著者
大工谷 新一
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.21-26, 2006 (Released:2007-01-30)
参考文献数
3
被引用文献数
4

This article describes the intervention for improvement of the limitation of range of ankle dorsal flexion. A limited range of ankle dorsal flexion is caused by shortening of antagonist musde or joint capsule, decrease of joint play and disorder of the axis of dorsal flexion. Especially, a disorder of the joint axis is the most important finding among all causes. Disorder of the joint axis has a close relation with shortening of the soft tissue around the ankle joint. Especially, there are some typical parts, in which shortening of the soft tissue is related to disorder of the ankle motion axis. These parts were identified as the D-point (Daikuya's normalizing point for ankle axis). Compression and stretching to the D-point normalized ankle axis disorder. Normalizing the ankle axis is an important strategy in physical therapy for the limitation of the range of ankle dorsal flexion, because normal soft tissue is loosened and shortened tissue is untouched in physical therapy for an abnormal ankle axis.
著者
岡山 裕美 大工谷 新一
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.34, no.4, pp.499-503, 2019 (Released:2019-08-28)
参考文献数
23

〔目的〕歩行速度を増加させる際における腓腹筋内側頭と外側頭の筋活動について検討することを目的とした.〔対象と方法〕健常成人男性10名を対象とした.歩行中の腓腹筋内側頭と外側頭から表面筋電図を記録し,2.5 km/hから4.0 km/hに速度を上げる時期(加速時Ⅰ)および4.0 km/hから5.5 km/hへ速度を上げる時期(加速時Ⅱ)における筋電図積分値の相対値を比較検討した.〔結果〕筋電図積分値は,加速時Ⅰ・Ⅱともに内側頭が外側頭より有意に高値を呈し,双方の筋電図積分値は加速時Ⅰよりも加速時Ⅱにおいて有意に高値を示した(p<0.05).〔結語〕歩行の加速時における腓腹筋の筋活動量は,内側頭の方が外側頭よりも大きいことが確認された.
著者
岡山 裕美 鶴池 柾叡 大工谷 新一
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.30, no.6, pp.897-901, 2015 (Released:2016-01-09)
参考文献数
16

〔目的〕ダイナミックストレッチング(DS)の実施前後,実施10分後の股関節屈曲可動域と膝関節伸展筋力および筋活動の変化を比較検討することを目的とした.〔対象〕実験の趣旨説明に同意を得た健常男性23名とした.〔方法〕DS実施前後と10分後に股関節屈曲可動域と膝関節伸展のピークトルクを計測した.ピークトルクの計測と同期し,表面筋電図を計測した.〔結果〕股関節屈曲可動域と膝関節伸展のピークトルク,中間周波数はDS実施前より直後,10分後に有意に高い値を示した.〔結語〕DSは股関節屈曲可動域の拡大に関与するといえる.また,運動単位の動員数は変化しないが,発火頻度が集中するなどの質的な変化が生じることが示唆される.
著者
和田 直子 岡山 裕美 熊崎 大輔 大工谷 新一
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.41-44, 2012 (Released:2012-12-27)
参考文献数
8
被引用文献数
2

Limited range of motion in the knee joint is often observed in patients after total knee arthroplasty. Decreased extensibility of the skin is one of the factors limiting motion. The purpose of this study was to examine the extensibility of the skin over the knee during knee flexionat at angles of 0°, 30°, 60°, 90°, 120°, 150°, and maximal flexion as performed by 30 healthy subjects (15 males, 15 females). The skin covering the anterior area of the knee was divided into 4 sections: skin over the femur, the suprapatellar bursa, the patella, and the patellar ligament. The dimensions of each section at each flexion position were measured. The results indicate that the extensibility of the skin over the suprapatellar bursa and the patella in positions from 0° to 30° was significantly greater than that covering the femur and the patellar ligament (p<0.05). In addition, as the degree of knee flexion increased, the extensibility of the skin over the suprapatellar bursa and the patellar ligament was greater than that over the other areas. The results of this study indicate that evaluation of skin extensibility during physical therapy for patients with limited range of motion in the knee must include not only the area that shows limited motion but also the surrounding areas.
著者
大工谷 新一
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.3, pp.1-7, 2003 (Released:2005-04-12)
参考文献数
15
被引用文献数
2

This article sets out the classification of stretching techniques as the basic physical therapy approach for the limitation of joint motion. To achieve adequate stretching for muscle shortening, it is necessary to evaluate joint instability, laxity and alignment, and muscle conditions, such as the limit to joint movement imposed by muscle contraction. And in this article, the concept of muscle stretching for lateral hamstring muscles and triceps surae muscles is introduced.

2 0 0 0 OA D test

著者
大工谷 新一
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.4, pp.71-73, 2004 (Released:2005-03-11)
参考文献数
1

D test is an evaluation maneuver to hypothesize problems related to activities in daily life when a patient cannot perform because of some functional disorders. The procedure in the D test consists of three phases. In the first phase, the therapist investigates the joint motion axis during the ankle dorsal flexion of a patient. Next, the normal axis of ankle dorsal flexion is compared to the patient's actual axis. Finally, the therapist considers about factors and effects due to ankle axis abnormality, and observes and analyzes the ‘chain’ action from foot to head. The D test is very useful in the field of physical therapy evaluation. And for its clinical applications, it is necessary to master human functional anatomy and kinesiology.
著者
谷埜 予士次 大工谷 新一 鈴木 俊明
出版者
一般社団法人日本体力医学会
雑誌
体力科学 (ISSN:0039906X)
巻号頁・発行日
vol.58, no.4, pp.441-452, 2009-08-01 (Released:2009-09-15)
参考文献数
32
被引用文献数
4

To clarify the function of the vastus medialis obliquus (VMO) and longus (VML), we investigated the electromyographic properties of superficial quadriceps femoris during fatiguing knee extension task.Ten healthy male and 10 female volunteers participated in this study. The subjects performed fatiguing knee extension task at maximal effort (10 times×10 set at 60 deg/sec). Surface electromyography (EMG) was recorded from the VMO, VML, vastus lateralis(VL) and rectus femoris(RF) during isometric knee extension (knee bent at 60 deg and 30% of the maximal voluntary contraction level) with a 90-sec interval between each set. Knee extension peak torque, integrated EMG (IEMG) and median power frequency (MDF) of four muscles during each set were compared using Dunnett's test.Knee extension peak torque decreased gradually and peak torque decreased significantly starting from set 9 in male subjects, while there was no significant decrease in female subjects. IEMG from VMO and VL increased linearly. IEMG increased significantly from set 7 in VMO and set 6 in VL for both male and female subjects. Then, IEMG from both VML and RF increased significantly starting from set 9 in VML and set 8 in RF in male subjects, while there was no significant change in female subjects.MDF of VMO, VL and RF also increased significantly at timepoints similar to those showing increases in IEMG in male subjects. However, MDF of VML increased significantly from set 4 in male subjects. On the other hand, MDF did not change significantly in female subjects.As a result of this study, it was suggested that VMO and VL were facilitated to maintain target knee extension torque during fatigue. Therefore, it was considered that VML and RF facilitated the maintenance of target torque under fatiguing conditions.
著者
西守 隆 大工谷 新一
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.4, pp.37-41, 2004 (Released:2005-03-11)
参考文献数
4

Interpretation and integration are defined as tying up a patient's capacity for action and measurement results. This paper explains the interpretation and integration divided into the following five. “Solving relativity of impairment and active limitation”. “Solving the cause of impairment”. “Solving the correlation of impairment”. “Solving the correlation of active limitation”. “Inferring a prognosis of impairment from references or improvement of clinical physical therapy”. Interpretation and integration are the most important parts of physiotherapy evaluation.
著者
法所 遼汰 岡山 裕美 大工谷 新一
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.31, no.2, pp.253-256, 2016 (Released:2016-04-29)
参考文献数
7
被引用文献数
1 1

〔目的〕高齢者の円背姿勢を再現した胸腰部屈曲位における立ち上がり動作での下肢の筋活動と関節角度の特徴を明らかにする.〔対象〕健常成人男性10名とした.〔方法〕胸腰部屈伸中間位,胸腰部20°屈曲位および胸腰部40°屈曲位の条件下で,表面筋電計とビデオカメラを用いて立ち上がり動作を実施し,下肢筋の平均振幅の相対値と活動順序,体幹前傾角度と下腿前傾角度を算出した.〔結果〕胸腰部屈伸中間位と比較し,胸腰部40°屈曲位では前脛骨筋の平均振幅の相対値と体幹前傾角度および下腿前傾角度が有意に増加した.また胸腰部40°屈曲位では,前脛骨筋が他の筋よりも有意に早く活動を開始した.〔結語〕胸腰部屈曲角度の違いは,前脛骨筋の筋活動と下腿前傾角度に影響を与えていると考えられた.
著者
山口 剛司 高崎 恭輔 大工谷 新一
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.103-108, 2005 (Released:2006-01-26)
参考文献数
4
被引用文献数
12

The foot region plays an important role in postural control. It is often observed that improvement of foot and foot joint functions leads to improvement of movements of the lower limbs, pelvis, trunk, and eventually the entire body. We generally use the position of plantar pressure as a parameter for the evaluation of the foot region and foot joints, because the center of plantar pressure (COP) provides important information. In patients with dysfunction in the foot region, COP is often deviated to the big or little toe side during movements, or induction of COP from the little toe side to the big toe side is often difficult. In therapeutic exercise for control of COP in such patients, closed kinetic chain exercise is considered effective. In such exercises, monitoring of the necessary activities of the peripedal muscles caused by changes in COP is important. In this study, we examined the electromyographic integral of the peripedal muscles caused by changes in COP using a ground reaction force plate and electromyography. In the measurement, a surface electromyograph, Mlyosystem 1200 (NORAXON Co.), was used for recording electromyography. For electromyography analysis, MyoResearch (NORAXON Co.) software was used for calculation of the integrated values of the electromyography. A force plate (Anima Co.) was synchronized with the surface electromyograph. Weight loading on the forefoot and hind foot induced characteristic muscular activity patterns of muscles around the foot. For changing COP, muscular activity of muscles around the foot is necessary, and it is important to know that the muscular activity pattern varies depending on the position of COP.
著者
野村 有里 藤原 正史 山内 仁 大工谷 新一
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.63-67, 2008 (Released:2009-01-15)
参考文献数
11
被引用文献数
3

A difference of alignment of rear foot between lying down and standing in patients who have sports disorders is often observed. The purpose of this study was to clarify the relationship between the alignment of the rear foot and activities of ankle flexor muscles during the calf-raise. We identified an alteration of the alignment of the rear foot between the prone position to standing by measuring leg heel angle under each condition, and classified subjects into three groups (varus, neutral, valgus) according to angle alteration. In addition, we measured activities of the tibialis posterior muscle, soleus muscle, medial head of the gastrocnemius muscle and lateral head of the gastrocnemius muscle during the calf-raise with surface electromyography. The varus group showed significantly greater activation of the tibialis posterior muscle than the valgus group. Activation of the medial head of the gastrocnemius muscle displayed similar findings with an increase from the valgus group to the neutral and varus groups. These results suggest that if alignment of the rear foot in standing is more varus than in lying prone, sports disorders are potentially more likely in therapeutic calf-raise exercises and in running during training.
著者
高木 綾一 高崎 恭輔 大工谷 新一
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.7, pp.65-70, 2007 (Released:2008-01-18)
参考文献数
14
被引用文献数
3

It is difficult for cerebrovascular disease patients to maintain the standing position while holding the shoulder in the flexed position and flexing the shoulder. It is thought that center-of-gravity line deviates from the base of support because holding the shoulder in the flexed position or flexing the shoulder influence the body alignment and generate addtional forces. The center of plantar pressure moves toward the center of gravity line to avoid leaving the base of support. Therefore, clarifying the movement pattern of the center of plantar pressure while holding the shoulder in the flexed position and flexing the shoulder is important when we perform a physical therapy evaluation for patients with instability in standing. In this study, trace of the center of plantar pressure movement during holding the shoulder in the flexed position and flexing the shoulder in standing was investigated to evaluate postural control in healthy subjects. We analyzed the trace of the center of plantar pressure in standing as follows: 1) The center of plantar pressure average displacement with change of the shoulder flexion angle (0°, 30°, 60°, 90°, 120°, 150° and 180°); 2) The trace pattern of the center of plantar pressure in flexing the shoulder. We found trace patterns of center of plantar pressure which are common to subjects holding the shoulder flexed at 30°, 60° and 90°. Also, in the pattern classification of trace patterns of the center of plantar pressure during flexing the shoulder, we identified 5 patterns as follows: front S pattern, front reverse S pattern, rear S pattern, front C pattern and front reverse C pattern. We think that a force was generated by holding the shoulder in the flexed position and that flexing the shoulder was related to some of the patterns produced. It is important that the trace pattern of center of plantar pressure is ealuated while holding the shoulder in the flexed position and flexing the shoulder.
著者
大工谷 新一
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.57-61, 2008 (Released:2009-01-15)
参考文献数
2

In this article, an outline of the International Classification of Functioning, Disability and Health (ICF) is described, and, rehabilitation which is based on the ICF concept is proposed. Because the ICIDH model consists of impairments, disabilities and handicap from the "flow" of thinking originating from diseases, it could a only be constructed by professionals like a doctor or a therapist. However, because ICF is a classification of daily life function, its construction is possible by various disciplines, not just a doctor or a therapist. It is desirable that a therapist understands the ICF concept to maintain cooperation and a common language with other disciplines. To keep therapist's identity as "we can cure", it is therapists who have to recognize the concept of ICF with the new three dimensional paradigm described in this article. To establish the three dimensional paradigm of ICF, the therapist has to understand the "Wellness", which arises from the client's desire and needs, instead of "Health condition" in ICF. In other words, construct the three dimensional paradigm of ICF, to offer rehabilitation service, and the subject is lead to higher "Wellness", and as a results of this process, whole human rehabilitation is facilitated better than the rehabilitation which is done under the ICIDH model.
著者
舩坂 依里 阿部 直也 松岡 雅一 熊崎 大輔 大工谷 新一
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.123-129, 2011 (Released:2012-01-06)
参考文献数
3

We provided physical therapy for a patient with cerebrovascular disease presenting with left hemiparesis due to infarction of the right parietal, temporal and occipital lobes. The patient had difficulty standing up because of an abnormal muscle tone caused by deep sensory disturbance of the affected lower extremity. Physical therapy was provided to improve sensory function. After seven sessions of physical therapy in one week, deep sensation and abnormal muscle tone improved. Load-bearing ability of the affected extremity increased and the amount of support needed to stand up decreased because of the improved muscle tone. Sensation was also recognizable following this improvement. It was believed that the amount of support needed to stand up decreased, resulting in a change in the amount of exertion needed to adjust muscle tone. This indicates that physical therapy is necessary for considering the interaction between sensory disturbance and muscle tone in patients with hemiparesis caused by cerebrovascular accidents.
著者
武田 広道 岡山 裕美 大工谷 新一
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.30, no.2, pp.229-232, 2015 (Released:2015-06-24)
参考文献数
8
被引用文献数
1

〔目的〕本研究は胸椎弯曲角度,腰椎弯曲角度,骨盤後傾角度が胸郭可動性や呼吸機能に影響を及ぼす程度を明らかにすることを目的とした.〔対象〕対象は健常成人男性14名とした.〔方法〕骨盤前後傾中間位,10°後傾位,30°後傾位,50°後傾位の端座位で呼吸機能,胸郭拡張差,胸腰椎弯曲角度を測定した.また胸郭可動性,呼吸機能と胸椎後弯角度,腰椎後弯角度,骨盤後傾角度の関係について重回帰分析を行った.〔結果〕胸郭可動性と呼吸機能は骨盤後傾角度の程度に最も影響された.次いで腰椎後弯角度,胸椎後弯角度が影響した.〔結語〕骨盤後傾角度の改善が胸郭可動性と呼吸機能を改善する可能性があることが示唆された.
著者
大工谷 新一 小野 淳子 鈴木 俊明
出版者
社団法人 日本理学療法士協会近畿ブロック
雑誌
近畿理学療法学術大会 第49回近畿理学療法学術大会
巻号頁・発行日
pp.7, 2009 (Released:2009-09-11)

【はじめに】 筆者らはスポーツ外傷後の神経筋機能を評価する目的で,理学療法評価に電気生理学的検査を取り入れている.今回,スポーツ動作中に足関節内反捻挫を受傷したバスケットボール選手に対する電気生理学的検査で特異的な所見を得たので報告する.【対象】 対象は本件に関する説明に同意を得た21歳の男子大学バスケットボール選手であった.診断は左足関節内反捻挫(II度損傷)であった.現症としては,応急処置が奏功した結果,腫脹と疼痛,可動域制限はそれぞれ軽度であった.筋力検査は疼痛のため不可能であった.ADLレベルは,歩行は疼痛自制内で可能であるものの,段差昇降には時間を要し,走行は不可であった.【方法】 電気生理学的検査として,ヒラメ筋からH反射を導出した.具体的には,筋電計Viking Questを用いて,安静腹臥位で足尖をベッド外へ出した状態の被験者の膝窩部脛骨神経に電気刺激を16回加えて,H反射を記録した.電気刺激強度は,振幅感度を500μV/divとした画面上でM波出現が同定できる最小強度とした.H反射の記録後,同部位に最大上刺激を加え,最大M波を記録した.H反射振幅とM波振幅の平均値を求めた後に各々の比(振幅H/M比)を算出して,受傷前,受傷後3日,受傷後1ヶ月の振幅H/M比を比較した.【結果】 受傷前,受傷直後,受傷後1ヶ月の振幅H/M比は,非受傷側で0.17,0.88,0.21,受傷側では0.62,1.23,0.58であり,受傷直後に顕著に増大していた.また,得られた波形の外観上の特徴として,受傷直後の受傷側には長潜時反射様の律動的波形がH反射出現後に記録された.【考察】 振幅H/M比は脊髄神経機能の興奮性を示す指標である.また,下肢における長潜時反射は脳幹または大脳皮質の興奮性を表す指標となる.本症例では,受傷直後に両側についてヒラメ筋に関連する脊髄神経機能の興奮性に著しい増大が認められた.また,通常は安静時には導出されない長潜時反射も受傷直後の受傷側において記録された.これより,本症例においては足関節内反捻挫の受傷によって,一過性の脊髄神経機能の興奮性の増大が両側性に認められ,受傷側においては脳幹より上位の神経機能の興奮性も増大していたことが明らかとなった.この機序としては,受傷そのものによる脊髄神経機能への影響と,受傷した状態でADLに適応する過程で脊髄神経機能に及ぼされる影響の2つの観点から考慮する必要がある.受傷そのものによる脊髄神経機能への影響としては,疼痛を回避するために脊髄反射が亢進していた可能性や腫脹による関節内圧の変化などが考えられ, ADLに適応していく過程で脊髄神経機能に及ぼされた影響としては,受傷直後の不安定感や疼痛を回避するために,ヒラメ筋などの足関節周囲筋群の緊張性収縮を常時亢進させた状態で姿勢保持や動作遂行を繰り返していた影響があった可能性が推察された.
著者
谷埜 予士次 熊崎 大輔 舌 正史 大工谷 新一 森 裕展
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.1, pp.15-24, 2001
被引用文献数
1

We performed physical therapy after reconstruction of the posterior cruciate ligament (PCL) on a Japanese Taekwondo player. In physical therapy after the reconstruction of PCL, we had to protect PCL from mechanical stress. To protect the reconstructed PCL in this case, we predicted the traction stress for PCL by motion analysis using surface electromyography (EMG). In order to avoid the traction stress on PCL, we checked the muscle activity of the quadriceps femoris and the hamstrings during various kinds of muscle strengthening exercises for the lower extremity in the closed kinetic chain (CKC). The muscle contraction of hamstrings with knee flexion caused the posterior displacement of the tibia, and the traction load on PCL was increased with a contraction of hamstrings. On the other hand, because the muscle contraction of the quadriceps femoris produced anterior sharing force of the tibia, the contraction of the quadriceps femoris could protect the PCL from traction load. Therefore, we selected the muscle strengthening exercises in which the muscle activity of the hamstrings was lower and the muscle activity of the quadriceps femoris was higher. Twelve weeks post operation, the muscle strength of the quadriceps femoris had reached a level compatible with returning to competition, and since the patient had no pain or instability of the knee, we had him perform athletic training (jogging, running, step drill, etc.). He could practice athletic training without any pain or feeling instability of the knee. After 19 weeks post operation, we had him perform kick training gradually under the doctor's permission, and to prevent the hamstrings tearing as well as increasing the performance of kicking, we started him on muscle strengthening exercises of the hamstrings with the kick training gradually. After about 27 weeks post operation, the patient could practice all Taekwondo training without any knee pain or feeling instability of the knee, and after about 43 weeks post operation, he competed successfully in the All Japan Taekwondo Championship and becoming. In conclusion, because we selected the muscle strengthening training avoiding traction load on the PCL, the patient could carry out athletic training and Taekwondo training in safety after the operation.<br>
著者
福島 綾子 高田 あや 谷埜 予士次 大工谷 新一
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.4, pp.109-113, 2004 (Released:2005-03-11)
参考文献数
6

This report described the effect of remote acupuncture therapy for a scoliosis patient with low back pain. It was considered that the cause of the low back pain was contraction of the erector spinae. Contraction pain of the erector spinae was induced by trunk malalignment due to reduced trunk stabilization. Trunk instability was induced by reduced activity of the obliquus abdominis. Therefore, in order to increase the activity of the obliquus abdominis, remote acupuncture therapy was performed on the GB41 (Ashirinkyu). GB41 was a reaction point on the Gallbladder Meridian through the obliquus abdominis. As a result of remote acupuncture therapy, low back pain and trunk instability were reduced because the activity of the obliquus abdominis was increased.