著者

吉田 拓真 山下 貴之 石濱 崇史

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.12, pp.87-93, 2012 (Released:2012-12-27)

参考文献数

9

被引用文献数

1

---

We performed physical therapy for a patient who had great difficulty with walking due to pain-defense contraction of the right knee joint after total knee arthroplasty (TKA). This patient had much trouble restoring knee range of motion (ROM), even after TKA, because of a long period of suffering from pain in the right hip joint which limited the ROM. When walking, he could hardly move his knee joint and always showed knee flexion; his right hip joint was bent and his trunk leaned forward. He could not perform internal rotation of the right hip in the right stance phase. Instead, he elevated the left scapula and the left side hip joint and executed external rotation of the right side hip joint. We thought these problems resulted from limitation of ROM of the right knee joint, and we prescribed some exercises for ROM. Subsequently, ROM of the right knee joint and the joint position sense improved a little, but the patient still bent his right knee joint and showed no improvement of walking. After rethinking these problems, we concluded that we should provide therapy considering his habits before TKA. We set the bed in front of his trunk after he leaned against the bed because of relief of muscle hypertonia and position sense of knee joint. We asked the patient to lean against the bed to try and lengthen his hamstring. Subsequently, he showed less, compensatory motion of the trunk and pelvis, and internal rotation of the right hip joint gradually became possible, easing his walking difficulty. We have received the patient’s consent to publication of this report.

著者

宮田 久嗣 室田 尚哉 吉田 拓真 太田 純平

出版者

東京慈恵会医科大学

雑誌

基盤研究(C)

巻号頁・発行日

2011-04-28

---

本研究は、覚醒剤などの薬物と、ギャンブルなどの行動(薬物によらない)のアディクション(依存)が、疾病として同じものであるのかを、病態学的、神経学的、治療薬の観点から検討する。まず、アディクションの中核症状である欲求が、①一次性強化効果、②離脱症状の不快感、③環境刺激の二次性強化効果獲得の三要素から考えた場合、②の離脱症状、③の環境刺激の二次性強化獲得、さらには、欲求にともなう衝動性では、病態、神経学的機序、治療薬の観点で共通点がみられた。しかし、欲求の基本要素である一次性強化効果では、薬物に比較して行動では、それ自体独立して検出しにくく、生体側の影響を受けやすい点で違いがみられた。

著者

足立 吉隆 定松 直 増田 雄太 吉田 拓真 松下 康弘

出版者

一般社団法人 軽金属学会

雑誌

軽金属 (ISSN:04515994)

巻号頁・発行日

vol.64, no.11, pp.533-541, 2014-11-30 (Released:2015-02-28)

参考文献数

10

被引用文献数

1