著者

中道 哲朗 渡邊 裕文

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.14, pp.11-15, 2014 (Released:2014-12-27)

参考文献数

7

被引用文献数

2

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It is essential for physical therapists, whose main role is to help people to improve their activities of daily living, to have an ability to solve muscle weakness and muscle tonus abnormality. This article describes the mechanisms of muscle power increase from the perspective of absolute muscle power and cross-sectional area of a muscle. In addition, two examples of the most commonly used exercises in clinical practice are used to show how the authors developed a way to enhance the activities of weak muscles by showing EMG wave patterns. We hope this article will help physical therapists to review their basic knowledge of muscle strengthening exercises.

著者

高見 武志 松田 俊樹 三馬 孝明 中道 哲朗 鈴木 俊明

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.11, pp.65-70, 2011 (Released:2012-01-06)

参考文献数

5

被引用文献数

3

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Sometimes, when improving the range of motion or muscle strength of the shoulder joint, we fail to obtain sufficient therapeutic effects in subjects who have difficulty in raising their arms up along the spine from a position in which the arms are at the back (belt-tying movement). In many such cases, scapular motion is inadequate or different from the normal motion during belt-tying movement. On the other hand, we have experienced several cases in which the scapula moved more smoothly and belt-tying movement was improved by strengthening the scapular muscles using exercise therapy. This study aimed to elucidate the muscle activity pattern of scapular muscles during the belt-tying movement. We found that the upper trapezius muscle fibers elevate the scapula and middle trapezius muscle fibers maintain scapula adduction; and the lower trapezius muscle fibers and the serratus anterior muscle were considered to regulate anterior inclination of the scapula at T12 and lower vertebrae. Patients experiencing difficulty in belt-tying movement should receive a quantitative and qualitative assessment of the timing of movement of the trapezius muscle fibers and the serratus anterior muscle after gaining an understanding of the stage in which the patient starts to feel difficulty in movement.

著者

野口 翔平 玉置 昌孝 中道 哲朗 鈴木 俊明

出版者

公益社団法人 日本リハビリテーション医学会

雑誌

The Japanese Journal of Rehabilitation Medicine (ISSN:18813526)

巻号頁・発行日

vol.54, no.8, pp.618-626, 2017-08-18 (Released:2017-10-03)

参考文献数

11

被引用文献数

2 2

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目的:立位での一側下肢への側方体重移動における腰背筋群・足部周囲筋の役割を解明する目的で,側方移動中の姿勢変化と腰背筋群・足部周囲筋の筋活動パターンを検討した.方法:対象は健常男性24名(24.3±2.6歳).直立位から2秒間で側方移動させ,そのときの足底圧中心(COP)と両側多裂筋・腸肋筋・最長筋,移動側足部内反筋群・腓骨筋群の筋電図波形,ビデオ画像を計測した.結果:骨盤は水平移動した後,COPの移動側変位途中から非移動側挙上を生じた.下肢では側方移動に伴い移動側足部回内による下腿の外側傾斜を生じた.このとき,COPが移動側へ変位する途中から非移動側多裂筋・腸肋筋・最長筋,移動側足部内反筋群・腓骨筋群の筋活動が増加した.結論:非移動側多裂筋・腸肋筋・最長筋は骨盤非移動側挙上に対する胸腰部非移動側側屈に関与した.このとき,足部内反筋群・腓骨筋群は足底接地した状態での足部回内に関与した.

著者

中道 哲朗 渡邊 裕文 鈴木 俊明

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.17-21, 2015 (Released:2016-01-06)

参考文献数

4

被引用文献数

6

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Single-leg standing is performed in various daily activities such as wearing and removing trousers, stepping into and out of a bathtub, and ascending and descending stairs. Therefore the acquisition of stable and safe single-leg standing is crucial for independent living. Watanabe et al. (Journal of Kansai Physical Therapy, Vol. 9) have reported the importance of the trunk and hip muscle activities of the legs both on and off the ground in the single-leg standing position. Single-leg standing also requires maintenance of the center of pressure (COP) by the foot on the ground. To achieve this condition, the functions of the trunk and hip as well as the functional activity of the foot on the ground have important roles, including the ability to keep COP in the same place, and the ability to flexibly shift COP with the foot on the ground. In addition to the trunk and hip muscle activities, these abilities are attained when the functional muscle activity of the foot activates the medial and lateral longitudinal and transverse arches. This paper describes the assessment methods of the lateral longitudinal arch and the function of the abductor digiti minimi muscle of the foot in supporting the lateral longitudinal arch.

著者

中道 哲朗 渡邊 裕文 大沼 俊博 赤松 圭介 藤本 将志 鈴木 俊明

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.6, pp.77-83, 2006 (Released:2007-01-30)

参考文献数

5

被引用文献数

1

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Patients with osteoarthritis (OA) of the knee usually have a posteriorly, tilted pelvis and a bent knee with varus deformity. Such patients usually show an increase of muscle tone and pain due to pressure in the tensor fasciae latae muscle (TFL) and biceps femoris muscle (BFS) and further more, insufficient vastus medial muscle (VM). We perform therapy to stretch TFL and BFS in the supine and sitting positions and contract VM. We can't obtain enough effect of therapy because it gives rise to disorders again like the above in the closed kinetic chain (CKC) exercise while standing and walking, although these disorders improve in open kinetic chain (OKC) exercise. Thus, we perform posture control while standing or sitting to improve the pelvis tilt to add to the direct therapy of each muscle in OKC. In performing this therapy, we observed that such disorders were improved in CKC. Therefore, we experimented with electromyography (EMG) on healthy subjects to define the effects on TFL, BFS and VM of changing the angle of the pelvis tilted posteriorly together with varus deformity of the knee. TFL is involved in keeping the knee bent in middle position of pelvis, and keeping the knee bent and varus deformity of the knee in hip extension and internal rotation in posterior tilt of the pelvis. BF and BFL are involved in keeping the knee and hip bent in middle position of pelvis. When the pelvis is tilted posteriorly, BFL is involved in keeping the knee bent, BF (BFS) is involved in braking varus deformity of the knee as well as keeping the knee bent. VM is involved in keeping the knee bent in middle position of pelvis and when the pelvis is tilted posteriorly. VM is not involved in controlling varus deformity of the knee. From these result, we suggest that it's important when performing the therapy of posture control to consider the posture of the pelvis besides assessment and therapy of the knee for patients with OA of the knee showing increase of muscle tone and pain due to pressure of TFL and BFS.

著者

大中 礼香 野口 翔平 増田 蓉二郎 玉置 昌孝 井上 隆文 中道 哲朗 鈴木 俊明

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.13, pp.77-86, 2013 (Released:2013-12-28)

参考文献数

8

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In this study, we examined the patterns of activity of the trunk muscles during weight shifting to one side of the lower limbs in the standing position in five patients with Parkinson’s disease and trunk malalignment. In the movement task, the patients first shifted their weight to one side of the lower limbs and attempted to move the maximum distance in which they could shift their weight to the moving limb in 1 s. Then, the patients held the posture with the maximum weight shift for 1 s and returned to the starting position in the next 1 s. The patterns of activity of the bilateral multifidus, iliocostalis, and longissimus muscles as well as that of the internal oblique and gluteus medius muscles on the weight-bearing side were analyzed. Compared with that of the starting position, we observed an increase in thoracic kyphosis during the movement task, and this was common to all of the patients. In addition, although we observed coronal plane inclination of the pelvis associated with hip joint movement during the movement task, 4 of the 5 patients did not show any change in trunk alignment compared with that in the starting position. The patterns of activation had the following characteristic tendencies: activation of the bilateral longissimus muscles was observed in the starting position in all patients, activation of the longissimus and iliocostalis muscles on the nonweight-bearing side was increased in 4 of the 5 patients, and activation was weak in the internal oblique and gluteus medius muscles on the weight-bearing side in 4 of the 5 patients. We observed a significant difference between the muscle activation patterns reported by previous studies of healthy subjects and those of our present study. When using weight shifting to one side of the lower limbs in the standing position as an exercise therapy for patients with Parkinson’s disease, activation of the internal oblique, gluteus medius, and multifidus muscles on the weight-bearing side increases. Therefore, it is necessary to implement exercises with the intention of performing the movements, with the pelvis in a horizontal position and the trunk in a vertical position. Moreover, it is necessary to ensure that activation of the bilateral longissimus muscles or that of the iliocostal muscle on the nonweight-bearing side does not differ from the activation of the starting position.

著者

野瀬 晃志 中道 哲朗 鈴木 俊明

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.21, pp.12-18, 2021 (Released:2021-12-25)

参考文献数

5

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There are two types of assessments in physical therapy: top-down and bottom-up. Top-down evaluations, which we recommend, focus on movement observation and analysis. In this article, we introduce some points for analyzing ankle joint problems. When observing movements, determining the details of the movements according to the type of movement is sometimes difficult. In such cases, dynamic alignment evaluation is occasionally performed, an example of which is presented in this article. In addition, patients with ankle joint diseases often have limited range of motion of ankle dorsiflexion. Multiple factors contribute to ankle dorsiflexion limitation, such as flexor hallucis longus and Kager’s fat pad, which we describe in this study using an ultrasound imaging system.

著者

北村 良城 中道 哲朗 山口 剛司

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.10, pp.77-84, 2010 (Released:2011-01-13)

参考文献数

4

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Exercise therapy was ordered for a patient with Guillain-Barré syndrome who had difficulty typing on a computer keyboard with the left little finger. No abduction or flexion of the left little finger was observed during typing, while marked compensatory supination of the forearm was observed. Occupational therapy and electromyography findings suggested that weakness of the left ulnar carpal flexor and extensor muscles reduced the stability of the attachment sites of these muscles, which are the pisiform, hamate, and 5th metacarpal bones. The reduced stability of these bones inhibited efficient muscle activity of the abductor and flexor muscles in the little finger. In exercise therapy, the left ulnar carpal flexor and extensor muscles were simultaneously strengthened to increase the stability of the pisiform, hamate, and 5th metacarpal bones, with the goal of increasing the muscle activity of not only the left little finger abductor and flexor muscles but also those of the muscles around this finger. The patient was able to type by abduction and flexion of the left little finger 2 months after initiation of the exercise therapy, and this improvement was also observed on electromyography. It is important to perform an occupational therapeutic evaluation with exercise therapy, focusing not only on the activity of the muscles around the left little finger but also on the carpal and metacarpal stability due to activity of the left ulnar flexor muscles.

著者

藤本 将志 渡邊 裕文 蔦谷 星子 大沼 俊博 三好 裕子 赤松 圭介 中道 哲朗 鈴木 俊明

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.5, pp.91-95, 2005 (Released:2006-01-26)

参考文献数

4

被引用文献数

1

---

Lateral shift using one hand while sitting on a seat is an important ability in sitting up, for locomotion, to reach the other side. We sometimes control muscle tone of the trunk to change lateral weight bearing on one hand in hemiplegia caused by cerebrovascular diseases in which movements are difficult to perform because of trunk collapse. In this study, we analyzed the activity of the trunk muscles (obliquus abdominis, obliquus externus abdominis, obliquus internus abdominis and lumbar back) with EMG in changing the weight bearing in lateral shift with one hand while sitting on a seat. The results show that the supporting hand is necessary in sitting on the seat. The supported obliquus abdominis muscles, obliquus externus abdominis muscles and lumbar back muscles acted to maintain and fix the trunk as the weight increased. The supported obliquus external abdominis muscles acted to stabilize the upper trunk and rib cage, and the unsupported obliquus abdominis muscles, obliquus internus abdominis muscles and lumbar back muscles elevated pelvis as the weight decreased. Therefore, it is suggested that in the change of weight bearing in lateral shift the supporting hand serves an important purpose in maintaining trunk stability.

著者

野瀬 晃志 中道 哲朗 鈴木 俊明

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.19, pp.27-33, 2019 (Released:2019-12-26)

参考文献数

9

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In the physical therapy field, physicians encounter some patients who cannot maintain their posture in the standing position because of decreased activity of the lumbar spine. In such cases, forward weight shifting in the standing position may be performed. The purpose of this study was to examine postural changes and muscle activity during forward weight shifting while standing. We observed that during forward weight shifting, the activity of the multifidus muscle (L4/S1) increased from the initial stage, with the anteversion of the lower legs and pelvis. To maintain the posture of the lower lumbar spine, the muscle activity of multifidus (S1) must start prior to that of multifidus (L4).

著者

松田 大哉 野口 翔平 清水 啓介 中道 哲朗 鈴木 俊明

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.18, pp.64-69, 2018 (Released:2018-12-20)

参考文献数

11

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To investigate the effects on postural change and muscle activity in foot muscles during lateral weight shift while wearing an AFO. The subjects were 15 healthy men (average age 24.9 ± 2.5 years old). They performed a lateral weight shift in the standing position to the right lower limb while wearing an AFO on the right foot, then repeated the process without one. In each instance, postural change and electromyograms (EMG) of the peroneus, foot supinator muscles, and tibialis anterior were measured. When initiating the lateral weight shift while wearing the AFO, hip adduction on the moving side resulted in pelvic depression on the non-moving side. Continuation of the lateral weight shift also resulted in lateral flexion of the thoracolumbar area on the moving side, as well as outward inclination of the lower limb on the moving side. Compared to the barefoot lateral weight shift, there was a trend toward overall decrease in muscle activity in the peroneus, foot supinator muscles, and tibialis anterior. During a lateral weight shift while wearing an AFO, the AFO limits both foot pronation and supination. It can be surmised that this function of the AFO results in reduced muscle activity of the peroneus, used for grounding the foot, as well as in reduced muscle activity of the foot supinator muscles and tibialis anterior, which are used to restrict outward inclination of the lower limbs.

著者

松田 直佳 神部 智紀 好井 直輝 清原 直幸 中道 哲朗 鈴木 俊明

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.135-140, 2020 (Released:2020-12-28)

参考文献数

4

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We performed physical therapy for a patient with a right trochanteric fracture who complained of staggering while walking. From the right initial stance to the right mid-stance phases, the right hip joint abducted and the trunk tilted towards the right. The patient presented with poor extension of the right knee joint due to knee osteoarthritis. Thus, we focused on the hip joint adductor muscles. We performed physical therapy and observed improvement in the patient’s gait as the strength of her hip joint adductor muscles increased.

著者

玉置 昌孝 野口 翔平 中道 哲朗 鈴木 俊明

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.17, pp.85-89, 2017 (Released:2017-12-29)

参考文献数

5

被引用文献数

1

---

In this study, we examined the relationship between the activity pattern of hamstring muscles and postural change of weight shift, in the standing position. We used surface electromyographic data from the medial gluteus medius, biceps femoris, and semitendinosus muscles of 10 healthy male participants. During exercise tasks, we observed two groups of participants: those who registered ankle dorsiflexion during lateral weight shift movements and those who did not. The former group registered an increase in hamstring muscle activity and the latter group registered no change. Similar to a previous study, an increase in gluteus medius muscle activity was detected along with the start of lateral weight shift. It appears that the biceps femoris muscle works to increase hip extension before semitendinosus muscle activity, causing a forward weight shift and dorsiflexion of the ankle joint during lateral weight shift in the standing position.

著者

安井 重男 藤本 将志 渡邊 裕文 大沼 俊博 赤松 圭介 中道 哲朗 鈴木 俊明

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.8, pp.69-73, 2008 (Released:2009-01-15)

参考文献数

5

被引用文献数

3

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We have experimented with physical therapy for patients with difficulty of body weight transfer due to hyperactivity of the latissimus dorsi and muscular contractions. For lateral body weight transfer, training changed the distance of lateral transfer in the sitting position. Recent electromyographic (EMG) studies on the latissimus dorsi reported activities in its upper and lower fibers in the scapular brachial joint during trunk exercise. However, the activities of this muscle on lateral transfer in the sitting position have not been analyzed. In this study, we examined the influence of changes in the distance of lateral transfer in the sitting position using the EMG of the upper and lower fibers of the latissimus dorsi. Initially, in the end-sitting position (starting limb position), in which the bilateral arms were folded, we measured integrated EMG (iEMG) for the upper and lower fibers of the bilateral latissimus dorsi. Subsequently, the shoulder girdle was transferred in the lateral direction at distances of 5, 10, 15, and 20 cm without inclining or rotating the line between the bilateral acromions, while maintaining the head in the vertical position, with both feet placed on the ground from the starting limb position. We determined the respective iEMGs. There were no significant lateral transfer distance-related changes in the relative iEMG for the upper and lower fibers of the mobile side latissimus dorsi. Furthermore, the value for the upper fibers of the non-mobile side increased with the distance of lateral transfer. In addition, the value for the lower fibers of the non-mobile side also elevated with the lateral transfer distance; at a distance of 20 cm, the value was significantly higher than those at distances of 5 and 10 cm. Based on the results of this study, it may be important to evaluate the abdominal oblique muscles, dorsolumbar muscles, and latissimus dorsi in performing lateral body weight transfer. Training chang the distance of lateral transfer in the sitting position of patients with difficulty of lateral transfer . In addition, the actions of the upper fibers of the latissimus dorsi differed from those of the lower fibers, suggesting the necessity of assessing these fibers individually.

著者

玉置 昌孝 野口 翔平 中道 哲朗 鈴木 俊明

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.17, pp.85-89, 2017

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<p>In this study, we examined the relationship between the activity pattern of hamstring muscles and postural change of weight shift, in the standing position. We used surface electromyographic data from the medial gluteus medius, biceps femoris, and semitendinosus muscles of 10 healthy male participants. During exercise tasks, we observed two groups of participants: those who registered ankle dorsiflexion during lateral weight shift movements and those who did not. The former group registered an increase in hamstring muscle activity and the latter group registered no change. Similar to a previous study, an increase in gluteus medius muscle activity was detected along with the start of lateral weight shift. It appears that the biceps femoris muscle works to increase hip extension before semitendinosus muscle activity, causing a forward weight shift and dorsiflexion of the ankle joint during lateral weight shift in the standing position.</p>