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
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
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.