著者

伊藤 陸 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.17, pp.33-40, 2017 (Released:2017-12-29)

参考文献数

25

被引用文献数

2

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The activity of the gluteus maximus is said to change with exercise, the hip joint position, and muscle fiber. Therefore, it is important for physical therapy to deepen the understanding of the muscle activities of the upper and lower gluteus maximus in basic movements. In this paper, we examined the muscle activity patterns of the upper and lower gluteus maximus in basic movements using electromyography. The activities of the upper and lower gluteus maximus were different in timing and size of muscle activity in each basic movement, and we describe them using electromyograms.

著者

藤本 将志 伊藤 陸 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.28-34, 2020 (Released:2020-12-28)

参考文献数

10

被引用文献数

1

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The Trendelenburg sign can occur due to various factors, and it is necessary to evaluate the factors in detail and then perform treatment to lead to voluntary training. In this paper, we consider the factors and movement patterns of the Trendelenburg sign appearing in electromyogram data, and explain voluntary training for those factors.

著者

藤本 将志 伊藤 陸 小島 佑太 池田 幸司 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.19-26, 2021 (Released:2021-12-25)

参考文献数

6

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The authors use top-down evaluation to determine impairments and perform physical therapy regardless of musculoskeletal or central nervous system disorders. One of the abnormal postures in patients with musculoskeletal disorders is a hunched posture with trunk flexion. In addition to the influence of the trunk, hunched posture tends to become more prominent with the influence of the lower limbs, lifestyle, and aging,. In this paper, we explain how to weigh the relevance of the problems considering the effects of not only the trunk but also the lower limbs, when considering the problems of trunk flexion posture in musculoskeletal disorders. In addition, we also explain the main points for performing examinations and physical therapy for problems of the trunk, while presenting posture and motion analysis of cases and electromyogram data of healthy subjects.

著者

伊藤 陸 早田 荘 藤本 将志 大沼 俊博 渡邊 裕文 鈴木 俊明

出版者

理学療法科学学会

雑誌

理学療法科学 (ISSN:13411667)

巻号頁・発行日

vol.32, no.3, pp.443-447, 2017 (Released:2017-06-23)

参考文献数

13

被引用文献数

4

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〔目的〕端座位で股関節内旋位,外旋位を保持した際の股関節周囲筋の筋活動について筋電図を用いて検討した.〔対象と方法〕健常男性10名の両下肢20肢とした.端座位,股関節内旋・外旋10°,20°,30°の肢位で大殿筋上部線維,中殿筋前部線維,大腿筋膜張筋の筋電図を測定し,各股関節内旋角度間と各股関節外旋角度間で比較した.〔結果〕大殿筋上部線維は股関節内旋10°,20°と比較して30°で,中殿筋前部線維,大腿筋膜張筋は股関節内旋10°と比較して30°で有意に増加した.股関節外旋角度間ではいずれも変化を認めなかった.〔結語〕大殿筋上部線維は,股関節屈曲90°では股関節外旋保持には関与せず,股関節内旋保持に関与することがわかった.

著者

小島 佑太 辻 智美 伊藤 陸 早田 荘 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.133-138, 2017 (Released:2017-12-29)

参考文献数

1

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We administered physical therapy for a patient who presented with right hemiplegia after cerebral infarction. When lowering clothing with the left hand for toileting, the patient risked falling posteriorly to the right. Therefore, therapy focused on enabling the removal of underclothing. Healthy subjects remove underclothing with the use of left elbow extension and left lateral bending of the trunk, while moving the pelvis in a right lateral direction. However, this patient was unable to adequately bend the trunk to the left and could not lower underclothing on the left side. In addition to not being able to control right lateral movement of the pelvis, she had rearward displacement of the right buttock, and risked falling posteriorly to the right. Physical examination and observation of motion revealed decreased tone of the right external abdominal oblique and the posterior fibers of the gluteus medius; the lower fibers of the gluteus maximus were considered the main problem. Physical therapy enabled the patient to undress for self-toileting by focusing on the impaired muscles.

著者

伊藤 陸

出版者

神戸学院大学人文学会

雑誌

人間文化 = Humanities and sciences : H&S (ISSN:13434136)

巻号頁・発行日

no.39, pp.79-91, 2016

著者

藤本 将志 伊藤 陸 小島 佑太 池田 幸司 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.22, pp.33-39, 2022 (Released:2022-12-23)

参考文献数

5

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We recommend performing a top-down physiotherapy evaluation rather than a bottom-up evaluation. During an assessment, it is desirable to detect problems at the impairment level and narrow them down to one problem in terms of order and relevance. By intervention for narrowed-down problems and re-evaluation of changes, a clearer physical therapy can be developed. In this study, we introduce abnormal postures and movements that are characteristics of patients with musculoskeletal diseases involving lumbar and hip joint impairment. Furthermore, we present one problem focusing on muscle weakness and decreased muscle tone as the possible underlying cause of impairment. We explain intervention methods for this impairment using kinematic and anatomical viewpoints and electromyography.

著者

木田 知宏 伊藤 陸 楠 貴光 大沼 俊博 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.76-82, 2018 (Released:2018-12-20)

参考文献数

4

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One-sided lower limb raising motion during sitting is carried out in various daily living activities. In clinical practice, we often encounter patients experiencing instability during maintenance of the sitting posture. When such patients lift the lower limb of one side, the balance of the sitting posture is disturbed, leading to instability at the back and the side, necessitating assistance for basic daily chores in some cases. Physiotherapy training includes practice exercises for raising the legs to various heights for patients who find it difficult to raise the lower limb of one side in the sitting position. We hypothesized that movement of the spine, the pelvis, and a change in the pressure center of the seating surface accompany lifting of the lower limbs, and analyzed the spinal, pelvic, and limb positions using two-dimensional image analysis in physical movement, and the center of pressure displacement responses to changes in the height of unilateral lower limb elevation in the sitting position. The objective was to examine the characteristics of COP displacement. In the 30% elevation task, displacement of the right and left COP locus was observed in response to lower limb elevation, and with regard to the longitudinal COP locus, there was a tendency of the COP locus to displace backward after the COP shifted forward. In the 90% elevation task, COP displacement to the support side and the rear side was observed. Considering these facts, a pattern of characteristic COP displacement corresponding to the change in height of the leg lifting was seen. In healthy volunteers, it has been observed that the supporting side hip joint is always held in internal rotation, and that the load is applied at the sole so that efficient operation with less COP displacement occurs. In cases of instability in one side lower limb elevation, it has been suggested that evaluation of the alignment of the supporting side hip joint is as important as that of the elevated lower limb and the trunk.

著者

伊藤 陸 貝尻 望 藤本 将志 大沼 俊博 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.49-52, 2015 (Released:2016-01-06)

参考文献数

5

被引用文献数

1

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To analyze walking turns, the influence the hip joint external rotation angle of the stepping limb in the standing position has on electromyographic activities of the upper and lower gluteus maximus muscle fibers was examined. The subjects were 10 healthy males with a mean age of 24.2. The standing position was defined as the position in which subjects stepped forward from a standing position. The hip joint external rotation angle of the starting position was changed, and the electromyographic activities of the upper and lower gluteus maximus muscle fibers were measured at each angle. The integrated electromyographic relative value of the upper gluteus maximus fiber significantly increased with the increase of the hip joint external rotation angle. The integrated electromyographic relative value of the lower gluteus maximus fiber also showed a tendency to increase. It is our opinion that the upper and lower gluteus maximus muscle fibers participate in the maintenance of the extension and external rotation of the support side hip through the actions of hip extension and external rotation. In addition, the support side hip performs adduction with increase in the angle of hip external rotation, indicating that the upper gluteus maximus fiber increases hip abduction to brake it.

著者

木田 知宏 伊藤 陸 藤本 将志 大沼 俊博 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.34-41, 2019 (Released:2019-12-26)

参考文献数

11

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In patients with musculoskeletal and central nervous system diseases, even if the sitting and standing postures can be maintained to some extent, the instability of the hip joint and pelvic area may limit the muscle activity when the lower limbs are raised. By presenting electromyographic studies and images of the hip joint and pelvis during the above-mentioned movements, this study introduces points of clinical evaluation and treatment.