Department of Rehabilitation medicine

Introduction

Opened in 1985, our department's primary goal is to facilitate the earliest possible return of patients to their home, school, or work. We achieve this through comprehensive inpatient support and early rehabilitative mobilization, always focusing on the individual's characteristics, abilities, living environment, and daily activities.

Our core strength is our commitment to scientific evidence, driving us to continually refine treatments and use advanced equipment for optimal functional recovery. Our outpatient services specialize in treating spasticity, cognitive impairment, and developmental issues like motor and language delays in children. Given the context of Japan's rapidly aging society, another core mission is to actively practice preventive medicine within this community, particularly by targeting conditions like dementia and frailty. This comprehensive approach is seen as crucial for extending the Healthy Life Expectancy (HLE) and maintaining good health without limitations in daily life.

Patient care at our department

Specialized Outpatient Services: Our department offers a range of specialized clinics focused on comprehensive rehabilitation and functional recovery.

1. Orthotics Clinic
Schedule: Every Tuesday morning (By reservation only) Service: A team consisting of a rehabilitation specialist, a therapist, and a specialized orthotist performs a joint assessment to determine the appropriate fit and creates customized orthotic devices for the patient.

2. Prosthesis Clinic (Amputee Clinic)
Schedule: Every Friday from 15:30 (By reservation only) Service: The specialist, the treating therapist, and the specialized prosthetist collaborate to determine the appropriate fit and create suitable prosthetic limbs for the patient.

3. Spaticity Management Clinic
Schedule: Every Tuesday or Friday (By reservation only) Service: Specializes in the management and treatment of spasticity using Botulinum Toxin injections.

4. Cognitive Rehabilitation Clinic
Schedule: Every Monday or Thursday (By reservation only) Service: A collaborative team of a specialist, a therapist, and a psychologist provides comprehensive rehabilitation aimed at helping patients return to driving, work or school following stroke, traumatic brain injury or some neurological diseases.

Main diseases

Area Description

• Area 1: Neurological Disorders (Central) Stroke and other central nervous system disorders (e.g., traumatic brain injury, encephalopathy).
• Area 2: Spinal Disorders Spinal cord injuries (SCI) and other spinal conditions (e.g., spina bifida, spinal degenerative diseases).
• Area 3: Musculoskeletal/Orthopedic Conditions Rheumatoid arthritis, osteoarthritis, and other conditions requiring orthopedic intervention (including post-operative rehabilitation for sports injuries and orthopedic surgery).
• Area 4: Pediatric/Developmental Disorders Cerebral palsy and other childhood-onset developmental disorders.
• Area 5: Neuromuscular Diseases Nerve and muscle diseases (e.g., peripheral neuropathy, myopathies, motor neuron disease).
• Area 6: Amputation and Limb Loss Comprehensive rehabilitation and prosthetic fitting following amputation
• Area 7: Internal Organ Systems Functional recovery related to Respiratory and cardiovascular diseases (e.g., chronic obstructive pulmonary disease, post-myocardial infarction).
• Area 8: Other Complex Conditions Rehabilitation for conditions such as malignant tumors, severe burns, and post-operative management following major surgery (thoracotomy/laparotomy).

Target Symptoms

(The following symptoms are one example)

• Severe Mobility Impairment due to Paresis/Paralysis (e.g., resulting from stroke or spinal cord injury).
• Global Aphasia or Severe Expressive Aphasia (Inability to articulate speech).
• Memory distrubance, inattention, or Executive Dysfunction following stroke or traumatic brain injury.
• Spasticity or Muscle Hypertonia.
• Lower Limb Paralysis requiring Ambulation Training with Orthotics and Assistive Devices.
• Rheumatoid Arthritis (RA) leading to Foot Deformity and subsequent Risk of Ulceration/Skin Breakdown.
• Developmental Motor Delay (or Gross Motor Delay).
• Developmental Language Disorder (DLD).
• Gait Disorder secondary to Neuromuscular Disease, requiring Optimized Selection and Training for Orthotics and Walking Aids.
• Need for Prosthetic Fitting and Rehabilitation Training following Limb Amputation.
• Return to driving after stroke or traumacit brain injury.

Treatment results

Medical staff

Name	Job Title	Position	Specialized Field	Credentials
大林　茂 (Obayashi Shigeru)	Professor	Director of the department of Rehabilitation medicine Chief of Clinical Service Chief of Education	Neurorehabilitation cognitive impairment Neuroimaging	Board-certified member/Senior fellow, trainer of the Japanese Society of Rehabilitation Medicine
藤本　幹雄 (Fujimoto Mikio)	Assistant Professor	Manager of Outpatient Services Manager of Inpatient Services	Rehabilitation medicine	Board-certified member/Senior fellow, trainer of the Japanese Society of Rehabilitation Medicine
笹川　麻由 (Sasakawa Mayu)	senior resident		rehabilitation medicine Neurosurgery	Board-Certified Neurosurgeon (the Japan Neurosurgical Society)
新名　啓 (Shimmyo Kei)	senior resident		rehabilitation medicine stroke
栗原　寛幸 (Kurihara Hiroyuki)	senior resident		rehabilitation medicine Neurosurgery stroke	Board-Certified Neurosurgeon (the Japan Neurosurgical Society)
穴澤　徹 (Anazawa Toru)	senior resident		rehabilitation medicine Neurosurgery	Board-Certified Neurosurgeon (the Japan Neurosurgical Society)
城　崇之 (Jo Takayuki)	senior resident		rehabilitation medicine Neurology	Board-Certified Neurology
萩原　祐介 (Jo Takayuki)	Visiting Lecture			The Board of Japanese Orthopaedic Surgery Assocation

Outpatient clinic

完全予約制で外来診療を行います。
予約受付：月曜～金曜（祝祭日を除く）14：00-16：00まで リハビリテーション科外来 TEL 049-228-3686 までお問合せください。

To the Medical Institutions

Patient referrals to the Department of Rehabilitation Outpatient are accepted from Monday to Friday mornings. Please inform your patients so that they can be accepted between 8:30 am and 11:00 am. In addition to providing their medical information, please lend us your reference materials, such as images and data.

Physical therapy, occupational therapy, and speech therapy in the outpatient department are conducted according to the actual circumstances of our staff. We appreciate your understanding that we may not necessarily be able to carry out the outpatient rehabilitation for the patients you refer to us in our hospital.

Questions: the Department of Rehabilitation Outpatient Clinic,
Tel. 049-228-3686