著者

岩崎 滉平 三浦 雄一郎 福島 秀晃 長﨑 進 上村 拓矢 飛田 勇樹 木田 圭重

出版者

関西理学療法学会

雑誌

関西理学療法 (ISSN:13469606)

巻号頁・発行日

vol.20, pp.98-103, 2020 (Released:2020-12-28)

参考文献数

6

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In fishing, the act of moving the rod while winding in the line is called the rattling operation. Here we present a case of shoulder stiffness that occurred during rattling in a patient who earlier had had a rotator cuff repair by arthroscopy. The rattling movement is performed by mild external rotation of the shoulder joint. Our case had difficulty performing the movement due to a decrease in the function of the supraspinatus muscle, and stiffness was occurring on the upper surface of the left shoulder. This also negatively influenced our case’s fishing results. Physical therapy involving stimulation of the supraspinatus muscle was performed, paying attention not to over exercise the upper trapezius muscle fibers. With improvement in the function of the supraspinatus muscle, the rattling movement became possible, the stiffness disappeared, and our case’s fishing results improved. The rattling movement is highly dependent on rotator cuff function.

著者

上村 拓矢 長崎 進 三浦 雄一郎 福島 秀晃 森原 徹

出版者

関西理学療法学会

雑誌

関西理学療法 (ISSN:13469606)

巻号頁・発行日

vol.15, pp.127-134, 2015 (Released:2016-01-06)

参考文献数

11

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The serratus anterior muscle is an important muscle for scapular joint function. It is innervated by the long thoracic nerve, and its function is to stabilize the medial border and inferior angle of the scapula. Generally, exercises that emphasize the protraction and upward rotation of the scapula (wall push-up plus, dynamic hag, push-up plus) have been recommended for strengthening the serratus anterior. However, because greater activation of the pectoral muscles is likely to occur during these exercises, there is a possibility that efficient serratus anterior muscle activity will not be obtained. In this study, a patient was subjected to physical therapy after right long thoracic nerve paralysis resulted in fatigue during shoulder flexion at 120° or higher. General strengthening exercises for the serratus anterior muscle were incorporated, but sufficient effects were not achieved. Therefore, our training focused on improving serratus anterior contraction patterns through facilitation, while reducing the activation of the pectoralis major. These exercises improved shoulder joint motor function and reduced fatigue during flexion better than general strengthening exercises. We consider that it is necessary to focus on facilitation and contraction patterns to improve serratus anterior activation after long thoracic nerve injury.