期に着目したパラレルな場が持つ有効性の電気生理学的検討

    大類 淳矢, 白岩 圭悟, 田崎 史江, 井上 貴雄, 上田 将也, 上野 慶太, 内藤 泰男, 石井 良平

    日本作業療法研究学会雑誌   26 ( 1 )   63 - 63   2023.12（ ISSN:1882-0948 ）

  • Effects of real-time VR clinical practice on reducing the stigma toward dementia among students of occupational therapy: A randomized controlled trial(タイトル和訳中)

    Ueno Keita, Tanaka Hiroyuki, Niki Kazuyuki, Ueda Masaya, Tanaka Ayumi, Yokoi Katsushi, Naito Yasuo, Ishii Ryouhei

    Psychiatry and Clinical Neurosciences Reports   2 ( 4 )   1 of 12 - 12 of 12   2023.12

  • The Neurophysiological Features Associated with Unilateral Spatial Neglect Recovery: A Scoping Review.

    Masaya Ueda, Takuma Yuri, Keita Ueno, Ryouhei Ishii, Yasuo Naito

    Brain topography   36 ( 5 )   631 - 643   2023.07（ ISSN:08960267 ）

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    Publishing type：Research paper (scientific journal)   International / domestic magazine：International journal  

    The purpose of this scoping review is to provide updated information on the neural basis and neurophysiological features associated with unilateral spatial neglect (USN) recovery. We applied the Preferred Reporting Systems for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) framework and identified 16 relevant papers from the databases. Critical appraisal was performed by two independent reviewers using a standardized appraisal instrument developed by the PRISMA-ScR. We identified and categorized investigation methods for the neural basis and neurophysiological features of USN recovery after stroke using magnetic resonance imaging (MRI), functional MRI, and electroencephalography (EEG). This review found two brain-level mechanisms underlying USN recovery at the behavioral level. These include the absence of stroke-related damage to the right ventral attention network during the acute phase and compensatory recruitment of analogous areas of the undamaged opposite hemisphere and prefrontal cortex during visual search tasks in the subacute or later phases. However, the relationship between the neural and neurophysiological findings and improvements in USN-related activities of daily living remains unknown. This review adds to the growing body of evidence regarding the neural mechanisms underlying USN recovery.

    DOI： 10.1007/s10548-023-00980-x

    PubMed

  • Social Buffering Effects during Craft Activities in Parallel Group Session Revealed by EEG Analysis and Parasympathetic Activity Reviewed

    Junya Orui, Keigo Shiraiwa, Fumie Tazaki, Takao Inoue, Masaya Ueda, Keita Ueno, Yasuo Naito, Ryouhei Ishii

    Neuropsychobiology   1 ( 5 )   1 - 13   2023.07（ ISSN:0302282X ）

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    Publishing type：Research paper (scientific journal)   International / domestic magazine：International journal  

    INTRODUCTION: The therapeutic structure of occupational therapy (OT) includes groups. Although the presence of others is expected to be relaxing due to the social buffering effect and the tend and befriend theory, it has not been sufficiently validated in accordance with the therapeutic structure of OT. The aim of this study was to investigate the electrophysiological evidence for the effectiveness of parallel groups and states of concentration on craft activities used in OT. METHODS: Thirty healthy young adults were used as controls to measure EEG and autonomic activity during craft activities in three conditions: alone, parallel, and nonparallel. EEG was analyzed using exact low-resolution electromagnetic tomography, and autonomic activity was analyzed using Lorenz plot analysis. RESULTS: Parasympathetic activity was significantly higher in the parallel condition than in the alone condition. A significant negative correlation was found between current source density and parasympathetic activity in the region centered on the right insular cortex in the α1 band, and functional connectivity in regions including the anterior cingulate cortex and insular cortex was associated with autonomic activity. CONCLUSION: Craft activities that occurred during frontal midline theta rhythm also increased parasympathetic activity. The results suggest that the parallel groups used in OT and the intensive state of craft activities induce a social buffering effect that increases parasympathetic activity despite the absence of physical contact or social support. This provides evidence for the effectiveness of the therapeutic structure of occupational activities and groups in OT.

    DOI： 10.1159/000531005

    PubMed

  • Motor-Related Mu/Beta Rhythm in Older Adults: A Comprehensive Review.

    Takashi Inamoto, Masaya Ueda, Keita Ueno, China Shiroma, Rin Morita, Yasuo Naito, Ryouhei Ishii

    Brain sciences   13 ( 5 )   2023.04（ ISSN:2076-3425 ）

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    Publishing type：Research paper (scientific journal)   International / domestic magazine：International journal  

    Mu rhythm, also known as the mu wave, occurs on sensorimotor cortex activity at rest, and the frequency range is defined as 8-13Hz, the same frequency as the alpha band. Mu rhythm is a cortical oscillation that can be recorded from the scalp over the primary sensorimotor cortex by electroencephalogram (EEG) and magnetoencephalography (MEG). The subjects of previous mu/beta rhythm studies ranged widely from infants to young and older adults. Furthermore, these subjects were not only healthy people but also patients with various neurological and psychiatric diseases. However, very few studies have referred to the effect of mu/beta rhythm with aging, and there was no literature review about this theme. It is important to review the details of the characteristics of mu/beta rhythm activity in older adults compared with young adults, focusing on age-related mu rhythm changes. By comprehensive review, we found that, compared with young adults, older adults showed mu/beta activity change in four characteristics during voluntary movement, increased event-related desynchronization (ERD), earlier beginning and later end, symmetric pattern of ERD and increased recruitment of cortical areas, and substantially reduced beta event-related desynchronization (ERS). It was also found that mu/beta rhythm patterns of action observation were changing with aging. Future work is needed in order to investigate not only the localization but also the network of mu/beta rhythm in older adults.

    DOI： 10.3390/brainsci13050751

    PubMed

  • Frontal midline theta rhythm and gamma activity measured by sheet-type wearable EEG device.

    Keita Ueno, Ryouhei Ishii, Masaya Ueda, Takuma Yuri, China Shiroma, Masahiro Hata, Yasuo Naito

    Frontiers in human neuroscience   17   1145282 - 1145282   2023（ ISSN:1662-5161 ）

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    Publishing type：Research paper (scientific journal)   International / domestic magazine：International journal  

    INTRODUCTION: The current study measured the frontal midline theta rhythm (Fmθ), which appears in the frontal midline region during the attentional focus state, using the sheet-type wearable electroencephalograph (EEG) device HARU-1, and examined the modulation of frontal gamma band activity by cognitive tasks. METHODS: We measured the frontal EEG of 20 healthy subjects using HARU-1 for 2 min during the rest eyes-closed condition and simple mental calculation task condition, respectively. Statistical analyses were conducted using permutation testing based on t-test and cluster analysis to compare the results between the resting state and the task condition. RESULTS: Twelve of 20 subjects showed Fmθ during the task condition. The 12 subjects with Fmθ showed significantly higher activity of the theta and gamma bands, and significantly low activity of the alpha band during the task condition compared to the resting condition. In the eight subjects without Fmθ were significantly low activity of the alpha and beta bands and no significant activity in the theta and gamma band activity during the task condition compared to the resting condition. DISCUSSION: These results indicate that it is possible to measure Fmθ using HARU-1. A novel finding was the gamma band activity appearing with Fmθ in the left and right frontal forehead regions, suggesting that it reflects the function of the prefrontal cortex in working memory tasks.

    DOI： 10.3389/fnhum.2023.1145282

    PubMed

  • Combination of occupational therapy and neuromodulation for psychiatric disorders: literature review

    石井 良平, 上田 将也, 白岩 圭悟, 内藤 泰男

    Cognition & rehabilitation   3   71 - 74   2023

  • Current source density and functional connectivity of frontal midline theta rhythm during craft activities: EEG-LORETA study(和訳中)

    Shiraiwa Keigo, Orui Jyunya, Tazaki Fumie, Sakaguchi Michiharu, Ueda Masaya, Ueno Keita, Naito Yasuo, Ishii Ryouhei

    Cognition & Rehabilitation   3 ( 1 )   35 - 41   2022.12（ ISSN:2436-1097 ）

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    LORETA法を用いて、手工芸活動中に出現するfrontal midline theta(Fmθ)の発生源および機能的結合性について検討した。健常大学生被験者8名(男性4名、年齢21～22歳)に手工芸活動(3本の刺繍糸を編む)を実施させ、脳波を測定した。Fmθの基準はfrontal midline付近において最大振幅を示す、4～8Hzの正弦波リズムであり、少なくとも1秒以上持続するものとした。大脳皮質における電流源密度分布の解析にはeLORETA法を用いた。その結果、Fmθ発生源は前帯状皮質および前頭葉に存在しており、Δ、θ、α、β、γ帯に多くの機能的結合が存在することが示された。これらの脳活動は手工芸活動に伴う認知制御の瞬間的な向上を反映していることが示唆された。

  • Current source density and functional connectivity of frontal midline theta rhythm during craft activities: EEG-LORETA study

    Shiraiwa Keigo, Orui Jyunya, Tazaki Fumie, Sakaguchi Michiharu, Ueda Masaya, Ueno Keita, Naito Yasuo, Ishii Ryouhei

    Cognition & Rehabilitation   3 ( 1 )   35 - 41   2022.12（ ISSN:2436-1097 ）

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    LORETA法を用いて、手工芸活動中に出現するfrontal midline theta(Fmθ)の発生源および機能的結合性について検討した。健常大学生被験者8名(男性4名、年齢21～22歳)に手工芸活動(3本の刺繍糸を編む)を実施させ、脳波を測定した。Fmθの基準はfrontal midline付近において最大振幅を示す、4～8Hzの正弦波リズムであり、少なくとも1秒以上持続するものとした。大脳皮質における電流源密度分布の解析にはeLORETA法を用いた。その結果、Fmθ発生源は前帯状皮質および前頭葉に存在しており、Δ、θ、α、β、γ帯に多くの機能的結合が存在することが示された。これらの脳活動は手工芸活動に伴う認知制御の瞬間的な向上を反映していることが示唆された。

  • Correlation between brain functional connectivity and neurocognitive function in patients with left frontal glioma.

    Masaya Ueda, Kiyohide Usami, Yukihiro Yamao, Rie Yamawaki, Chinatsu Umaba, Nan Liang, Manabu Nankaku, Yohei Mineharu, Masayuki Honda, Takefumi Hitomi, Ryosuke Ikeguchi, Akio Ikeda, Susumu Miyamoto, Shuichi Matsuda, Yoshiki Arakawa

    Scientific reports   12 ( 1 )   18302 - 18302   2022.11

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    Publishing type：Research paper (scientific journal)   International / domestic magazine：International journal  

    The association between neurocognitive function (NCF) impairment and brain cortical functional connectivity in glioma patients remains unclear. The correlations between brain oscillatory activity or functional connectivity and NCF measured by the Wechsler Adult Intelligence Scale full-scale intelligence quotient scores (WAIS FSIQ), the Wechsler Memory Scale-revised general memory scores (WMS-R GM), and the Western aphasia battery aphasia quotient scores (WAB AQ) were evaluated in 18 patients with left frontal glioma using resting-state electroencephalography (EEG). Current source density (CSD) and lagged phase synchronization (LPS) were analyzed using exact low-resolution electromagnetic tomography (eLORETA). Although 2 and 2 patients scored in the borderline range of WAIS FSIQ and WMS-R GM, respectively, the mean WAIS FSIQ, WMS-R GM, and WAB AQ values of all patients were within normal limits, and none had aphasia. In the correlation analysis, lower WMS-R GM was associated with a higher LPS value between the right anterior prefrontal cortex and the left superior parietal lobule in the beta1 band (13-20 Hz, R = - 0.802, P = 0.012). These findings suggest that LPS evaluated by scalp EEG is associated with memory function in patients with left frontal glioma and mild NCF disorders.

    DOI： 10.1038/s41598-022-22493-6

    PubMed

  • Tau-U Analysis Demonstrated the Effect of the Therapeutic Use of Ultrasound on Shoulder Range of Motion in Flexion: A Case Study Reviewed

    Horikawa, Yoichiro & Yuri, Takuma & Ueda, Masaya & Nagata, Yuma & Noda, Atsuko & Naito, Yasuo.

    Asian Journal of Occupational Therapy   18 ( 1 )   195 - 198   2022.10

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    Publishing type：Research paper (scientific journal)   International / domestic magazine：International journal  

    DOI： 10.11596/asiajot.18.195.

  • Parietal Gamma Band Oscillation Induced by Self-Hand Recognition Reviewed

    Ueda, M., Ueno, K., Inamoto, T., Shiroma, C., Hata, M., Ishii, R., & Naito, Y.

    Brain sciences   12 ( 2 )   272   2022.02

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    Authorship：Lead author   Publishing type：Research paper (scientific journal)   International / domestic magazine：International journal  

    DOI： 10.3390/brainsci1202

  • Intraoperative hand strength as an indicator of consciousness during awake craniotomy: a prospective, observational study Reviewed

    Chinatsu Umaba, Yohei Mineharu, Nan Liang, Toshiyuki Mizota, Rie Yamawaki, Masaya Ueda, Yukihiro Yamao, Manabu Nankaku, Susumu Miyamoto, Shuichi Matsuda, Hiroyuki Inadomi & Yoshiki Arakawa

    Scientific reports   12 ( 1 )   216   2022.01

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    Publishing type：Research paper (scientific journal)   International / domestic magazine：International journal  

    DOI： 10.1038/s41598-021-

  • 作業療法におけるウェアラブル脳波計の有用性の検討　Frontal midline theta rhythmの測定の試み Reviewed

    上野 慶太, 城間 千奈, 畑 真弘, 上田 将也, 堀川 陽一郎, 石原 務, 石井 良平, 内藤 泰男

    日本作業療法研究学会雑誌   24 ( 2 )   27 - 32   2021.12（ ISSN:1882-0948 ）

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    ウェアラブルなシート型脳波計(HARU-1)を用い、注意集中状態において前頭正中部に出現するθ律動(Frontal midline theta rhythm:Fmθ)を測定し、作業療法における有用性について検討した。若年から中年の健常者14名に対し、シート型脳波計を用い安静閉眼条件と単純暗算課題条件の前頭部脳波を2分間ずつ測定した。各条件の脳波データに対して2秒間ごとに時間周波数解析を行い、その結果について2つの条件の間で対応のあるt検定を実施した。その結果、14名中7名の被験者で、単純暗算課題条件にFmθの出現が見られた。7名分の時間周波数解析の結果を、安静閉眼条件と比較し、単純暗算課題条件にθ帯域とγ帯域の活動の有意な増大が見られた。HARU-1によって、Fmθに加えてγ帯域活動も観察されたことから、高次脳機能との関連が示唆されているθ-γ連関を捉えたものと考えられた。シート型脳波計による脳波測定が、作業課題遂行時の脳活動の客観的な評価法として有用である可能性が示唆された。(著者抄録)

  • Influence of mood states on the correlation between changes in oxygenated hemoglobin concentration and behavioral performance during Tetris gameplay in the frontal cortex(和訳中)

    Nakahachi Takayuki, Ishii Ryouhei, Canuet Leonides, Sato Iori, Kamibeppu Kiyoko, Ueda Masaya, Ueno Keita, Iwase Masao

    Cognition & Rehabilitation   2 ( 1 )   128 - 130   2021.12（ ISSN:2436-1097 ）

  • COVID-19重症肺炎患者1例に対する急性期リハビリテーションの報告 Reviewed

    草野 佑介, 上田 将也, 宮坂 淳介, 南角 学, 松田 秀一

    作業療法   40 ( 4 )   543 - 546   2021.08（ ISSN:0289-4920 ）

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    本症例はCOVID-19重症肺炎に罹患し,長期の気管内挿管,深い鎮静,長期臥床により重篤なICU-Acquired Weakness(ICU-AW)およびADL低下を認めた.我々はCOVID-19リハビリテーションチームを編成し,感染対策および集中的なリハビリテーションを実施したことで,対象者は病前の生活に復帰することができた.本稿の目的は,COVID-19重症肺炎患者1例に対する急性期の作業療法の経験を報告することである.学際的チームアプローチによる作業療法が,集中治療後症候群の重症化を予防し,対象者の日常生活への復帰に貢献したと考えられた.(著者抄録)

  • Assessment of neurocognitive function in association with WHO grades in gliomas Reviewed

    Yamawaki, R., Nankaku, M., Umaba, C., Ueda, M., Liang, N., Mineharu, Y., Yamao, Y., Ikeguchi, R., Matsuda, S., Miyamoto, S., & Arakawa, Y

    Clinical neurology and neurosurgery   208 ( 106824 )   2021.06

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    Publishing type：Research paper (scientific journal)   International / domestic magazine：International journal  

    DOI： 10.1016/j.clineuro.2

  • 「テトリス」プレイ中の前頭葉活性化パターンおよび高成績者と低成績者との違いの推定　機能的近赤外分光法による予備的研究(Frontal activation patterns during Tetris game play and estimated differences between high and low performers: a preliminary functional near-infrared spectroscopy study)

    Nakahachi Takayuki, Ishii Ryouhei, Canuet Leonides, Sato Iori, Kamibeppu Kiyoko, Ueda Masaya, Ueno Keita, Iwase Masao

    Cognition & Rehabilitation   1 ( 1 )   43 - 55   2020.12（ ISSN:2436-1097 ）

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    右利きの日本人健常者24名(男性13名、女性11名、平均27.3±6.8歳)を対象に、「テトリス」プレイ中の前頭葉皮質の活性化パターンを、機能的近赤外線分光法を用いて調査した。テトリスのプレイ中に前頭部領域52チャンネルの活性を90秒間測定した。その結果、52チャンネルのうち14チャンネル(26.9%)で有意な活性が認められた。類似した活性パターンを示すチャンネル群を抽出する因子分析により、14チャンネルから2因子(両側外側前頭前野、右前頭前野)が抽出された。さらに、探索的解析により、高成績者では低成績者と比較して、右背外側前頭皮質を中心とする領域の活性が増加し、これらの領域と他の領域との活性の相関が低下していると推定された。以上から、テトリスをプレイすると両側外側前頭前野が有意に活性化することが明らかになった。また、高成績者は低成績者と比較して、右背外側前頭皮質を中心とした領域の活性と他の領域の活性との間の機能的結合性を低下させることで、局所的な活動を増加させている可能性が示唆された。

  • Effect of Alzheimer's disease severity on upper limb function

    Yoshiki Tamaru, Hiroyuki Tanaka, Masaya Ueda, Hiroyuki Sumino, Masakazu Imaoka, Akiyoshi Matsugi, Takashi Nishikawa, Ryouhei Ishii, Yasuo Naito

    PSYCHOGERIATRICS   20 ( 5 )   802 - 804   2020.09（ ISSN:1346-3500 ） （ eISSN:1479-8301 ）

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  • 手に対する自己参照効果は類似性によって調整される　事象関連電位P300を用いての検討

    上田 将也, 石井 良平, 稲本 尊, 上野 慶太, 内藤 泰男

    日本作業療法研究学会雑誌   23 ( 1 )   25 - 30   2020.08（ ISSN:1882-0948 ）

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    事象関連電位(ERP)を用いた研究は、自己の手を見ることで自己参照効果と呼ばれる自己特異的な脳活動が得られるとしているが、視覚的特徴による影響は不明である。本研究の目的は、自己参照効果に対する手の類似性の影響を明らかにすることである。健常な20代の男女25名に対し、手の自他鑑別を行わせる視覚oddball課題を類似度別に2課題実施し、ERP P300と遂行状況を検討した。P300は各課題で明確に誘発され、課題間でP300潜時、振幅、反応時間、エラー数に有意な差を認めた。自己の手に対する自己参照効果は、対照刺激となる手の画像の類似性によって影響を受け、一定ではないことが明らかとなった。自他の手の鑑別課題は、図形の鑑別課題に類似した視覚的情報処理が行われる可能性が示唆された。(著者抄録)

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Books and Other Publications

  • PT・OT・STのための臨床５年目までに知っておきたい予後予測の考え方

    竹林　崇（ Role： Contributor ,  第７章　脳画像や生理学的指標を用いた予後予測　脳波）

    医学書院  2023.04 

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    Total pages：308   Responsible for pages：3  

MISC

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Presentations

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Grant-in-Aid for Scientific Research

  • 脳波による半側空間無視に対するニューロフィードバック療法の有用性の検証

    Grant-in-Aid for Early-Career Scientists  2026

  • 脳波による半側空間無視に対するニューロフィードバック療法の有用性の検証

    Grant-in-Aid for Early-Career Scientists  2025

  • 頭部外傷による高次脳機能障害に対するリハビリテーション介入効果の脳科学的解明

    Grant-in-Aid for Scientific Research(C)  2025

  • 脳波による半側空間無視に対するニューロフィードバック療法の有用性の検証

    Grant-in-Aid for Early-Career Scientists  2024

  • 頭部外傷による高次脳機能障害に対するリハビリテーション介入効果の脳科学的解明

    Grant-in-Aid for Scientific Research(C)  2024

  • 脳波による半側空間無視に対するニューロフィードバック療法の有用性の検証

    Grant-in-Aid for Early-Career Scientists  2023.04

  • 頭部外傷による高次脳機能障害に対するリハビリテーション介入効果の脳科学的解明

    Grant-in-Aid for Scientific Research(C)  2023

  • ウェアラブル脳波計による運動イメージの簡易ニューロフィードバック療法の創生

    Grant-in-Aid for Research Activity Start-up  2022.10

  • 高次脳機能障害者の社会的認知機能の生理学的評価法の開発

    2022

  • 高次脳機能障害者の社会的認知機能の生理学的評価法の開発

    Grant-in-Aid for Scientific Research(C)  2022

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Charge of on-campus class subject

  • 作業療法研究法2

    2024   Intensive lecture   Undergraduate

  • 身体障害作業療法学3

    2024   Weekly class   Undergraduate

  • 作業療法評価学実習

    2024   Weekly class   Undergraduate

  • 作業療法評価学

    2024   Weekly class   Undergraduate

  • 作業療法臨床実習IV

    2024   Intensive lecture   Undergraduate

  • 作業療法評価学実習

    2023   Weekly class   Undergraduate

  • 作業療法臨床実習IV

    2023   Intensive lecture   Undergraduate

  • 身体障害作業療法学1

    2023   Weekly class   Undergraduate

  • 作業療法評価学

    2022   Weekly class   Undergraduate

▼display all

Social Activities　⇒ Link to the list of Social Activities

  • 近畿作業療法学会演題査読委員

    Role(s)： Consultant,　Logistic support

    Type： Research consultation

    2024.04 - 2024.06

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    SDGs：

  • 羽曳野市障害認定審査会審査委員

    Role(s)： Consultant

    Type： University open house,　Cooperation business with The administrative, educational institutions, etc.

    羽曳野市障害福祉課  2023.04 - Now

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    SDGs：