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第55回 大阪大学 平成27年10月31日
᪥ᮏṑ⛉་Ꮫㄆᐃศ⛉ ᪥ᮏ㢡ཱྀ⭍ᶵ⬟Ꮫ ➨ ᅇᏛ⾡ WK6FLHQWLILF0HHWLQJRIWKH-DSDQHVH6RFLHW\RI 6WRPDWRJQDWKLF)XQFWLRQ ࣉࣟࢢ࣒࣭ࣛ๓ᢒ㘓㞟 3URJUDPDQG$EVWUDFWV ᖹᡂ ᖺ ᭶ ᪥㸦ᅵ㸧ࠊ ᭶ ᪥㸦᪥㸧 2FWREHU1RYHPEHU ⟶ 㜰ᏛᏛ㝔ṑᏛ◊✲⛉ 㢡ཱྀ⭍ᶵ⬟ᘓᏛㅮᗙࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛Ꮫศ㔝 㛗 ▮㇂ ༤ᩥ ᪥ᮏ㢡ཱྀ⭍ᶵ⬟Ꮫ➨ 55 ᅇᏛ⾡ࡢࡈෆ ᪥ᮏ㢡ཱྀ⭍ᶵ⬟Ꮫ➨ 55 ᅇᏛ⾡ࢆୗグࡢ㏻ࡾ㛤ദ࠸ࡓࡋࡲࡍࠋ ከᩘࡢⓙᵝࡢࡈཧຍࢆ࠾ᚅࡕࡋ࡚࠾ࡾࡲࡍࠋ ᪥ 㸸ᖹᡂ 27 ᖺ 10 ᭶ 31 ᪥(ᅵ)ࠊ11 ᭶ 1 ᪥(᪥) ሙ㸸༓㔛ࣛࣇࢧ࢚ࣥࢫࢭࣥࢱ࣮ 㸴㝵 ༓㔛࣮࣒ࣝ A http://www.senrilc.co.jp/ ࠛ560-0082 㜰ᗓ㇏୰ᕷ༓㔛ᮾ⏫㸯┠㸲␒㸰ྕ 㛗㸸▮㇂༤ᩥ 㐃⤡ඛ㸸ࠛ565-0871 㜰ᗓ྿⏣ᕷᒣ⏣ୣ 1-8 㜰ᏛᏛ㝔ṑᏛ◊✲⛉㢡ཱྀ⭍ᶵ⬟ᘓᏛㅮᗙࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛Ꮫศ㔝 ‽ഛጤဨ㛗㸸⍞᳃ᓫᘯ TEL㸸06-6879-2946 FAX㸸06-6879-2947 E-mail㸸[email protected] ࡞࠾ࠊ10 ᭶ 31 ᪥㸦ᅵ㸧17:10 ࡼࡾ༓㔛ࣛࣇࢧ࢚ࣥࢫࢭࣥࢱ࣮ 㸶㝵 801࣭802 ྕᐊ࡚᠓ぶ㸦 ㈝㸸3,000 ࠊᏛ㝔⏕࣭◊ಟ་ 1,000 㸧ࢆ⾜࠸ࡲࡍࡢ࡛ࠊࡐࡦࡈฟᖍୗࡉ࠸ࡲࡍࡼ࠺ࡈෆ⏦ࡋୖࡆ ࡲࡍࠋ ࠙Ꮫཧຍࡉࢀࡿⓙᵝࠚ 㸯㸬ᮏᏛ⾡ࡢཧຍ㈝ࡣࠊဨ 3,000 ࠊᏛ㝔⏕࣭◊ಟ་ 1,000 ࡛ࡍࠋ 㸰㸬ཱྀ₇࠾ࡼࡧ≉ูㅮ₇ࠊࢩ࣏ࣥࢪ࣒࢘୰ࡢ┿࣭ࣅࢹ࢜➼ࡢᙳࡣⴭసᶒಖㆤࡢࡓࡵ⚗Ṇ࡛ࡍࠋ 㸱㸬ᮏᏛ⾡ࡣ᪥ᮏṑ⛉་ᖌ⏕ᾭ◊ಟㄆᐃ࡞ࡗ࡚࠸ࡲࡍࡢ࡛ࠊ⏕ᾭ◊ಟⓏ㘓⏝࣮࢝ࢻࢆࡈᣢཧࡢ࠺ ࠼ࠊᑓ⏝ࡢ࣮࢝ࢻ࣮ࣜࢲ࣮࡛ࡈⓏ㘓ࡃࡔࡉ࠸ࠋ ࠙₇⪅ࡢⓙᵝࠚ 㸯㸬Ⓨ⾲ᙧᘧࡣࠊᾮᬗࣉࣟࢪ࢙ࢡࢱ࣮ࡢ༢࡛ࡍࠋ 㸰㸬ࡈ⮬㌟ࡢ PC ࢆࡈᣢཧୗࡉ࠸ࠋࡲࡓࠊᨾ㞀࡞ணᮇࡏࡠែഛ࠼ࠊᚲࡎࣂࢵࢡࢵࣉࢹ࣮ࢱ㸦USB ࣓ࣔࣜ㸧ࢆࡈᣢཧࡃࡔࡉ࠸ࠋ 㸱㸬ࣉࣟࢪ࢙ࢡࢱ࣮ࡢ᥋⥆➃ᏊࡣࠊMiniD-Sub15 ࣆࣥ 3 ิࢥࢿࢡࢱ࣮㸦㏻ᖖࡢࣔࢽࢱ࣮➃Ꮚ㸧࡛ࡍࠋ ࡈ⏝ࡢ PC ୖグࡢᫎീฟຊ➃Ꮚࡀ࡞࠸ሙྜࠊᚲࡎኚࢥࢿࢡࢱࢆࡈ⏝ពࡃࡔࡉ࠸ࠋ 㸲㸬࠾ᣢࡕ࠸ࡓࡔ࠸ࡓ PC ࡣࠊཱྀ₇Ⓨ⾲ 30 ศ๓ࡲ࡛ PC ཷ࠾㡸ࡅࡃࡔࡉ࠸ࠋ࠾㡸ࡾࡋࡓ PC ࡣࠊ ཱྀ₇⤊ᚋ PC ཷ࡚㏉༷࠸ࡓࡋࡲࡍࠋࡲࡓࠊᚲࡎ AC ࢲࣉࢱ࣮ࢆࡈᣢཧࡃࡔࡉ࠸ࠋࢫࢡࣜ ࣮ࣥࢭ࣮ࣂ࣮ࡸ⠇㟁ᶵ⬟ࡣ↓ຠࡋ࡚࠾࠸࡚ࡃࡔࡉ࠸ࠋ 㸳㸬┈┦㸦COI㸧⏦࿌᭩ࡣ PC ཷࡈᥦฟࡃࡔࡉ࠸ࠋ࣓࣮࡚ࣝᢒ㘓୍⥴ࡈ㏦ಙࡃࡔࡉ࠸ࡲ ࡋࡓඛ⏕ࡶࠊ࠾ᡭᩘ࡛ࡍࡀ‽ഛࡋ࡚࠸ࡓࡔࡁࡲࡍࡼ࠺࠾㢪࠸⏦ࡋୖࡆࡲࡍࠋ 㸴㸬㡢ኌࢆྵࡴື⏬ࢆ࠾࠸࡞ࡿඛ⏕ࠊMacintosh ࡛ࡢⓎ⾲ࢆᕼᮃࡉࢀࡿඛ⏕ࡣࠊ๓ࡑࡢ᪨ࢆົ ᒁࡲ࡛࠾▱ࡽࡏࡃࡔࡉ࠸ࠋ 㸵㸬ᚋᢒ㘓㸦CD-R ᭩ࡁ㎸ࡳ㟁Ꮚࣇࣝ㸦๓ᢒ㘓ྠᵝࡢ᭩ᘧ㸧༳ๅ≀㸧ࢆᙜ᪥ PC ཷࡈᥦ ฟࡃࡔࡉ࠸ࠋ 㸶㸬ཱྀ₇ࡣࠊⓎ⾲ 15 ศࠊ㉁ᛂ⟅ 15 ศ࡛ࡍࠋⓎ⾲⤊ 1 ศ๓⤊࣮࣒࡛ࣛ࠾▱ࡽࡏࡋࡲࡍࠋ 㸷㸬ḟ₇⪅ࡣᡤᐃࡢᖍ࡛࠾ᚅࡕࡃࡔࡉ࠸ࠋ 1 ሙࡢࡈෆ ሙ㸸༓㔛ࣛࣇࢧ࢚ࣥࢫࢭࣥࢱ࣮ http://www.senrilc.co.jp/access/index.html ఫᡤ㸸㜰ᗓ㇏୰ᕷ༓㔛ᮾ⏫㸯┠㸲␒㸰ྕ 2 ᪥ᮏ㢡ཱྀ⭍ᶵ⬟Ꮫ➨55ᅇᏛ⾡ࣉࣟࢢ࣒ࣛ ࠙ᖹᡂ27ᖺ10᭶30᪥㸦㔠㸧ࠚ 17:00㹼18:30 ᖖ௵⌮ 㸦ሙ㸸㜰Ꮫ྿⏣࢟ࣕࣥࣃࢫ 㖟ᮥ㤋 㸱㝵 ㆟ᐊ B㸧 ࠙㸯᪥┠ᖹᡂ27ᖺ᭶᪥㸦ᅵ㸧ࠚ ༓㔛ࣛࣇࢧ࢚ࣥࢫࢭࣥࢱ࣮ ༓㔛࣮࣒ࣝ㸿 9:05㹼9:10 㛤ࡢ㎡㛗▮㇂༤ᩥ 9:10㹼10:40 ࢭࢵࢩࣙࣥϨ ᗙ㛗ᑠぢᒣ㐨ඛ⏕㸦᪥ᮏᏛᯇᡞ㸧 㸯㸬㧗㢖ᗘࡢ㹐㹋㹋㸿ࢆ᭷ࡍࡿⱝᖺ⿕㦂⪅࠾ࡅࡿ⏕⌮Ꮫⓗཬࡧᚰ⌮Ꮫⓗ≉ᛶ ࠐཎᮌ┿࿃{㸪㎷㜰ுᏊ{㸪▼ᇉᑦ୍{㸪⍞᳃ᓫᘯ{㸪▮㇂༤ᩥ{㸪ྜྷ⏣⠜t㸪 ຍ⸨㝯ྐt 㜰ᏛᏛ㝔ṑᏛ◊✲⛉㢡ཱྀ⭍ᶵ⬟ᘓᏛㅮᗙࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛ Ꮫศ㔝 㜰ᏛᏛ㝔ṑᏛ◊✲⛉㧗ḟ⬻ཱྀ⭍ᶵ⬟Ꮫㅮᗙཱྀ⭍ゎ๗Ꮫ➨ᩍᐊ 㸰㸬㧗㢖ᗘ500$ࢆ᭷ࡍࡿⱝᖺ⿕㦂⪅࠾ࡅࡿ྾࣋ࣥࢺࡢⓎ⌧≉ᛶ ۑ㎷㜰ுᏊ㸧ཎᮌ┿࿃㸧㸪⍞᳃ᓫᘯ㸧㸪▮㇂༤ᩥ㸧㸪ྜྷ⏣⠜㸧㸪ຍ⸨㝯ྐ㸧 㜰ᏛᏛ㝔ṑᏛ◊✲⛉㢡ཱྀ⭍ᶵ⬟ᘓᏛㅮᗙࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛Ꮫ ᩍᐊ 㜰ᏛᏛ㝔ṑᏛ◊✲⛉㧗ḟ⬻ཱྀ⭍ᶵ⬟Ꮫㅮᗙཱྀ⭍ゎ๗Ꮫ➨ᩍᐊ 㸱㸬ᐇ㦂ື≀࠾ࡼࡧࣄࢺࡢࣀ࣒ࣥࣞ╧╀࡛Ⓨ⏕ࡍࡿࣜࢬ࣒ᛶᄮ➽άືࡢ⏕⌮ Ꮫⓗ㢮ఝᛶ ۑຍ⸨㝯ྐ1,3㸪㇏⏣⌮⣪4㸪ᮾᒣு1,2㸪ཎᮌ┿࿃2㸪▮㇂༤ᩥ2㸪బ⸨ᩥᙪ1㸪 ྜྷ⏣⠜1 㜰ᏛᏛ㝔ṑᏛ◊✲⛉ཱྀ⭍ゎ๗Ꮫ➨ᩍᐊ 㜰ᏛᏛ㝔ṑᏛ◊✲⛉ࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛Ꮫᩍᐊ 㜰Ꮫ་Ꮫ㒊㝃ᒓ㝔╧╀་⒪ࢭࣥࢱ࣮ 㜰ᏛṑᏛ㒊 10:40㹼10:50 ఇ᠁ 10:50㹼12:20 ࢭࢵࢩࣙࣥϩ ᗙ㛗ᒸ⏣ᶞඛ⏕㸦ᾏ㐨Ꮫ㸧 㸲㸬ᐇ㦂ⓗᛴᛶࢫࢺࣞࢫࡼࡿࣔࣝࣔࢵࢺࡢ╧╀㢡➽άືࡢኚ ▮ۑ㔝༤அຍ⸨㝯ྐᮾᒣுྜྷ⏣⠜ 3 㜰ᏛᏛ㝔ṑᏛ◊✲⛉ 1)㧗ḟ⬻ཱྀ⭍ᶵ⬟Ꮫㅮᗙཱྀ⭍ゎ๗Ꮫ➨ᩍᐊ㸪 2) 㢡ཱྀ⭍ᅉែไᚚᏛㅮᗙཱྀ⭍እ⛉Ꮫ➨ᩍᐊ㸪3)ࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛ Ꮫᩍᐊ 㸳㸬᪥୰ࡢ➽㟁ᅗࣂ࢜ࣇ࣮ࢻࣂࢵࢡカ⦎ࡀኪ㛫ࡢࢢࣛࣥࢹࣥࢢཬࡰ ࡍᙳ㡪 ۑᩧ⸨ᑠኟ㸧㸪బ⸨㞞㸪ሯⱥ⛱㸪Ώ㑓᫂㸪ᶫᡞᗈ㸪Ⳣཎ⤱ᯞ㸪 ᒾ℩┤ᶞ㸪⊦㔝↷ኵ㸪ᑎ⏣ಙᖾ㸪⸨⃝ᨻ⣖ ᫂ᾏᏛṑᏛ㒊ᶵ⬟ಖᏑᅇᏛㅮᗙṑ⛉⿵⥛Ꮫศ㔝 ᮾὒᏛ⌮ᕤᏛ㒊⏕య་ᕤᏛ⛉ 㸴㸬╧╀ࡢ㉁ࡢほⓗホ౯╧╀࣭ぬ㓰≧ែࡢ㛵㐃 ⇃ۑᇛᆂ♸㸪㷂ຬ㍤㸪Ᏹ㔝ᾈ୍㑻㸪㧗ᒸுኴ㸪▼ᇉᑦ୍㸪▮㇂༤ᩥ 㜰ᏛᏛ㝔ṑᏛ◊✲⛉㢡ཱྀ⭍ᶵ⬟ᘓᏛㅮᗙࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛Ꮫ ศ㔝 12:25㹼13:45 13:50㹼14:50 ⌮ 㸦ሙ㸸603࣭604ྕᐊ㸧 ࢭࢵࢩࣙࣥϪ ᗙ㛗⸨⃝ᨻ⣖ඛ⏕㸦᫂ᾏᏛ㸧 㸵㸬╧╀ࣈࣛ࢟ࢩࢬ࣒⮫ᗋデ᩿ᇶ‽ࡢ36*ࢆ⏝࠸ࡓ᳨ド ۵ྜྷ⏣⿱ဢ㸪Ⳣᓅྐ㸪㧗ሙ㞞அ㸪ᑠ㔝ᗣᐶ㸪୰ᮧᾈᓫ㸪୰㔛㤶⌮㸪 㤿ሙ୍⨾ ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫㅮᗙ 㸶㸬㸰ḟඖୗ㢡㐠ືグ㘓⨨ࡼࡿᄮ㐠ືࡢศᯒ ࠐᒣᮏ᪩⧊㸪ᚿ㈡ ༤㸪୰ᓥ㑥ஂ㸪ᑠぢ㔝┿ᜨ㸪ᒸ⏣ ᪥ᮏṑ⛉Ꮫ⏕ṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨ㅮᗙ 14:50㹼14:55 ఇ᠁ 14:55㹼15:55 ≉ูㅮ₇ ᗙ㛗▮㇂༤ᩥඛ⏕㸦㜰Ꮫ㸧 ࠕぶᏊ㛫┦స⏝ࡀ⤖ࡪゝࡢⴥࡣࡌࡵࠖ ὸ⏣⛱ඛ⏕ 㜰ᏛᏛ㝔ᕤᏛ◊✲⛉▱⬟࣭ᶵ⬟ᡂᕤᏛᑓᨷ 㜰Ꮫᮍ᮶ᡓ␎ᶵᵓㄆ▱⬻ࢩࢫࢸ࣒Ꮫ◊✲㒊㛛㒊㛛㛗 15:55㹼16:00 ఇ᠁ 16:00㹼17:00 ࢩ࣏ࣥࢪ࣒࢘㸦Ꮫ⾡⏬㸧 ࠕṑᏛᕤᏛࡢ᪂ࡓ࡞ฟ࠸ 㹼ࣟ࣎ࢸࢡࢫࡽᏛࡧࠊඹࡍࡿࠊṑ⛉ࡢ 4 ࣈࣞࢡࢫ࣮ࣝ㹼ࠖ ࠙ㅮ₇ࠚࠗ་ᕤ㐃ᦠࡼࡿᐇ㊶ⓗ་⒪⚟♴ࣟ࣎ࢵࢺࡢ㛤Ⓨ࠘ ㅮᖌ Ᏻ⸨ඛ⏕ ᪩✄⏣Ꮫ⥲ྜ⌮ᕤᏛ◊✲ᡤᐈဨㅮᖌ ࢥ࣮ࢹࢿ࣮ࢱ࣮㸸బࠎᮌㄔඛ⏕㸦ᒾᡭᏛ㸧 ᚨ⏣ెႹඛ⏕㸦㜰Ꮫ㸧 17:00㹼17:10 ఇ᠁࣭⛣ື 17:10㹼18:40 ᠓ぶ㸦ሙ㸸801࣭802ྕᐊ㸧 㸦ᴗᒎ♧ࢆ୧᪥ࡶྕᐊ࡛⾜ࡗ࡚࠾ࡾࡲࡍ㸬࠾❧ࡕᐤࡾࡃࡔࡉ࠸㸧 5 ࠙㸰᪥┠ᖹᡂ27ᖺ᭶㸯᪥㸦᪥㸧ࠚ༓㔛ࣛࣇࢧ࢚ࣥࢫࢭࣥࢱ࣮ ༓㔛࣮࣒ࣝ㸿 09:05㹼10:35 ࢭࢵࢩࣙࣥϫ ᗙ㛗ୖᐩ㞝ඛ⏕㸦Ꮫ㸧 㸷㸬╧╀୰ࡢ㗹య㊰㟁Ẽ่⃭ᑐࡍࡿ㢡➽ࡢᛂ⟅≉ᛶ ۑᮾᒣு1)2),▮㔝༤அ1)3),ຍ⸨㝯ྐ1),ྜྷ⏣⠜1) 㜰ᏛᏛ㝔ṑᏛ◊✲⛉ 1)㧗ḟ⬻ཱྀ⭍ᶵ⬟Ꮫㅮᗙཱྀ⭍ゎ๗Ꮫ➨ᩍᐊ㸪 2) 㢡ཱྀ⭍ᘓᏛㅮᗙࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛Ꮫศ㔝㸪3)㢡ཱྀ⭍ᅉែไᚚᏛ ㅮᗙཱྀ⭍እ⛉Ꮫ➨ᩍᐊ 㸯㸮㸬ࣄࢫࢱ࣑ࣥࡼࡿࣛࢵࢺ㛢ཱྀᑕࡢᢚไ ۑ୰ᒣᕼୡ⨾1), ⋞␒༓ኟᏊ2), ୰ᮧྐᮁ1), ᮃ᭶ᩥᏊ1), ୖᐩ㞝1) 1)ᏛṑᏛ㒊ཱྀ⭍⏕⌮Ꮫㅮᗙ 2)ᏛṑᏛ㒊ᑠඣᡂ⫱ṑ⛉Ꮫㅮᗙ 㸯㸯㸬ືࡣࡢࡼ࠺࡞⚄⤒ᶵᵓࡼࡗ࡚ᄮᙳ㡪ࢆཬࡰࡍࡢ ۑཎ㤶ࠊబ⸨ᩥᙪࠊຍ⸨㝯ྐࠊྜྷ⏣⠜ 㜰ᏛᏛ㝔ṑᏛ◊✲⛉㧗ḟ⬻ཱྀ⭍ᶵ⬟Ꮫㅮᗙཱྀ⭍ゎ๗Ꮫ➨ᩍᐊ 㜰ᏛᏛ㝔ṑᏛ◊✲⛉ศᏊែཱྀ⭍⛉Ꮫᑓᨷ㢡㢦㠃ཱྀ⭍▹ṇᏛᩍᐊ 10:35㹼10:45 ఇ᠁ 10:45㹼12:15 ࢭࢵࢩࣙࣥϬ ᗙ㛗ὠ㈡୍ᘯඛ⏕㸦ᗈᓥᏛ㸧 㸯㸰㸬࢝ࣉࢧࢩࣥࢆ⏝࠸ࡓ⯉③ࣔࢹࣝ࠾ࡅࡿ⯉ࡢ⑊③㜈್ࡢ᳨ウ ۑᮏ⏣ᐇຍ㸪ᑠぢᒣ㐨 㣤⏣ᓫ ᕝⰋ⨾బ㞝 ᪥ᮏᏛᯇᡞṑᏛ㒊㢡ཱྀ⭍ᶵ⬟⒪Ꮫㅮᗙ 㸯㸱㸬ཱྀ⭍ࡢ ᗘ่⃭ࡀࡶࡓࡽࡍᄟୗᶵ⬟ࡢᙳ㡪 ె▱⏣⚄ۑ㸪➉▼㱟ྑ㸪┿ ோ㸪㎷ᮧ ᜤ᠇㸪ୖ ㄔ ᪂₲ᏛᏛ㝔་ṑᏛ⥲ྜ◊✲⛉ ᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᏛศ㔝 㸯㸲㸬ࢮ࣮ࣜᄟୗࡢ⯉ᅽⓎ⌧ᵝ┦⯉㦵⛣ືࡢ㛵ಀ ۵ᮧୖ⿱㸪ᑠ㔝㧗⿱㸪ⓙᮌ⚈క㸪⸨ཎⱱᘯ㸪ᚨ⏣ెႹ㸪ᇼ୍ᾈ㸪 ୖㄔ㸪☾㔝⯙㸪▼ཎΎ㤶㸪ụୖ⪽㸪୰㤿ㄔ㸪⯪ぢᏕ༤㸪 ๓⏣ⰾಙ 㜰ᏛᏛ㝔ṑᏛ◊✲⛉ ᭷ᗋ⩏ṑ⿵⥛Ꮫ࣭㧗㱋⪅ṑ⛉Ꮫศ㔝㸪 ᪂₲ᏛᏛ㝔་ṑᏛ⥲ྜ◊✲⛉ ໟᣓṑ⛉⿵⥛Ꮫศ㔝 ᪂₲ᏛᏛ㝔་ṑᏛ⥲ྜ◊✲⛉ ᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᏛศ㔝 ୕ᰤ※࢚ࣇ࣭࢚ࣇ࣭ᰴᘧ♫ࢸࢡࢫࢳ࣮ࣕࢹࢨࣥ◊✲ᐊ 12:15㹼 㛢ࡢ㎡ ḟᮇ㛗⸨⃝ᨻ⣖ඛ⏕㸦᫂ᾏᏛ㸧 6 ≉ูㅮ₇ 7 ࠗぶᏊ㛫┦స⏝ࡀ⤖ࡪゝࡢⴥࡣࡌࡵ࠘ 㜰ᏛᏛ㝔 ᕤᏛ◊✲⛉ ▱⬟࣭ᶵ⬟ᡂᕤᏛᑓᨷ ὸ⏣ ⛱ ᩍᤵ ࠙ᴫせࠚ ᡃࠎࡣ㸪ே㛫ࡢㄆ▱Ⓨ㐩㐣⛬ࡢ࣑ࢫࢸ࣮ࣜࢆࣟ࣎ࢵࢺࡸࢥࣥࣆ࣮ࣗࢱࢩ࣑࣮ࣗࣞࢩࣙࣥ ࢆ⏝࠸࡚㸪ᵓᡂⓗゎࡁࡄࡍㄆ▱Ⓨ㐩ࣟ࣎ࢸࢡࢫࢆᥦၐ࣭᥎㐍ࡋ࡚ࡁࡓ㸬ㄆ▱Ⓨ㐩ࣟ࣎ ࢸࢡࢫࡢ࣮࢟ࢹࡣࠕ㌟యᛶࠖࠕ♫ᛶ࡛ࠖ࠶ࡾ㸪ࡇࢀࡽࢆࢩ࣮࣒ࣞࢫ࡛⤖ࡧࡘࡅ ࡿᇶ┙ࡀⓎ㐩࡛࠶ࡿ㸬㉥ࡕࡷࢇࡀࡢࡼ࠺ࡋ࡚㸪ゝㄒࢆ⋓ᚓࡋ࡚࠸ࡿࡣࡁ࡞ㅦࡢ୍ࡘ ࡛࠶ࡾ㸪ࡇࢀࡣ㸪ㄆ▱Ⓨ㐩ࣟ࣎ࢸࢡࢫ࡛ࡶ㔜せ࡞ㄢ㢟࡛࠶ࡿ㸬ᮏㅮ₇࡛ࡣ㸪㡢ኌࢥ࣑ࣗࢽ ࢣ࣮ࢩࣙࣥ↔Ⅼࢆ⤠ࡾ㸪ึᮇ㡢ኌⓎ㐩࠾ࡅࡿ㌟యᛶ♫ᛶࡢᙺࡾࢆ᫂ࡽࡍࡿ㸬 ࡲࡎ᭱ึ㸪ஙᗂඣ࠾ࡅࡿ㡢ኌࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥࡢⓎ㐩ࢆᴫほࡋ㸪ḟㄆ▱Ⓨ㐩ࣟ࣎ࢸ ࢡࢫࡢࣉ࣮ࣟࢳࡼࡿ㸪௨ୗࡢ୕ࡘࡢࢺࣆࢵࢡࡘ࠸࡚⤂ࡍࡿ㸬 (1)Ⓨኌᶵᵓࡢ⡆᫆ࣔࢹࣝᐇ㸸㡢ኌࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ࠾ࡅࡿ㌟యᛶࡣ㸪Ⓨኌჾ ᐁཬࡧ⫈ぬ࡛࠶ࡿ㸬ஙᗂඣࡢⓎኌࢆᶍᨃࡍࡿᶵᵓࡋ࡚ࡣ㸪ᡂே⏝ࡢᶵᲔⓗ⌧ࡼࡿࡶࡢ ࢆࢫࢣ࣮ࣝࢲ࢘ࣥࡍࡿࢣ࣮ࢫࡸ㸪ኌ㐨ᙧ≧ࢆ༢⣧ࡋࡓ⟄≧ࡢேᕤኌ㐨࡞ࡢ⏝ࡀ⪃ ࠼ࡽࢀࡿ㸬ᚋ⪅࡛ࡣ㸪⟄ࢆኚᙧࡉࡏࡿࡇ࡛㸪ඹ㬆࿘Ἴᩘࢆኚࡉࡏ㸪␗࡞ࡿ㡢ኌࢆ⏕ᡂ ྍ⬟࡛࠶ࡿ㸬⫈ぬࡋ࡚ࡣ㸪ẕ㡢㆑ู᭷ຠ࡞ࣇ࢛࣐ࣝࣥࢺ✵㛫ࢆ⏝ࡋ㸪ࡇࢀࢆ⏝࠸࡚ẕ 㡢ⓎኌࡢⓎ㐩ࢆᶍᨃࡋࡓ㸬 (2)♫ⓗ┦స⏝ࡢィ⟬ࣔࢹࣝࡼࡿ㣴⫱⪅ࡢᙺࡾࡢᵓᡂⓗ⌮ゎ㸸ẕᏊ㛫࠾ࡅࡿ 㡢ኌࢥ࣑ࣗࢽࢣ࣮ࢩࣙࣥ࠾࠸࡚㸪᭱ࡢㄢ㢟ࡣ㸪ࡢࡼ࠺࡞㣴⫱⪅ࡢ⾜ືࡀ㉥ࡕࡷࢇࡢ㡢 ኌⓎ㐩ࢆᑟࡃ࡛࠶ࡿ㸬᭱ึヨࡳࡓࡢࡣ㸪࣒࢜࢘㏉ࡋᩍ♧࡛࠶ࡿ㸬ࣛࣥࢲ࣒ࢡ࣮ࣥࢢࢆ ㉥ࡕࡷࢇࣟ࣎ࢵࢺࡉࡏ㸪㣴⫱⪅ᙺࡢᐇ㦂⪅ࡀࡑࡢኌࢆ⫈ࡁ㸪⮬㌟ࡢẕ㡢ఝ࡚࠸ࢀࡤ㸪ࡑ ࡢẕ㡢ࢆࣟ࣎ࢵࢺ⫈ࡏࡿࡇࡢ⧞ࡾ㏉ࡋ࡛㸪ࣟ࣎ࢵࢺࡀẕ㡢ࡢⓎኌ⫈ぬࢆⓎ㐩ࡉࡏ ࡓ㸬ḟ㸪ࡇࡢ┦స⏝ࡢ㝿ࡢ㣴⫱⪅ഃࡢࣂࢫࡘ࠸࡚㸪ィ⟬ࣔࢹࣝࡋࡓ㸬ࡑࢀࡣ㸪 ▱ぬ࣭㐠ື࣐ࢢࢿࢵࢺ⮬ᕫ㙾ᫎࣂࢫ࡛࠶ࡿ㸬๓⪅ࡣᏊࡶ࡛ࡶⓎ㐩ᮇ࠶ࡿẕㄒࡢ ᙳ㡪ࡼࡿ㞳ᩓᑐᛂࡋ㸪ᚋ⪅ࡣ㸪㣴⫱⪅ഃࡢ㉥ࡕࡷࢇᑐࡍࡿᮇᚅࡀ㉥ࡕࡷࢇࡢⓎኌࢆ 㣴⫱⪅ഃᘬࡁ㎸ࡴ⌧㇟ࢆࡉࡍ㸬୧⪅ࡀാࡃࡇ࡛㸪ṇࡋࡃẕ㡢ࡢࣉ࣑ࣜࢸࣈࢆ⋓ᚓ࡛ࡁ ࡓ㸬ぶࡀ㉥ࡕࡷࢇࡢᶍೌࢆࡍࡿ㢖ᗘࡣ㸪ᐇ㝿ࡣ࡞ࡾప࠸㸬ࡑࡇ࡛㸪㉥ࡕࡷࢇഃࡢ⮬ᕫ㙾ᫎ ࣂࢫ㸪ࡍ࡞ࢃࡕ㸪ぶࡣ࠸ࡘ࡛ࡶᶍೌࡋ࡚ࡃࢀࡿ࠸࠺ᛮ࠸㎸ࡳࡽ㸪ẕ㡢⋓ᚓࡍࡿᡭἲ ࡸࡑࡢࡢ◊✲ࡶ⤂ࡍࡿ㸬 (3)ஙᗂඣࡢⓎኌᶵᵓࡢᶵ⬟ⓗᐇ⌧㸸ஙᗂඣࡢኌ㐨ᙧ≧ཬࡧኚᙧ㐠ືࢆࡃྠࡌ➽㦵᱁ᵓ 㐀࡛⌧ࡍࡿࡇࡣ㸪㠀ᖖᅔ㞴࡛࠶ࡿ㸬ࡑࡇ࡛㸪ேᕤኌᖏ㸪⯉㸪ཱྀ၁ࢆ㉥ࡕࡷࢇࢧࢬ࡛ ᐇ⌧ࡋ㸪࣓࢝ࢽࢬ࣒ࡢタィࡼࡾ㸪ᶵ⬟ⓗᐇ⌧ࢆ┠ᣦࡋ࡚㸪⌧ᅾ㐍⾜୰ࡢ◊✲ࢆ⤂ࡍࡿ㸬 8 ὸ⏣ ⛱㸦࠶ࡉࡔ ࡳࡢࡿ㸧 㜰ᏛᏛ㝔 ᕤᏛ◊✲⛉ ▱⬟࣭ᶵ⬟ᡂᕤᏛᑓᨷ ᩍᤵ 1977 ᖺ 㜰Ꮫᇶ♏ᕤᏛ㒊ไᚚᕤᏛ⛉༞ᴗ 1982 ᖺ 㜰ᏛᏛ㝔ᇶ♏ᕤᏛ◊✲⛉ᚋᮇㄢ⛬ಟ(ᕤᏛ༤ኈ(㜰Ꮫ)) ྠ ᖺ 㜰Ꮫᇶ♏ᕤᏛ㒊ຓᡭ 1989 ᖺ 㜰ᏛᕤᏛ㒊ຓᩍᤵ 1995 ᖺ ྠᩍᤵ 1997 ᖺ 㜰ᏛᏛ㝔ᕤᏛ◊✲⛉▱⬟࣭ᶵ⬟ᡂᕤᏛᑓᨷᩍᤵ࡞ࡾ⌧ᅾ⮳ࡿࠋࡇࡢ 㛫ࠊ1986 ᖺࡽ 1 ᖺ㛫⡿ᅜ࣓࣮ࣜࣛࣥࢻᏛᐈဨ◊✲ဨࠋ▱⬟ࣟ࣎ࢵࢺࡢ◊✲ᚑࠋ Ꮫ ᪥ᮏࣟ࣎ࢵࢺᏛ㸦ඖ⌮㸧ࠊ㟁Ꮚሗ㏻ಙᏛࠊሗฎ⌮Ꮫࠊேᕤ▱⬟Ꮫ㸦ඖ⌮㸧 ࠊ ᪥ᮏᶵᲔᏛ(2003 ᖺ 4 ᭶ࡽࣇ࢙࣮ࣟ)ࠊィ ⮬ືไᚚᏛࠊࢩࢫࢸ࣒ไᚚሗᏛࠊ᪥ ᮏ㉥ࡕࡷࢇᏛ㸦ඖ⌮㛗㸪⌧⌮㸧ࠊIEEE (fellow since 2005) R&A, CS, SMC societies, AAAI ࡞ࡢဨࠋNPO ࣟ࣎࢝ࢵࣉ᪥ᮏጤဨ⌮ࠊࣟ࣎࢝ࢵࣉᅜ㝿ጤဨタࣂࢫࣉ ࣞࢪࢹࣥࢺ㸦2002 ᖺࡽ 2008 ᖺࡲ࡛ࣉࣞࢪࢹࣥࢺ㸧 ࠋࣇ࢙ࢹ࣮ࣞࢩࣙࣥࢪࣕࣃࣥࣉࣞࢪࢹ ࣥࢺ㸬 ཷ㈹ 1989 ᖺ ሗฎ⌮Ꮫ◊✲㈹ࠊ1992 ᖺ IEEE/RSJ IROS'92 Best Paper Awardࠊ1996 ᖺ ᪥ᮏࣟ࣎ࢵࢺᏛㄽᩥ㈹ࠊ1997 ᖺ ேᕤ▱⬟Ꮫ◊✲ዡບ㈹ࠊ1999 ᖺ ᪥ᮏᶵᲔᏛࣟ࣎ࢸ ࢡࢫ࣭࣓࢝ࢺࣟࢽࢡࢫ㒊㛛㈉⊩㈹ࠊ2001 ᖺ ᩥ㒊⛉Ꮫ⮧㈹࣭⛉Ꮫᢏ⾡ᬑཬၨⓎຌ⦼⪅㈹ࠊ 2001 ᖺ ᪥ᮏᶵᲔᏛࣟ࣎ࢸࢡࢫ࣭࣓࢝ࢺࣟࢽࢡࢫ㒊㛛㈹㸸Ꮫ⾡ᴗ⦼㈹ࠊ2004 ᖺ ேᕤ▱ ⬟Ꮫ◊✲ඃ⚽㈹ࠊ2006 ᖺ ⛉Ꮫᢏ⾡ᨻ⟇◊✲ᡤ ⛉Ꮫᢏ⾡ࡢ㢧ⴭ࡞㈉⊩ in 2006㸦ࢼ ࢫ ࢫࢸࢵࣉ࡞◊✲⪅㸧 ࠕࣀ࣮࣋ࢩࣙࣥ㒊㛛ࠖ ࠊ2007 ᖺ (㈈)ᕝሗ㏻ಙᇶ㔠ᕝฟ ∧㈹ࠊ2008 ᖺᗘ ࢢࢵࢻࢹࢨࣥ㈹ࠊ2009 ᖺᗘࣟ࣎ࢵࢺᏛㄽᩥ㈹ࠊ2013 ᖺᗘࣟ࣎࢝ࢵ ࣉࣄ࣮࣐ࣗࣀࢻ࣮ࣜࢢࢲࣝࢺࢧࢬඃࠊ࣋ࢫࢺࣄ࣮࣐ࣗࣀࢻ㈹ࢆࡑࢀࡒࢀཷ㈹ࠋ ᑓ㛛 ㄆ▱Ⓨ㐩ࣟ࣎ࢸࢡࢫ 9 0HPR 10 ࢩ࣏ࣥࢪ࣒࢘ 㸦Ꮫ⾡⏬㸧 11 ➨ 55 ᅇᏛ⾡ Ꮫ⾡⏬ ࢩ࣏ࣥࢪ࣒࢘ ṑᏛᕤᏛࡢ᪂ࡓ࡞ฟ࠸ 㹼ࣟ࣎ࢸࢡࢫࡽᏛࡧࠊඹ ࡍࡿࠊṑ⛉ࡢࣈࣞࢡࢫ࣮ࣝ㹼 ࠙⏬㊃᪨ࠚ ᪥ᮏ㢡ཱྀ⭍ᶵ⬟Ꮫࡢ┠ⓗࡣࠊ㢡ཱྀ⭍ࡢㅖᶵ⬟ࡢ┿⌮ࢆ᥈✲ࡍࡿࡇ࠶ࡾࠊࡇࢀࡲ࡛ ᵝࠎ࡞◊✲ࡀ࡞ࡉࢀ࡚ࡁࡓࠋࡑࢀࡣ๓㌟࡛࠶ࡿ᪥ᮏ ME Ꮫᑓ㛛ู◊✲➃ࢆⓎࡋࠊME ᶵჾࡢ㛤Ⓨࡸࡑࡇࡽᚓࡽࢀࡿ⏕⌮Ꮫⓗ⏕Ꮫⓗሗ࠶ࡿ࠸ࡣ⒪ຠᯝ࡞ᕤᏛⓗ▱㆑ࡸ ᢏ⾡࡞ࡋ࡛ࡣ⾜࠺ࡇࡢ࡛ࡁ࡞࠸◊✲ࡀከࡃ࠶ࡗࡓࠋࡑࡋ࡚ࠊࡑࡢ⢭⚄ࡣ⣙ 30 ᖺ⤒ࡗࡓ⌧ ᅾࡶᘬࡁ⥅ࡀࢀ࡚࠾ࡾࠊME ᶵჾࡢ⢭ᗘࡸ⡆౽ᛶࡢ㏣ồࡸࡼࡾ⮫ᗋⓗ࡞ࢹ࣮ࢱ㞟ࡀ⾜ࢃ ࢀࠊ᪥ᖖࡢṑ⛉⮫ᗋᙺ❧࡚ࡽࢀ࡚࠸ࡿࠋࡋࡋࠊ㏆ᖺࠊᕤᏛศ㔝ࡢ㐃ᦠࡀᑡࡋࡎࡘᕼⷧ ࡞ࡾࠊṑ⛉ࡀ༢⊂ࡋࠊ᪂ࡓ࡞ᢏ⾡ᒎ㛤ࢆ⾜࠺ࡣ㢌ᡴࡕࡢ≧ែ࡞ࡗ࡚ࡁ࡚࠸ࡿឤࡌ ࡿࡢࡣ⚾ࡔࡅ࡛࠶ࢁ࠺㸽ࡲࡓࠊ᪂ࡋ࠸◊✲ࢹࡣ࠶ࡿࡀࠊࡑࡢᕤᏛⓗᢏ⾡ࡸ▱㆑ࡀ࡞ ࠸ࡓࡵࠊࡑࡢ◊✲ࡀ㐙⾜࡛ࡁ࡞࠸ⱝᡭ◊✲⪅ࡶᑡ࡞ࡃ࡞࠸ࡢ࡛ࡣ࡞࠸ࡔࢁ࠺㸽ࡇࢀࡣࠊ ➨ 53 ᅇᏛ⾡࡚ࢥ࣮ࢹࢿ࣮ࢱ࣮ࡢబࠎᮌඛ⏕ࡀ⯉㐠ືࡢࣃࢱ࣮ࣥㄆ㆑࠸࠺ᡃࠎࡢ ศ㔝࡛ࡣࡃ᪂ࡋ࠸◊✲ྛ◊✲⪅ࡀ⯆ࢆចࢀࠊ᭱ඃ⚽㈹ࢆཷ㈹ࡉࢀࡓࡇࡽࡶឤ ࡌࡽࢀࡿࠋࡑࡇ࡛ࠊᢏ⾡㠉᪂ࡢ┠ぬࡲࡋ࠸ᕤᏛศ㔝ࡢඛ⏕᪉᪂ࡓ࡞㢼ࢆ྿ࡁ㎸ࢇ࡛㡬ࡃࡇ ࡼࡗ࡚ࠊࡶ࠺୍ᗘⱝᡭඹࠎᏛࡋ࡚ࡢึᚰ❧ࡕ㏉ࡾࠊṑᏛᕤᏛศ㔝ࡢ㐃ᦠࡀᙉ ࡛ࡁࢀࡤࠊṑᏛᕤᏛ᪉ࡢࣈࣞࢡࢫ࣮ࣝ⧅ࡀࡿࡢ࡛ࡣ࡞࠸ᮇᚅࡋ࡚ࡸࡲ࡞࠸ࠋᮏ ࢩ࣏ࣥࢪ࣒࢘ࢆࡁࡗࡅࠊ୧ศ㔝ࡀⓎᒎࡋࠊࡼࡾ୍ᒙᅜẸࡢᗣᐤ࡛ࡁࡿࡇࢆ㢪ࡗ ࡚࠸ࡿࠋ ᮏࢩ࣏ࣥࢪ࣒࡛࢘ࡣࠊⱝᡭ◊✲⪅ࡋ࡚ࣟ࣎ࢸࢡࢫศ㔝ࢆ≌ᘬࡋ࡚࠸ࡿᏳ⸨ඛ⏕ࠊ ࡑࡢ୍➃࡛࠶ࡿ⌧ᅾṑ⛉࡛ࡣ⏝࠸ࡽࢀ࡚࠾ࡽࡎࠊᩒ࠼୍࡚ぢṑ⛉ࡣ㛵㐃ᛶࡀ࡞࠸ࡼ࠺࡞ ᢏ⾡ࢆ⤂ࡋ࡚㡬ࡃࠋࡑࡋ࡚ࠊṑ⛉ࡋ࡚ࡢࡼ࠺㛵ࢃࡿࡇࡀ࡛ࡁࡿ⇕ࡃࢹࢫ࢝ࢵ ࢩࣙࣥࢆ⾜࠸ࠊཧຍ⪅ࡢⓙᵝࡀᕤᏛศ㔝ࡢ᭦࡞ࡿ⯆ࢆᣢࡕࠊࡑࡢ⤖ᯝࡋ࡚ᕤᏛศ㔝 ࡧᐦ᥋㛵ࢃࡿⰋ࠸ᶵ࡞ࢀࡤ⪃࠼࡚࠸ࡿࠋ ᩥ㈐ 㕥ᮌ ၿ㈗ 㸦ᚨᓥᏛ㸧 12 ࠙ㅮ₇ࠚ ࠗ་ᕤ㐃ᦠࡼࡿᐇ㊶ⓗ་⒪⚟♴ࣟ࣎ࢵࢺࡢ㛤Ⓨ࠘ ㅮᖌ Ᏻ⸨ 㸦᪩✄⏣Ꮫ㸧 ࠙ᴫせࠚ ୡ⏺ⓗ㉸㧗㱋ࡀ㐍ࡴ୰࡛ࠊ་⒪⚟♴ศ㔝࡛ά㌍ࡀ࡛ࡁࡿࣟ࣎ࢵࢺ࠾ࡼࡧࣟ࣎ࢵࢺᢏ ⾡ࡢ㛤Ⓨࡀᮃࡲࢀ࡚࠸ࡿࠋᮏㅮ₇࡛ࡣࠊㅮ₇⪅ࡀ⮬ࡽ㛤Ⓨᦠࢃࡗ࡚ࡁࡓලయⓗ࡞㸱ࡘࡢࣟ ࣎ࢵࢺࢩࢫࢸ࣒ࢆ⤂ࡋ࡞ࡀࡽࠊ་ᕤ㐃ᦠࡸࣟ࣎ࢵࢺᢏ⾡ࡼࡾࡢࡼ࠺࡞ࡇࡀྍ⬟ ࡞ࡗ࡚ࡁ࡚࠸ࡿࡢࡘ࠸࡚㏙ࡿࠋ ➨୍㒊 ᡓᢚไࡢࡓࡵࡢ╔ᆺࣟ࣎ࢵࢺ ㌟యࡢ୍㒊㝶ពࡢ㟈࠼ࡀ⏕ࡌࡿᮏែᛶᡓࡣࠊ 65 ṓ௨ୖ࡛ࡣ 5%ࡢྜ࡛ࡳࡽࢀࡿࠋ 㛵⠇ࢆᣊ᮰ࡍࡿලࢆ⏝࠸࡚ᡓࢆᢚไࡍࡿᡭἲࡣࠊᡭ㤳㛵⠇࠾࠸࡚ࡣ୍㒊⏝ࡍࡿ ᝈ⪅ࡀᏑᅾࡍࡿࡀࠊ⫝㛵⠇ࡀᣊ᮰ࡉࢀࡓሙྜࡣ᪥ᖖ⏕άືసࡢ㜼ᐖࡀⴭࡋ࠸ࡓࡵࠊ⫝ࡢ ఙᒅࡶࡋࡃࡣ๓⭎ࡢᅇෆእ࠾࠸࡚ᡓࡀࡳࡽࢀࡿᝈ⪅ࡀ⫝ලࢆ⏝ࡍࡿࡇࡣ࡞࠸ࠋ ࡑࡢࡓࡵࠊᡓࢆᢚไࡍࡿᛶ⬟ࢆᣢࡕࡘࡘࡶࠊ╔⪅ࡀពᅗࡍࡿ⫝㛵⠇ゅᗘࡢኚ㏣ ᚑࡋࠊືసᨭࢆ⾜࠼ࡿࣟ࣎ࢵࢺ⫝ලࢆ㛤Ⓨࡋ࡚࠸ࡿࠋලయⓗࡣࠊᮏែᛶᡓᝈ⪅ࡢ ୖ⫥ືసࢆᑐ㇟ࡋ࡚ࠊ⾲㠃➽㟁ಙྕࡽᡓሗᡂศࢆศ㞳ࡋࠊ⏝⪅ࡢពᅗࡍࡿጼ ໃࢆ᥎ᐃࡍࡿࡇ࡛ࠊពᅗࡍࡿືసࡢࡳࢆᨭࡍࡿࣟ࣎ࢵࢺࢆ㛤Ⓨࡋࡓࠋ ➨㒊 ࡀࢇ㦵㌿⛣ᝈ⪅⏝ࡢ╔ᆺᐷ㏉ࡾᨭࣟ࣎ࢵࢺ 㦵ࡀࢇࡀ㌿⛣ࡋࡓᝈ⪅ࡗ࡚ࠊᐷ㏉ࡾ⬨᳝࡞㉳ࡁࡿ③ࡳࡣኚⱞ③࡛ࠊQOL ࢆ⥔ᣢࡍࡿ࠺࠼࡛ㄢ㢟ࡔࡗࡓࠋᚑ᮶ࡢ◳ᛶࢥࣝࢭࢵࢺࡣࠊᐷ㏉ࡾࡢ③ࡳࢆᢚ࠼ࡿ௦ࢃࡾ 㛗㛫ࠊᝈ⪅ࢆ⥾ࡵࡅࡿⱞ③ࡀ࠶ࡿࠋᮏ◊✲࡛ࡣࠊ㏻ᖖࡣ㌾ࡽ࠸╔ࡀᐷ㏉ࡾືస ࡢࡳ◳ࡃ࡞ࡿࡇ࡛ࠊ࢞ࣥᝈ⪅ࡢᐷ㏉ࡾࡢ③ࡳࢆࡽࡆࡿࢥࣝࢭࢵࢺࢆ㛤Ⓨࡋࡓࠋ ᐷ㏉ࡾࢆᡴࡘࢱ࣑ࣥࢢࢆయᖿࡢ➽㟁ಙྕࡽ⊂⮬㛤Ⓨࡋࡓࢽ࣮ࣗࣛࣝࢿࢵࢺ࣮࣡ ࢡࡼࡾ᳨ฟࡋࠊࡑࢀࢆࡶయᖿ㓄⨨ࡉࢀࡓ✵Ẽᅽࢡࢳ࢚࣮ࣗࢱࢆ⦰ࡉࡏ࡚ࠊ ③ࡳࡢཎᅉ࡞ࡿ㌟యࡢࢀࢆᢚ࠼ࡿࠋ ➨୕㒊 どぬ㞀ᐖ⪅ࡢຊぬࢼࣅࢤ࣮ࢩࣙࣥࣥࢱࣇ࢙࣮ࢫ どぬ㞀ᐖ⪅ࡣึࡵ࡚ࡢሙᡤ⾜ࡃࡁ⤒㊰ࡀศࡽࡎᅔࡿࡇࡀከ࠸ࠊᮏ◊✲࡛ࡣࠊ ࡲࡿ᮫࡛⮬㌟ࡀどぬ㞀ᐖ⪅ࢆᘬࡗᙇࡿࡼ࠺࡞ឤぬ࡛⾜ࡁඛㄏᑟ࡛ࡁࡿ᮫ᆺࡢ⨨ࢆ㛤 Ⓨࡋࡓࠋ᮫ෆ㒊ࡢ࣮ࣔࢱ࡛㔜ࡾࢆᅇ㌿ࡋࠊᑟࡃ᪉ྥࡢࡁ㏿ࡃ㔜ࡾࢆᅇ㌿ࡍࡿࡇ࡛ࠊ ᘬࡗᙇࡽࢀࡿࡼ࠺࡞ឤࡌࢆᥦ♧ࡍࡿࡇࡀ࡛ࡁࡿࠋឤぬࢆ࣮ࣘࢨ࣮ᥦ♧ࡍࡿࣁࣉࢸ ࢵࢡ㸦ຊぬ㸧ࢹࣂࢫࡢ୍✀࡛ࠊどぬ㞀ᐖ⪅ࡣࠊࡀࡾ࡞ᶵჾࡸ࢞ࢻᙺ࡞࡞ࡋṌ ⾜ࡍࡿࡇࡀ࡛ࡁࠊ⢭⚄ⓗ࡞㈇ᢸࡀ㍍ῶࡉࢀࡿࠋ ୖグࡢࡼ࠺࡞ࢆࡶࠊ㢡ཱྀ⭍ᶵ⬟Ꮫࡢศ㔝࡛ࣟ࣎ࢵࢺᢏ⾡ࢆά⏝ࡍࡿࡇ࡛ࠊࡢ ࡼ࠺࡞ࡇࡀྍ⬟࡞ࡿྍ⬟ᛶࡀ࠶ࡿࡢࡘ࠸࡚㆟ㄽࡍࡿሙࡋࡓ࠸ࠋ 13 Ᏻ⸨ 㸦࠶ࢇ࠺ ࡓࡅࡋ㸧 ᪩✄⏣Ꮫ ⥲ྜ⌮ᕤᏛ◊✲ᡤ ᐈဨㅮᖌ 2006 ᖺ ᪩✄⏣Ꮫ⌮ᕤᏛ㒊ᶵᲔᕤᏛ⛉༞ᴗ 2008 ᖺ ᪩✄⏣Ꮫ⌮ᕤᏛ◊✲⛉⏕⌮ᕤᏛᑓᨷಟ 2011 ᖺ ᪩✄⏣Ꮫඛ㐍⌮ᕤᏛ◊✲⛉⏕⌮ᕤᏛᑓᨷಟ ༤ኈ㸦ᕤᏛ㸧 2008 ᖺ㹼2011 ᖺ ᪩✄⏣Ꮫ⌮ᕤᏛ⾡㝔 ◊✲ຓᡭ 2011 ᖺ 㜰Ꮫ་Ꮫ⣔◊✲⛉ ≉௵◊✲ဨ 2011 ᖺ㹼 ࣃࢼࢯࢽࢵࢡᰴᘧ♫㸦2013 ᖺ௵ᢏᖌࠊ2015 ᖺㄢ㛗௦⌮㸧 2011 ᖺ㹼 ᪩✄⏣Ꮫ⥲ྜ⌮ᕤᏛ◊✲ᡤ ᐈဨㅮᖌ 2011 ᖺ㹼 㜰Ꮫ་Ꮫ⣔◊✲⛉ ᣍ⪸◊✲ဨ 2015 ᖺ㹼 ி㒔Ꮫ⏕་⛉Ꮫ◊✲ᡤ ඹྠ◊✲ဨ Ꮫ IEEEࠊ᪥ᮏᶵᲔᏛ㸦་ᕤᏛࢸࢡࣀࣟࢪ࣮᥎㐍㆟ᖿࠊࣟ࣎ࢸࢡࢫ࣭࣓࢝ࢺࣟࢽࢡࢫ 㒊㛛㐠Ⴀጤဨࠊᰯ㜀ጤဨ࡞㸧 ࠊ᪥ᮏࣟ࣎ࢵࢺᏛ㸦ホ㆟ဨࠊḟୡ௦ᵓศ⛉ጤဨࠊㄅ ⦅㞟ጤဨጤဨ࡞㸧࡞ࠋ ཷ㈹ IEEE EMBS Japan Young Investigators Competition for EMBS2008 First Prizeࠊ2008 IEEE Robotics and Automation Society Japan Chapter Young Awardࠊ᪥ᮏᶵᏛ ࣟ ࣎ࢸࢡࢫ࣭࣓࢝ࢺࣟࢽࢡࢫ㒊㛛 ROBOMEC ⾲ᙲࠊ➨㸳ᅇࣟ࣎ࢵࢺ㈹ ࣟ࣎ࢵࢺ㈹ 㸦⤒῭⏘ᴗ⮧㈹㸧 ࠊ᪥ᮏᶵᲔᏛዡບ㈹㸦ᢏ⾡㸧 ࠊ᪥ᮏࣟ࣎ࢵࢺᏛ◊✲ዡບ㈹ࠊࣂ࣓࢜ ࢝ࢽࢬ࣒Ꮫዡບ㈹࡞ࠋ ᑓ㛛 ࣟ࣎ࢵࢺᕤᏛࠊ⏕యィ ࠊ་⒪⚟♴ᕤᏛࠊே㛫ᶵᲔ༠ㄪᏛ 14 ࠙㐍⾜ࠚ ࢥ࣮ࢹࢿ࣮ࢱ࣮ బࠎᮌ ㄔ㸦ᒾᡭᏛ㸧 ᚨ⏣ ెႹ㸦㜰Ꮫ㸧 Ᏻ⸨ඛ⏕ࡢᚚ◊✲㛵ࡋ࡚ Q&A ᪉ᘧ࡛㐍⾜ࡋ࡚࠸ࡃࠋࡲࡓྛࢭࢡࢩࣙࣥࡢྜ㛫ࡶ㉁ ᛂ⟅ࡢ㛫ࢆタࡅ࡚࠸ࡿࠋ㝈ࡽࢀࡓ㛫࡛ࡣ࠶ࡿࡀࠊࡢࡼ࠺ṑ⛉ࡋ࡚⏝࠸ࡽࢀࡿࠊ ࠶ࡿ࠸ࡣࡢࡼ࠺࡞ᙧ࡞ࢀࡤࠊṑ⛉ࡋ࡚⏝࠸ࡿࡇࡀ࡛ࡁࡿࡢ࡞ࠊṑ⛉ࡢ㛵㐃ᛶ ࡸⓎᒎᛶࡘ࠸࡚ࠊⱝᡭ◊✲⪅ࢆ୰ᚰᚷ៸࡞࠸ᚚពぢࢆ㡬ࡁࠊṑᏛᕤᏛࡢ㐃ᦠࡢᚲせᛶ ࢆ୍ᗘㄆ㆑ࡋࠊ᪉ࡢศ㔝ࡢⓎᒎ⧅ࡀࡿࡇࢆᮇᚅࡋ࡚࠸ࡿࠋ ⏬࣓ࣥࣂ࣮␎Ṕ బࠎᮌ ㄔ㸦ᒾᡭᏛ㸧 2000 ᖺ ⛅⏣Ꮫ㖔ᒣᏛ㒊ᶵᲔᕤᏛ⛉ ༞ᴗ 2002 ᖺ ⛅⏣ᏛᏛ㝔㖔ᒣᏛ◊✲⛉ᶵᲔᕤᏛᑓᨷ ಟ 2005 ᖺ ⛅⏣ᏛᏛ㝔ᕤᏛ㈨※Ꮫ◊✲⛉⏕⏘࣭ᘓタᕤᏛᑓᨷ ಟ㸪༤ኈ㸦ᕤᏛ㸧 2005 ᖺ బ㈡ᏛᏛ㝔ᕤᏛ⣔◊✲⛉⏕యᶵ⬟ࢩࢫࢸ࣒ไᚚᕤᏛᑓᨷࣥࢱ࣮ࣇ࢙ࢫᶵ ⬟ᕤᏛㅮᗙ ຓᡭ 2007 ᖺ బ㈡ᏛᏛ㝔ᕤᏛ⣔◊✲⛉⏕యᶵ⬟ࢩࢫࢸ࣒ไᚚᕤᏛᑓᨷࣥࢱ࣮ࣇ࢙ࢫᶵ ⬟ᕤᏛㅮᗙ ຓᩍ 2008 ᖺ ⊂❧⾜ᨻἲே⌮Ꮫ◊✲ᡤ⬻⛉Ꮫ⥲ྜ◊✲ࢭࣥࢱ࣮㸦⌮◊ BSI-ࢺࣚࢱ㐃ᦠࢭࣥࢱ ࣮㌟యᛶព㆑㐃ᦠࣘࢽࢵࢺ㸧 ◊✲ဨ 2009 ᖺ ᒾᡭᏛᏛ㝔ᕤᏛ◊✲⛉ᶵᲔࢩࢫࢸ࣒ᕤᏛᑓᨷࣂ࣭࢜ࣟ࣎ࢸࢡࢫ㒊㛛 ຓ ᩍ㸦⌧ᅾ㸧 2012 ᖺ Coventry University, Visiting Professor ➨ 53 ᅇཷ㈹ࢸ࣮࣐㸸⯉㦵ୖ➽⩌ࡢ⾲㠃➽㟁ࢆ⏝࠸ࡓ⯉㐠ືࡢ㆑ูࡑࡢྍどἲ 㕥ᮌ ၿ㈗ 㸦ᚨᓥᏛ㸧 2007 ᖺ ᚨᓥᏛṑᏛ㒊 ༞ᴗ 2008 ᖺ ᚨᓥᏛ༞ᚋ⮫ᗋ◊ಟࢭࣥࢱ࣮ ◊ಟ་ ಟ 2012 ᖺ ᚨᓥᏛᏛ㝔ཱྀ⭍⛉Ꮫᩍ⫱㒊ညྜ⟶⌮Ꮫศ㔝 ಟ㸪Ph.D. 2012 ᖺ ᚨᓥᏛ㝔ṑ⛉ ་ဨ 2014 ᖺ ᚨᓥᏛᏛ㝔་ṑ⸆Ꮫ◊✲㒊㢡ᶵ⬟ညྜᘓᏛศ㔝 ຓᩍ㸦⌧ᅾ㸧 2015 ᖺ Faculty of Dental medicine and medicine, University of Montréal, Canada Post-doctoral fellow㸦⌧ᅾ㸧 Traumatology and Surgery, Sacré-Coeur Hospital in Montreal, Canada Visiting Professor㸦⌧ᅾ㸧 ➨ 53 ᅇཷ㈹ࢸ࣮࣐㸸ษṑ㊰╧╀ࣈࣛ࢟ࢩࢬ࣒ࡢศ㢮ࡢ㛵ಀ ᚨ⏣ ెႹ㸦㜰Ꮫ㸧 2011 ᖺ 㮵ඣᓥᏛṑᏛ㒊༞ᴗ 2012 ᖺ 㜰ᏛṑᏛ㒊 ⮫ᗋ◊ಟ ಟ 2015 ᖺ 㜰ᏛᏛ㝔ṑᏛ◊✲⛉㢡ཱྀ⭍ᶵ⬟ᘓᏛㅮᗙ㸦Ꮫ㝔⏕㸧 15 ➨ 53 ᅇཷ㈹ࢸ࣮࣐㸸ࢮ࣮ࣜࡢ≀ᛶࡀࢫࢡ࣮ࢪࣥࢢࡢ⯉ᅽཬࡰࡍᙳ㡪 16 ୍⯡ㅮ₇ 17 ཱྀ₇Ⓨ⾲ 㸯 㧗㢖ᗘࡢ㹐 㹐㹋㹋㸿ࢆ᭷ࡍࡿⱝᖺ⿕㦂⪅ ࠾ࡅࡿ ⏕⌮Ꮫⓗཬࡧᚰ⌮Ꮫⓗ≉ᛶ Physiological and psychological characteristics of young adults with frequent masticatory muscle activity ࠐཎᮌ┿࿃¹㸪㎷㜰ுᏊ¹㸪▼ᇉᑦ୍¹㸪⍞᳃ᓫᘯ¹㸪▮㇂༤ᩥ¹㸪ྜྷ⏣⠜²㸪ຍ⸨㝯ྐ² Shingo Haraki¹, Akiko Tsujisaka¹, Shoichi Ishigaki¹, Takahiro Mizumori¹, Hirofumi Yatani¹, Atsushi Yoshida², Takafumi Kato². 1. 㜰ᏛᏛ㝔ṑᏛ◊✲⛉㢡ཱྀ⭍ᶵ⬟ᘓᏛㅮᗙࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛Ꮫศ㔝 2. 㜰ᏛᏛ㝔ṑᏛ◊✲⛉㧗ḟ⬻ཱྀ⭍ᶵ⬟Ꮫㅮᗙཱྀ⭍ゎ๗Ꮫ➨ᩍᐊ 1. Osaka University Graduate School Of Dentistry, Department Of Fixed Prosthodontics 2. Osaka University Graduate School Of Dentistry, Department Of Oral Anatomy And Neurobiology ϩ㸬᪉ ἲ Ϩ┠ ⓗ ╧╀ࣈࣛ࢟ࢩࢬ࣒㸦6OHHS%UX[LVP㸸௨ୗ 6%㸧 㸬⿕㦂⪅ ࡣ╧╀㛵㐃㐠ື␗ᖖ࡛㸪6% ᝈ⪅࡛ࡣ╧╀୰ࣜ ᮏ◊✲⛉࡛ᐇࡋ࡚࠸ࡿ 36* ࢥ࣮࣍ࢺ◊✲࡛ᐇ ࢬ࣒ᛶᄮ➽㐠ື㸦UK\WKPLFPDVWLFDWRU\PXVFOH DFWLYLW\㸸௨ୗ 500$㸧ࡀ㢖Ⓨࡍࡿࡇࡸ ࡋࡓ ኪࡢ 36* ᳨ᰝཧຍࡋࡓ ྡࡢ࠺ࡕ㸪36* 㸧 㸪500$ デ᩿ࢆ⤊࠼ࡓ ྡࢆᑐ㇟ࡋࡓ㸬ᮏ◊✲ィ⏬ࡣ ࡢⓎ⏕╧╀୰ࡢᚤᑠぬ㓰ࡀ㛵ಀࡍࡿࡇࡀ♧ࡉ 㜰ᏛᏛ㝔ṑᏛ◊✲⛉࣭ṑᏛ㒊ཬࡧṑᏛ㒊㝃ᒓ ࢀ࡚࠸ࡿ 㸧 㝔⌮ᑂᰝጤဨᢎㄆࡉࢀ㸪ࡍ࡚ࡢ⿕㦂⪅ࡽ 㸬6% ࡣṑ⛉㡿ᇦ࠾࠸࡚㸪㢡㛵⠇㸪 ཱྀ⭍㢦㠃③㸪㢌③ࡸ㸪⿵⥛ฎ⨨ࡸࣥࣉࣛࣥࢺ⒪ ᭩㠃ࡼࡿྠពࢆᚓࡓ㸬 ࡛ࡢࢺࣛࣈࣝ㛵ࢃࡿせᅉ⪃࠼ࡽࢀ࡚࠸ࡿ㸬 㸬ၥデ⚊ ⿕㦂⪅ࡣ╧╀᳨ᰝඛ❧ࡗ࡚㸪ࣆࢵࢶࣂ࣮ࢢ╧ 6% ࡘ࠸࡚ࡣࡉࡲࡊࡲ࡞༴㝤ᅉᏊࡀᣲࡆࡽࢀ࡚ 㸧 ࠾ࡾ 㸪≉ 6% ࢫࢺࣞࢫࡢ㛵㐃ࡘ࠸࡚ࡣᗈ ╀㉁ၥ⚊㸦௨ୗ 364,㸧ᅇ⟅ࡉࡏࡓ㸬ࡲࡓ 36* ᳨ ࡃ୍⯡ⓗಙࡌࡽࢀ࡚࠸ࡿ㸬╧╀ࡸࢫࢺࣞࢫ࣭Ᏻ ᰝᙜ᪥㸪╧╀๓㉳ᗋᚋ≧ែ㸫≉ᛶᏳ᳨ᰝ㸦௨ ࡣ┦ᙳ㡪ࡍࡿୖ㸪╧╀ࡢ≧ែࡀᄮ➽ࡢάື ୗ 67$,㸧 6% ࡸᚰ㌟ࡢ≧ែ㛵ࡍࡿၥデ⚊グ㍕ ᛶᙳ㡪ࡍࡿࡀ㸪ࡇࢀࡲ࡛ࡢ 6% ࢫࢺࣞࢫ࣭Ᏻ ࡉࡏࡓ㸬 㛵ࡍࡿ◊✲࡛ࡣ㸪㉁ၥ⚊ࡼࡿホ౯ࡸ㸪⡆᫆ 㸬36* ᳨ᰝ 㜰ᏛᏛ㝔ṑᏛ◊✲⛉ࡢ╧╀᳨ᰝᐊ࠾࠸ ➽㟁ィࢆ⏝࠸ࡓᄮ➽ࡢ ᐃࡀ⾜ࢃࢀ࡚ࡁࡓࡓࡵ㸪 ࡚㸪36* ᳨ᰝࢆ ᬌ⾜ࡋࡓ㸬㏻ᖖࡢ 36* ᳨ᰝࡢࣔ ࢫࢺࣞࢫࡸᏳ 6% ࡢ㛵ಀ㛵ࡍࡿ⏕⌮Ꮫⓗ࡞࢚ ࣅࢹࣥࢫࡣᑡ࡞࠸ 㸧 ࣥࢱ࣮ࢪ࡛ࣗ࠶ࡿ⬻Ἴ㸪ᚰ㟁ᅗ㸪║㟁ᅗ㸪⯉㦵ୖ➽ ࣏ࣜࢯ࣒ࣀࢢࣛࣇ࣮㸦3RO\VRPQRJUDSK\㸸௨ୗ 㟁ᅗ㸪๓⬯㦵➽➽㟁ᅗ㸪࠸ࡧࡁ㡢㸪྾㸪6S2㸪య 36*㸧᳨ᰝࢆ⏝࠸ࡓ◊✲࡛ࡣ㸪ࣅࢹ࢜ࢹ࣮ࢱࢆᇶ ࡢ ᐃຍ࠼㸪୧ഃည➽࣭ഃ㢌➽➽㟁ᅗႃ㢌㐠 ṇ☜ 500$ ࢆᢳฟ࡛ࡁ㸪╧╀㛵㐃ࡍࡿ⏕⌮Ꮫⓗ ືࢆ ᐃࡋྠࣅࢹ࢜ᙳࢆ⾜ࡗࡓ㸬ࡲࡓ╧╀ ㇟ࡢከ㠃ⓗ࡞ゎᯒࡀྍ⬟࡞ࡿ㸬ࡑࡇ࡛ᮏ◊✲࡛ ๓㉳ᗋ┤ᚋၚᾮࢆ᥇ྲྀࡋࡓ㸬 ࡣ㸪୍⯡ⱝᖺᡂே࡛㧗㢖ᗘࡢ 500$ ࢆ᭷ࡍࡿ⩌ࡀ 㸬ࢹ࣮ࢱศᯒ 500$ ࢆ᭷ࡉ࡞࠸⩌ẚ㍑ࡋ࡚㸪╧╀≧ែࡸᚰ⌮≧ 364, 67$, ࢆࡶほⓗ࡞╧╀ࡢ㉁Ᏻ≧ ែᕪࡀ࠶ࡿࡢࢆㄪࡿࡇࢆ┠ⓗࡋࡓ㸬 ែࢆࢫࢥࡋࡓ㸬6% ࡢ⮬ぬ㸪᪤ ཬࡧᣦ㸪㢡 ࡢᛌឤࡸ➽ࡢ⑂ປឤࢆၥデ⚊ࢆࡶࢫࢥ 18 ࡋࡓ㸬36* ࢹ࣮ࢱࡢゎᯒࡣ ኪ┠ࡢ᳨ᰝࢹ࣮ࢱࢆ +LJK500$ ⩌࡛ࡣ /RZ500$ ⩌ࡼࡾప࠸ഴྥࡀ࠶ࡗ ⏝ࡋ㸪⡿ᅜ╧╀Ꮫ㸦$PHULFDQ$FDGHP\RI6OHHS ࡓࡀ᭷ពᕪࡣ࡞ࡗࡓ㸦S 㸧㸬 0HGLFLQH㸸௨ୗ $$60㸧ࡢ࣮ࣝࣝᚑࡗ࡚ 㸧 ௨ୖࡢ⤖ᯝࡽ㸪╧╀୰㧗㢖ᗘࡢ 500$ ࢆ᭷ࡍ 㸪⥲╧ ╀ 㛫 ࡸ ╧ ╀ ẁ 㝵 㸪 ↓ ྾ ప ྾ ᣦ ᩘ 㸦 DSQHD ࡿⱝᖺᡂே࡛ࡣ㸪ᐈほⓗཬࡧほⓗ࡞╧╀ࡢ㉁㸪 K\SRSQHDLQGH[㸸௨ୗ $+,㸧➼ࡢ╧╀ኚᩘࢆ⟬ฟࡋ Ᏻࣞ࣋ࣝ㸪ࢫࢺࣞࢫ㛵㐃ෆศἪᶵ⬟ࡀ㸪500$ ࢆ᭷ ࡓ㸬ࡲࡓ㸪ည➽➽㟁ᅗάື㡢ኌࣅࢹ࢜グ㘓ᇶ࡙ ࡉ࡞࠸⿕㦂⪅ྠ➼࡛࠶ࡾ㸪ࡇࢀࡽࡣ㧗㢖ᗘࡢ ࠸࡚ည➽࣋ࣥࢺࢆࢫࢥࡋࡓ㸬ည➽࣋ࣥࢺࡣ㸪 500$ ࢆⓎ⏕ࡉࡏࡿ┤᥋ⓗ࡞せᅉ࠸࠼࡞࠸ྍ⬟ᛶ 500$ 㸪ࡑࢀ௨እࡢయືࡸཱྀ⭍㢦㠃㡿ᇦࡢㅖ㐠ື ࡀ♧၀ࡉࢀࡓ㸬ᚋࡣ㸪╧╀ࡢ㉁ࡀኚࡍࡿ␗࡞ࡿ క࠺ᄮ➽άື࡛࠶ࡿ QRQVSHFLILF ࡞࣋ࣥࢺ ᖺ௦ࡢ⿕㦂⪅➼ࢆᑐ㇟ࡋࡓ◊✲ࡸ㸪᪥㛫ኚືࢆ⪃ 㸦௨ୗ 1$㸧ศ㢮ࡋࡓ㸬᥇ྲྀࡋࡓၚᾮヨᩱࡣ㸪 ៖ࡋࡓ◊✲ࡀᚲせ⪃࠼ࡽࢀࡿ㸬 (Q]\PH/LQNHG,PPXQR6RUEHQW$VVD\㸦(/,6$㸧ἲ ࢆ⏝࠸࡚ࢥࣝࢳࢰ࣮ࣝ⃰ᗘࢆ᳨ฟ࣭ᐃ㔞ࡋࡓ㸬 ϫ㸬ᩥ ⊩ 㸬⤫ィゎᯒ ᚓࡽࢀࡓኚᩘࡣ㸪FKLVTXDUH᳨ᐃ㸪WZRVDPSOH 1) International classification of sleep disorders (3rd 㹲᳨ᐃ㸪0DQQ:KLWQH\ࡢ 8 ᳨ᐃࢆ㐺ᐅ⏝࠸࡚ ⩌ ed) American Academy of Sleep Medicine, Darien, 㛫࡛ẚ㍑ࡋࡓ㸬᭷ពỈ‽ࢆ S ࡋࡓ㸬 IL (2014) 2) Kato T, Rompré P, Montplaisir JY, Sessle BJ, Ϫ㸬⤖ᯝཬࡧ⪃ᐹ Lavigne GJ. Sleep bruxism: an oromotor activity secondary ゎᯒࡋࡓ ྡࡽ㸪$+,Ӎ ࡛࠶ࡗࡓ ྡࢆ to micro-arousal. J Dent Res. 2001 ;80(10):1940-4. ศᯒࡽ㝖እࡋࡓᚋࡢ ྡࡢ࠺ࡕ㸪㧗㢖ᗘ 500$ 3) Ohayon MM, Li KK, Guilleminault C. Risk facters 㸦500$LQGH[Ӎ㸹+LJK500$㸧ࢆ᭷ࡍࡿ⩌ ྡ for sleep bruxism in the general population. Chest 㸦ዪᛶ ே㸸⏨ᛶ ேࠊᖺ㱋 s ṓ㸪%0, 2001;119:53-61 s.JPt㸪500$LQGH[ s㸧㸪 4) Manfredini D, Lobbezoo F. Role of psychosocial ప㢖ᗘ 500$㸦500$LQGH[㸺㸹/RZ500$㸧ࢆ᭷ࡍ factors in the etiology of bruxism. J Orofac Pain. ࡿ⩌ ྡ㸦ዪᛶ ே㸸⏨ᛶ ே㸪ᖺ㱋 s 2009;23(2):153-66. ṓ㸪%0, s㸪500$LQGH[ s㸧 5) American ࡘ࠸࡚㸪ẚ㍑ࢆ⾜ࡗࡓ㸬 Academy of Sleep Medicine. +LJK500$ ⩌࡛ࡣ㸪/RZ500$ ⩌ẚ㸪ṑࡂࡋࡾ International classification of sleep disorders: ࡢ⮬ぬ࣭᪤ ࢆ᭷ࡍࡿ㢖ᗘࡀ᭷ព㧗ࡗࡓ㸦S diagnostic and coding manual, 2nd ed. Westchester, 㸪S 㸧ࡀ㸪㢡ࡢᛌឤࡸ➽ࡢ⑂ປឤ IL: American Academy of Sleep Medicine; 2007. ࡣ᭷ពᕪࢆㄆࡵ࡞ࡗࡓ㸬364, ࡛ホ౯ࡋࡓほⓗ ࡞╧╀ࡢ㉁ࡸ㸪67$, ࡛ ᐃࡋࡓ╧╀๓ᚋࡢ≉ᛶ Ᏻ㸪≧ែᏳࡶ ⩌㛫࡛ᕪࢆㄆࡵ࡞ࡗࡓ㸬ࡲࡓ㸪 ╧╀๓ᚋࡢၚᾮ୰ࢥࣝࢳࢰ࣮ࣝ⃰ᗘࡶ᭷ពᕪࢆ ㄆࡵ࡞ࡗࡓ㸬 ╧╀ຠ⋡ᚤᑠぬ㓰ᣦᩘ㛵ࡋ࡚㸪+LJK500$ ⩌ ࡛ࡣ㸪/RZ500$ ⩌ẚ㸪᭷ព㧗ࡃ㸦S 㸪 S 㸧 㸪╧╀₯㛵ࡋ࡚ /RZ500$ ⩌࡛ࡣ㸪 +LJK500$ ⩌ẚ㸪᭷ព㧗ࡗࡓ㸦S 㸧 ࡀ㸪ṇᖖ⠊ᅖ࡛࠶ࡗࡓ㸬ࡲࡓ㸪ࡑࡢࡢ╧╀ኚᩘ ᕪࡣ࡞ࡗࡓ㸬╧╀୰ࡢࢢࣛࣥࢹࣥࢢ㡢ࢆక࠺ 500$ ࡢᅇᩘࡣ㸪+LJK500$ ⩌࡛ࡣ㸪/RZ500$ ⩌ ẚ㸪᭷ព㧗ࡗࡓ㸦S㸺㸧 㸬1$LQGH[ ࡣ 19 ཱྀ₇Ⓨ⾲ 㸰 㧗㢖ᗘ 500$ ࢆ᭷ࡍࡿⱝᖺ⿕㦂⪅ ࠾ࡅࡿ ྾࣋ࣥࢺࡢⓎ⌧≉ᛶ $V\PSWRPDWLFUHVSLUDWRU\HYHQWVLQVXEMHFWV ZLWKIUHTXHQW500$HSLVRGHV ۑ㎷㜰ுᏊ 㸧 ཎᮌ┿࿃ 㸧㸪⍞᳃ᓫᘯ 㸧㸪▮㇂༤ᩥ 㸧㸪ྜྷ⏣⠜ 㸧㸪ຍ⸨㝯ྐ 㸧 $NLNR7VXMLVDND6KLQJR+DUDNL㸪7DNDKLUR0L]XPRUL㸪+LURIXPL<DWDQL㸪 $WVXVKL<RVKLGD㸪7DNDIXPL.DWR 㜰ᏛᏛ㝔ṑᏛ◊✲⛉㢡ཱྀ⭍ᶵ⬟ᘓᏛㅮᗙࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛Ꮫᩍᐊ 㸰㸧㜰ᏛᏛ㝔ṑᏛ◊✲⛉㧗ḟ⬻ཱྀ⭍ᶵ⬟Ꮫㅮᗙཱྀ⭍ゎ๗Ꮫ➨ᩍᐊ 㸯㸧'HSDUWPHQWRI)L[HG3URVWKRGRQWLFV*UDGXDWH6FKRRORI'HQWLVWU\2VDND8QLYHUVLW\ 㸰㸧'HSDUWPHQWRI2UDO$QDWRP\DQG1HXURELRORJ\*UDGXDWH6FKRRORI'HQWLVWU\ Ϩ㸬┠ ⓗ ➽ ά ື 㸦 1RQVSHFLILFDFWLYLW\㸪 ௨ ୗ 1$㸧 ࡀ Ⓨ ⏕ ࡍ ࡿ ୍ ᪉ ࡛ 㸪26$6 ᝈ ⪅ ࡛ ࠶ ࡗ ࡚ ࡶ 500$ ࢆ ╧ ╀ ࣈ ࣛ ࢟ ࢩ ࢬ ࣒ 㸦 6OHHS%UX[LVP㸸 ௨ ୗ ⏕ࡌ࡞࠸ᝈ⪅ࡶከࡃᏑᅾࡍࡿ 6%㸧ࡣ ╧ ╀ ୰ ࡢ 㠀 ᶵ ⬟ ⓗ ᄮ ➽ ά ື ࡛ ࠶ ࡾ 㸪ᅜ 㸪 㸬 ࡉ ࡽ 㸪ࡇ ࢀ ࡲ ࡛ ࡢ ◊ ✲ ࡛ ࡣ ╧ ╀ ⮬ య ࡀ ኚ ㄪ 㝿╧╀㛵㐃ᝈศ㢮࡛ࡣ╧╀㛵㐃㐠ື␗ᖖ ࡍ ࡿ ୰ 㧗 ᖺ ⏨ ᛶ ࡢ 26$6 ࢆ ᑐ ㇟ ࡋ ࡚ ࠸ ࡓ ࡾ 㸪 ศ 㢮 ࡉ ࢀ ࡚ ࠸ ࡿ 㸬ࡑ ࡢ Ⓨ ⏕ ⋡ ࡣ ᡂ ே ࡛ ࡣ 㹼 26$6 ࡢ ᆺ ࡀ ΰ ᅾ ࡍ ࡿ ࡇ ࡣ ⪃ ៖ ࡉ ࢀ ࡚ ࠸ ࡞ 㸣 ࡉ ࢀ ୰ 㧗 ᖺ ௨ 㝆 ῶ ᑡ ࡍ ࡿ ࡉ ࢀ ࡚ ࠸ ࠸㸬 ࡿ 㸬 ࡲ ࡓ 㸪 6% ࡢ Ꮡ ᅾ ࡣ ṑ ࡢ ည ⪖ 㸪 ◚ ᢡ ࡸ ⿵ ⥛ ᮏ ◊ ✲ ࡛ ࡣ 㸪 㢖 ᅇ ࡞ 500$ ࢆ ᭷ ࡍ ࡿ ⱝ ᖺ ⿕ 㦂 ⨨ ࡢ ◚ ᦆ 㸪㢡 㛵 ⠇ ③ ࡞ ࡢ ༴ 㝤 ᅉ Ꮚ ࡢ ୍ ࡘ ⪅ ࠾ ࡅ ࡿ ↓ ྾࣭ప ྾ ࣋ ࣥ ࢺ ࢆ ㄆ ࡵ ࡓ ୍ ᣲ ࡆ ࡽ ࢀ ࡿ 㸬 ែ ⏕ ⌮ Ꮫ ⓗ ≉ ᚩ ࡋ ࡚ 㸪ࣜ ࢬ ࣒ ⩌ ࡢ ╧ ╀ ᵓ ⠏ ࡸ ⮫ ᗋ ≧ ࢆ ㄪ 㸪 500$ ↓ ᛶ ᄮ ➽ ά ື 㸦 UK\WKPLFPDVWLFDWRU\PXVFOH ྾ ࣭ ప ྾ ࣋ ࣥ ࢺ ࡢ 㛫 ⓗ 㛵 㐃 ࢆ ㄪ ࡓ 㸬 DFWLYLW\㸸௨ ୗ 500$㸧ࡀ 㢖 Ⓨ ࡍ ࡿ ࡇ 㸪500$ ࡢ Ⓨ ⏕ ࡢ 㝿 㸪୍ 㐣 ᛶ ࡢ ぬ 㓰 ࡀ ඛ ⾜ ࡍ ࡿ ࡇ ࡀ ᫂ ϩ㸬᪉ ἲ ࡽ࡞ࡗ࡚࠸ࡿ㸬 ୍᪉㸪㛢ሰᛶ╧╀↓྾ೃ⩌ 㸬 ⿕ 㦂 ⪅ 㸦 REVWUXFWLYHVOHHSDSQHDV\QGURPH 㸸 ௨ ୗ 26$6㸧 ࡢ Ⓨ ⏕ ⋡ ࡣ 㹼 㸣 ࡛ ୰ 㧗 ᖺ ௨ 㝆 ከ ࠸ ᮏ◊✲⛉࡛ᐇࡋ࡚࠸ࡿ࣏ࣜࢯ࣒ࣀࢢࣛࣇ ᳨ ᰝ 㸦 3RO\VRPQRJUDSK\㸸 ௨ ୗ 36*㸧 ࡢ ࢥ ࣍ ࡉ ࢀ 㸪ࡑ ࡢ ≧ ࡣ 㸪࠸ ࡧ ࡁ 㸪㢖 ᅇ ࡞ ୰ ㏵ ぬ 㓰 㸪 ࣮ ࢺ ◊ ✲ ཧ ຍ ࡋ 㸪 ኪ ࡢ 36* ᳨ ᰝ ࢆ ࡋ ࡓ ᪥ ୰ ഴ ╀ ࡞ ࢆ ♧ ࡍ 㸬ࡇ ࢀ ࡽ ≧ ࡢ ཎ ᅉ ࡣ 㸪╧ ྡ ࡢ ࠺ ࡕ 㸪 ྡ ࢆ ᑐ ㇟ ࡋ ࡓ 㸬 ╀୰Ⓨ⏕ࡍࡿ↓྾ࡸప྾࣋ࣥࢺࡼ 㸬 ᳨ ᰝ ⿕ 㦂 ⪅ ࡢ ほ ⓗ ࡞ ╧ ╀ ≧ ࡘ ࠸ ࡚ 㸪ࣆ ࢵ ࢶ ࡿ㢖ᅇ࡞╧╀ศ᩿࠶ࡿ㸬 ࡇ ࢀ ࡲ ࡛ ࡢ Ꮫ ◊ ✲ ࡸ 26$6 ᝈ ⪅ ࢆ ᑐ ㇟ ࡋ ࣂ࣮ࢢ╧╀㉁ၥ⚊ᨵゞ᪥ᮏㄒ∧ᅇ⟅ࡉࡏࡓ㸬 ࡓ ◊ ✲ ࡛ 㸪6% 26$6 ࡢ ే Ꮡ ࡀ ሗ ࿌ ࡉ ࢀ ࡚ ࠸ ࡿ 6% ࡸ 26$6 㛵 ࡍ ࡿ ⮬ ぬ ࡢ ᭷ ↓ ࡶ ☜ ㄆ ࡋ ࡓ 㸬 㸬 ࡋ ࡋ 㸪 6% 26$6 ࡢ ែ ⏕ ⌮ Ꮫ ⓗ ࡞ 㛵 36* ᳨ ᰝ ࡣ ኪ 㐃 ⥆ ࡛ ⾜ ࠸ 㸪 ኪ ┠ ࡢ ࢹ ࣮ ࢱ 㐃 ࡘ ࠸ ࡚ ࡣ ᫂ ࡞ Ⅼ ࡀ ከ ࠸ 㸬 ࡾ ࢃ ࡅ 500$ ࢆ デ ᩿ ゎ ᯒ ⏝ ࠸ ࡓ 㸬36* ᳨ ᰝ ࡛ ࡣ ⬻ Ἴ 㸪║ ࡣ ᚤ ᑠ ぬ 㓰 ᚋ ㉳ ࡇ ࡾ 㸪↓ ྾࣭ప ྾ ࣋ ࣥ 㟁 ᅗ 㸪⯉ 㦵 ୖ ➽ ➽ 㟁 ᅗ 㸪 ᄮ ➽ ➽ 㟁 ᅗ㸦 ୧ ഃ ည ࢺࡣᚤᑠぬ㓰๓㉳ࡇࡿࡀ 㸪୧ ⪅ ࡢ 㛫 ⓗ 㛵 㐃ᛶࡣᙉᅛ࡞ࡶࡢ࡛ࡣ࡞࠸ࡇࡀ♧ࡉࢀ࡚࠸ ࡿ 㸬 ࡲ ࡓ 㸪 26$6 ᝈ ⪅ ↓ ྾ ࣭ ప ྾ ࣋ ࣥࢺᚋࡢぬ㓰ᛂࡋ࡚ࣜࢬ࣒ࢆ᭷ࡉ࡞࠸ည ➽ 㸪 ഃ 㢌 ➽ 㸧㸪 ๓ ⬯ 㦵 ➽ ➽ 㟁 ᅗ 㸪 ࠸ ࡧ ࡁ 㡢 㸪 ྾ 㸪6S2㸪ᚰ 㟁 ᅗ 㸪య ࢆ ᐃ ࡋ 㸪ྠ ࣅ ࢹ ࢜ᙳࢆ⾜ࡗࡓ㸬 㸬 ࢫ ࢥ ࣜ ࣥ ࢢ 20 ྛ ╧ ╀ ẁ 㝵㸦 :DNH㸪6WDJH1㸪1㸪1㸪5(0㸧 㦂 ⪅ ⩌ ࡛ ࡣ 㸪 500$ ྾ ࣋ ࣥ ࢺ ࡀ ែ ⏕ ⌮ ࡢ ༨ ᭷ ⋡ 㸪 PLFURDURXVDO㸪 DZDNHQLQJ ࡢ Ⓨ ⏕ Ꮫⓗ࡞ᅉᏊࢆඹ᭷ࡍࡿྍ⬟ᛶࡣᑡ࡞࠸⪃࠼ 㢖 ᗘ ࢆ ⟬ ฟ ࡋ ࡓ 㸬ࡲ ࡓ 㸪 ᄮ ➽ ά ື ࢚ ࣆ ࢯ ࣮ ࢻ ࡽࢀࡿ㸬 ࡛ ࡣ 㸪 ည ➽ ά ື ࣅ ࢹ ࢜ ࢆ ᇶ 500$ ࡑ ࢀ ௨ እ ࡢ 1$ ࢚ ࣆ ࢯ ࣮ ࢻ ࢆ ࢫ ࢥ ᚋ 㸪 ࡑ ࢀ ࡒ ࢀ ࡢ Ⓨ Ϭ㸬ᩥ ⊩ ⏕ 㢖 ᗘ ࢆ ⟬ ฟ ࡋ ࡓ 㸬↓ ྾࣭ప ྾ ࣋ ࣥ ࢺ ࡣ ㏻ ἲ ᚑ ࠸ ࢫ ࢥ ࡋ 㸪 ࡑ ࡢ Ⓨ ⏕ 㢖 ᗘ 㸦 DSQHD 1㸧 Ohayon MM, Li KK, Guilleminault C. Risk K\SRSQHDLQGH[㸸 ௨ ୗ $+,㸧 ࢆ ⟬ ฟ ࡋ ࡓ 㸬 ࡉ ࡽ factors for sleep bruxism in the general 500$㸪1$ ࡢ ๓ ᚋ ⛊ 㛫 ↓ ྾࣭ప ྾ population. Chest 2001;119:53-61. ࣋ࣥࢺࡀⓎ⏕ࡍࡿ㢖ᗘࡶồࡵࡓ㸬 2㸧 Kato T, Mikami A, Sugita H, et al. Negative ⤫ ィ ฎ ⌮ association between self -reported jaw ᳨ ᐃ ࡣ )LVKHU ᳨ ᐃ 㸪0DQQ:KLWQH\ ࡢ 8 ᳨ symptoms and apnea-hypopnea index in ᐃ 㸪 :LOFR[RQ ࡢ 㡰 ᳨ ᐃ ࢆ ⾜ ࠸ 㸪 ᭷ ព Ỉ ‽ patients with of obstructive sleep syndro me: a ࡣ S㸻 ࡋ ࡓ 㸬 pilot study. Sleep Breath 2013;17:373-9. 3㸧 Hosoya H, Kitaura H, Hashimoto T, et al. Ϫ㸬⤖ᯝ࠾ࡼࡧ⪃ᐹ Relationship between sleep bruxism and sleep respiratory events in patients in patients with ⿕ 㦂 ⪅ ྡ 㸦 500$,QGH[㸸 s ᅇ 㸧 ࡢ obstructive sleep apnea syndrome. Sleep ࠺ ࡕ $+, ࡀ ௨ ୖ ࡢ ⿕ 㦂 ⪅ 㸦 ௨ ୗ 6%㸩 26$ ⩌ 㸧 ࡣ ே㸦 ⏨ ᛶ 㸸ዪ ᛶ 㸪ᖹ ᆒ ᖺ 㱋㸸s Breath 2014;18:837-844. 4㸧 Kato T. Sleep bruxism and its relation to ṓ 㸪 %0,㸸 sNJP 㸪 $+,㸸 s obstructive sleep apnea–hypopnea syndrome. ᅇ 㛫 㸧㸪$+, ࡀ ᮍ ‶ ࡢ ⿕ 㦂 ⪅㸦 ௨ ୗ 6% ⩌ 㸧 Sleep and Biol Rhythms 2004;1:1-15. ࡣ ே㸦 ⏨ ᛶ 㸸ዪ ᛶ 㸪ᖹ ᆒ ᖺ 㱋㸸s 5㸧 Saito M, Yamaguchi T, Mikami S, et al. ṓ 㸪%0,㸸 sNJP 㸪$+,㸸 s ᅇ Temporal association between sleep 㛫 㸧࡛ 㸪 ⩌ ࡢ 500$,QGH[ ᕪ ࡣ ࡞ ࡃ 㸪$+, apnea-hypopnea and sleep bruxism events. ࡣ 6%㸩 26$ ⩌ ࡢ ᪉ ࡀ 6% ⩌ ࡼ ࡾ ࡶ ᭷ ព 㧗 ࡗ Sleep Res 2014;23:196-203. ࡓ㸦 S㸺 㸧㸬ࡑ ࡢ ࡢ ╧ ╀ ኚ ᩘ ࡣ ᕪ ࢆ ㄆ ࡵ 6㸧 Kato T, Katase T, Yamashita S, et al. ࡞ ࡗ ࡓ 㸬 ࡲ ࡓ 364,㸪 (66 ࡢ ࢫ ࢥ 㸪 26$6 ⮬ Responsiveness of jaw motor activation to ぬ≧ࡢ᭷↓ࡘ࠸࡚ࡶ୧⩌᭷ពᕪࡣࡳࡽ arousals during sleep in patients with ࢀ࡞ࡗࡓ㸬 obstructive sleep apnea syndrome. J Clin 500$ ࡸ 1$ ྾ ࣋ ࣥ ࢺ ࡢ 㛫 ⓗ 㛵 㐃 Sleep Med 2013;9(8):759-65. ࡣ ୧ ⩌ ᕪ ࡀ ࠶ ࡗ ࡓ 㸬6%㸩 26$ ⩌ ࡛ ࡣ 㸪 ྾ ࣋ ࣥ ࢺ ᚋ ⛊ ௨ ෆ 500$ ࡢ 㸣 㸪 1$ ࡢ 㸣 ࡀ ⏕ ࡌ ࡓ 㸬ࡲ ࡓ 㸪500$ ࡸ 1$ ࡢ Ⓨ ⏕ ᚋ ⛊ ௨ ෆ ྾ ࣋ ࣥ ࢺ ࡀ ㄆ ࡵ ࡽ ࢀ ࡓ ࡢ ࡣ 㸪500$ ࡢ 㸣 㸪1$ ࡢ 㸣 ࡛ ࠶ ࡗ ࡓ 㸬ࡇ ࢀ ᑐ ࡋ 㸪 6% ⩌ ࡛ ࡣ ྾ ࣋ ࣥ ࢺ ᚋ 500$ ࡸ 1$ ࡀ ⏕ ࡌ ࡿ ྜ ࡣ 㸣 ௨ ୗ 㸪 500$ ࡸ 1$ ᚋ ྾ ࣋ ࣥ ࢺ ࢆ ㄆ ࡵ ࡓ ࡢ ࡣ 㸣 ௨ ୗ ࡛ ࠶ ࡗ ࡓ 㸬 ௨ ୖ ࡢ ⤖ ᯝ ࡽ 㸪 ↓ ≧ ࡛ ㍍ ᗘ 26$6 ࣞ ࣋ ࣝࡢ྾࣋ࣥࢺࢆ᭷ࡍࡿⱝᖺ⿕㦂⪅࡛ࡣ㸪 500$ ྾ ࣋ ࣥ ࢺ ࡀ 㛫 ⓗ ㏆ ᥋ ࡋ ࡚ ⏕ ࡌ ࡿ ࡇ ࡀ ࠶ ࡿ ⪃ ࠼ ࡽ ࢀ ࡿ 㸬ࡋ ࡋ 㸪 ᅇ ࡢ ⿕ 21 J ཱྀ₇Ⓨ⾲ 㸱 ᐇ㦂ື≀࠾ࡼࡧࣄࢺࡢࣀ࣒ࣥࣞ╧╀࡛Ⓨ⏕ࡍࡿࣜࢬ࣒ᛶᄮ➽άື ࡢ⏕⌮Ꮫⓗ㢮ఝᛶ Repetitive jaw muscle activation during NREM sleep in humans and animals ۑຍ⸨㝯ྐ 1,3㸪㇏⏣⌮⣪ 4㸪ᮾᒣு 1,2㸪ཎᮌ┿࿃ 2㸪▮㇂༤ᩥ 2㸪బ⸨ᩥᙪ 1㸪ྜྷ⏣⠜ 1 ۑTakafumi Kato1,3, Risa Toyota4, Makoto Higashiyama1,2, Shingo Haraki2, Hirofumi Yatani2, Fumihiko Sato1, Atsushi Yoshida1 㜰ᏛᏛ㝔ṑᏛ◊✲⛉ཱྀ⭍ゎ๗Ꮫ➨ᩍᐊ 㜰ᏛᏛ㝔ṑᏛ◊✲⛉ࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛Ꮫᩍᐊ 3 㜰Ꮫ་Ꮫ㒊㝃ᒓ㝔╧╀་⒪ࢭࣥࢱ࣮ 4 㜰ᏛṑᏛ㒊 Osaka University Graduate School of Dentistry 1Departments of Oral Anatomy and Neurobiology, 2 Departments of Fixed Prosthodontics, 3 Osaka University Hospital Sleep Medicine Center, 4 School of Dentistry 1 2 Ϩ. ┠ⓗ ╧╀ࣈࣛ࢟ࢩࢬ࣒ࡣ㸪ᮏ㑥࡛ࡣᡂேࡢ⣙ 㸣 ࡛ Ⓨ ⏕ ࡍ ࡿ ẚ ㍑ ⓗ Ⓨ ⏕ 㢖 ᗘ ࡢ 㧗 ࠸ ╧ ╀ 㛵 㐃 㐠 ື ␗ ᖖ ࡛ ࠶ ࡿ 㸬ṑ ࡂ ࡋ ࡾ ࢆ ᚩ ࡍ ࡿ ᝈ ⪅ ࡛ ࡣ 㸪ࣀ ࣥ ࣞ ࣒ ╧ ╀ ୰ ࣜ ࢬ ࣒ ᛶ ᄮ ➽ ά ື㸦 500$㸧ࡀ 㢖 ⦾ ほ ᐹ ࡉ ࢀ ࡿ 㸬ࣄ ࢺ ࡢ ╧ ╀ ◊ ✲ ࡽ 㸪 500$ ࡢ Ⓨ ⏕ ࡣ 㸪 ୍ ⓗ ࡞ ⬻ Ἴ ά ື ࡸᚰᢿᩘࡢኚࢆ≉ᚩࡍࡿ୍㐣ᛶࡢぬ㓰ࡀ 㔜 せ ࡛ ࠶ ࡿ ࡇ ࡀ ♧ ࡉ ࢀ ࡓ 㸧㸬ࡋ ࡋ 㸪୍ 㐣 ᛶ ࡢぬ㓰ࡣ╧╀୰㌟యࡢ㦵᱁➽ࢆάືࡉࡏࡿ ⏕ ⌮ ⓗ ᮲ ௳ ࡛ ࠶ ࡾ 㸪 500$ Ⓨ ⏕ ࡢ ≉ ␗ ⓗ ࡞ ᮲ ௳ ࡛ ࡞ ࠸ ࡇ ࡀ ♧ ၀ ࡉ ࢀ ࡚ ࠸ ࡿ 㸧㸬 ࡲ ࡓ 㸪 500$ ࡢⓎ⏕ᶵᵓࡣᄮࡣ␗࡞ࡿ⚄⤒⥙ࡢ㛵 ࡀ ᐃ ࡉ ࢀ ࡿ 㸧㸬ࡋ ࡋ 㸪ࣄ ࢺ ࠾ ࡅ ࡿ ◊ ✲ ࡛ ࡣ 500$ 㛵 㐃 ࡍ ࡿ ⏕ ⌮ ⓗ ⌧ ㇟ ࢆ ほ ᐹ ࡍ ࡿ ࡇ ࡋ ࡛ ࡁ ࡞ ࠸ ࡓ ࡵ 㸪 500$ Ⓨ ⏕ ࡢ ⚄ ⤒ ᶵ ᵓ ࢆ ᫂ ࡽ ࡍ ࡿ ࡢ ࡣ 㞴 ࡋ ࠸ 㸬 ື ≀ ࡢ ╧ ╀ ◊ ✲ ࠾ ࠸ ࡚ ࡣ 㸪╧ ╀ ୰ ࡢ 㛤 㛢 ཱྀ ➽ ά ື 㔞 ࡸ ά ື ኚ ື ࡀ ୍ ㈏ ࡋ ࡞ ࠸ ࡇ 㸪ࣀ ࣥ ࣞ ࣒ ╧ ╀ ࡢ ᄮ ➽ ά ື ࡢ ቑ ῶ ࡣ 㸪╧ ╀ ῝ ᗘ ࡢ ኚ ࡸ ᚰ ᢿ ᩘ ࡢ ቑ ຍ ࡀ 㛵 㐃 ࡋ ࡚ ࠾ ࡾ 㸧㸪ࣀ ࣥ ࣞ ࣒ ╧╀୰ࡢ➽άືࣞ࣋ࣝࡀ⮬ᚊ⚄⤒άືࡢᙳ㡪 ࢆ ཷ ࡅ ࡿ ྍ ⬟ ᛶ ࡀ ♧ ၀ ࡉ ࢀ ࡚ ࠸ ࡿ 㸬㏆ ᖺ 㸪ࣀ ࣒ࣥࣞ╧╀࡛Ⓨ⏕ࡍࡿᄮ➽ࣂ࣮ࢫࢺࡢ୍㒊 㸪 ᛶ ࡢ ά ື ࣃ ࢱ ࣮ ࣥ ♧ ࡍ ࢆ ㄆ ࡵ ࡓ 㸧㸬 ᛶ㢡㐠ືࡢ㐠ືᵝᘧࡣ㥑ືࡉࢀࡿ୰ᯡ⚄ ⤒ ࡢ 㒊 㸪ࡑ ࡢ 㒊 ࡀ ᢞ ᑕ ࡍ ࡿ ⚄ ⤒ ⥙ ࡼ ࡗ ࡚ ␗ ࡞ ࡿ ࡀ 㸪ᐇ 㦂 ື ≀ ࡢ ╧ ╀ ୰ ࡢ ᛶ ᄮ ➽άືࡢ➽㟁ᅗᏛⓗ࡞≉ᛶࡶࡼࡃࢃࡗ࡚࠸ ࡞࠸㸬 ࡑ ࡇ ࡛ ᮏ ◊ ✲ ࡛ ࡣ 㸪╧ ╀ ࣈ ࣛ ࢟ ࢩ ࢬ ࣒ ࡢ ⚄ ⤒ᶵᵓゎ᫂᭷⏝࡞ᐇ㦂ࣔࢹࣝࡢྍ⬟ᛶࢆ᳨ ド ࡍ ࡿ ࡓ ࡵ 㸪ᐇ 㦂 ື ≀ ࠾ ࡅ ࡿ ᛶ ᄮ ➽ ά ື ࣄ ࢺ ࡢ ╧ ╀ ୰ Ⓨ ⏕ ࡍ ࡿ 500$ ࡢ 㢮 ఝ ᛶ ࢆ᫂ࡽࡍࡿࡇࢆ┠ⓗࡋࡓ㸬 ϩ㸬᪉ἲ ᐇ 㦂 ື ≀ ࡢ ╧ ╀ ᐇ 㦂 ᐇ 㦂 ࡣ ༉ ࡢ 㞝 ᛶ ࣔ ࣝ ࣔ ࢵ ࢺ㸦 J㸧 ࢆ ⏝ ࠸ ࡓ 㸬 ㌟ 㯞 㓉 ୗ ࡛ 㸪⬻ Ἴ࣭║ 㟁 ᅗ グ 㘓 ⏝ ࣅ ࢫ 㟁 ᴟ ࢆ 㢌 㦵 㸪➽ 㟁 ᅗ グ 㘓 ⏝ ࡢ ࣡ ࣖ ࣮ 㟁 ᴟ ࢆ ည ➽ 㢁 ➽ 㸪ᚰ 㟁 ᅗ グ 㘓 ࣡ ࣖ ࣮ 㟁 ᴟ ࢆ ᕥ ഃ ⬚ 㒌 ࢿ ࢪ 㟁 ᴟ ࢆ 㢌 㦵 㸪ࡑ ࢀ ࡒ ࢀ タ ⨨ ࡋ ࡓ 㸬ᡭ ⾡ ᚋ 㸪グ 㘓 ⎔ ቃ ࡛ ࡢ 㥆 ࢺ ࣞ ࣮ ࢽ ࣥ ࢢ ࢆ ⾜ ࡗ ࡓ 㸬グ 㘓 ࡣ 㸪⮬ ⏤ ⾜ ື ୗ ࡛ ᫂ ᮇ ࡢ 㸱 㛫 㸦 㸧 ⾜ ࡗ ࡓ 㸬 ⏕ య ಙ ྕ ࡣ $' ኚ ࡋ ࡚ ᑓ ⏝ ࢯ ࣇ ࢺ ࢆ ⏝ ࠸ ࡚ グ 㘓 ࣭ ゎ ᯒ ࡋ ࡓ 㸬 ࢹ ࣮ ࢱ ゎ ᯒ㸸╧ ╀ ぬ 㓰 ≧ ែ ࡣ 㸪⬻ Ἴ࣭║ 㟁 ᅗ࣭ 㢕 ➽ ➽ ά ື ࡽ ど ぬ ⓗ ุ ᐃ ࡋ ࡓ 㸬 22 ࣀ࣒ࣥࣞ╧╀࡛ ⛊௨ෆࡢ㛫㝸࡛ ࡘ௨ୖࡢࣂ ࣮ࢫࢺࡀⓎ⏕ࡍࡿ࢚ࣆࢯ࣮ࢻࢆᛶᄮ➽ ά ື ࡋ 㸪ࡇ ࢀ ࢆ ど ぬ ⓗ ࢫ ࢥ ࡋ ࡓ 㸬ࢫ ࢥ ࡋ ࡓ ࢚ ࣆ ࢯ ࣮ ࢻ ࡢ ည ➽ ࣂ ࣮ ࢫ ࢺ ≉ ᛶ ࡋ ࡚ 㸪ࣂ ࣮ ࢫ ࢺ ࿘ ᮇ 㸪ᣢ ⥆ 㛫 㸪⥲ ➽ ά ື 㔞 㸪ᖹ ᆒ ➽ ά ື㔞ࢆ⟬ฟࡋ㸪ぬ㓰୰ࡢᄮ㐠ືẚ㍑ࡋࡓ㸬 ࡲ ࡓ 㸪 ᛶ ᄮ ➽ ά ື 㛤 ጞ ๓ ᚋ ⛊ 㛫 ࡢ 55 㛫 㝸 㸪⬻ Ἴ ά ື ࡢ ኚ ࢆ ᐃ 㔞 ⓗ ゎ ᯒ ࡋ 㸪ࡑ ࡢኚࢆㄪࡓ㸬 ࣄ ࢺ ࡢ ╧ ╀ ᐇ 㦂 ࣏ ࣜ ࢯ ࣒ ࣀ ࢢ ࣛ ࣇ ࣮ ᳨ ᰝ ࡛ ప 㢖 ᗘ ࡢ 500$ ࢆ ᭷ ࡍ ࡿ ࡇ ࢆ ☜ ㄆ ࡋ 㸪╧ ╀ ࣈ ࣛ ࢟ ࢩ ࢬ ࣒ ࡢ ⮫ ᗋ ᚩ ೃ ࡀ ࡞ ࠸ ⿕ 㦂 ⪅ ྡ 㸦 )0ᖹ ᆒ ᖺ 㱋 ṓ 㸧 ࡢ ࢹ ࣮ ࢱ ࢆ ⏝ ࠸ ࡓ 㸬 Y36* ࡣ ṑ Ꮫ ◊ ✲ ⛉ ╧ ╀ ᳨ ᰝ ᐊ ࠾ ࠸ ࡚ ኪ 㐃 ⥆ ࡛ ᐇ ࡋ 㸪 ኪ ┠ ࡢ ࢹ ࣮ ࢱ ࢆ ゎ ᯒ ࡋ ࡓ 㸬グ 㘓 ࣔ ࣥ ࢱ ࣮ ࢪ ࣗ ࡣ $$600DQXDO9HU ᚑ ࡗ ࡓ 㸬⬻ Ἴ 㸪║ 㟁 ᅗ 㸪➽ 㟁 ᅗ㸦 ࢜ ࢺ ࢞ ➽ 㸪๓ ⬯ 㦵 ➽ 㸪ည ➽ 㸪ഃ 㢌 ➽ 㸧㸪ᚰ 㟁 ᅗ 㸪⬚ 㒊࣭⭡ 㒊 ྾ ᭤ ⥺ 㸪ࢧ ࣮ ࣑ ࢫ ࢱ 㸪㰯 ⭍ ෆ ᅽ 6S2 ࢆ (PEOD 1㸦 (PEOD ♫ 㸪86$㸧ࢆ ⏝ ࠸ ࡚ ᐃ ࡋ ࡓ 㸬㏻ ἲ ᚑ ࠸ 㸪╧ ╀ ኚ ᩘ ࢆ ⟬ ฟ ࡋ 㸪╧ ╀ ␗ ᖖ ࡀ ࡞ ࠸ ࡇ ࢆ ☜ ㄆ ࡋ ࡓ 㸬ࡲ ࡓ 㸪ည ➽ ά ື ࣅ ࢹ ࢜ ࢆ ࡶ 㸪 ཱྀ ⭍ 㐠 ື ࡸ 500$ ࢆ ࢫ ࢥ ࡋ ࡓ 㸬 ࢫ ࢥ ࡋ ࡓ 500$ ࡢ ည ➽ ά ື ࡢ ࣂ ࣮ ࢫ ࢺ ࿘ ᮇ 㸪 ᣢ ⥆ 㛫 㸪⥲ ➽ ά ື 㔞 㸪ᖹ ᆒ ➽ ά ື 㔞 ࢆ ⟬ ฟ ࡋ 㸪ᑵ ᐷ๓࣒࢞ࢆᄮࡉࡏࡓ㝿ࡢ➽άື≉ᛶẚ ㍑ ࡋ ࡓ 㸬ࡲ ࡓ 㸪500$ Ⓨ ⌧ ๓ ᚋ ⛊ 㛫 ࠾ ࡅ ࡿ 55 㛫 㝸 ࢆ ⟬ ฟ ࡋ ࡓ 㸬 ࡉ ࡽ 㸪 500$ Ⓨ ⏕ ๓ ⛊ 㛫 㸪 500$ ࡼ ࡿ ⬻ Ἴ ࡢ ࣮ ࢸ ࣇ ࢡ ࢺ ࡢ ᙳ 㡪 ࢆ 㝖 ࡍ ࡿ ࡓ ࡵ 㸪500$ Ⓨ ⏕ ᚋ ⛊ 㛫 ࡢ⬻Ἴάືࡢኚࢆㄪࡓ㸬 Ϫ㸬⤖ᯝཬࡧ⪃ᐹ ື ≀ ࡢ ᛶ ᄮ ➽ ά ື㸸ࣀ ࣥ ࣞ ࣒ ╧ ╀ ୍ 㛫 ࠶ ࡓ ࡾ ᛶ ࡢ ᄮ ➽ ά ື ࢆ ᖹ ᆒ ᅇ ㄆ ࡵ ࡓ 㸬ည ➽ ࣂ ࣮ ࢫ ࢺ ࡢ ࿘ ᮇ࣭ᣢ ⥆ 㛫࣭⥲ ά ື 㔞࣭ᖹᆒάື㔞ࡣྑ〈ᗈࡀࡾࡢศᕸࢆ♧ࡋࡓ ࡀ㸪ᄮࡣࡇࢀࡽࡢኚᩘࡀṇつศᕸࢆ♧ࡋ ࡓ 㸬 ᛶ ᄮ ➽ ά ື ࡣ 㸪 ᄮ ࡢ ࣂ ࣮ ࢫ ࢺ ẚ ࡚ 㸪ࣂ ࣮ ࢫ ࢺ ࿘ ᮇ ࠾ ࡼ ࡧ ᣢ ⥆ 㛫 ࡸ ࡑ ࡢ ኚ ື ࡀ ࡁ ࠸ ࡀ 㸪ά ື 㔞 ࡣ ప ࡗ ࡓ 㸬ࡲ ࡓ 㸪 ᛶ ᄮ ➽ ά ື ࡣ 㸪 ୍ ⓗ ࡞ 55 㛫 㝸 ࡢ ῶ ᑡ ⬻ Ἴάືࡢኚࢆకࡗ࡚࠸ࡓ㸬 ࣄ ࢺ 500$㸸500$ ࡣ ╧ ╀ ୍ 㛫 ᙜ ࡓ ࡾ ᖹ ᆒ ᅇ Ⓨ ⏕ ࡋ ࡓ 㸬 500$ ࡢ ည ➽ ࣂ ࣮ ࢫ ࢺ ࡢ ྛ ኚ ᩘ ࡢ ศ ᕸ ࡣ 㸪ື ≀ ྠ ᵝ ྑ 〈 ᗈ ࡀ ࡾ ࡛ 㸪ṇ つ ศ ᕸ ࢆ ♧ ࡍ ᄮ ࡣ ␗ ࡞ ࡗ ࡚ ࠸ ࡓ 㸬 ࡲ ࡓ 㸪 500$ ࡣ ᄮ ࡼ ࡾ ࡶ ࣂ ࣮ ࢫ ࢺ ࿘ ᮇ࣭ᣢ ⥆ 㛫 ࡀ 㛗 ࡃ ኚ ືࡶࡁ࠸ࡀ㸪➽άື㔞ࡣᄮࡼࡾࡶపࡗ ࡓ 㸬ࡲ ࡓ 㸪500$ Ⓨ ⏕ క ࡗ ࡚ 㸪୍ ⓗ ࡞ 55 㛫 㝸ࡢῶᑡࡸ⬻Ἴάືࡢኚࢆㄆࡵࡓ㸬 ௨ ୖ ࡢ ⤖ ᯝ ࡽ 㸪ࣔ ࣝ ࣔ ࢵ ࢺ ࡢ ࣀ ࣥ ࣞ ࣒ ╧ ╀ ࡛Ⓨ⏕ࡍࡿᛶࡢᄮ➽άືࡢ⏕⌮Ꮫⓗ≉ ᛶ ࡣ 㸪ࣄ ࢺ ࡢ 500$ ࡢ 㢮 ఝ Ⅼ ࡀ 」 ᩘ ࠶ ࡗ ࡓ 㸬 ࡋ ࡓ ࡀ ࡗ ࡚ 㸪ື ≀ ࣔ ࢹ ࣝ ࢆ ⏝ ࠸ ࡓ ╧ ╀ ࣈ ࣛ ࢟ ࢩࢬ࣒ࡢ◊✲᭷⏝࡞➽㟁ᅗᏛⓗᣦᶆ⪃࠼ ࡽࢀࡿ㸬 Ϭ㸬ᩥ⊩ 1) 2) 3) 4) 5) 6) 23 Kato T, Yamaguchi T, Okura K et al. Sleep less and bite more: Sleep disorders associated with occlusal loads during sleep. J Prosthodont Res, 2013;57:69-81. Kato T, Katase T, Yamashita S et al. Responsiveness of jaw motor activation to arousals during sleep in patients with obstructive sleep apnea syndrome. J Clin Sleep Med. 2013;9:759-65. Kato T, Masuda Y, Yoshida A et al. Masseter EMG activity during sleep and sleep bruxism. Arch Ital Biol. 2011;149:478-91. Kato T, Masuda Y, Miyano K et al. Distinct association between the antagonistic jaw muscle activity levels and cardiac activity during chewing and NREM sleep in the freely moving guinea pigs. Neurosci Let. 2015;592:59-63. Kato T, Nakamura N, Masuda Y et al. Phasic bursts of the antagonistic jaw muscles during REM sleep mimic a coordinated motor pattern during mastication. J Appl Physiol . 2013;114:316-28. Kato T, Seki S, Higashiyama M et al. Anatomical organization of descending cortical projections orchestrating the patterns of cortically-induced rhythmical jaw muscle activity in guinea pigs. Neurosci Res, 2015;99:34-45. ཱྀ₇Ⓨ⾲ 㸲 ᐇ㦂ⓗᛴᛶࢫࢺࣞࢫࡼࡿࣔ ࣔࣝࣔࢵࢺࡢ 㸦㸯࣮࣌ࢪ┠㸧 ╧╀㢡➽άືࡢኚ (IIHFWVRIDFXWHIRRWVKRFNVWUHVVRQVOHHSDQGMDZPXVFOH DFWLYLWLHVLLQJXLQHDSLJV ▮ۑ㔝༤அ ຍ⸨㝯ྐ ᮾᒣு ྜྷ⏣⠜ +LUR\XNL<DQR7DNDIXPL.DWR0DNRWR+LJDVKL\DPD$WVXVKL<RVKLGD 㜰ᏛᏛ㝔ṑᏛ◊✲⛉ 㧗ḟ⬻ཱྀ⭍ᶵ⬟Ꮫㅮᗙཱྀ⭍ゎ๗Ꮫ➨ᩍᐊ㸪㢡ཱྀ⭍ᅉ ែไᚚᏛㅮᗙཱྀ⭍እ⛉Ꮫ➨ᩍᐊ㸪ࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛Ꮫᩍᐊ 2VDND8QLYHUVLW\*UDGXDWH6FKRRORI'HQWLVWU\'HSDUWPHQWRI2UDO$QDWRP\DQG 1HXURELRORJ\'HSDUWPHQWRI2UDODQG0D[LOORIDFLDO6XUJHU\ϩ'HSDUWPHQWRI)L[HG 3URVWKRGRQWLFV Ϩ ┠ ⓗ ➽άື࠼ࡿᙳ㡪ࢆㄪࡓࠋ ࣈࣛ࢟ࢩࢬ࣒ࡣ㠀ᶵ⬟ⓗ࡞㢡㐠ືࡢ⥲⛠࡛㸪 ϩ ᪉ ἲ 㢡 㛵 ⠇ ࡸ ཱྀ ⭍ 㢦 㠃 ③ 㸪㢌 ③ ࡞ ࡢ 㛵 㐃 ࡸ 㞀 㸧 ᐖࢆᘬࡁ㉳ࡇࡍྍ⬟ᛶࡀ࠶ࡿࠋ ╧╀ࣈࣛ࢟ 㸧 እ ⛉ ᡭ ⾡ 㡰 +DUWOH\ ⣔ 㞝 ᛶ ࣔ ࣝ ࣔ ࢵ ࢺ㸦 య 㔜 㹥 㹼 ࢩ ࢬ ࣒ ࡣ 㸪╧ ╀ ࡢ ṑ ࡂ ࡋ ࡾ ࢆ ≉ ᚩ ࡍ ࡿ ୗ 㢡 ࡢ㝶ព㐠ືࡀⓎ⏕ࡍࡿ╧╀㛵㐃㐠ື␗ᖖ 㸧 㹥 㸧 ༉ ᑐ ࡋ ࡚ 㸪⬻ Ἴ 㸪║ 㟁 ᅗ 㸪ᚰ 㟁 ᅗ 㸪㢕 ศ㢮ࡉࢀ࡚࠸ࡿࠋ ➽㟁ᅗᏛⓗࡣ╧╀ࣈ ➽ ࠾ ࡼ ࡧ ୧ ഃ ࡢ ည ➽ 㸪ྑ ഃ ࡢ 㢡 ⭡ ➽ ๓ ⭡ ࡢ ➽ ࣛ ࢟ ࢩ ࢬ ࣒ ࡢ ᝈ ⪅ ࡣ 㸪╧ ╀ ୰ ࣜ ࢬ ࣒ ᛶ ᄮ ➽ 㟁ᅗࢆグ㘓ࡍࡿࡓࡵ㌟㯞㓉ୗ࡚እ⛉ᡭ⾡ ά ື 㸦 500$㸧 ࡀ 㢖 ⦾ Ⓨ ⏕ ࡍ ࡿ ࠋ 500$ ࡣ 㸪 ὸ ࢆ ࠾ ࡇ ࡞ ࡗ ࡓ ࠋ㢌 㒊 ࡣ ⬻ Ἴ 㸪║ 㟁 ᅗ ⏝ ࡢ ࢿ ࢪ ࠸ࣀ࣒ࣥࣞ╧╀୰ᯡ⚄⤒⣔ࡢ୍ⓗ࡞άື 㟁ᴟࢆ㸪㢕➽㸪ည➽㸪㢡⭡➽๓⭡ࡢ➽㟁ᅗ㸪 ࡢୖ᪼కࡗ࡚Ⓨ⏕ࡍࡿࠋ 㸧 ᚰ 㟁 ᅗ ࡣ ࣡ ࣖ ࣮ 㟁 ᴟ ࢆ ⏝ ࡋ ࡓ ࠋࡇ ࢀ ࡽ ࡢ ╧ ╀ ࣈ ࣛ ࢟ ࢩ ࢬ ࣒ ࡢ ༴ 㝤 ᅉ Ꮚ ࡢ ୍ ࡘ 㸪ࢫ 㟁 ᴟ ࢆ ࡲ ࡵ ࡚ 㢌 㒊 ࡢ ࢥ ࢿ ࢡ ࢱ ᥋ ⥆ ࡋ ࡓ ࠋᡭ ࢺ ࣞ ࢫ ࡀ ᣲ ࡆ ࡽ ࢀ ࡚ ࠸ ࡿ ࠋࡇ ࢀ ࡲ ࡛ ࣄ ࢺ ࡢ ◊ ⾡ ᚋ 㹼 ᪥ ࡢ ᅇ ᮇ 㛫 㸪 ࣔ ࣝ ࣔ ࢵ ࢺ ᑐ ࡋ ✲ ࡛ ࡣ 㸪⿕ 㦂 ⪅ ⩌ ࡢ ୍ 㒊 ࡛ ᪥ ᖖ ⏕ ά ࡢ ࢫ ࢺ ࣞ ࢫ ࡚ ẖ ᪥ ศ ⛬ ᗘ ࡢ ࣁ ࣥ ࢻ ࣜ ࣥ ࢢ ᧯ స 㸪グ 㘓 ⏝ ࣞ ࣋ ࣝ ࡀ 㸪ኪ 㛫 ࡢ ᄮ ➽ ά ື ࡢ ቑ ຍ 㛵 ಀ ࡍ ࡿ ෆ㜵㡢⟽ࡢᐇ㦂ࢣ࣮ࢪධࢀࡿ㡰ࢺ࣮ࣞࢽ ࡇ ࡸ 㸪╧ ╀ ࣈ ࣛ ࢟ ࢩ ࢬ ࣒ ᝈ ⪅ ࡣ Ᏻ ഴ ྥ ࢆ ࣥࢢࢆ⾜ࡗࡓࠋ ♧ ࡍ ࡇ ࡀ ሗ ࿌ ࡉ ࢀ ࡚ ࠸ ࡿ ࠋࡋ ࡋ 㸪ࢫ ࢺ ࣞ ࢫ 㸧 ࣉ ࣟ ࢺ ࢥ ࣮ ࣝ グ 㘓 ᐇ 㦂 ࡣ ື ≀ ࢆ IRRWVKRFN ࢣ ࣮ ࢪ ධ ࢀ 㸪 ࡼࡿ╧╀ኚ╧╀୰ࡢᄮ➽άືࡢ㛵 ಀࡣᮍࡔ᫂ࡽ࡛ࡣ࡞࠸ࠋ 㸧 㢌㒊タ⨨ࡋࡓࢥࢿࢡࢱグ㘓⨨ࢆ᥋⥆ࡋ㸪 ᡃࠎࡣࡇࢀࡲ࡛ື≀ࣔࢹࣝࢆ⏝࠸ࡓ◊✲ ⮬ ⏤ ⾜ ື ୗ ࡛ 㛫 ⾜ ࡗ ࡓ ࠋ ᪥ ┠ 㸦 GD\㸧 ࡼࡾ╧╀୰ࡢ㛤㛢ཱྀ➽άືࡀ╧╀ࡢ῝ࡉ ࡢ グ 㘓 㛤 ጞ㸦 ༗ ๓ 㸧 ࡽ ᭱ ึ ࡢ 㛫 ࡣ 㸪 㛵㐃ࡋ࡚ኚࡍࡿࡇࡸࣀ࣒ࣥࣞ╧╀࡛ࣜࢬ IRRWVKRFN ࢆ ࠼ ࡞ ࡗ ࡓ ࠋ ᪥ ┠ 㸦 GD\㸧 ࡢ ࣒ ᛶ ࢆ ᭷ ࡍ ࡿ ᄮ ➽ ά ື ࡀ Ⓨ ⏕ ࡍ ࡿ ࡇ ࡞ 㸪 ༗ ๓ IRRWVKRFNᙉ ᗘ P$㸪 ᣢ ⥆ 㛫 ࣄࢺࡢ╧╀୰ࡢᄮ➽άືࡢ≉ᛶ୍ᐃࡢ㢮 㸧 㸧 ఝⅬࡀ࠶ࡿࡇࢆ♧ࡋ࡚ࡁࡓࠋ ⛊ 㸪 ⛊ 㛫 㝸 ࢆ ศ 㛫 ࠼ ࡓ ᚋ 㸪グ 㘓 ࢆ ࡑࡇ࡛ᮏ◊ ⥆ ࡅ ࡓ ࠋIRRWVKRFN 㛤 ጞ ᚋ 㛫 ࡣ ࣔ ࣝ ࣔ ࢵ ࢺ ✲ ࡛ ࡣ 㸪IRRWVKRFN ่ ⃭ ࢆ ⏝ ࠸ ࡚ ࣔ ࣝ ࣔ ࢵ ࢺ ࡢ⾜ືࢆほᐹࡍࡿࡓࡵࣅࢹ࢜グ㘓ࢆ⾜ࡗࡓࠋ ᐇ 㦂 ⓗ ᛴ ᛶ ࢫ ࢺ ࣞ ࢫ ࢆ ࠼ ࡚ 㸪╧ ╀ ࡸ 㛤 㛢 ཱྀ 㸧 ゎ ᯒ 24 'D\ ࡢ IRRWVKRFN ⤊ ᚋ 㛫 ࡢ グ 㘓 㸦 ᛶࡀ࠶ࡿࠋ୍᪉㸪ࣀ࣒ࣥࣞ╧╀࡛Ⓨ⏕ࡍࡿ ศ 㹼 ศ 㸧 'D\ ࡢ ྠ ࡌ 㛫 ᖏ 500$ ࡢ Ⓨ ⏕ ࡢ 㢖 ᗘ ࡣ ቑ ຍ ࡋ ࡓ ࡢ ࡛ 㸪 ᐇ 㦂 ື ≀ ศ 㹼 ศ ࡢ 㛫 ࡢ グ 㘓 ࢆ ࡑ ࢀ ࡒ ࡛ ࡣ ᛴ ᛶ ࢫ ࢺ ࣞ ࢫ ࡀ 500$ ࢆ 㥑 ື ࡉ ࡏ ࡿ ⚄ ⤒ ᶵ ࢀ 㛫 ẖ ࡢ ࣈ ࣟ ࢵ ࢡ ศ ࡅ ࡚ 㸦 )6K㸪 )6K㸪 ᵓ ఱ ࡽ ࡢ ᙳ 㡪 ࢆ ࠼ ࡿ ⪃ ࠼ ࡽ ࢀ ࡿ ࠋ )6K㸪 &7/K㸪 &7/K㸪 &7/K㸧 ศ ᯒ ࢆ ⾜ ࡗ ࡓ ࠋ ╧╀ᄮ➽άືࡢゎᯒࡣ╧╀ゎᯒ◊✲ ϫ㸬ᩥ⊩ ⏝ ࣉ ࣟ ࢢ ࣛ ࣒ 㸦 6OHHS6LJQp ࢟ ࢵ ࢭ ࢥ ࣒ ࢸ ࢵ ࢡ ࢆ ⏝ ࠸ ࡓ ࠋグ 㘓 ࢹ ࣮ ࢱ ࡣ ⛊ ࢆ ࢚ ࣏ ࢵ ࢡ ࡋ ࡚ ࢚ ࣏ ࢵ ࢡ ༢ ࡛ ゎ ᯒ ࡋ ࡓ ࠋ15(0 ╧ ╀ 㸪 1. Lobbezoo F, Ahlberg J, Glaros AG, et al. Bruxism defined and graded: an international 5(0 ╧ ╀ 㸪 ぬ 㓰 :ࢆ ㏻ ἲ ᚑ ࡗ ࡚ ど ぬ ุ ᐃ ࡋ consensus J Oral Rehabil. 2013: 40(1):2-4. 㸧 㸪 &7/K㹼 K㸪 )6㹼 K ࡢ ྛ ࣈ ࣟ ࢵ ࢡ ࡈ 15(0 ╧ ╀ 㸪5(0 ╧ ╀ 㸪ぬ 㓰 ࡢ ༨ ᭷ ⋡ ࢆ ⟬ ฟ ࡋ ࡓ ࠋ 2. Kato T, Blanchet PJ, HuynhN, et al. Sleep bruxism and other disorders with orofacial ྑഃည➽࠾ࡼࡧྑഃ㢡⭡➽๓⭡ࡢ➽άື㔞 ࡣ ࢚࣏ࢵࢡ࠶ࡓࡾࡢ✚ศ್ࢆ⟬ฟࡋᐃ㔞 activity during sleep. In: Sleep and Movement ࡋ ࡓ ࠋࡲ ࡓ 㸪&7/K ࠾ ࠸ ࡚ ᄮ ࢆ ⾜ ࡗ ࡓ ࢚ ࣏ Disorders 2 nd eds㸪 edited by S Chokroverty㸪 ࢵ ࢡ ࢆ ᢳ ฟ ࡋ 㸪ྛ ➽ ࡢ ✚ ศ ➽ ά ື 㔞 ࡢ ᖹ ᆒ ್ ࢆ W Hening and A Walters. Elsevier-Saunders㸪 ồ ࡵ 㸪ࡇ ࢀ ࢆ 㸣 ࡋ ࡚ グ 㘓 ࢚ ࣏ ࢵ ࢡ ࡢ ➽ Philadelphia, pp.555-572, 2013. 3. Kato T, Yamaguchi T, Okura K, et al. Sleep ά ື 㔞 ࢆ ᶆ ‽ ࡋ ࡓ ࠋ 500$ ࡣ ྑ ഃ ည ➽ ࡢ ➽ 㟁 ᅗࡢࣂ࣮ࢫࢺࡀ ⛊௨ෆࡢ㛫㝸࡛ᑡ࡞ࡃࡶ less and bite more: sleep disorders associated ᅇ ௨ ୖ Ⓨ ⏕ ࡋ ࡓ ࡶ ࡢ ࢆ ど ぬ ⓗ ࢫ ࢥ ࡋ 㸪15(0 with occlusal loads during sleep. J ╧╀ 㛫ᙜࡓࡾࡢⓎ⏕ᩘࢆ⟬ฟࡋࡓࠋ Prosthodont Res, 2013; 57(2): 69-81. 4. Manfredini D, Lobbezoo F. Role of psychosocial factors in the etiology of Ϫ ⤖ ᯝ ཬ ࡧ ⪃ ᐹ bruxism. J Orofac Pain. 2009; 23(2): 153-66. 5. Kato T, Masuda Y, Kanayama H, et al. ╧ ╀ ࡢ ኚ 㸸 ぬ 㓰 ࡣ )6K ࡛ ࡣ &7/K ࡼ ࡾ ᭷ ព ቑ ຍ ࡋ ࡓ ࡀ 㸪 15(0 ╧ ╀ ࡣ )6K ࡛ ࡣ &7/K Heterogeneous activity level of jaw -closing ࡼ ࡾ ᭷ ព ῶ ᑡ ࡋ ࡓ ࠋࡋ ࡋ 㸪5(0 ╧ ╀ ࡣ ᕪ and -opening muscles and its association with ࢆ ㄆ ࡵ ࡞ ࡗ ࡓ ࠋ )6K࣭ K ࡛ ࡣ &7/K࣭ K arousal levels during sleep in the guinea pig. ẚ ࡚ ぬ 㓰 㸪15(0 ╧ ╀ 㸪5(0 ╧ ╀ ࡢ ༨ ᭷ ⋡ ᕪ Am J Physiol: Reg, Integr Comp Physiol, ࡣ࡞ࡗࡓࠋ 2010 ; 298: R34-42. 6. Kato T, Nakamura N, Masuda Y, et al. Phasic ぬ㓰ࡢྑഃည➽ྑഃ㢡⭡➽๓⭡ࡢ➽ ά ື 㔞 ࡢ ୰ ኸ ್ ࡣ 㸪 ༉ ࡢ ື ≀ ࡛ )6K ࡛ ࡣ &7/ bursts of the antagonistic jaw muscles during K ࡼࡾቑຍഴྥࢆ♧ࡋࡓࡀ㸪 ༉య࡛ࡣ᭷ព REM sleep mimic a coordinated motor pattern ࡞ ᕪ ࢆ ㄆ ࡵ ࡞ ࡗ ࡓ ࠋ ࡲ ࡓ 15(0 ╧ ╀ 㸪 5(0 ╧ during mastication. 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6DWR 0 ,L]XND 7 :DWDQDEH $ HW DO ࡗ ࡓ ᅗ 㸧㸬 (OHFWURP\RJUDPELRIHHGEDFNWUDLQLQJIRU GD\WLPHFOHQFKLQJDQGLWVHIIHFWRQVOHHS EUX[LVP-2UDO5HKDELO /DYLJQH *- 5RPSU« 3+ 0RQWSODLVLU -< 6OHHS EUX[LVP YDOLGLW\ RI FOLQLFDO UHVHDUFK GLDJQRVWLF FULWHULD LQ D FRQWUROOHGSRO\VRPQRJUDSKLFVWXG\-'HQW 5HV ᩧ ⸨ ᑠ ኟ 㸪 బ ⸨ 㞞 㸪 ሯ ⱥ ⛱ 㸬 ᪥୰ࡢࣂ࢜ࣇ࣮ࢻࣂࢵࢡカ⦎ࡀ ኪ㛫ࡢࢢࣛࣥࢹࣥࢢཬࡰࡍᙳ 㡪 ࡘ ࠸ ࡚ 㸬 ᪥ ⿵ ⥛ ㄅ ࣭ ᅇ ≉ ู ྕ ᅗ ᖹ ᆒ EXUVW ࣋ ࣥ ࢺ ᩘ ࡢ ẚ ㍑ 27 㸦㸯࣮࣌ࢪ┠㸧 ཱྀ₇Ⓨ⾲ 㸴 ╧╀ࡢ㉁ࡢほⓗホ౯╧╀࣭ぬ㓰≧ែࡢ㛵㐃 Relationship between Subjective Sleep Quality and Sleep/Arousal State and Activity ⇃ۑᇛᆂ♸㸪㷂ຬ㍤㸪Ᏹ㔝ᾈ୍㑻㸪㧗ᒸுኴ㸪▼ᇉᑦ୍㸪▮㇂༤ᩥ Kumashiro K, Senzaki Y, Uno K, Takaoka R, Ishigaki S, Yatani H 㜰ᏛᏛ㝔ṑᏛ◊✲⛉㢡ཱྀ⭍ᶵ⬟ᘓᏛㅮᗙࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛Ꮫศ㔝 Osaka University Graduate School of Dentistry, Department of Fixed Prosthodontics Ϩ㸬┠ⓗ ⿕ 㦂 ⪅ ࡋ ࡚ ᡂ ே ዪ ᛶ 㢡 㛵 ⠇ ᝈ ⪅ 10 ྡ ࠾ ࡼ ࡧ 㠀 㢡 㛵 ⠇ ᝈ ⪅ ⩌ 9 ྡ ࢆ 㑅 ᢥ ࡋ ࡓ 㸬㢡 㛵 ⠇ Yunus ࡼ ࡾ ᥦ ၐ ࡉ ࢀ ࡓ ୰ ᯡ ᛶ 㐣 ᩄ ೃ ⩌ ᝈ ⪅ ⩌ ࡢ ໟ ྵ ᇶ ‽ ࡣ ௨ ୗ ࡢ ࠾ ࡾ ࡋ ࡓ 㸬 㸦 central sensitivity syndrome㸧 ࡣ 㸪 ୰ ᯡ ᛶ 㐣 ᩄ 1. 㜰 Ꮫ ṑ Ꮫ 㒊 㝃 ᒓ 㝔 ཱྀ ⭍ ⿵ ⥛ ⛉ ࡢ 㢡 ࢆཎᅉࡋ࡚Ⓨࡍࡿ᥎ ࡉࢀࡿᝈ⩌ࢆ 㛵 ⠇ ᑓ 㛛 እ ᮶ デ ᩿ ་ ࡼ ࡾ 㸪 RDC/TMD 1 ) ⥲ ⛠ ࡍ ࡿ ࡶ ࡢ ࡛ ࠶ ࡿ 㸬 ⒪ ᛂ ࡋ ࡃ ࠸ ࡢデ᩿ᇶ‽ᚑ࠸㢡㛵⠇デ᩿ࡉࢀࡓ ᄮ➽ࡢ៏ᛶ③ࡶࡇࡢᝈᴫᛕໟྵࡉࢀࡿ ࡶࡢ ⪃࠼ࡽࢀࡿ㸬 2. 3 ᭶ ௨ ୖ ᣢ ⥆ ࡍ ࡿ ᄮ ➽ ③ ࢆ ᭷ ࡍ ࡿ ࡶ ࡢ ᚑ ᮶ 㸪③ ࡳ ࡣ ╧ ╀ ࡢ ㉁ ࢆ ప ୗ ࡉ ࡏ ࡿ ⪃ ࠼ ࡽ 3. 20 ṓ ࡽ 60 ṓ ࡲ ࡛ ࡢ ዪ ᛶ ࢀ ࡚ ࡁ ࡓ 㸬୍ ᪉ ࡛ ࡣ 㸪╧ ╀ 㞀 ᐖ ࡣ ⑊ ③ 㜈 ್ ࢆ ప 4. ༢ ⊂ ࡛ ╧ ╀ ࡛ ࡁ ࡿ ⎔ ቃ ࡀ ᒃ Ꮿ ࠶ ࡿ ࡶ ࡢ ୗ ࡉ ࡏ 㸪⑊ ③ ࡢ ៏ ᛶ ࡸ 㔜 ࢆ ᣍ ࠸ ࡚ ࠸ ࡿ 5. 2 㐌 㛫 ࡢ ኪ 㐃 ⥆ ᐃ ࡀ ྍ ⬟ ࡞ ࡶ ࡢ ࠸ ࠺ ௬ ㄝ ࡶ ᥦ ♧ ࡉ ࢀ ࡚ ࠸ ࡿ 2 ) 㸬ࢃ ࢀ ࢃ ࢀ ࡢ ඛ ⾜ 㠀 㢡 㛵 ⠇ ᝈ ⪅ ⩌ ࡢ ໟ ྵ ᇶ ‽ ࡣ 㸪ཱྀ ⭍ 㢦 㠃 㒊 ◊ ✲ ࠾ ࠸ ࡚ ࡶ 㸪៏ ᛶ ➽ ③ ࢆ ᭷ ࡍ ࡿ 㢡 㛵 ⠇ ᝈ ⑊ ③ ࢆ ㄆ ࡵ ࡞ ࠸ ࡶ ࡢ ࡋ 㸪 ୖ グ ࡢ 2㹼 5 ࡣ ྠ ⪅ ࢆ ᑐ ㇟ ࡋ 㸪╧ ╀ ≧ ែ ࡸ ㌟ య ά ື ≧ ែ ࡀ ៏ ᛶ ୍ ࡋ ࡓ 㸬 ➽③࠾ࡅࡿ⑊③ᙉᗘࡢኚືࡸቑࡢࡼ ୧⩌ࡢ㝖እᇶ‽ࡣ௨ୗࡢ࠾ࡾࡋࡓ㸬 ࠺ ᙳ 㡪 ࢆ ཬ ࡰ ࡍ ࡢ ࢆ ㄪ ᰝ ࡋ ࡓ ⤖ ᯝ 㸪๓ ᪥ ࡢ 1. ╧ ╀ ᙳ 㡪 ࢆ ཬ ࡰ ࡍ ྍ ⬟ ᛶ ࡢ ࠶ ࡿ ⸆ ࢆ ⇍╧ᗘ⩣᪥ࡢ㢡ࡢ③ࡳࡢ㛫㛵㐃ࡀㄆࡵ ᭹⏝୰ࡢࡶࡢ ࡽࢀ࡚࠸ࡿ㸬 2. ୍ ே ࡛ ╧ ╀ ࡛ ࡁ ࡿ ⎔ ቃ ࡀ ᒃ Ꮿ ࡞ ࠸ ࡶ ࡢ ࡋ ࡋ 㸪ࡇ ࡢ ๓ ᪥ ࡢ ⇍ ╧ ᗘ ࡣ Visual Analogue 3. ዷ ፎ ୰ ࡢ ዪ ᛶ ࠾ ࡼ ࡧ ங ᗂ ඣ ࡢ ࠸ ࡿ ዪ ᛶ Scale ࢆ ⏝ ࠸ ࡚ ᚓ ࡽ ࢀ ࡓ ほ ⓗ ࡞ ࢹ ࣮ ࢱ ࡛ ࠶ ࡿ ╧ ╀ ࠾ ࡼ ࡧ ㌟ య ά ື ᩘ ࡢ ᐃ ࡣ Micro ࡇ ࡽ 㸪⿕ 㦂 ⪅ ಶ ே ࡢ ⢭ ⚄ 㠃 ᕥ ྑ ࡉ ࢀ ࡿ ྍ motion logger Actigraph㸦 Ambulatory Monitoring ⬟ᛶࡶ㧗࠸⪃࠼ࡽࢀࡿ㸬 Inc. ⡿ ᅜ 㸧 ࢆ ⏝ ࠸ ࡓ 㸬 ᮏ ⨨ ࡣ ⭎ ィ ᆺ ࡛ 㸪 ๓ ᪥ ࡢ ⇍ ╧ ᗘ ࢆ ᐈ ほ ⓗ ㄝ ᫂ ࡛ ࡁ ࡿ ィ ᶵ 㠀 ⭎ ╔ ࡋ 㸪ධ ᾎ ࢆ 㝖 ࠸ ࡚ ኪ ࢆ ㏻ ࡋ ࡚ ჾ ࡼ ࡿ ᐈ ほ ⓗ ࡞ ᩘ ್ ࢹ ࣮ ࢱ ࡀ ᚓ ࡽ ࢀ ࢀ ࡤ 㸪⮫ 14 ᪥ 㛫 ࡢ 㐃 ⥆ ᐃ ࢆ ⾜ ࡗ ࡓ 㸬 Actigraph ࡼ ࡿ ᗋ ⓗ ࡞ ホ ౯ ࡸ ᝈ ⪅ ࡢ ࣇ ࣮ ࢻ ࣂ ࢵ ࢡ ࡶ ᛂ ╧ ╀ ≧ ែ ࡢ ホ ౯ 㡯 ┠ ࡣ 㸪 ⥲ ╧ ╀ 㛫 㸦 Sleep ⏝ ࡢ ྍ ⬟ ᛶ ࡀ ࡦ ࢁ ࡀ ࡿ ࡶ ࡢ ᛮ ࢃ ࢀ ࡿ 㸬ࡑ ࡇ ࡛ Minutes㸧 ࢆ ⏝ ࠸ ࡓ 㸬 ぬ 㓰 㐠 ື 㔞 ࡢ ホ ౯ 㡯 ┠ ᮏ ◊ ✲ ࡛ ࡣ 㸪╧ ╀ ࡢ ㉁ ࡢ ほ ⓗ ホ ౯ ࢆ ㄝ ᫂ ࡋ ࠺ ࡣ 㸪 ㌟ య ά ື ᩘ ࡢ ୰ ኸ ್ 㸦 Median Activity ࡿ ╧ ╀࣭ぬ 㓰 ≧ ែ ࡢ ᐈ ほ ⓗ ᣦ ᶆ ࢆ ᳨ ⣴ ࡍ ࡿ ࡇ Score㸧 ࢆ ⏝ ࠸ ࡓ 㸬 ๓ ኪ ࡢ ⇍ ╧ ᗘ ࡘ ࠸ ࡚ ㉳ ᗋ ࢆ┠ⓗࡋࡓ㸬 Visual Analogue Scale ࢆ ⏝ ࠸ ࡚ グ 㘓 ࡉ ࡏ ࡓ㸬 ϩ㸬᪉ἲ ๓ኪࡢ⇍╧ᗘᙳ㡪ࢆ࠼ࡿ⪃࠼ࡽࢀࡿ 28 ╧ ╀࣭ぬ 㓰 ≧ ែ ࡢ ホ ౯ 㡯 ┠ ࡋ ࡚ 㸪௨ ୗ ࡢ ᐃ ್ࢆ᳨ウࡋࡓ㸬 1. ╧ ╀ ຠ ⋡ 㸦 Sleep Efficiency, ௨ ୗ seff㸧 2. ╧ ╀ య ື ά ື ᣦ ᩘ㸦 Activity Index during Sleep time, ௨ ୗ actx㸧 3. ╧ ╀ ศ ᩿ ᣦ ᩘ 㸦 Sleep Fragmentation Index, ௨ ୗ sfx㸧 4. ╧ ╀ ぬ 㓰 ࢚ ࣆ ࢯ ࣮ ࢻ ᩘ 㸦 Long Wake Episode, ௨ ୗ lwep㸧 5. ๓ ᪥ ࡢ 㛫 ࡢ ╀ Ẽ 6. ╧ ╀ ๓ ࡢ ࢫ ࢺ ࣞ ࢫ 7. ᑵ ᐷ ࡢ Ẽ ศ ୖ グ 1㹼 4 ࡢ ゎ ᯒ ࡣ ᑓ ⏝ ࢯ ࣇ ࢺ ࢘ ࢙ AW2 ࢆ⏝࠸ࡓ㸬 ᝈ ⪅ ࡢ ほ ⓗ ࡞ ⑊ ③ ᙉ ᗘ ࡢ グ 㘓 ࡣ Visual Analogue Scale ࢆ ⏝ ࠸ ࡓ 㸬ᝈ ⪅ ࡢ ほ ⓗ ࡞ 㢡 ࡢ ⑊ ③ ࡣ 㸪㉳ ᗋ ᚋ ࡽ 3 㛫 ẖ グ 㘓 ࡉ ࡏ ࡓ 㸬 ᅇ ࡢ ゎ ᯒ ࡛ ࡣ 㸪㉳ ᗋ ᚋ 6 㛫 ࡢ 㢡 ࡢ ⑊ ③ ࡢ ᭱ ್ ࢆ Jaw Pain㸦 First Period㸪 ௨ ୗ FP㸧㸪 ㉳ ᗋ ᚋ 6 㛫 ࡽ ᑵ ᐷ ๓ ࡢ 㢡 ࡢ ⑊ ③ ࡢ ᭱ ್ ࢆ Jaw Pain㸦 Second Period㸪 ௨ ୗ SP㸧 ࡋ ࡓ 㸬 ⤫ ィ ฎ ⌮ ࡣ ΰ ྜ ຠ ᯝ ࣔ ࢹ ࣝ 㸦 Mixed Effect Model㸧ࢆ ⏝ ࠸ ࡓ 㸬ᚑ ᒓ ኚ ᩘ ࡣ ๓ ኪ ࡢ ⇍ ╧ ᗘ ࡋ 㸪 ඹ ኚ 㔞 ࡣ 㸪 seff㸪 actx㸪 sfx㸪 lwep㸪 ๓ ᪥ ࡢ 㛫 ࡢ ╀ Ẽ 㸪╧ ╀ ๓ ࡢ ࢫ ࢺ ࣞ ࢫ 㸪ᑵ ᐷ ࡢ Ẽ ศ 㸪ࢆ ⏝ ࠸ ࡓ 㸬௨ ୖ ࡢ ඹ ኚ 㔞 ࡢ ࠺ ࡕ ᚑ ᒓ ኚ ᩘ ⣔ ิ ⓗ ▩ ┪ ࡢ ⏕ ࡌ ࡿ ࡶ ࡢ ࡣ 㝖 እ ࡋ ࡓ 㸬ࡍ ࡚ࡢศᯒ࡛⏕⌮ᖺ㱋ࡼࡿᙳ㡪ࢆ⿵ṇࡋࡓ㸬 ᮏ◊✲ࡣ㜰ᏛᏛ㝔ṑᏛ◊✲⛉⌮ጤ ဨ ࡢ ᢎ ㄆ ࢆ ཷ ࡅ ࡓ ୖ ࡛ ᐇ ࡋ 㸪ࡍ ࡚ ࡢ ⿕ 㦂 ⪅ ࡽ ᩥ ᭩ ࡼ ࡾ ◊ ✲ ཧ ຍ ࡢ ྠ ព ࢆ ᚓ ࡓ 㸬ᮏ ◊✲ࡣ㸪⛉Ꮫ◊✲㈝⿵ຓ㔠㸦ㄢ㢟␒ྕ 252933920㸧 ࡢ ⿵ ຓ ࢆ ཷ ࡅ ࡚ ࠸ ࡿ 㸬 ᮏ ◊ ✲ ෆ ᐜ 㛵ࡋ㸪⏦࿌ࡍࡁ┈┦ࡣ࡞࠸㸬 Jaw Pain㸦 FP㸧㸪 Jaw Pain㸦 SP㸧 ࡢ 㛫 㛵 㐃ࡣぢࡽࢀ࡞ࡗࡓ㸬 ⾲ ྛඹኚ㔞ࡢ⇍╧ᗘࡢᙳ㡪 95% C. I. Odds P Ratio ୗ㝈 ୖ㝈 ╧ ╀ ຠ ⋡ (seff㸧 0.099 .515 0.972 0.986 ╧ ╀ య ື ᣦ ᩘ (actx) 0.988 .147 0.972 1.004 ╧ ╀ ศ ᩿ ᣦ ᩘ (sfx) 0.968 .034 0.939 0.997 ╧╀ぬ㓰࢚ࣆࢯ࣮ࢻᩘ (lwep) 0.984 .452 0.943 1.026 ๓᪥ࡢ㛫ࡢ╀Ẽ 0.996 .001 0.993 0.998 ╧╀ࡢࢫࢺࣞࢫ 1.000 .843 0.997 1.003 ᑵᐷࡢẼศ 0.984 .452 0.943 1.000 ᮏ ◊ ✲ ࡢ ⤖ ᯝ ࡽ Micro motion logger Actigraph ࠾ ࡼ ࡧ ᑓ ⏝ ࢯ ࣇ ࢺ ࢘ ࢙ AW2 ࢆ ⏝ ࠸ ࡚ 㸪 ほ ⓗ ࡞ ╧ ╀ ࡢ ㉁ ࡀ ╧ ╀ ศ ᩿ ᣦ ᩘ 㸦 sfx㸧 ࢆᩘ್ⓗᣦᶆࡋ࡚ホ౯࡛ࡁࡿྍ⬟ᛶࡀ♧၀ ࡉࢀࡓ㸬 ᮏ ◊ ✲ ࡼ ࡾ ╧ ╀ ศ ᩿ ᣦ ᩘ 㸦 sfx㸧 ⇍ ╧ ᗘ ࡢ 㛵 㐃 ࡀ 㸪 ඛ ⾜ ◊ ✲ ࡼ ࡾ ⇍ ╧ ᗘ Jaw Pain 㸦 FP 㸧 ࡢ 㛫 㛵 㐃 ࡀ ㄆ ࡵ ࡽ ࢀ ࡓ ࡶ ࡢ ࡢ 㸪 ╧ ╀ ศ ᩿ ᣦ ᩘ 㸦 sfx㸧 Jaw Pain㸦 FP㸧 ࡢ 㛫 ࡣ ┤ ᥋ ࡢ 㛵 㐃 ࢆ ㄆ ࡵ ࡞ ࡗ ࡓ 㸬ࡇ ࢀ ࡽ ࡢ ࡇ ࡣ ࡽ 㸪 ᅇ ྲྀ ࡾ ୖ ࡆ ࡓ ࡶ ࡢ ௨ እ ࡢ ࡢ ᅉ Ꮚ ࡢ 㛵 ࡢྍ⬟ᛶࡀ♧၀ࡉࢀࡓ㸬 ϫ㸬ᩥ⊩ ϫ㸬⤖ᯝ࠾ࡼࡧ⪃ᐹ 1) Yunus MB. Role of central sensitization in symptoms beyond muscle pain, and the evaluation of a patient with widespread pain. Ong JC㸪Best Pract Res Clin Rheumatol. 2007; 21: 481-97. 2) Stepanski EJ, Gramling SE. Pain Coping Strategies for Tension-Type Headache: Possible Implications for Insomnia? J Clin Sleep Med. 2009; 5: 52-6. ほⓗ࡞╧╀ࡢ㉁ࡢホ౯࡛࠶ࡿ⇍╧ᗘ๓ ᪥ ࡢ 㛫 ࡢ ╀ Ẽ 㸪╧ ╀ ศ ᩿ ᣦ ᩘ ࡢ 㛫 㛵 㐃 ࡀ ㄆ ࡵ ࡽ ࢀ ࡓ 㸬୍ ᪉ ࡛ ๓ ᪥ ࡢ ࢫ ࢺ ࣞ ࢫ 㸪ᑵ ᐷ ࡢ Ẽ ศ 㸪 ╧ ╀ ຠ ⋡ 㸦 seff 㸧㸪 ╧ ╀ య ື ά ື ᣦ ᩘ 㸦 actx㸧㸪╧ ╀ ぬ 㓰 ࢚ ࣆ ࢯ ࣮ ࢻ ᩘ (lwep) ࡢ 㛫 ࡣ 㛵 㐃 ࡀ ㄆ ࡵ ࡽ ࢀ ࡞ ࡗ ࡓ 㸦 ⾲ 㸧㸬 ๓ ᪥ ࡢ 㛫 ࡢ ╀ Ẽ ࠾ ࡼ ࡧ ╧ ╀ ศ ᩿ ᣦ ᩘ㸦 sfx㸧 29 ཱྀ₇Ⓨ⾲ 㸵 ╧╀ࣈࣛ࢟ࢩࢬ࣒⮫ᗋデ᩿ᇶ‽ࡢ PSG ࢆ⏝࠸ࡓ᳨ド Evaluation of clinical diagnostic criteria for sleep bruxism by polysomnographic study ۵ྜྷ⏣⿱ဢ㸪Ⳣᓅྐ㸪㧗ሙ㞞அ㸪ᑠ㔝ᗣᐶ㸪 ୰ᮧᾈᓫ㸪୰㔛㤶⌮㸪㤿ሙ୍⨾ Yuya Yoshida, Takeshi Suganuma, Masayuki Takaba, Yasuhiro Ono, Hirotaka Nakamura, Yukari Nakazato, Kazuyoshi Baba ᏛṑᏛ㒊ṑ⛉⿵⥛Ꮫㅮᗙ Department of Prosthodontics, School of Dentistry, Showa University Ϩ. ┠ ⓗ ϩ㸬 㸬 ᪉ἲ ╧╀ࣈࣛ࢟ࢩࢬ࣒(SB)ࡣ㸪╧╀୰ࡢ㠀ᶵ⬟ 1. ⿕㦂⪅ ⓗ࡞ grinding clenching ᐃ⩏ࡉࢀ㸪ࡑࡢ⮫ ⿕㦂⪅ࡣ⚄⤒ᝈ㸪⢭⚄㞀ᐖ㸪╧╀㞀ᐖ㸪ᖖ ᗋデ᩿ࡣ㸪╧╀ྠక⪅ࡼࡿṑࡂࡋࡾ㡢ࡢᣦ ⏝⸆ࡢ࡞࠸ᖖᡂேࡋ㸪⮫ᗋデ᩿ᇶ‽(㐣ཤ 6 㸪ည⪖㸪㉳ᗋࡢᄮ➽⑂ປឤ㸪ည➽⫧➼ ࣨ᭶㐌 3 ኪ௨ୖࡢ╧╀ྠక⪅ࡼࡿṑࡂࡋࡾ ࡢ⮫ᗋᚩೃࢆᇶࡋ࡚⾜ࢃࢀࡿ 1) 㸬 㡢ࡢᣦ㸪㇟∳㉁ཬࡪည⪖㸪㉳ᗋࡢᄮ➽ ࡋࡋ㸪ည⪖ SB ࣞ࣋ࣝࡢ㛵㐃ᛶࡘ࠸ ⑂ປឤࡢ࠺ࡕ 2 ࡘ௨ୖࢆ‶ࡓࡍ)ࢆ⏝࠸࡚ SB ⩌ ࡚ྰᐃⓗ࡞ሗ࿌ࡶ࠶ࡾ㸪ࡇࢀࡽデ᩿ᇶ‽ࡢጇᙜ 21 ྡ ( ᖹ ᆒ ᖺ 㱋 26.7±2.7 ṓ 㸪 ዪ ᛶ 52.4%) ᛶࡣᮍࡔᐇドࡉࢀ࡚࠸࡞࠸㸬ࡑࡢཎᅉࡋ࡚ Control ⩌ 14 ྡ (ᖹ ᆒ ᖺ 㱋 24.5±2.8 ṓ 㸪 ዪ ᛶ SB ࡢⓎ㛵ࢃࡿᅉᏊ㸪⾲⌧ᆺࡶከᵝ࡛ 50.0%)ࢆືဨࡋࡓ㸬 ࠶ࡿࡶࢃࡽࡎ㸪ࡑࢀࡽࡀ୍ᣓࡾࡉࢀ࡚ ࡁࡓࡇࡀᣲࡆࡽࢀࡿ㸬࠼ࡤ SB episode ࢆ㐠 2. PSG ᳨ᰝ ື ㄽ ⓗ ᤊ ࠼ ࡿ 㸪 ᑡ ࡞ ࡃ ࡶ clenching 㸪 SB ☜ᐃデ᩿ࡢࡓࡵ㸪ࡍ࡚ࡢ⿕㦂⪅ࢆᑐ grinding㸪 ୧ ⪅ ࡢ ΰ ྜ ᆺ ࡀ ࠶ ࡾ 㸪 ࡑ ࢀ ࡒ ࢀ ࡢ ከ ㇟ PSG ⨨(Embla N7000, Kanata, Ontario, ᐻࡀ␗࡞ࡿ⮫ᗋᚩೃࢆつᐃࡍࡿྍ⬟ᛶࡀ㧗࠸㸬 Canada)ࢆ⏝࠸࡚㸪⬻Ἴ(C 2 A 1 , C 3 A 2 , O 2 A 1 , O 3 A 2 , ᐇ 㸪 ๓ ㏙ ࡢ ည ⪖ ࡘ ࠸ ࡚ ࡣ 㸪 SB episode ࢆ F 2 A 1 , F 2 A 2 )㸪║㟁ᅗ㸪࢜ࢺ࢞➽㟁ᅗ㸪ᄮ➽ tonic phasic ศࡅ࡚ศᯒࡋࡓ◊✲ࡼࡾ㸪 ➽㟁ᅗ㸦୧ഃည➽㸪୧ഃഃ㢌➽㸪୧ഃ㢡⭡➽ grinding ࢆᫎࡍࡿ phasic ࡞➽άືࡢ㛵㐃ᛶ ๓⭡ 㸧㸪࠸ ࡧࡁ 㸪 ྾ 㸪 SpO 2 㸪ᚰᢿᩘ 㸪య 㸪 1) SB ࡢ⮫ᗋᚩೃࢆ♧ࡉ ᄟୗ࠾ࡼࡧࣅࢹ࢜ࡼࡿື⏬ࢆྠグ㘓ࡋࡓ㸬 ࡞࠸ Control ⩌ẚ㍑ࡋࡓヲ⣽࡞᳨ウࡣ⾜ࢃࢀ ᐃࡣ 2 ᬌᐇࡋ㸪➨ 1 ኪຠᯝࢆ㓄៖ࡋ㸪2 ᬌ ࡚࠸࡞࠸㸬 ┠ࡢ ᐃ⤖ᯝࢆ⏝࠸࡚㸪SB ࡢ☜ᐃデ᩿ࢆ⾜ࡗ ௨ୖࡢ⫼ᬒࡼࡾᮏ◊✲࡛ࡣ㸪ᗈࡃ⏝࠸ࡽࢀ࡚ ࡓ 2) 㸬 ࡀ♧၀ࡉࢀ࡚࠸ࡿࡀ ࠸ࡿ SB ⮫ᗋデ᩿ᇶ‽ࡢጇᙜᛶࢆ᳨ドࡍࡿࡇ ࢆ┠ⓗ㸪 SB ࡢࣜࢫࢡᅉᏊࡸ㛵㐃ᝈࡢ࡞࠸ 3. ╧╀ᵓ㐀࣭SB ➽άືࡢゎᯒ ᖖ ᡂ ே ࢆ ᑐ ㇟ ࡋ ࡚ 㸪 ╧ ╀ ࣏ ࣜ ࢢ ࣛ ࣇ (PSG) ╧ ╀ ᵓ 㐀 ࡢ ゎ ᯒ ࡣ 㸪 American Academy of ࢆ⏝࠸࡚ᚓࡽࢀࡓည➽➽άື ࢆ clenching ࢆ Sleep Medicine ࡢ࢞ࢻࣛࣥ(2014)‽ᣐࡋ ᫎ ࡋ ࡚ ࠸ ࡿ ⪃ ࠼ ࡽ ࢀ ࡿ tonic ࡞ ➽ ά ື ࡚⾜ࡗࡓ㸬 grinding ࢆᫎࡋ࡚࠸ࡿ⪃࠼ࡽࢀࡿ phasic ╧╀୰ࡢည➽➽άືࡢ࠺ࡕࠊ㉳ᗋࡢ᭱ჶ ศ㢮ࡋ㸪ྛ⮫ᗋᚩೃࡢ㛵㐃ᛶࢆẚ㍑᳨࣭ウ ࡳࡋࡵࡢ 10㸣ࢆ SB ࣋ࣥࢺุᐃࡋ㸪SB ࡋࡓ㸬 㛵㐃ࡢ࡞࠸ᄟୗࡸᐷゝ࡞ࡢཱྀ⭍㢦㠃㡿ᇦࡢ 30 ➽άືࡣ㝖እࡋࡓ㸬╧╀᳨ᰝ࠾ࡅࡿ SB デ᩿ Median=113.7, min=22.6, max=89.8s)㸪Control ⩌ ᇶ‽ (Median=2.6, min=0.0, max=62.9s)ẚ㍑ࡋ࡚᭷ 2) ࢆࡶྠᐃࡋࡓ SB episode ࢆ phasic㸪 mixed㸪tonic ࡢ 3 ࢱࣉศ㢮ࡋ㸪ྛ episode ព㛗ࡗࡓ(p<0.0001)㸬 ࡢ㢖ᗘࢆ⟬ฟࡋ㸪ࡉࡽ mixed episode ࡘ࠸ tonic burst ᣢ⥆㛫ࡣ㸪SB ⩌࡛㉳ᗋࡢᄮ ࡚ࡣ phasic burst tonic burst ศࡅ㸪᭱⤊ⓗ ➽ ⑂ ປ ឤ ࢆ ㄆ ࡵ ࡓ ⩌ (n=11, Median=63.8, phasic burst ࡢ⥲ᣢ⥆㛫 tonic burst ࡢ⥲ᣢ⥆ min=14.1, max=119.4s)ࡀ,SB ⩌࡛ㄆࡵ࡞ࡗࡓ 㛫ࢆ⟬ฟࡋࡓ㸬ࡲࡓ㸪ࣅࢹ࢜ࢹ࣮ࢱࡢ㡢ኌฟ ⩌ (n=10, Median=31.9, min=0.0, max=63.6s), ຊࡼࡾ phasic episode ࡢ࠺ࡕṑࡂࡋࡾ㡢ࢆక࠺ Control ⩌(Median=6.26, min=0.0, max=39.9s) episode ࢆ࢝࢘ࣥࢺࡋࡓ㸬 ẚ ㍑ ࡋ ࡚ ᭷ ព 㛗 ࡗ ࡓ (p=0.0004). ࡲ ࡓ , SB ⩌࡛ ᄮ ➽ ⑂ປ ឤࢆ ㄆ ࡵ ࡞ ࡗ ࡓ ⩌ࡣ Control 4. ⤫ィゎᯒ ⩌ྠ⛬ᗘ࡛࠶ࡗࡓ. ௨ୖࡼࡾ㸪╧╀ྠక⪅ࡼࡿṑࡂࡋࡾ㡢ࡢ ᣦ ࡣ grinding ࢆ ᫎ ࡍ ࡿ ṑ ࡂ ࡋ ࡾ 㡢 ࢆ క ࠺ phasic ࡞άື㛵㐃ࡅࡽࢀ㸪ည⪖ࡣ㸪grinding ࢆ ᫎࡍ ࡿ phasic ࡞➽ άື 㛵 㐃 ࡅ ࡽࢀ ࡿ ࡇࡀ᫂ࡽ࡞ࡗࡓ㸬ࡲࡓ㸪㉳ᗋࡢᄮ➽ ⑂ປឤࡣ㸪clenching ࢆᫎࡍࡿ tonic ࡞άື 㛵㐃࡙ࡅࡽࢀࡿࡇࡀ᫂ࡽ࡞ࡾ㸪ྛデ᩿ᇶ ‽ࡀ␗࡞ࡿ SB episode ࢆᫎࡍࡿࡇࡀ♧၀ࡉ ࢀࡓ㸬ᮏ◊✲⤖ᯝࡣ㸪SB ࡢᆺศ㢮ࡑࢀ ᑐᛂࡋࡓデ᩿ᇶ‽ࢆ⟇ᐃࡍࡿୖ࡛᭷⏝࡞ᇶ┙ ࢹ࣮ࢱ࡛࠶ࡿ⪃࠼ࡽࢀࡿ㸬 ๓㏙ࡢ╧╀ྠక⪅ࡼࡿṑࡂࡋࡾ㡢ࡢᣦ㸪 10 ṑ௨ୖࡢ㇟∳㉁ཬࡪည⪖㸪㉳ᗋࡢᄮ➽ ⑂ປឤࡘ࠸࡚㸪ࡑࢀࡒࢀࡢ᭷↓ࡼࡾ SB ⩌ ࢆ 2 ⩌ศࡅ㸪Control ⩌ྜࢃࡏࡓ 3 ⩌࡛ࡇ ࢀࡽࡢኚᩘ╧╀ᵓ⠏ࡘ࠸࡚ࡢẚ㍑᳨࣭ウࢆ ⾜ࡗࡓ㸬(Kruskal-Wallis, Steel-Dwass, p<0.05) Ϫ 㸬⤖ᯝཬࡧ⪃ᐹ 1. ╧╀ᵓ⠏ ╧╀ᵓ㐀ࡘ࠸࡚ࡣ㸪SB ⩌࡛╧╀ຠ⋡ࡀప ϫ㸬ᩥ⊩ ࡃ㸪╧╀ࢫࢸ࣮ࢪ 2 ࡢྜࡀࡁ࠸ഴྥࡀㄆࡵ ࡽࢀࡓࡀ㸪࠸ࡎࢀࡶṇᖖ⠊ᅖෆ࡛࠶ࡗࡓ㸬ࡲࡓ㸪 ࡑࡢࡢ╧╀ᵓ㐀ࡘ࠸࡚ࡣ SB ⩌ Control 1) Yoshizawa S, Suganma T, Takaba M, Ono Y, ⩌ࡢ㛫࡛᭷ព࡞ᕪࡣㄆࡵࡽࢀ࡞ࡗࡓ㸬 Sakai T, Yoshizawa A et al. Phasic jaw motor episodes in healthy subjects with or without 2. SB ➽άື clinical signs and symptoms of sleep bruxism: a SB episode ࡢࡍ࡚ࡢࣃ࣓࣮ࣛࢱࡀ SB ⩌ pilot study. Sleep Breath. 2014㸹18㸸187-93. ࠾࠸࡚ Control ⩌ࡼࡾ᭷ពከ࠸࠶ࡿ࠸ࡣ㛗 2) Lavigne GJ, Rompré PH, Montplasisir J, Sleep ࡗࡓ. bruxism: validity of clinical research diagnostic ⮫ᗋᚩೃࡼࡾ SB ⩌ࢆศࡅࡿ㸪༢㛫 criteria in a controlled polysomnographic study. J ࠶ࡓࡾࡢṑࡂࡋࡾ㡢ࢆక࠺ phasic episode ᩘࡣ㸪 Dent Res. 1996㸹75㸸546-52. SB ⩌ ࡛ ṑ ࡂ ࡋ ࡾ 㡢 ࡢ ᣦ ࢆ ཷ ࡅ ࡓ ⩌ (n=12, Median=0.84, min=0.0, max=3.34 ᅇ/h)ࡀ㸪ᣦࢆ ཷ ࡅ ࡞ ࡗ ࡓ ⩌ (n=9, Median=0.29, min=0.0, max=0.87 ᅇ/h)㸪Control ⩌(Median=0.0, min=0.0, max=0.0 ᅇ /h) ẚ ㍑ ࡋ ࡚ ᭷ ព ከ ࡗ ࡓ (p)㸬 phasic burst ᣢ⥆㛫ࡣ㸪SB ⩌࡛ 10 ṑ௨ୖࡢ ည ⪖ ࢆ ㄆ ࡵ ࡓ ⩌ (n=7, Median=278.6, min=19.1, max=569.7s) ࡀ 㸪 10 ṑ ௨ ୗ ࡢ ⩌ (n=14, 31 ཱྀ₇Ⓨ⾲ 㸶 ḟඖୗ㢡㐠ືグ㘓⨨ࡼࡿᄮ㐠ືࡢศᯒ Analysis of masticatory movement using a 2 Dimensional Mandibular Movement Recording Device ࠐᒣᮏ᪩⧊㸪ᚿ㈡ ༤㸪୰ᓥ㑥ஂ㸪ᑠぢ㔝┿ᜨ㸪ᒸ⏣ Saori Yamamoto, Hiroshi Shiga, Kunihisa Nakajima, Marie Komino, Yamato Okada ᪥ᮏṑ⛉Ꮫ⏕ṑᏛ㒊ṑ⛉⿵⥛Ꮫ➨ ㅮᗙ Department of Partial and Complete Denture, The Nippon Dental University School of Life Dentistry at Tokyo Ϩ㸬┠ⓗ LED (Light-emitting diode)ࢆ ୖ ୗ 㸪 ᕥ ྑ ᪉ ྥ ⛣ືࡉࡏࡓࡢ⨨ᗙᶆࢆ 2 ḟඖୗ㢡㐠ືグ ࢚ࣞࢡࢺࣟࢽࢡࢫࡢⓎ㐩ࢥࣥࣆ࣮ࣗࢱࡢ 㘓 ⨨㸦 ⨨ A㸧 3 ḟ ඖ ୗ 㢡 㐠 ື グ 㘓 ⨨㸦 ᬑཬక࠸㸪㟁Ẽⓗグ㘓ࡍࡿ⨨ࡀ✀ࠎ㛤 ⨨ B㸧࡛ ࡑ ࢀ ࡒ ࢀ グ 㘓 ࡋ ࡓ 㸬ࡲ ࡓ グ 㘓 ࡣ 㸪LED Ⓨ࣭ᕷ㈍ࡉࢀ㸪㛤㛢ཱྀ㐠ືࡸᄮ㐠ືࡢᐃ㔞 ࢝ ࣓ ࣛ 㛫 ࡢ ㊥ 㞳 ࢆ 14 cm㸪15 cm㸪16 cm ࡢ 3 ⓗ࡞ホ౯ࡀ⾜ࢃࢀ࡚࠸ࡿ㸬ࡇࢀࡽࡣ㸪ୖୗ㢡 ✀ 㢮 ࡛ ⾜ ࡗ ࡓ 㸬 ḟ ࠸ ࡛ 㸪 LED ࡢ ᐇ 㝿 ࡢ ⨨ ᗙ ṑิ ᐃ⏝ࢩ࣮ࢿࢆ╔ࡉࡏ㸪ࡑࡢ 6 ⮬⏤ ᶆ ⨨ A㸪 ⨨ B ࡛ ᐃ ࡋ ࡓ LED ࡢ ⨨ ᗙ ᗘࡢ㢡㐠ືࢆグ㘓ࡍࡿ᪉ἲ ᶆࢆẚ㍑ࡋࡓ㸬 1, 2 ) ୗ㢡╔ࡉ ࡏࡓᑠᆺࡢᶆⅬࡢືࡁࢆ㠀᥋ゐᆺࡢࢭࣥࢧ࣮ ᐇ 㦂 ϩ㸸ᡂ ே 20 ྡ㸦 ⏨ ᛶ 10 ྡ 㸪ዪ ᛶ 10 ྡ 㸧 ࡛グ㘓ࡍࡿ᪉ἲูࡉࢀࡿ㸬๓⪅ࡣ㸪ษ ᄮ ഃ ࡛ ㌾ ࡋ ࡓ ࢳ ࣗ ࣮ ࣥ ࢞ ࣒ ࢆ 20 ⛊ ṑⅬ㸪≟ṑ㸪➨ 1 ⮻ṑ㸪ୗ㢡㢌࡞ࡢୗ㢡 㛫ᄮࡉࡏࡓࡢୗ㢡㐠ືࢆ⨨ A ⨨ B ࡢ௵ពⅬࡢ㐠ືࢆ᥎ᐃ࡛ࡁࡿࡀ㸪ୖୗ㢡ṑิ ࡛ྠグ㘓ࡋࡓ㸬ࡇࡢྠグ㘓ࡣ㸪ୗ㢡ษṑ ╔ࡍࡿࢩ࣮ࢿࡀࡁࡃ㸪ࡲࡓ⢭ᗘࢆồࡵ Ⅼ ╔ ࡋ ࡓ LED ࢝ ࣓ ࣛ 㛫 ࡢ ㊥ 㞳 ࢆ 14 cm㸪 ࡿࡓࡵࡣࢩ࣮ࢿࡢ╔ࡶ㛫ࡀࡾ㸪 15 cm㸪 16 cm ࡢ 3 ✀ 㢮 ࡛ ⾜ ࡗ ࡓ 㸬 ࡉࡽィ ⨨ࡀࡁ࠸࠸࠺ḞⅬࡀ࠶ࡾ㸪 ศ ᯒ ࡣ 㸪 ᄮ 㛤 ጞ ᚋ ࡢ ➨ 5 ࡽ ࡢ 10 ࢧ ࢡ ᗈࡃ୍⯡⮫ᗋᛂ⏝ࡉࢀ࡚࠸ࡿࡣゝ࠸㞴࠸ ࣝࡘ࠸࡚㸪ྛࢧࢡࣝࡑࡢ㔜ࡡྜࢃࡏ⾲ ≧ἣ࠶ࡿ㸬ᚋ⪅ࡣ㸪ୗ㢡ษṑⅬࡢୗ㢡 ♧㸪࡞ࡽࡧᖹᆒ⤒㊰ࡢ⾲♧ࢆ⾜࠸㸪ᐃᛶⓗ 㐠ືࡢศᯒ㝈ᐃࡉࢀ࡚࠸ࡿࡶࡢࡢ㸪ࡑࡢ⡆ ほᐹࡋࡓ㸬ḟ࠸࡛㸪㛤ཱྀ㔞ᄮᖜ㸪ࢧ ౽࡞᧯సᛶࡼࡾᗈࡃ୍⯡⮫ᗋᛂ⏝ࡉࢀ࡚ ࢡࣝࢱ࣒㸪㐠ືࡢᏳᐃᛶࢆ⾲ࡍ⤫ྜᣦᶆࢆ ࠸ࡿ㸬ࡓࡔࡋ㸪ୗ㢡ࡣ㸪ୖୗ㸪ᕥྑ㸪๓ᚋ᪉ ⟬ ฟ ࡋ 㸪୧ ⨨ 㛫 㸪3 ✀ 㢮 ࡢ ㊥ 㞳 㛫 ࡛ ẚ ㍑ ࡋ ࡓ 㸬 ྥ㐠ືࡍࡿࡓࡵ㸪ୗ㢡㐠ືࡢほᐹࡣ 3 ḟ ᐃ㔞ⓗᣦᶆࡢ⟬ฟࡣ㸪ࡲࡎྛࢧࢡࣝࡢ୰ ඖ ࡢ グ 㘓 ⨨ ࡀ ᚲ せ ࡛ ࠶ ࡾ 㸪2 ḟ ඖ ࡢ グ 㘓 ⨨ ᚰညྜࢆᇶ‽ࡋ࡚㸪๓㢌㠃ᢞᙳࡋࡓ㛤 ࡛ࡣṇ☜࡞グ㘓ࡀ࡛ࡁ࡞࠸ࡉࢀ࡚࠸ࡿ㸬 㛢 ཱྀ ㊰ ࢆ ୖ ୗ ⓗ 10 ศ ࡋ ࡚ ⟬ ฟ ࡋ ࡓ ᖹ ᆒ ⤒ ᮏ ◊ ✲ ࡢ ┠ ⓗ ࡣ 㸪2 ḟ ඖ 3 ḟ ඖ ࡢ ⨨ ࡛ グ ㊰ࡽ㛤ཱྀ㔞ᄮᖜࢆồࡵᣦᶆࡋࡓ㸬ࡲ 㘓ࡋࡓୗ㢡ษṑⅬࡢᄮ㐠ືࡢᕪ␗ࡢ᭷↓ࢆ ࡓ㸪㛤ཱྀഃ᪉ᡂศ㸪㛢ཱྀഃ᪉ᡂศ㸪ᆶ┤ ᫂ࡽࡍࡿࡇ࡛࠶ࡿ㸬 ᡂ ศ ࡢ ྛ SD/OD ࢆ 㐠 ື ⤒ ㊰ ࡢ Ᏻ ᐃ ᛶ ࢆ ⾲ ࡍ 3 ᣦ ᶆ 㸪㛤 ཱྀ ┦ 㛫 㸪㛢 ཱྀ ┦ 㛫 㸪ည ྜ ┦ 㛫 㸪 ϩ㸬᪉ἲ ࢧࢡࣝࢱ࣒ࡢᖹᆒ್ᶆ‽೫ᕪࡽ⟬ฟ ࡋࡓྛኚືಀᩘࢆ㐠ືࣜࢬ࣒ࡢᏳᐃᛶࢆ⾲ࡍ ᐇ㦂Ϩ㸸3 ḟඖㄞࡳྲྀࡾ㢧ᚤ㙾╔ࡋࡓ 4 ᣦ ᶆ ࡋ ࡓ 㸬ḟ ࠸ ࡛ 㸪ࡇ ࢀ ࡽ ࡢ 7 ᣦ ᶆ ࡢ ࢹ ࣮ 32 ࢱࡘ࠸࡚㸪ᡂศศᯒࢆ⾜࠸㸪ᡂศࢫࢥ ࢆồࡵ㸪㐠ືࡢᏳᐃᛶࢆ⾲ࡍᣦᶆࡋࡓ㸬 Ϫ㸬⤖ᯝཬࡧ⪃ᐹ ᐇ 㦂 Ϩ 㸸 ୖ ୗ 㸪 ᕥ ྑ ᪉ ྥ ⛣ ື ࡉ ࡏ ࡓ LED ࡢ ⨨ ᗙ ᶆ ࡣ 㸪3 ḟ ඖ ୗ 㢡 㐠 ື グ 㘓 ⨨ ࡛ ࠶ ࡿ ⨨ B ࡛ ࡣ 㸪 ࡰ ྠ ࡌ ್ ࢆ ♧ ࡋ ࡓ ࡀ 㸪2 ḟ ඖ ୗ 㢡 㐠 ື グ 㘓 ⨨ ࡛ ࠶ ࡿ ⨨ A ࡛ ࡣ 㸪 LED ࢝ 2 ḟඖୗ㢡㐠ືグ㘓⨨ ࣓ ࣛ 㛫 ㊥ 㞳 14 cm ࡛ ࡣ ⨨ B ࡢ ⨨ ᗙ ᶆ ࡼ ࡾ ࡶ ᣑ ࡍ ࡿ ഴ ྥ 㸪15 cm ࡛ ࡣ 㸪 ࡰ ୍ ⮴ ࡍ ࡿ ഴ ྥ 㸪16 cm ࡛ ࡣ ⦰ ᑠ ࡍ ࡿ ഴ ྥ ࢆ ♧ ࡋ ࡓ 㸬ࡇ ࢀ ࡽ ࡣ 㸪2 ḟ ඖ ୗ 㢡 㐠 ື グ 㘓 ⨨ ࡛ ࡣ 㸪⏕ య ࡢ ୗ 㢡 㐠ືࢆṇ☜グ㘓࡛ࡁ࡞࠸ྍ⬟ᛶࡀ࠶ࡿࡇ ࢆ♧ࡋ࡚࠸ࡿࡶࡢ⪃࠼ࡽࢀࡿ㸬 ᐇ㦂ϩ㸸ᄮ㐠ື⤒㊰ࡢᐃᛶⓗ࡞ほᐹ࡛ࡣ㸪 LED ࢝ ࣓ ࣛ 㛫 ㊥ 㞳 ࡀ 14 cm㸪 15 cm㸪 16 cm ࡢ࠸ࡎࢀ࠾࠸࡚ࡶ⨨ A ⨨ B ࡢ⤖ᯝࡀ ㏆ఝ ࡋ㸪୧ ⨨㛫ᕪ␗ࡀ ㄆࡵࡽࢀ࡞ ࡗࡓ㸬 3 ḟඖୗ㢡㐠ືグ㘓⨨ ᐃ㔞ⓗᣦᶆࡘ࠸࡚⨨㛫࡛ẚ㍑ࡋࡓ⤖ᯝ㸪 LED ࢝ ࣓ ࣛ 㛫 ㊥ 㞳 14 cm ࡛ ࡣ 㸪 㛤 ཱྀ 㔞 ᅗ 1 ᄮ㛤ጞᚋ➨ 5 ࡽࡢ 10 ࢧࢡࣝࡑࡢ㔜ࡡྜࢃࡏ ᄮᖜࡀ⨨ A ࡢ࠺ࡀ⨨ B ࡼࡾࡶ᭷ព ⾲♧࡞ࡽࡧᖹᆒ⤒㊰㸦LED ࣓࢝ࣛ㛫㊥㞳 15 cm㸧 ࡁࡗࡓࡀ㸪ࢧࢡࣝࢱ࣒㐠ືࡢᏳᐃᛶ ࡛ࡣ 㸪୧⨨ 㛫᭷ពᕪࡀ ㄆࡵࡽࢀ࡞ ࡗࡓ㸬 LED ࢝ ࣓ ࣛ 㛫 ㊥ 㞳 15 cm ࡛ ࡣ 㸪 ࡍ ࡚ ࡢ ᣦ ࣓࢝ࣛ㛫ࡢ㊥㞳␃ពࡍࢀࡤ㸪㐠ື⤒㊰࡛ ᶆ࠾࠸࡚୧⨨㛫᭷ពᕪࡀㄆࡵࡽࢀ࡞ ࡶኚࡋ࡞ࡃ࡞ࡿࡇࡀ᫂ࡽ࡞ࡗࡓ㸬ࡇ ࡗ ࡓ 㸬 LED ࢝ ࣓ ࣛ 㛫 ㊥ 㞳 16 cm ࡛ ࡣ 㸪 㛤 ཱྀ ࢀ ࡽ ࡽ 㸪 ᄮ 㐠 ື ࠾ ࠸ ࡚ ࡣ 㸪2 ḟ ඖ ࡢ ୗ 㢡 㔞ᄮᖜࡀ⨨ A ࡢ࠺ࡀ⨨ B ࡼࡾࡶ᭷ 㐠 ື グ 㘓 ⨨ ࡣ 㸪3 ḟ ඖ ࡢ ୗ 㢡 㐠 ື グ 㘓 ⨨ ពᑠࡉࡗࡓࡀ㸪ࢧࢡࣝࢱ࣒㐠ືࡢ ྠ⛬ᗘࡢゎᯒࡀྍ⬟࡛࠶ࡾ㸪⮫ᗋᛂ⏝࡛ࡁࡿ Ᏻᐃᛶ࡛ࡣ㸪୧⨨㛫᭷ពᕪࡀㄆࡵࡽࢀ࡞ ࡇࡀ♧၀ࡉࢀࡓ㸬 ࡗࡓ㸬 3 ✀ 㢮 ࡢ ㊥ 㞳 㛫 ࡢ ẚ ㍑ ࡛ ࡣ 㸪 ⨨ A ࠾ ࠸ ࡚ 㸪 ϫ㸬ᩥ⊩ 㛤 ཱྀ 㔞 ᄮ ᖜ ࡣ 㸪 LED ࢝ ࣓ ࣛ 㛫 ㊥ 㞳 ࡀ 14 cm ࡢ ࡀ ᭱ ࡶ ࡁ ࡃ 㸪15 cm㸪16 cm ࡢ 㡰 ᑠ 1) Airoldi R. L., Gallo L. M., Palla S. Precision ࡉࡃ࡞ࡗࡓࡀ㸪ࢧࢡࣝࢱ࣒㐠ືࡢᏳᐃ of the jaw tracking system JAWS−3D. J Orofacial ᛶࡣ㸪ࡍ࡚ࡢ 2 ㊥㞳㛫᭷ពᕪࡀㄆࡵࡽࢀ Pain 1994; 8: 155−164. ࡞ࡗࡓ㸬୍᪉㸪⨨ B ࠾࠸࡚ࡣ㸪࠸ࡎࢀ 2) ᯘ ㇏ ᙪ . ࣄ ࢺ ࡢ ୗ 㢡 㐠 ື ࡢ ⢭ ᐦ ィ ࣭ศ ࡢᣦᶆࡶࡍ࡚ࡢ 2 ㊥㞳㛫᭷ពᕪࡀㄆࡵࡽ ᯒ ࢩ ࢫ ࢸ ࣒ 㸦 ࢺ ࣛ ࣓ ࢵ ࢺ ࠊ JKN㸫 1㸧 㸫 㧗 ศ ࢀ࡞ࡗࡓ㸬 ゎ ⬟ ࣜ ࢽ CCD ࢝ ࣓ ࣛ ࡢ 㐠 ື ィ ࡢ ᛂ ⏝ 㸫 . ᫎ ീ ሗ Medical 1994; 26: 1317−1325. ࡇ ࢀ ࡽ ࡢ ⤖ ᯝ ࡽ 㸪2 ḟ ඖ ࡢ ⨨ ࡛ グ 㘓 ࡋ ࡓ ᄮ 㐠 ື ࡣ 㸪 㐠 ື ⤒ ㊰ ࡛ ࡣ 㸪 LED ࢝ ࣓ ࣛ 㛫 ࡢ㊥㞳ࡼࡾኚࡍࡿࡶࡢࡢ㸪㐠ືࣜࢬ࣒ 㐠 ື ࡢ Ᏻ ᐃ ᛶ ࡛ ࡣ ኚ ࡋ ࡞ ࠸ ࡇ 㸪 ࡲ ࡓ LED 33 ཱྀ₇Ⓨ⾲ 㸷 ╧╀୰ࡢ ࡢ㗹య㊰㟁Ẽ่⃭ᑐࡍࡿ㢡➽ࡢᛂ⟅≉ᛶ 5HVSRQVLYHQHVVRIGLJDVWULFPXVFOHVWRS\UDPLGDOWUDFW VWLPXODWLRQGXULQJVOHHS ۑᮾᒣு ▮㔝༤அ ຍ⸨㝯ྐ ྜྷ⏣⠜ 0DNRWR+LJDVKL\DPD+LUR\XNL<DQR7DNDIXPL.DWR$WVXVKL<RVKLGD 㜰ᏛᏛ㝔ṑᏛ◊✲⛉ 㧗ḟ⬻ཱྀ⭍ᶵ⬟Ꮫㅮᗙཱྀ⭍ゎ๗Ꮫ➨ᩍᐊ㸪㢡ཱྀ⭍ᘓᏛ ㅮᗙࢡࣛ࢘ࣥࣈࣜࢵࢪ⿵⥛Ꮫศ㔝㸪㢡ཱྀ⭍ᅉែไᚚᏛㅮᗙཱྀ⭍እ⛉Ꮫ➨ᩍᐊ 2VDND8QLYHUVLW\*UDGXDWH6FKRRORI'HQWLVWU\'HSDUWPHQWRI2UDO$QDWRP\DQG 1HXURELRORJ\'HSDUWPHQWRI)L[HG3URVWKRGRQWLFV'HSDUWPHQWRI2UDODQG 0D[LOORIDFLDO6XUJHU\ϩ Ϩ ┠ ⓗ ࡍࡿ㗹య㊰ࢆ㟁Ẽ่⃭ࡍࡿᐇ㦂ࣔࢹࣝࢆ⏝࠸ ࡚ ࠊࣞ ࣒ ╧ ╀ ࡛ 㢡 ➽ ά ື ࢆ ㄏ Ⓨ ࡍ ࡿ ࡇ ࢆ ヨ ࡳ ╧ ╀ ୰ ࡣ ࠊぬ 㓰 ␗ ࡞ ࡾ ➽ ⥭ ᙇ ࡀ ప ୗ ࡋ ࠊ㐠 ࡿ ࡶ ࠊ㗹 య ㊰ ่ ⃭ ࡼ ࡗ ࡚ ㄏ Ⓨ ࡋ ࡓ 㢡 ➽ ື Ⓨ ⌧ ࡀ ప ୗ ࡍ ࡿ ୍ ᪉ ࡛ ࠊᵝ ࠎ ࡞ 㢡 ➽ ά ື ࡀ Ⓨ άືࡢᛂ⟅ᛶࢆㄪࡓࠋ ⌧ ࡍ ࡿ ࠋࡓ ࠼ ࡤ ࠊṑ ⛉ ་ Ꮫ 㡿 ᇦ ࡛ ࡼ ࡃ ▱ ࡽ ࢀ ࡚࠸ࡿ╧╀୰ࡢ㐣࡞㢡➽άືࢆ♧ࡍ╧╀ ϩ ᪉ ἲ ࣈ ࣛ ࢟ ࢩ ࢬ ࣒ ࡣ ࡑ ࡢ ୍ ࡘ ࡛ ࠶ ࡾ ࠊṑ ࡢ ည ⪖ ࡸ ◚ ᢡ ࠊ⿵ ⥛ ⨨ ࡢ ◚ ᦆ ࡸ ⬺ 㞳 ࠊཱྀ ⭍ 㢦 㠃 ③ ࡸ 㢌 ③ ᐇ 㦂 ື ≀ ࡣ +DUWOH\ ⣔ 㞝 ᛶ ࣔ ࣝ ࣔ ࢵ ࢺ ࡢ ཎ ᅉ ࡞ ࡿ ⪃ ࠼ ࡽ ࢀ ࡚ ࠸ ࡿ ࠋ╧ ╀ ࣈ ࣛ ࢟ ༉ 㸦 㹼 J㸧 ࢆ ⏝ ࠸ ࡓ ࠋ ㌟ 㯞 㓉 ୗ ࡛ ࠊ ⬻ ࢩࢬ࣒ࡢ㢡➽άືࡢ㒊ศࡀࣀ࣒ࣥࣞ╧╀࡛ Ἴ║㟁ᅗࡢ ᐃࡢࡓࡵࢿࢪ㟁ᴟࢆ㢌㦵 Ⓨ⏕ࡍࡿࡀࠊ࣒ࣞ╧╀࡛ࡣࢇⓎ⏕ࡋ࡞ タ ⨨ ࡋ ࠊᚰ 㟁 ᅗ ➽ 㟁 ᅗ㸦 㢁 ➽࣭ည ➽࣭㢡 ⭡ ࠸ ࠋࡑ ࡢ ⌮ ⏤ ࡢ 㸯 ࡘ ࠊࣞ ࣒ ╧ ╀ ࡛ ࡣ 㐠 ື ࢽ ࣗ ➽ 㸧ࢆ ᐃ ࡍ ࡿ ࡓ ࡵ ࣡ ࣖ ࣮ 㟁 ᴟ ࢆ ࡑ ࢀ ࡒ ࢀ ࡢ ࣮ࣟࣥࡀࢩࢼࣉࢫᚋᢚไࢆཷࡅ㐣ศᴟ࡞ࡿ ⨨ タ ⨨ ࡋ ࡓ ࠋグ 㘓 㟁 ᴟ ࡣ ⓶ ୗ ࢆ ㏻ ࡋ ࡚ 㢌 㡬 ࡓ ࡵ ࠊ⯆ ዧ ᛶ ධ ຊ ࡀ ࠶ ࡗ ࡚ ࡶ 㐠 ື ࢽ ࣗ ࣮ ࣟ ࣥ ࡀ 㒊 ㄏ ᑟ ࡋ ࠊ᥋ ⥆ ⏝ ࢥ ࢿ ࢡ ࢱ 㐃 ⤖ ࡋ ࡓ ࠋᡭ ⾡ ⯆ዧ࡛ࡁ࡞࠸ࡓࡵ⪃࠼ࡽࢀ࡚࠸ࡿࠋ ࡽ ᅇ ࡋ ࡓ ᚋ ࠊ ᗘ ㌟ 㯞 㓉 ୗ ࡛ ື ≀ ࢆ ⬻ ᐃ ᅛ ᐃ ⨨ ᅛ ᐃ ࡋ ࠊ㗹 య ㊰ ่ ⃭ ࢆ ⾜ ࡗ ࡓ ࠋ୰ ୍ ᪉ ࠊࣄ ࢺ ࡸ ᐇ 㦂 ື ≀ ࡛ ࡣ ࠊࣞ ࣒ ╧ ╀ ୰ 㢡 ➽ ࡢ ༢ ⦰ ࡸ ࣜ ࢬ ࣑ ࢝ ࣝ ࡞ 㢡 㐠 ື 㸦 5K\WKPLF ⬻⭡ഃࡢ㗹య㊰࢞ࣛࢫ⿕そ㔠ᒓ㟁ᴟࢆ่ධ MDZPRYHPHQW㸸 ௨ ୗ 5-0㸧 ࡀ ᩓ Ⓨ ⓗ Ⓨ ⏕ ࡍ ࡿ ࡋ 㟁 Ẽ ่ ⃭ ࢆ ࠼ ࠊ5-0 ༢ ⦰ ࢆ ㄏ Ⓨ ࡛ ࡁ ࡿ ࡇ ࡀ ሗ ࿌ ࡉ ࢀ ࡚ ࠸ ࡿ ࠋࡲ ࡓ ࠊࣞ ࣒ ╧ ╀ ⾜ ື ␗ ࡇ ࢆ ☜ ㄆ ࡋ ࡚ ࠊ㗹 య ㊰ ෆ ่ ⃭ 㟁 ᴟ ࢆ ␃ ⨨ ࡋ ᖖ ࡞ ࠊࣞ ࣒ ╧ ╀ ࡢ 㐠 ື ᢚ ไ ᶵ ᵓ ࡀ 㞀 ᐖ ࡉ ࢀ 㢌㒊ᅛᐃࡋࡓࠋ ่ ⃭ ᐇ 㦂 ࡣ ࠊグ 㘓 ⏝ 㜵 㡢 ⟽ ࡢ ୰ ࡛ ᦤ 㣗࣭㣧 Ỉ ࡓ ᝈ ࡛ ࡣ ࠊ㢡 ➽ ά ື ࡀ ࣞ ࣒ ╧ ╀ ࡛ ከ Ⓨ ࡍ ࡿ ࡇ ࡀ ሗ ࿌ ࡉ ࢀ ࡚ ࠸ ࡿ ࠋࡇ ࢀ ࡽ ࡢ ሗ ࿌ ࡽ ࠊࣞ ࣒ ࡀྍ⬟࡞⮬⏤⾜ືୗ࡛⾜࠸ࠊ▷㛫㐃⥆่⃭ ╧╀࡛㢡➽㐠ືࢽ࣮ࣗࣟࣥࡀᢚไࡉࢀࡓ≧ែ 㸦 ࣃ ࣝ ࢫ ᣢ ⥆ 㛫 㸸 ȣ Vࠊ 㢖 ᗘ 㸸 +]ࠊ ࣃ ࡛ ࡶ ࠊ㐠 ື ๓ ࢽ ࣗ ࣮ ࣟ ࣥ ࡸ 㢡 㐠 ື ࣜ ࢬ ࣒ Ⓨ ⏕ ᶵ ࣝ ࢫ ᩘ 㸸 Ⓨ 㸧ཬ ࡧ ࠊ㛗 㛫 㐃 ⥆ ่ ⃭㸦 ࣃ ࣝ ࢫ ᵓࡽ㐠ືࢽ࣮ࣗࣟࣥࡢ⯆ዧᛶධຊࡀᏑᅾ ᣢ ⥆ 㛫㸸ȣ Vࠊ㢖 ᗘ㸸+]ࠊࣃ ࣝ ࢫ ᩘ㸸 ࡍࡿ⪃࠼ࡽࢀࡿࠋ Ⓨ 㸧ࡢ ᮲ ௳ ࢆ ⏝ ࠸ ࡓ ࠋ▷ 㛫 㐃 ⥆ ่ ⃭ ࡣ ࠊ ࡋ ࡓ ࡀ ࡗ ࡚ ࠊ㗹 య ㊰ ࢆ ่ ⃭ ࡋ ࡚ ୕ ཫ ⚄ ⤒ 㐠 ື ๓ࢽ࣮ࣗࣟࣥࡸ㢡㐠ືࣜࢬ࣒Ⓨ⏕ᶵᵓᢞᑕ ⛊ ࠾ ࡁ ᅇ ࡢ ่ ⃭ ࢆ ࠼ ࡓ ࠋ㛗 㛫 㐃 ⥆ ่ ⃭ ࡣ ࠊ╧ ╀ ≧ ែ ࢆ ┠ ど ࡛ ☜ ㄆ ࡋ ࡞ ࡀ ࡽ ่ ⃭ ࢆ ࠼ 34 ࡓ ࠋ ่ ⃭ ᙉ ᗘ ࡣ ࠊ Ᏻ 㟼 ぬ 㓰 ⣙ 㸣 ࡢ ☜ ⋡ 㓰࣭ࣀ࣒ࣥࣞ╧╀᭷ព࡞ᕪࢆㄆࡵ࡞ࡗࡓࠋ ࡛ 5-0 ࢆ ㄏ Ⓨ ࡛ ࡁ ࡿ ᙉ ᗘ ࢆ ᇶ ‽ ᙉ ᗘ㸦 7㸧 5-0 ࢆ ᵓ ᡂ ࡍ ࡿ ࣂ ࣮ ࢫ ࢺ ࡢ ᖜ ࡣ ぬ 㓰࣭ࣀ ࣥ ࣞ ࡋ ࠊࡑ ࡢ ಸ㸦 7㸧 ࡋ ࡓ ࠋ୍ 㒊 ࡢ ື ≀ ࣒╧╀ᑐࡋ࡚࣒ࣞ╧╀࡛ࡣῶᑡࡀㄆࡵࡽࢀ ࡘ ࠸ ࡚ ࡣ ಸ 㸦 7㸧 ࡢ ᙉ ᗘ ࡶ ే ࡏ ࡚ ⏝ ࠸ ࡓ ࠋ ࡓ ࠋ ่ ⃭ ᙉ ᗘ 7 ࡛ ࡣ ࡚ ࡢ ࢫ ࢸ ࣮ ࢪ ࡛ ᖜ ▷㛫㐃⥆่⃭࡛ㄏⓎࡋࡓ▷₯ᛂ⟅ࡢㄏ ࡢቑຍഴྥࢆ♧ࡋࡓࡀࢫࢸ࣮ࢪ㛫࡛᭷ព࡞ᕪ Ⓨ ⋡ ࠊᛂ ⟅ ࡢ ᖜ ࠾ ࡼ ࡧ ㄏ Ⓨ ₯ ࠊࡉ ࡽ ࡣ 㛗 ࢆ ㄆ ࡵ ࡞ ࡗ ࡓ ࠋ 5-0 ࡢ ࣂ ࣮ ࢫ ࢺ ࿘ ᮇ ࡣ ぬ 㓰 ࣭ 㛫 㐃 ⥆ ่ ⃭ ࡛ ㄏ Ⓨ ࡋ ࡓ 5-0 ࡢ ㄏ Ⓨ ⋡ ࠊ5-0 ࣂ ࣀ ࣥ ࣞ ࣒ ╧ ╀࣭ࣞ ࣒ ╧ ╀ ᭷ ព ࡞ ᕪ ࢆ ㄆ ࡵ ࡞ ࣮ ࢫ ࢺ ࡢ ᖜ ࠾ ࡼ ࡧ ࿘ ᮇ ࢆ ࠊྛ ࢫ ࢸ ࣮ ࢪ㸦 ぬ 㓰 ࠊ ࡗ ࡓ ࠋࣀ ࣥ ࣞ ࣒ ╧ ╀ ࡛ ㄏ Ⓨ ࡋ ࡓ 5-0 ࡛ ࡣ ࠊ่ ⃭ ࣀ ࣥ ࣞ ࣒ ╧ ╀ ࠊࣞ ࣒ ╧ ╀ 㸧 ࠾ ࠸ ࡚ ่ ⃭ ᙉ ᗘ ู ᚋ ࡢ ည ➽ ά ື ࡶ ⬻ Ἴ ά ື ࡀ ኚ ࡋ ࡓ ࠋࡋ ⟬ ฟ ࡋ ࡓ ࠋࡲ ࡓ ࠊࣀ ࣥ ࣞ ࣒ ╧ ╀ ࣞ ࣒ ╧ ╀ ࡛ ࡋ ࠊࣞ ࣒ ╧ ╀ ࡛ ࡣ 㢡 ⭡ ➽ ࡢ 5-0 ࢆ ㄏ Ⓨ ࡋ ࡚ ࡣ ࠊ่ ⃭ ๓ ᚋ ࡢ ⬻ Ἴ ά ື ࡢ ࣃ ࣡ ࣮ ࢫ ࣌ ࢡ ࢺ ࣝ ࢆ ࡶࠊ่⃭๓ᚋࡢ⬻Ἴάືኚࢆㄆࡵ࡞ࡗ ᐃ㔞ࡋࡓࠋ ࡓࠋ ௨ ୖ ࡢ ⤖ ᯝ ࡽ ࠊࣞ ࣒ ╧ ╀ ࡛ ࡶ 㗹 య ㊰ ࢆ ࡋ Ϫ ⤖ ᯝ ཬ ࡧ ⪃ ᐹ ࡓ⯆ዧᛶධຊࡼࡾ㢡➽㐠ື๓ࢽ࣮ࣗࣟࣥࡸ 㢡㐠ືࣜࢬ࣒Ⓨ⏕ᶵᵓࢆάືࡉࡏࡿࡇࡀྍ ▷ 㛫 㐃 ⥆ ่ ⃭ ࡼ ࡿ ࠊ▷ ₯ ᛂ ⟅ ࡢ ㄏ Ⓨ ⋡ ⬟ ࡛ ࠶ ࡿ ࡇ ࡀ ♧ ၀ ࡉ ࢀ ࡓ ࠋࡋ ࡋ ࠊㄏ Ⓨ ࡉ ࢀ ࡣ ่ ⃭ ᙉ ᗘ 7 ࡛ ࡣ ぬ 㓰 ࣭ ࣀ ࣥ ࣞ ࣒ ╧ ╀ ᑐ ࡓ 㢡 ⭡ ➽ ά ື ࡢ Ⓨ ⌧ ࡸ ᖜ ࡀ ప ࡃ ࠊည ➽ ά ື ࡋ ࡚ ࣞ ࣒ ╧ ╀ ࡛ ࡣ ⣙ ῶ ᑡ ࡋ ࡓ ࠋ୍ ᪉ ࠊ่ ࡸ ⬻ Ἴ ࡢ ኚ ࢆ ㄆ ࡵ ࡞ ࠸ ࡢ ࡛ ࠊࣞ ࣒ ╧ ╀ ࡛ ࡣ 㐠 ⃭ ᙉ ᗘ 7 ࡛ ࡣ ࣞ ࣒ ╧ ╀ ࡛ ࡢ ㄏ Ⓨ ⋡ ࡀ ⣙ ಸ ືࢽ࣮ࣗࣟࣥᑐࡍࡿᣢ⥆ⓗ࡞ᢚไぬ㓰㜈 ቑ ຍ ࡋ ࢫ ࢸ ࣮ ࢪ 㛫 ࡛ ᕪ ࡀ ࡞ ࡃ ࡞ ࡗ ࡓ ࠋ▷ ₯ ್ ࡀ 㧗 ࠸ ࡇ ࡼ ࡗ ࡚ ࠊ5-0 ࡢ Ⓨ ⏕ ࡀ ᢚ ࠼ ࡽ ࢀ ᛂ ⟅ ࡢ ᖜ ࡣ ่ ⃭ ᙉ ᗘ 7 ࡛ ࡣ ぬ 㓰 ࣭ ࣀ ࣥ ࣞ ࡚࠸ࡿ⪃࠼ࡽࢀࡿࠋ ࡋ ࡓ ࡀ ࡗ ࡚ ࠊ╧ ╀ ࣈ ࣛ ࢟ ࢩ ࢬ ࣒ ࡢ 㢡 ➽ ά ື ࣒ ╧ ╀ ᑐ ࡋ ࡚ ࣞ ࣒ ╧ ╀ ࡛ ࡣ ⣙ ῶ ᑡ ࡋ ࡓ ࠋ่ ⃭ ᙉ ᗘ 7 ࡛ ࡣ 7 ࡢ ᖜ ẚ ㍑ ࡋ ࡚ ࡣ ࣀ ࣥ ࣞ ࣒ ╧ ╀ ẚ ㍑ ࡋ ࡚ ࠊࣞ ࣒ ╧ ╀ ࡛ ࡣ Ⓨ ⌧ ࡍ ࡚ ࡢ ࢫ ࢸ ࣮ ࢪ ࡛ ⣙ ಸ ቑ ຍ ࡋ ࡓ ࠋࡋ ࡋࡃࡃ࡞ࡗ࡚࠸ࡿ⪃࠼ࡽࢀࡿࠋ ࡋ ࠊ 7ࠊ 7 ࡕ ࡽ ࠾ ࠸ ࡚ ࡶ ࣞ ࣒ ╧ ╀ ࡢ ᖜ ࡣ ࠊぬ 㓰࣭ࣀ ࣥ ࣞ ࣒ ╧ ╀ ࡼ ࡾ ࡶ ᭷ ព ప ϫ㸬ᩥ⊩ ࡗ ࡓ 㸦 S㸺 㸧ࠋ ▷ ₯ ᛂ ⟅ ࡢ ₯ ࡣ ࠊ ่ ⃭ ᙉ ᗘ 7ࠊ 7 ࠸ ࡎ ࢀ ࡶ ࢫ ࢸ ࣮ ࢪ 㛫 ࡛ ᕪ ࡀ 1. Kato T, Masuda Y, Yoshida A, et.al (2011) Masseter EMG activity during sleep and sleep bruxism. Arch Ital Biol 149:478 -491. ࡞ࡗࡓࠋ ぬ 㓰࣭ࣀ ࣥ ࣞ ࣒ ╧ ╀ ࡛ ࡣ 㛗 㛫 㐃 ⥆ ่ ⃭ ࢆ ࠼ ࡿ ࡇ ࡼ ࡗ ࡚ ࠊ୧ ഃ 㢡 ⭡ ➽ ࠊည ➽ 5-0 ࡀ ㄏ Ⓨ ࡛ ࡁ ࡓ ࠋ㛗 㛫 㐃 ⥆ ่ ⃭ ୰ ࠊ୧ ഃ 㢡 ⭡ ➽ ࡀ ࣜ ࢬ ࣑ ࢝ ࣝ ࡞ ά ື ࢆ 㛤 ጞ ࡋ ࠊࡑ ࢀ 㐜 ࢀ ࡚ ⣙ 㸣 ࡢ ࡛ ୧ ഃ ည ➽ ࡶ ࣜ ࢬ ࣑ ࢝ ࣝ ࡞ ά ື ࢆ 㛤 ጞ ࡋ ࡓ ࠋࡲ ࡓ ่ ⃭ ⤊ ᚋ ࡶ ࠊ୧ ഃ ㄏ Ⓨ ࡋ ࡓ ࣜ ࢬ ࣑ ࢝ ࣝ ࡞ ά ື ࡣ ᣢ ⥆ ࡋ ࡓ ࡀ ࠊᩘ ⛊ ௨ ෆ ᾘ ኻ ࡋ ࡓ ࠋ୍ ᪉ ࠊࣞ ࣒ ╧ ╀ ࡛ ࡣ ่ ⃭ ୰ 㢡 ⭡ ➽ ࡢ ࡳ 5-0 ࢆ ㄏ Ⓨ ࡛ ࡁ ࡓ ࡀ ࠊ㛗 㛫 㐃 ⥆ ่ ⃭ 2. Kato T, Yamaguchi T, Okura K, et.al (2013) Sleep less and bite more: sleep disorders associated with occlusal loads during sleep. J Prosthodont Res 57:69-81. 3. Chandler SH, Goldberg LJ (1982) Intracellular analysis of synaptic mechanisms controlling spontaneous and cortically induced rhythmical jaw movements in the guinea pig. J Neurophysiol 48:126-138. 㓰 ࣭ ࣀ ࣥ ࣞ ࣒ ╧ ╀ ᑐ ࡋ ࡚ ࣞ ࣒ ╧ ╀ ࡛ ⣙ 4. Abe S, J Gagnon, Jacques Y, et al. (2013) Sleep bruxism and oromandibular myoclonus in rapid eye movement sleep behavior disorder: a preliminary report. 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ཷᐜయసື⸆ࡢ℺ ὶᢞ࡛ࡣ㸪36&V ࡢᖜ᭷ព࡞ኚࡣぢࡽࢀ࡞ ࡗࡓ㸬ࡲࡓ㸪ᚤᙅ㟁ὶࡼࡿ༢⥺⥔่⃭ࢆ⾜ࡗࡓ ࡇࢁ㸪+ ཷᐜయసື⸆ࡢᢞ࡛ 36&V ࡢⓎ⏕☜⋡ࡀ ᭷ពపୗࡋࡓࡀ㸦sQ 㸧 㸪ᖜࡣ᭷ ព࡞ኚࡀぢࡽࢀ࡞ࡗࡓ㸬ࡇࡢࡼ࠺࡞ + ཷᐜయస ື⸆ࡼࡿ 36&V ࡢⓎ⏕☜⋡ࡢపୗࡣ㸪+ ཷᐜయᣕ ᢠ⸆ࡢᢞࡼࡗ࡚ᾘኻࡋࡓ㸬ࡇࢀࡽࡢ⤖ᯝࡣ㸪+ ཷᐜయࢆࡋࡓࣄࢫࢱ࣑ࣥᛶࡢධຊࡀ㸪0HV9 ࢽ࣮ࣗ ࣟࣥࡽ 001V ࡢࢩࢼࣉࢫఏ㐩ࡢຠ⋡ࢆୗࡆࡿࡇ ࢆ♧၀ࡋ࡚࠸ࡿ㸬⥆࠸࡚㸪PV ࡢ่⃭㛫㝸࡛㸰 ᅇࡢ㐃⥆่⃭ࢆ 1 ᑐࡋ࡚⾜ࡗࡓ㸬㸰ᅇࡢ㐃⥆่⃭ 37 㸦㸯࣮࣌ࢪ┠㸧 ཱྀ₇Ⓨ⾲ 㸯㸯 ືࡣࡢࡼ࠺࡞⚄⤒ᶵᵓࡼࡗ࡚ᄮᙳ㡪ࢆཬࡰࡍࡢ %\ZK KDWQHXURQDOPHFKDQLVPVGGRHPRWLRQVDIIHFWPDVWLFDWLRQ" ○ཎ 㤶 1,2)ࠊబ⸨ ᩥᙪ 1)ࠊຍ⸨ 㝯ྐ 1)ࠊྜྷ⏣ ⠜ 1) Haruka Ohara1,2), Fumihiko Sato1), Takafumi Kato1), Atsushi Yoshida1) 㜰ᏛᏛ㝔ṑᏛ◊✲⛉㧗ḟ⬻ཱྀ⭍ᶵ⬟Ꮫㅮᗙཱྀ⭍ゎ๗Ꮫ➨ᩍᐊ 1) 㜰ᏛᏛ㝔ṑᏛ◊✲⛉ศᏊែཱྀ⭍⛉Ꮫᑓᨷ㢡㢦㠃ཱྀ⭍▹ṇᏛᩍᐊ 2) 1) Department of Oral Anatomy and Neurobiology, Graduate Schoo l of Dentistry, Osaka University 2) Department of Orthodontics and Dentofacial Orthopedics, Graduate Schoo l of Dentistry, Osaka University Ϩ ┠ ⓗ ⓶ ㉁ ࠾ ࡼ ࡧ እ ഃ ᡭ ⥘ ᰾ ࡽ 9PHV ࡢ ┤ ᥋ ᢞ ᑕ ࡀ Ꮡ ᅾ ࡍ ࡿ ࡢ ࢆ ゎ ᫂ ࡍ ࡿ ࡇ ࢆ ┠ ⓗ ࡋ ࡓ ࠋ Ꮀ ࡋ ࠸ ࠊᝎ ࡳ ࡀ ࠶ ࡿ ࠊዲ ࡁ ࡞ ≀ ࠊ᎘ ࠸ ࡞ ≀ࢆ㣗ࡿ࡛ࡣࠊᄮ㐠ືࡢᵝែࡣኚࡍ ϩ ᪉ ἲ ࡿ ࠋࡇ ࢀ ࡣ ࠊ ᄮ 㐠 ື ࡀ ື ࡢ ᙉ ࠸ ᙳ 㡪 ࢆ ཷ ࡅ ࡿࡇࢆ♧ࡋ࡚࠸ࡿࠋື㛵ࢃࡿ⬻ෆ㒊 㞝 ࣛ ࢵ ࢺ ࢆ ⏝ ࠸ ࠊ࣌ ࣥ ࢺ ࣂ ࣝ ࣅ ࢱ ࣮ ࣝ ࢟ ࢩ ࡣ ࠊ ⬻ ⓶ ㉁ ࡢ ๓ 㢌 ๓ 㔝 ࡸ ⓶ ㉁ ୗ ᵓ 㐀㸦 ど ᗋ ୗ ࣛ ࢪ ࣥ ࡢ ⭡ ⭍ ෆ ᢞ ࡼ ࡿ ㌟ 㯞 㓉 ୗ ࡛ ࠊ⬻ ෆ 㒊 ࠊᡥ ᱈ ᰾ ࡞ 㸧࡞ ࡛ ࠶ ࡿ ࡀ ࠊࡇ ࢀ ࡽ ࡢ 㒊 ⚄⤒ࢺ࣮ࣞࢧ࣮ࢆὀධࡋ࡚⚄⤒ᅇ㊰ࢆᶆ㆑ ࡣ ࠊ ᄮ 㐠 ື ࢆ 㐙 ⾜ ࡉ ࡏ ࡿ ୕ ཫ ⚄ ⤒ 㐠 ື ࢽ ࣗ ࣮ ࡋࡓࠋ ࣟ ࣥ ࡣ ┤ ᥋ ࡣ ࢇ ᢞ ᑕ ࡋ ࡚ ࠸ ࡞ ࠸ ࠋୗ ඛ ࡎ ࠊည ➽ ⚄ ⤒ ࡢ 㟁 Ẽ ่ ⃭ ࡛ ㄏ Ⓨ ࡉ ࢀ ࡿ ㄏ Ⓨ ⬻ᖿᏑᅾࡍࡿ㐠ື๓ࢽ࣮ࣗࣟࣥ┤᥋ᢞ 㟁 ࢆ グ 㘓 ࡋ ࡚ 9PHV ࡢ ᑿ ഃ 㒊 ࢆ ྠ ᐃ ࡋ ࡓ ࠋ ㏫ ᑕ ࡋ ࠊ㐠 ື ๓ ࢽ ࣗ ࣮ ࣟ ࣥ ࡢ ᢞ ᑕ ࢆ ཷ ࡅ ࡿ ୕ ཫ ⚄ ⾜ ᛶ ⚄ ⤒ ࢺ ࣞ ࣮ ࢧ ࣮ ࡛ ࠶ ࡿ )OXRURJROG)*ࠊ ⤒㐠ືࢽ࣮ࣗࣟࣥࢆ㛫᥋ⓗไᚚࡋ࡚࠸ࡿ ࢆ ᑒ ධ ࡋ ࡓ ࢞ ࣛ ࢫ ⟶ ᚤ ᑠ 㟁 ᴟ ࢆ 9PHV ่ ⪃ ࠼ ࡽ ࢀ ࡿ ࠋ㐠 ື ๓ ࢽ ࣗ ࣮ ࣟ ࣥ ࡢ ୍ ࡘ ࡛ ࠶ ࡿ ୕ ධ ᚋ ࠊ㟁 Ẽ Ὃ ື ࡚ )* ࢆ 9PHV ᚤ 㔞 ὀ ධ ࡋ ࡓ ࠋ ཫ ⚄ ⤒ ୰ ⬻ ㊰ ᰾㸦 9PHV㸧ࢽ ࣗ ࣮ ࣟ ࣥ ࡣ ࠊ ᄮ ➽ ὀ ධ ࡢ 㐌 㛫 ᚋ ⬻ ษ ∦ ࢆ స ᡂ ࡋ ࡚ ࠊ ⬻ ⓶ ㉁ ➽⣳㗽ࡸṑ᰿⭷⏕ࡎࡿ῝㒊ឤぬࢆఏ㐩ࡍࡿ እഃᡭ⥘᰾ෆᶆ㆑ࡉࢀࡓ⣽⬊ࢆほᐹࡋࡓࠋ ୍ ḟ ồ ᚰ ᛶ ࢽ ࣗ ࣮ ࣟ ࣥ ࡛ ࠶ ࡾ ࠊ ᄮ ࠊᄟ ୗ ࠊⓎ ḟ ࠊ9PHV ࡢ )* ὀ ධ ࡢ ⤖ ᯝ ࠊ)* ᶆ ㆑ ⣽ ⬊ ࡀ ኌ ࠊ ྾ ࠊ㢌 ࡢ ಖ ᣢ ࡞ ࡢ 㢡 㢦 㠃 ཱྀ ⭍ 㡿 ᇦ ࡢ ㄆ ࡵ ࡽ ࢀ ࡓ ࡇ ࢀ ࡽ ࡢ 㒊 ࠊ㡰 ⾜ ᛶ ⚄ ⤒ ࢺ ࣞ ࣮ 㐠 ື ࡢ ไ ᚚ 㛵 ࢃ ࡗ ࡚ ࠸ ࡿ ࠋࡇ ࢀ ࡲ ࡛ ࠊ⬻ ෆ ࢧ ࣮ ࡛ ࠶ ࡿ ELRWLQ\ODWHGGH[WUDQDPLQH%'$ ࠊ Ꮡ ᅾ ࡍ ࡿ 9PHV ࢽ ࣗ ࣮ ࣟ ࣥ ࡀ ࠊ ື 㛵 ࢃ ࡿ ࢆ ᑒ ධ ࡋ ࡓ ࢞ ࣛ ࢫ ⟶ ᚤ ᑠ 㟁 ᴟ ࢆ ่ ධ ᚋ ࠊ㟁 どᗋୗ㒊 ࡸᡥ᱈᰾ ࡞ࡽࡢ┤᥋ᢞᑕࢆ Ẽ Ὃ ື ࡚ %'$ ࢆ ᚤ 㔞 ὀ ධ ࡋ ࡓ ࠋὀ ධ ࡢ 㐌 㛫 ཷ ࡅ ࡿ ࡇ ࡀ ࢃ ࡗ ࡚ ࠸ ࡿ ࠋ ࡼ ࡗ ࡚ 9PHV ࢽ ࣗ ᚋ ⬻ ษ ∦ ࢆ స ᡂ ࡋ ࡚ ࠊᶆ ㆑ ㍈ ⣴ ࡢ ศ ᕸ ࢆ ほ ᐹ ࣮ ࣟ ࣥ ࡢ 㢡 㢦 㠃 ཱྀ ⭍ 㡿 ᇦ ࡢ 㐠 ື ࡢ ไ ᚚ ࡣ ࠊ ື ࡋ ࡓ ࠋࡲ ࡓ ࠊ%'$ ᶆ ㆑ ࡉ ࢀ ࡓ ㍈ ⣴ ⤊ ᮎ ࢥ ࣥ ࢱ ࡢᙳ㡪ࢆཷࡅࡿࡇࡀ⪃࠼ࡽࢀࡿࠋ ࢡ ࢺ ࡍ ࡿ 9PHV ࢽ ࣗ ࣮ ࣟ ࣥ ࡢ ⣽ ⬊ య ࡢ ศ ᕸ ࡶ ほ ࡋ ࡋ ࠊ᭱ 㧗 ḟ ୰ ᯡ ࡛ ࠶ ࡿ ⬻ ⓶ ㉁ ࠾ ࡼ ࡧ ⓶ ᐹࡋࡓࠋ ㉁ ୗ ᵓ 㐀 ࡢ ࠺ ࡕ ࠊ㈇ ࡢ ື㸦 ᮇ ᚅ ࡣ ࡎ ࢀ ࡢ ࡢ ື ࡞ 㸧ࡢ ࢭ ࣥ ࢱ ࣮ ࡋ ࡚ ㏆ ᖺ ὀ ┠ ࡉ ࢀ ࡚ ࠸ ࡿእഃᡭ⥘᰾ Ϫ ⤖ ᯝ ཬ ࡧ ⪃ ᐹ ࡽ 9PHV ࡢ ᢞ ᑕ ࡘ ࠸ ࡚ ࡣ ࡃ ᫂ ࡛ ࠶ ࡿ ࠋࡑ ࡇ ࡛ ࠊᮏ ◊ ✲ ࡛ ࡣ ࠊ ⬻ 9PHV ࡢ )* ὀ ධ ࡛ ࡣ ࠊ ὀ ධ 㒊 ࡣ 9PHV ࡢ 38 ϫ㸬ᩥ⊩ ᑿ ഃ 㒊 ࢆ ྵ ࢇ ࡛ ࠸ ࡓ ࠋ㏫ ⾜ ᛶ ᶆ ㆑ ࡉ ࢀ ࡓ ࢽ ࣗ ࣮ࣟࣥࡀࠊ⬻⓶㉁࡛ࡣ୧ഃᛶࡔࡀྠഃඃ ࠊ๓㢌๓㔝ෆഃ㒊㸦ᖏ≧⓶㉁ࠊ๓㎶⦕⓶㉁ࠊ ୗ ㎶ ⦕ ⓶ ㉁ ࠊ ⫼ ഃ ⬮ ⓶ ㉁ 㸧ࠊ ᓥ ⓶ ㉁ ෆ ഃ ↓ 㢛 1. Andres complexes. ᛶ㐠ື㔝ࡣㄆࡵࡽࢀ࡞ࡗࡓࠋ ศ 㢮 ࡉ ࢀ ࡿ ࠋᡭ ⥘ ᰾ ࡣ ࠊෆ ഃ ᡭ ⥘ ᰾ እ ഃ ᡭ ࣗ ࣮ ࣟ ࣥ ࡣ ࠊእ ഃ ᡭ ⥘ ᰾ ࡢ ࡳ ㄆ ࡵ ࡽ ࢀ ࠊෆ ഃ gray. Neurosci Lett 1993; 158: 55 -58. 4. Nagy JI, Buss M, Daddona PE. On the innervation primary neurons by adenosine 1986; 5. Paxinos G, Watson C. The rat brain in stereotaxic coordinates. 4th ed. Academic Press. Sydney 1998 6. Shepard PD, Holcomb HH, Gold JM. Schizophrenia in translation: the presence of absence: habenular regulation of dopamine neurons ඃ 9PHV ࡢ ࿀ ᑿ ⓗ 㛗 ࢃ ࡓ ࡗ ࡚ ㄆ ࡵ ࡽ ࢀ and the encoding of negative outcomes. Schizophr Bull 2006; 32: 417 -421. 7. Shirasu M, Takahashi T, Yamamoto T, Itoh K, Sato S, Nakamura H. Direct projections from ഃࡶㄆࡵࡽࢀ࡞ࡗࡓࠋ the ௨ ୖ ࡢ ⤖ ᯝ ࡼ ࡾ ࠊ 9PHV ࢽ ࣗ ࣮ ࣟ ࣥ ࡀ ఏ 㐩 ࡍ central amygdaloid nucleus to the mesencephalic trigeminal nucleus in rats. ࡿᄮ➽➽⣳㗽ࡸṑ᰿⭷ࡢឤぬࡀច㉳ࡲࡓࡣ Brain Res 2011; 1400: 19-30. 8. Ullsperger M, von Cramon DY. Error monitoring using external feedback: specific ࡚ ࠸ ࡿ ࡇ ࡀ ᫂ ࡽ ࡞ ࡗ ࡓ ࠋࡲ ࡓ ࠊእ ഃ ᡭ ⥘ roles of the habenular complex, the reward ᰾ እ ഃ 㒊 ࡽ ࡢ 9PHV ࡢ ┤ ᥋ ᢞ ᑕ ࡢ Ꮡ ᅾ ࡀ ᫂ system, and the cingulate motor area revealed ࡽ ࡞ ࡾ ࠊࡇ ࡢ ᢞ ᑕ ⤒ ㊰ ࢆ ࡋ ࡚ ࠊ ᄮ 㐠 ື by functional magnetic resonance imaging. J ࡀ㈇ࡢືࡼࡗ࡚ࡶไᚚࡉࢀ࡚࠸ࡿྍ⬟ᛶ Neurosci 2003; 23; 4308-4314. ࡀ♧၀ࡉࢀࡓࠋ afferent mesencephalic 17: 141-156. 9PHV ࢽ ࣗ ࣮ ࣟ ࣥ ࡢ ⣽ ⬊ య ࡶ ࠊ ୧ ഃ ᛶ ࡔ ࡀ ྠ ഃ ⬻⓶㉁ࡢື㛵㐃㡿㔝ࡽࡢ┤᥋ไᚚࢆཷࡅ trigeminal hypothalamus in the rat. Neuroscience ㄆ ࡵ ࡽ ࢀ ࡓ ࠋᶆ ㆑ ㍈ ⣴ ⤊ ᮎ ࢥ ࣥ ࢱ ࢡ ࢺ ࡍ ࡿ ಟ 㣭 ࡋ ࡚ ࠸ ࡿ ᄮ 㐠 ື ࡀ ࠊ᭱ 㧗 ḟ ୰ ᯡ ࡛ ࠶ ࡿ of deaminase-containing projections from the ྠ ᵝ ࠊእ ഃ ᡭ ⥘ ᰾ ࡢ %'$ ࡢ ὀ ධ ࡛ ࡣ ࠊእ ࢆ ὀ ධ ࡋ ࡓ ࡛ ࡣ ࠊ ᶆ ㆑ ㍈ ⣴ ࡣ 9PHV ෆ ࡣ ୧ 407: their axons to the midbrain periaqueductal ࡓ ࠋ ᶆ ㆑ ㍈ ⣴ ⤊ ᮎ ࢥ ࣥ ࢱ ࢡ ࢺ ࡍ ࡿ 9PHV ࢽ ࣗ ࡓ ࠋ ୍ ᪉ ࠊ እ ഃ ᡭ ⥘ ᰾ ෆ ഃ 㒊 㝈 ᒁ ࡋ ࡚ %'$ 1999; fibers from the nucleus accumbens and send ࡀ ࠊ ୧ ഃ ᛶ ࡔ ࡀ ྠ ഃ ඃ 9PHV ෆ ㄆ ࡵ ࡽ ࢀ ࡀ ࠊ 9PHV ෆ ࠊ ୧ ഃ ᛶ ࡔ ࡀ ࢃ ࡎ ྠ ഃ ඃ Neurol of habenular neurons which receive afferent ࡢ %'$ ὀ ධ ࡢ ⤖ ᯝ ࠊ 㡰 ⾜ ᛶ ᶆ ㆑ ࡉ ࢀ ࡓ ㍈ ⣴ ഃᡭ⥘᰾እഃ㒊ὀධࡉࢀࡓ࡛ࠊᶆ㆑㍈⣴ Comp. 3. Li YQ, Takada M, Mizuno N. Demonstration ๓ 㢌 ๓ 㔝 ෆ ഃ 㒊 ࠊᓥ ⓶ ㉁ ෆ ഃ ↓ 㢛 ⢏ ᛶ ⓶ ㉁ 9PHV ࡢ ࿀ ᑿ ⓗ 㛗 ࢃ ࡓ ࡗ ࡚ ㄆ ࡵ ࡽ ࢀ ࡓ ࠋ J. study. Ann. Anat 2011; 193: 118 -126. ඃ ㄆ ࡵ ࡽ ࢀ ࡓ ࠋෆ ഃ 㒊 ࡣ ࢇ ㄆ ࡵ ࡽ ࣮ࣟࣥࡢ⣽⬊యࡀࠊ୧ഃᛶࡔࡀྠഃඃ RW. projection in the rat: An anterograde tracing ࡣ ࠊእ ഃ 㒊 ୧ ഃ ᛶ ࡔ ࡀ ࠊࢃ ࡎ ὀ ධ ྠ ഃ )* ᶆ ㆑ ࢽ ࣗ ࣮ ࣟ ࣥ ࡀ ㄆ ࡵ ࡽ ࢀ ࡓ ⬻ ⓶ ㉁ ࡢ Veh DE, Rolfs A, Wree A. Amygdalotrigeminal ᡭ ⥘ ᰾ ࡣ ㄆ ࡵ ࡽ ࢀ ࡞ ࡗ ࡓ ࠋእ ഃ ᡭ ⥘ ᰾ ෆ ࡛ ࢀ࡞ࡗࡓࠋ M, 2. 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2URIDF 3DLQ ࠋྛ ⿕ 㦂 ⪅ ࡢ = ࢫ ࢥ ࠾ ࠸ ࡚ ࢝ ࣉ ࢧ 6XPPHU̽ ࢩ ࣥ ࡢ ⯉ ᑤ ࡢ ሬ ᕸ ࡣ &'7&37037 ࡢ ឤ ぬ ῶ ㏥ ഴ ྥ ࢆ ♧ ࡋ ⿕ 㦂 ⪅ ࡢ ᖹ ᆒ = ࢫ ࢥ ࠾ ࠸ ࡚ ࢝ ࣉ ࢧ ࢩ ࣥ ࡢ ⯉ ᑤ ࡢ ሬ ᕸ ࡣ &'7 ࡢ ᭷ ព ࡞ ឤ ぬ ῶ ㏥ ࢆ ♧ ࡋ ࡓ =ᅗ ࠋ ࡑ ࡢ ࡢ 467 ࡢ ᳨ ᰝ 㡯 ┠ ࠾ ࠸ ࡚ ࡣ ࢝ ࣉ ࢧ ࢩ ࣥ࠾ࡼࡧࢥࣥࢺ࣮࡚ࣟࣝ᫂ࡽ࡞㐪࠸ࡣㄆ ࡵ ࡞ ࡗ ࡓ ࠋ࢝ ࣉ ࢧ ࢩ ࣥ ࠾ ࡼ ࡧ ࢥ ࣥ ࢺ ࣟ ࣮ ࣝ ࠾ ࠸ ࡚ 3+6$// ࡢ ᩘ ್ ࡣ ඹ ࡛ ࠶ ࡗ ࡓ ࠋ ୖ㢡ᑠ⮻ṑ㒊ṑ⫗࠾ࡅࡿ࢝ࣉࢧࢩࣥሬ ᕸ ๓ ᚋ ࡢ 467 ࢆ ⏝ ࠸ ࡓ ឤ ぬ ヨ 㦂 ࠾ ࠸ ࡚ ࢝ ࣉ ࢧ ࢩ ࣥ ሬ ᕸ ᚋ ࡢ :'7 +37 ࡣ ឤ ぬ ࡢ ᩄ ឤ ࢆ♧ࡋ ࢝ ࣉ ࢧ ࢩ ࣥ ࡢ ୗ ၁ ࡢ ሬ ᕸ ࡣ ᶵ Ე ่ ⃭ ᑐ ࡍ ࡿ ឤ ぬ ࡢ ᩄ ឤ ഴ ྥ ࢆ ♧ ࡍ ሗ ᅗ ࢝ ࣉ ࢧ ࢩ ࣥ ࡲ ࡓ ࡣ ࣡ ࢭ ࣜ ࣥ ࡢ ሬ ᕸ ୰ ࿌ࡉࢀ࡚࠸ࡿ ࠋࡋ ࡋ ࡞ ࡀ ࡽ 㸪ᮏ ᐇ 㦂 ࠾ ࠸ ศ 㛫 ࡢ 9$6 ࡚⯉ᑤ࢝ࣉࢧࢩࣥࢆሬᕸࡋ࡚ឤぬ᳨ᰝࢆ ⾜ ࡗ ࡓ ⤖ ᯝ ୖ 㢡 ᑠ ⮻ ṑ 㒊 ṑ ⫗ ࡲ ࡓ ୗ ၁ ࢝ ࣉ ࢧ ࢩ ࣥ ࢆ ሬ ᕸ ࡋ ࡓ ⤖ ᯝ ␗ ࡞ ࡾ &'7 ࠾ ࠸ ࡚ ࡣ ឤ ぬ ࡢ 㕌 ឤ ࢆ ♧ ࡋ +37037 ࠾ ࡼ ࡧ 036 ࠾ ࠸ ࡚ ࡣ ឤ ぬ ࡢ 㕌 ឤ ഴ ྥ ࢆ ♧ ࡋ ࡓ ࠋ௨ ୖ ࡢ ⤖ ᯝ ࡼ ࡾ ⯉ ࠾ ࡅ ࡿ ⑊ ③ 㛵 ಀ ࡍ ࡿ ឤ ぬ ᶵ ⬟ ࡣ ࡢ ཱྀ ⭍ ෆ ࡢ ឤ ぬ ᶵ ⬟ ␗ ࡞ ࡿ ࡇ ࡀ♧၀ࡉࢀࡓࠋ ϫ ᩥ ⊩ 5RONH 5 %DURQ 5 0DLHU & HW DO 4XDQWLWDWLYHVHQVRU\WHVWLQJLQWKH*HUPDQ 5HVHDUFK1HWZRUNRQ1HXURSDWKLF3DLQ')16 VWDQGDUGL]HGSURWRFRODQGUHIHUHQFHYDOXHVࠋ 3DLQ 3LJJ0%DDG+DQVHQ/6YHQVVRQ3HWDO ᅗ ࢝ ࣉ ࢧ ࢩ ࣥ ࠾ ࡼ ࡧ ࣡ ࢭ ࣜ ࣥ ࠾ ࡅ ࡿ 5HOLDELOLW\ RI LQWUDRUDO TXDQWLWDWLYH 467 ࡢ ᖹ ᆒ = ࢫ ࢥ VHQVRU\ WHVWLQJ 467 3DLQ – /X 6 %DDG+DQVHQ / /LVW 7 HW DO 6RPDWRVHQVRU\SURILOLQJLQKHDOWK\VXEMHFWV PRGLILHG E\ LQWUDRUDO FDSVDLFLQ DQG 41 ཱྀ₇Ⓨ⾲ 㸯㸱 ཱྀ⭍ࡢ ᗘ่⃭ࡀࡶࡓࡽࡍᄟୗᶵ⬟ࡢᙳ㡪 ె▱⏣⚄ۑ㸪➉▼㱟ྑ㸪┿ ோ㸪㎷ᮧ ᜤ᠇㸪ୖ ㄔ &ۑ.DQGD57DNHLVKL-0DJDUD77VXMLPXUD0,QRXH ᪂₲ᏛᏛ㝔་ṑᏛ⥲ྜ◊✲⛉ ᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᏛศ㔝 'LYLVLRQRI'\VSKDJLD5HKDELOLWDWLRQ 1LLJDWD8QLYHUVLW\*UDGXDWH6FKRRORI0HGLFDODQG'HQWDO6FLHQFHV Ϩ┠ⓗ グ㘓 ⯉㦵ୖ➽⩌⾲㠃➽㟁ᅗ㸦(0*㸧㸪ႃ㢌ࣥࣆ ᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥࡢᡭἲࡋ࡚ ࣮ࢲࣥࢫ㸦(**㸧㸪⿕㦂⪅⮬㌟ࡀᄟୗㄏⓎࡈ ෭ᅽ่⃭ࡀ࠶ࡿ㸬෭ᅽ่⃭ࡣ㸪๓ཱྀᘪ෭ ᢲࡍࣃࣝࢫಙྕࢆグ㘓ࡋࡓ㸬 ่⃭ࢆక࠺ゐᅽ่⃭ࢆຍ࠼ࡿࡇ࡛㸪ᄟୗᑕ ィ ㄏⓎࡲ࡛ࡢ㛫ࢆ▷⦰ࡉࡏࡿຠᯝࡸㄗᄟཬࡧ ࡣࡌࡵ㸪࣡ࢵࢸἲ࡚Ᏻ㟼ၚᾮ㔞ࢆィ ႃ㢌ධࡢ㢖ᗘࢆῶᑡࡉࡏࡿຠᯝ ࡀ࠶ࡿࡉ ࢀࡿ ࡋࡓ㸬ḟᄟୗᶵ⬟ホ౯ࡋ࡚㸪㸦㸧ဗ㢌 㸧 㸬ᐇ㦂ⓗࡣ㸪ᖖ⿕㦂⪅ᑐࡋཱྀᓙ㒊 ࡢᚤ㔞ỈὀධࡼࡿᑕᛶᄟୗㄏⓎࡲ࡛ࡢ ෭ᅽ่⃭ࢆ⾜ࡗࡓࡇࢁ㸪⬻☢ᅗୖ࡚⬻ 㛫㸦657㸧࡞ࡽࡧ㸦㸧ၚᾮᄟୗࢸࢫࢺ ⓶㉁ࡀάᛶࡉࢀࡓࡢሗ࿌ࡶ࠶ࡿ 㸧 㸬ࡇࡢࡼ 㸦5667㸧ࡼࡿ ⛊㛫ࡢ㝶ពᛶᄟୗᅇᩘࢆィ ࠺㸪෭ᅽ่⃭క࠺ᦤ㣗ᄟୗᶵ⬟㛵ࡍࡿ ኚ ࡋࡓ㸬ࡑࡢᚋ Υ㸪Υ㸪Υࡢ࠸ࡎࢀ ㄪࡢ୍➃ࡣሗ࿌ࡉࢀ࡚࠸ࡿࡀ 㸪ᮍࡔᐜゎ᫂ ࡼࡿ ศ㛫ࡢ ᗘ่⃭ᚋ㸪ᗘᏳ㟼ၚᾮ ࡣ⮳ࡗ࡚࠸࡞࠸㸬 ศἪ㔞㸪5667 ࡢᄟୗᅇᩘ㸪657 ࢆィ ࡋࡓ㸬 ࡑࡇ࡛ᡃࠎࡣ㸪෭࣭ ᅽ่⃭ࢆ⯉࠼ ࡿࡇ ゎᯒ ࡼࡿᑕᛶᄟୗཬࡧ㝶ពᛶᄟୗࡢຠᯝ ྛグ㘓ಙྕࡣ㸪ቑᖜᚋ $' ࢥࣥࣂ࣮ࢱࢆ ࢆほᐹࡍࡿࡇࡋࡓ㸬 ࡋ࡚ࣃ࣮ࢯࢼࣝࢥࣥࣆ࣮ࣗࢱྲྀࡾ㎸ࡳ㸪ᑓ⏝ ࢯࣇࢺ࢙࢘ࢆ⏝ࡋ࡚ゎᯒࢆ⾜ࡗࡓ㸬Ᏻ㟼 ϩ㸬᪉ἲ ၚᾮศἪ㔞㸪657㸪5667 ࡢᄟୗᅇᩘࡑࢀࡒࢀ ࡘ࠸࡚㸪่⃭๓㸦%HIRUH㸧่⃭┤ᚋ㸦$IWHU㸧 ⿕㦂⪅ ࡢ್ࢆᑐᛂࡢ࠶ࡿ ⩌ࡢẚ㍑᳨ᐃ࡚ゎᯒࡋ ᖖⱝᖺ⪅ ྡ㸦⏨ᛶ ྡ㸪ዪᛶ ྡ㸪ᖹ ࡓ ࡉࡽ㸪Ἴᩚὶࡢᚋࢫ࣒࣮ࢪࣥࢢฎ⌮ᚋ ᆒᖺ㱋 ṓ㸧ࡋࡓ㸬 ᗘ่⃭ ࡢ (0* Ἴᙧࢆᑐ㇟ࡋ࡚㸪ࣆ࣮ࢡ್㸪✚ศ ┤ᚄ FP ࡢᜏ ࣉ࣮ࣟ࣋ࢆ Υ㸪Υ㸪Υ ್㸪➽άືᣢ⥆㛫㸪➽άື㛤ጞࡽ᭱ タᐃࡋ㸪ᕥྑ࠸ࡎࢀࡢ⯉๓᪉ ࡲ࡛ࡢ⠊ ್ࡲ࡛ࡢ㛫㸦5LVLQJWLPH㸧㸪್᭱ࡽ➽ ᅖෆࣉ࣮ࣟ࣋ࡀᙜࡓࡿࡼ࠺⿕㦂⪅⮬㌟࡛ಖ άື⤊ࡲ࡛㸦)DOOLQJWLPH㸧ࢆィ ࡋࡓ㸬5667 ᣢࡉࡏࡓ㸬 ศࡈࣉ࣮ࣟ࣋ඛ➃ࢆᕥྑኚ ࡢ (0* ࡣ㸪ୖグ 㡯┠ࡘ࠸࡚ ᅇ┠ࡽ ࠼࡞ࡀࡽィ ศ㛫ࡢ่⃭ࢆ⾜ࡗࡓ㸬ྛ⿕㦂⪅ ᅇ┠ࡢᄟୗࡢᖹᆒ್ࢆྛ⿕㦂⪅ࡢ್ࡋࡓ ࡣ㸪ࡍ࡚ࡢ ᗘ่⃭ࢆ᪥ࢆኚ࠼࡚⾜ࡗࡓ㸬 42 Ϫ 㸬⤖ᯝ 1HXURVFLHQFH 㸬657㸪5667 ᄟୗᅇᩘ࠾ࡼࡧᏳ㟼ၚᾮ㔞 Υ่⃭ᚋࡢࡳ㸪657 ࡣ᭷ព▷⦰ࡋࡓ㸦ᅗ 㸧㸬5667 ࡢᄟୗᅇᩘ࠾ࡼࡧᏳ㟼ၚᾮศἪ㔞 ࡣ㸪࠸ࡎࢀࡢ ᗘ࡛ࡶ᭷ព࡞ኚࢆㄆࡵ࡞ࡗ P<0.03 ࡓ㸬 ⛊ ⛊ ⛊ 㸬 㸬 ➽άື Υ่⃭㸪657 グ㘓ࡢ (0* ࡣ᭷ព࡞ኚ ᅗ 㸬657 ࡢኚ㸬 ࡀㄆࡵࡽࢀ࡞ࡗࡓ㸬୍᪉㸪5667 ࠾ࡅࡿ✚ ศ್㸦ᅗ 㸧㸪➽άືᣢ⥆㛫㸦ᅗ 㸧ཬࡧ )DOOLQJ P<0.002 WLPH ࡣ᭷ពῶᑡࡋࡓ㸬Υ่⃭㸪5667 ࠾ࡅࡿ 5LVLQJWLPH㸦ᅗ 㸧ࡀ᭷ពῶᑡࡋࡓ㸬 Υ࡛ࡣ࠸ࡎࢀࡢ㡯┠࠾࠸࡚ࡶ᭷ព࡞ኚ ࢆㄆࡵ࡞ࡗࡓ㸬 V.s ϫ㸬⪃ᐹ ᅗ 㸬5667 ࡢ➽άື✚ศ್ࡢኚ㸬 Υ่⃭ᑕᛶᄟୗࡢㄏⓎ࠾ࡼࡧ㝶ព ᛶᄟୗࡢ➽άືኚࢆㄆࡵࡓࡇࡽ㸪⯉ ࡢ෭ᅽ่⃭ࡣ⬻ᖿࡢᄟୗᅇ㊰⓶㉁ୗ⾜ᛶ ࡢᄟୗᅇ㊰ࡢ࠸ࡎࢀ㸪ࡲࡓࡣ୧⪅ࢆኚㄪࡉࡏ ࡿྍ⬟ᛶࡀ♧၀ࡉࢀࡓ㸬୍᪉㸪Υ่⃭ࡣ 㝶ពᛶᄟୗࡢ➽άືࢆኚㄪࡉࡏࡓࡇࡽ㸪 ่⃭࡛ࡶ⓶㉁ୗ⾜ᛶࡢᄟୗᅇ㊰ኚࢆࡶ ࡓࡽࡍ⪃࠼ࡽࢀࡿࡀ㸪෭่⃭ẚࡋࡑࡢຠᯝ ࡣᑠࡉ࠸ࡢࡶ▱ࢀ࡞࠸㸬 ᅗ 㸬5667 ࡢ➽άືᣢ⥆㛫ࡢኚ 㸬 ୕ཫ⚄⤒㡿ᇦ࠼ࡓ ᗘ่⃭ࡼࡾ㸪ဗႃ 㢌㡿ᇦࡢ่⃭ࡼࡿᑕᛶᄟୗㄏⓎ࡞ࡽࡧ 㝶ពᛶᄟୗ࠸ࡎࢀࡶຠᯝࢆࡶࡓࡽࡍྍ⬟ ᛶࡀᚓࡽࢀࡓ㸬ᚋࡣࡇࢀࡽࡢ࣓࢝ࢽࢬ࣒ࢆ᫂ ࡽࡋ࡚㸪ཱྀ⭍ࢣࡸ෭ᅽ่⃭ࡢ⮫ᗋຠᯝࢆ ᥈ࡗ࡚࠸ࡁࡓ࠸㸬 P<0.009 ⛊ P<0.009 ⛊ Ϭ㸬ཧ⪃ᩥ⊩ ᅗ 㸬5667 ࡢ 5LVLQJWLPH ࡢኚ㸬 -RKQ&5RVHQEHNHWDO&RPSDULQJ7UHDWPHQW ,QWHQVLWLHVRI7DFWLOH7KHUPDO $SSOLFDWLRQ'\VSKDJLD㸬 ,QJD.7HLVPDQQHWDO7DFWLOH7KHUPDO RUDO6WLPXODWLRQLQFUHDVHWKHFRUWLFDO UHSUHVHQWDWLRQRIVZDOORZLQJ%0& 43 㸦㸯࣮࣌ࢪ┠㸧 ཱྀ₇Ⓨ⾲ 㸯㸲 ࢮ࣮ࣜᄟ ᄟୗࡢ ࡢ⯉ᅽⓎ⌧ᵝ┦ ⯉㦵⛣ື ࡢ㛵ಀ The relationship between tongue pressure and hyoid excursio on in swallowing jelly ۵ᮧୖ⿱ 㸪ᑠ㔝㧗⿱ 㸪ⓙᮌ⚈క 㸪⸨ཎⱱᘯ 㸪ᚨ⏣ెႹ 㸪ᇼ୍ᾈ 㸪 ୖㄔ 㸪☾㔝⯙ 㸪▼ཎΎ㤶 4㸪ụୖ⪽ 4㸪୰㤿ㄔ 㸪⯪ぢᏕ༤ 4㸪๓⏣ⰾಙ 1 Kazuhiro Murakami㸯, Takahiro Ono㸰, Yoshitomo Minagi㸯, Shigehiro Fujiwara㸰, Yoshitsugu Tokuda㸯, Kazuhiro Hori㸰, Makoto Inoue㸱, Mai Isono㸲, Sayaka Ishihara㸲, Akira Ikegami㸲, Makoto Nakauma㸲, Takahiro Funami㸲, Yoshinobu Maeda㸯 1 㜰ᏛᏛ㝔ṑᏛ◊✲⛉ ᭷ᗋ⩏ṑ⿵⥛Ꮫ࣭㧗㱋⪅ṑ⛉Ꮫศ㔝㸪 2 ᪂₲ᏛᏛ㝔་ṑᏛ⥲ྜ◊✲⛉ ໟᣓṑ⛉⿵⥛Ꮫศ㔝 3 ᪂₲ᏛᏛ㝔་ṑᏛ⥲ྜ◊✲⛉ ᦤ㣗ᄟୗࣜࣁࣅࣜࢸ࣮ࢩࣙࣥᏛศ㔝 4 ୕ᰤ※࢚ࣇ࣭࢚ࣇ࣭ᰴᘧ♫ ࢸࢡࢫࢳ࣮ࣕࢹࢨࣥ◊✲ᐊ 1Department of Prosthodontics, Gerodontology and Oral Rehabilitation, Osaka University Graduate School of Dentistry, ²Division of Comprehensive Prosthodontics, Niigata University Graduate School of Medical and Dental Sciences, 3Division of Dysphagia Rehabilitation, Niigata University Graduate School of Medical and Dental Sciences, 4Texture Design Laboratory, San-Ei Gen F.F.I., Inc. Ϩ㸬┠ⓗ 5ml ࡢ Ỉ ࠊ ࢮ ࣜ ࣮ ヨ ᩱ ࢆ ⏝ ࠸ ࡓ ࠋ ࢮ ࣜ ࣮ ヨ ᩱ ࡣ ࢪ ࢙ ࣛ ࣥ ࢞ ࣒ ࢆ ᡂ ศ ࡋ ࠊ◚ ᩿ Ⲵ 㔜 ◚ ᩿ ࣄ ࢺ ࡢ Food oral processing ࠾ ࠸ ࡚ ࡣ ࠊ ᄟ ṍ ࢆ ࡑ ࢀ ࡒ ࢀ 2 ẁ 㝵 タ ᐃ ࡋ ࡓ 㸦 ⾲ 1㸧 ィ 4 ✀ ୗ ๓ 㣗 ሢ ࡢ ဗ 㢌 ࡢ ⬟ ື ⓗ ࡞ ㍺ ㏦ 㸦 Stageϩ 㢮 ࡢ ࢮ ࣜ ࣮ ヨ ᩱ 5ml㸦 ୕ ᰤ ※ ࢚ ࣇ ࣭ ࢚ ࣇ ࣭ transportࠊ ௨ ୗ Stϩ 㸧 ࡀ ⏕ ࡌ ࡿ ሙ ྜ ⏕ ࡌ ࡞ ♫ 〇 㸧 ࢆ ⏝ ࡋ ࡓ ࠋ VF ⏬ ീ ୖ ࡛ ᄟ ୗ ࡢ 㣗 ሢ ࠸ ሙ ྜ ࡀ ࠶ ࡿ ࡇ ࡀ ▱ ࡽ ࢀ ࡚ ࠸ ࡿ 㸯 㸧ࠋ₇ ⪅ ࡽ ࡣ ື ែ ࢆ ほ ᐹ ࡍ ࡿ ࡓ ࡵ ࠊ 㐀 ᙳ 㸦 ࢜ ࣃ ࣑ ࣟ ࣥ ➨ 54 ᅇ ᪥ ᮏ 㢡 ཱྀ ⭍ ᶵ ⬟ Ꮫ ࠾ ࠸ ࡚ ࠊ ࢮ ࣜ ࣮ 370㸧 ࢆ ΰ ࡋ ࡓ ࠋ ࢆ ⯉ ࡛ ᢲ ࡋ ₽ ࡋ ࡚ ᄟ ୗ ࡍ ࡿ ሙ ྜ ࠊStϩ ࡢ ฟ ⌧ ࡢ᭷↓ࡼࡾ⯉ᅽⓎ⌧ᵝ┦ࡀ␗࡞ࡿࡇࢆሗ ⾲ 1㸬 ࢮ ࣜ ࣮ ヨ ᩱ ࡢ ≀ ᛶ ࿌ ࡋ ࡓ ࠋࡑ ࡇ ࡛ ᅇ ࡣ ࠊࢮ ࣜ ࣮ ᄟ ୗ ࡢ ⯉ ᅽ Ⓨ ⌧ᵝ┦⯉㦵⛣ືࡢ㛵ಀࢆᐃ㔞ⓗゎᯒࡋࠊ ࡑ ࢀ ࡽ ࡀ Stϩ ࡢ ᭷ ↓ ࡼ ࡗ ࡚ ࡢ ࡼ ࠺ ␗ ࡞ ࡿࢆẚ㍑ࡋࡓࠋ ϩ㸬᪉ἲ 1㸬 ⿕ 㦂 ⪅ ᦤ㣗ᄟୗ㞀ᐖࡢ᪤ ࡢ࡞࠸ᖖ᭷ṑ㢡⪅ 9 ྡ 㸦 ⏨ ᛶ 9 ྡ ࠊ ᖹ ᆒ ᖺ 㱋 31.4±4.2 ṓ 㸧 ࡋ ࡓ ࠋ 2㸬 ᐃ ⨨ ⯉ ᅽ ᐃ ࡣ Swallow scan system㸦 ࢽ ࢵ ࢱ ♫ 〇 㸧 ࡢ ⯉ ᅽ ࢭ ࣥ ࢧ ࢩ ࣮ ࢺ 㸦 ᅗ 1㸧 ࢆ ◳ ཱྀ ㈞ ࡋ ࠊ ᐃ ࢆ ⾜ ࡗ ࡓ ࠋᄟ ୗ 㐀 ᙳ ᳨ ᰝ㸦 VF㸧 ARCADIS Avantic Gen2㸦 Siemens ♫ 〇 㸧ࢆ ⏝ ࠸ ࠊ ഃ ᪉ ࡼ ࡾ 30 ࣇ ࣞ ࣮ ࣒ /⛊ ࡛ ᙳ ࡋ ࠊ ᙳ ࢹ ࣮ ࢱ ࡣ ḟ ඖ ࢹ ࣮ ࢱ ゎ ᯒ ࢯ ࣇ ࢺ 㸦 DippMotion Pro Ver2.24d ࢹ ࢸ ࢡ ࢺ ♫ 〇 㸧 ࢆ ⏝ ࠸ ࡚ ゎ ᯒ ࡋࡓࠋ୧ࢹ࣮ࢱࡣィ 㛫ࡢྠᮇࢆ⾜ࡗࡓࠋ 3㸬 ⿕ 㦂 ヨ ᩱ 4㸬 ᐃ ᪉ ἲ ⿕ 㦂 ⪅ ࡣ ࠊᗙ ࡚ 5ml ࡢ ヨ ᩱ ࢆ ୍ ᪦ ཱྀ ⭍ ᗏ ྵࡳࠊ㦂⪅ࡢᣦ♧ࡼࡾࠊᾮయヨᩱࡣᄟୗࠊ ࢮ࣮ࣜヨᩱࡣ⯉ࡼࡿᢲࡋ₽ࡋࡢᚋᄟୗ ࡋࡓࠋ ᐃᅇᩘࡣࠊࢮ࣮ࣜヨᩱࡣྛ 2 ᅇࡎࡘࠊỈࡣ 5 ᅇࡎࡘࡋࠊヨ⾜ࡢ㡰ᗎࡣࣛࣥࢲ࣒ࡋࡓࠋ 5㸬 ศ ᯒ ᪉ ἲ ࢮ ࣜ ࣮ ヨ ᩱ ᦤ ྲྀ ࠾ ࡅ ࡿ VF ⏬ ീ ୖ ࡛ ᄟ ୗ ๓ႃ㢌㇂ࢮ࣮ࣜࡢ฿㐩ࡀほᐹࡉࢀࡓ⿕ 㦂 ⪅ ࢆ Stϩ 㸦 +㸧 ⩌ ࠊ ほ ᐹ ࡉ ࢀ ࡞ ࡗ ࡓ ⿕ 㦂 ⪅ ࢆ Stϩ 㸦 −㸧 ⩌ ࡋ ࡓ ࠋ ⯉ ᅽ ᐃ ࡛ ࡣ ᄟ ୗ ⯉ ᅽ ᭱ ್ ࠊ ᣢ ⥆ 㛫 ࢆ ࠊ VF ⏬ ീ ୖ ࡛ ࡣ ᄟ ୗ ࡢ ⯉ 㦵 ࡢ ⛣ ື ㏿ ᗘ ࠊ⛣ ື ㊥ 㞳 ࠊ⛣ ື 㛫 ࢆ ศ ᯒ ࡋ ࡓ ࠋStϩ ࡢ ᭷ ↓ ࡼ ࡿ ࢮ ࣜ ࣮ ࡞ ࡽ ࡧ ᾮ య ᄟ ୗࡢ⯉ᅽࠊ⯉㦵㐠ືࡢྛ㡯┠ࡢẚ㍑ࡣ Mann-Whitney ࡢ U ᳨ ᐃ ࢆ ⏝ ࠸ ࠊ ᭷ ព ☜ ⋡ ࡣ 5% ࡋ ࡓ ࠋ 44 Ϫ㸬⤖ᯝཬࡧ⪃ᐹ ࡅࡿ⯉ᅽⓎ⌧⯉㦵⛣ືᵝ┦ࢆẚ㍑ࡋࡓࡇ ࢁ ࠊࢮ ࣜ ࣮ ᄟ ୗ ྠ ᵝ ࡢ 㐪 ࠸ ࢆ ㄆ ࡵ ࡓ ࠋࡇ ࡢ 1㸬 ࢮ ࣜ ࣮ ᄟ ୗ ࡇ ࡣ ࠊ ᖖ ⪅ ࠾ ࠸ ࡚ ࠊ㣗 ሢ ᙧ ᡂ ࡽ ᄟ ୗ ࠙⤖ᯝࠚ ⮳ ࡿ food oral processing ⮳ ࡿ ື స ᇶ ᮏ ⓗ Stϩ㸦 +㸧⩌ ࡣ 5 ྡ ࠊStϩ㸦 −㸧⩌ ࡣ 4 ྡ ࡛ ࠶ ࡞ 㐪 ࠸ 㸦 ࠸ ࢃ ࡺ ࡿ ࠕ 㣗 Ⓑ ࠖࠊࠕ 㣧 ࡳ Ⓑ ࠖ ࡢ ࡼ ࠺ ࡗ ࡓ ࠋ Stϩ 㸦 +㸧 ⩌ ࠾ ࠸ ࡚ ࡣ ࠊ ࡍ ࡚ ࡢ ≀ ᛶ ࡞ ࡶ ࡢ 㸧ࡀ Ꮡ ᅾ ࡍ ࡿ ྍ ⬟ ᛶ ࢆ ♧ ၀ ࡍ ࡿ ࡶ ࡢ ⪃ ࡢ ࢮ ࣜ ࣮ ᑐ ࡋ ࡚ Stϩ ࡀ Ⓨ ⌧ ࡋ ࡚ ࠸ ࡓ ࠋ ࠼ ࡽ ࢀ ࡿ ࠋ ᚋ ࡣ ࠊࡑ ࡢ 㐪 ࠸ ࠊ㣗 ရ ≀ ᛶ ࡢ ᙳ ୧ ⩌ 㛫 ࡛ ᄟ ୗ ⯉ ᅽ ᭱ ್ ࢆ ẚ ㍑ ࡍ ࡿ ࠊSt 㡪 ࡘ ࠸ ࡚ ヲ ⣽ ᳨ ウ ࡋ ࡚ ࠸ ࡃ ண ᐃ ࡛ ࠶ ࡿ ࠋ ϩ 㸦 Ѹ㸧 ⩌ ࡢ Ch.2㸦 ཱྀ ṇ ୰ ୰ ኸ 㒊 㸧 ࠾ ࡅ ࡿ ⯉ ᅽ ᭱ ್ ࡀ ࠊ A10ࠊ A30ࠊ C10 ᦤ ྲྀ Stϩ 㸦 㸩 㸧 ⩌ ẚ ࡚ ᭷ ព 㧗 ࡃ ࡞ ࡗ ࡓ ࡀ 㸦 ᅗ 2㸧ࠊ ࡑ ࡢ ࡢ Ch. ࡘ ࠸ ࡚ ࡣ ⩌ 㛫 ࡛ ᭷ ព ᕪ ࢆ ㄆ ࡵ ࡞ ࡗ ࡓ ࠋࡑ ࡇ ࡛ ࠊ ᅇ ࡣ ⯉ ᅽ 㛵 ࡋ ࡚ ࡣ ࠊCh.2 ὀ ┠ ࡋ ࡓ ࠋ Ch.2 ࡢ ⯉ ᅽ ᣢ ⥆ 㛫 ࡘ ࠸ ࡚ ࡣ ࠊ Stϩ 㸦 㸩 㸧 ⩌ ࡀ Stϩ 㸦 㸩 㸧 ⩌ ẚ ㍑ ࡋ ࡚ A10 ᦤ ྲྀ ࡢ ࡳ ᭷ ព ᘏ 㛗 ࡋ ࡓ ࠋ㸦 ᅗ 2㸧 ᅗ 1㸬 ⯉ ᅽ ࢭ ࣥ ࢧ ࢩ ࣮ ࢺ ྛ Chࡢ ⨨ ⯉ 㦵 ⛣ ື ㏿ ᗘ 㛵 ࡋ ࡚ ࡣ ࠊ A10ࠊ A30ࠊ C10 ᦤ ྲྀ ࠊ Stϩ 㸦 Ѹ㸧 ⩌ ࡀ ᭷ ព 㧗 ࠸ ್ ࢆ ♧ ࡋ ࡓ㸦 ᅗ 3㸧ࠋ⯉ 㦵 ⛣ ື 㛫 㛵 ࡋ ࡚ ࡣ ࠊStϩ㸦 㸩 㸧 ⩌ ࡣ Stϩ 㸦 Ѹ㸧 ⩌ ẚ ㍑ ࡋ ࡚ ᘏ 㛗 ࡍ ࡿ ഴ ྥ ࢆ ㄆ ࡵ ࡓ ࡶ ࡢ ࡢ ࠊ᭷ ព ᕪ ࡣ ㄆ ࡵ ࡽ ࢀ ࡞ ࡗ ࡓ㸦 ᅗ 3㸧ࠋ ࡲ ࡓ ࠊ⯉ 㦵 ⛣ ື ㊥ 㞳 ࡣ ࠊࡍ ࡚ ࡢ ヨ ᩱ ࡛ ⩌ 㛫 ᭷ពᕪࢆㄆࡵ࡞ࡗࡓࠋ ࠙⪃ᐹࠚ Stϩ 㸦 Ѹ㸧 ⩌ ࡣ Stϩ 㸦 㸩 㸧 ⩌ ẚ ㍑ ࡋ ࠊ ⯉ ࡢ ᅗ 2㸬 ࢮ ࣜ ࣮ ᄟ ୗ ࠾ ࡅ ࡿ Stϩ (Ѹ)⩌ ,Stϩ (㸩 )⩌ 㛫 ࡢ Ch.2㸦 ཱྀ ṇ ୰ ୰ ኸ 㒊 㸧 ࡢ ᥋ ゐ ࡀ ᙉ ࡃ ࠊ⯉ 㦵 ⯉ᅽ್᭱࡞ࡽࡧᣢ⥆㛫ࡢẚ㍑ ⛣ ື ㏿ ᗘ ࡀ 㧗 ࠸ ࡇ ࡀ ♧ ၀ ࡉ ࢀ ࡓ ࠋᄟ ୗ 㣗 ሢ ඛ ➃ ࡀ ႃ 㢌 ㇂ 㐩 ࡋ ࡚ ࠸ ࡞ ࠸ ࡇ ࡛ ࠊࡼ ࡾ ከ ࡃ ࡢ 㣗 ሢ ࢆ ཱྀ ⭍ ࡽ 㥑 ฟ ࡍ ࡿ ࡓ ࡵ ࠊࡼ ࡾ ࡁ ࡞ ⯉ ᅽ ࡀ ᚲ せ ࡞ ࡾ ࠊࡑ ࢀ క ࡗ ࡚ ⯉ 㦵 ࡢ ࡼ ࡾ㏿࠸ືࡁࡀ⏕ࡌ࡚࠸ࡿࡢ࡛ࡣ࡞࠸⪃࠼ ࡽࢀࡿࠋ 2㸬 ᾮ య ᄟ ୗ ࠙⤖ᯝࠚ ࢮ ࣜ ࣮ ᄟ ୗ ྠ ᵝ ࠊ Stϩ 㸦 Ѹ㸧 ⩌ ࡛ ࡣ Stϩ 㸦 㸩 㸧 ⩌ ẚ ㍑ ࡋ ࡚ Ch.2 ࡢ ⯉ ᅽ ࡀ ᙉ ࡃ ▷ ࡃ Ⓨ ᅗ 3㸬 ࢮ ࣜ ࣮ ᄟ ୗ ࠾ ࡅ ࡿ Stϩ (Ѹ)⩌ ࠊ Stϩ (㸩 )⩌ 㛫 ࡢ ⌧ ࡍ ࡿ ഴ ྥ ࠶ ࡾ ࠊ⯉ ᅽ ᭱ ್ ࡛ ᭷ ព ᕪ ࢆ ㄆ ࡵ ⯉㦵⛣ື㏿ᗘ࡞ࡽࡧ⛣ື㛫ࡢẚ㍑ ࡓ ࠋ ࡲ ࡓ ࠊ Stϩ 㸦 Ѹ㸧 ⩌ ࡛ ࡣ Stϩ 㸦 㸩 㸧 ⩌ ẚ ㍑ ࡋ ࡚ ⯉ 㦵 ⛣ ື ࡀ ᭷ ព ㏿ ࡃ ࠊ⛣ ື 㛫 ࡀ ᭷ ព ϫ㸬ᩥ⊩ ▷ࡗࡓࠋ ࠙⪃ᐹࠚ 1㸧 Palmer JB, Rudin NJ, Lara G, Crompton ᅇ ࠊࢮ ࣜ ࣮ ࡢ ᢲ ࡋ ₽ ࡋ ᄟ ୗ ࠾ ࡅ ࡿ Stϩ ࡢ AS. Coorditation of mastication and ᭷ ↓ ࡼ ࡾ ⿕ 㦂 ⪅ ࢆ 2 ⩌ ศ ࡅ ࠊᾮ య ᄟ ୗ ࠾ swallowing. Dysphagia 1992; 7: 187 -200. 45 0HPR 46 ༠㈶ᴗ㸦⏦㎸㡰㸧 ᰴᘧ♫ࣉࣟࢩࢫࢺ ࣥࢱ࣮ࣜࣁᰴᘧ♫ ᰴᘧ♫ ᮾிṑᮦ♫ ࢝࣎ࢹࣥࢱࣝࢩࢫࢸ࣒ࢬࢪࣕࣃࣥ ⏣⢭ᐦṑ◊ᰴᘧ♫ ࢡࣛࣞࣀࣜࢱࢣࢹࣥࢱࣝᰴᘧ♫ ᰴᘧ♫ࣔࣜࢱ 㛗⏣㟁ᶵᕤᴗᰴᘧ♫ ࢱ࢝ࣛ࣋ࣝࣔࣥࢺᰴᘧ♫ ᪥ᮏ㢡ཱྀ⭍ᶵ⬟Ꮫ➨ 55 ᅇᏛ⾡㛤ദ㝿ࡋࠊୖグᴗᵝࡽከ࡞ࡿࡈᨭ ࢆ㡬ᡝࡋ࡚࠾ࡾࡲࡍࠋࡇࡇྡ๓ࢆᣲࡆࡉࡏ࡚࠸ࡓࡔࡁࠊཌࡃᚚ♩⏦ࡋ࠶ࡆࡲࡍࠋ ᪥ᮏ㢡ཱྀ⭍ᶵ⬟Ꮫ➨ 55 ᅇᏛ⾡ 㛗 ▮㇂ ༤ᩥ 47 可搬式歯科用ユニット Portacube ポータキューブ 診療用途に合わせた2タイプ 診療用途に合わせて、 トリートメント用ユニット Type Tと ハイジニスト用ユニット Type H を用意しました。 Type T には、スリーウェイシリンジとマイクロモーター。 Type H には、バキュームシリンジと超音波スケーラーを 搭載しています。 Type T 発売 製 造 販 売・製 造 大 阪本 社: 大 阪 府吹田市垂 水町3 - 33 -18 〒56 4 - 8 650 TEL 0 6 - 6 38 0 -2525 東 京本 社: 東 京 都台東区 上 野 2-11-15 〒110 - 8513 TEL 03 - 38 3 4 - 6161 本 社 工場: 京都府 京都 市伏 見区 東 浜南町6 8 0 〒612- 85 33 TEL 075 - 611-2141 久御山工場: 京 都府 久世 郡久御山町 市田新 珠 城19 0 〒613 - 0 022 TEL 0774 - 4 3 -759 4 Type H