著者

大沼 俊博 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.6, pp.39-42, 2006 (Released:2007-01-30)

参考文献数

8

被引用文献数

4

---

We report on physical therapy and its evaluation in patients with impaired deep sensation. Evaluation in physical therapy should be performed not only in the static states but also in the situations and postures causing abnormal actions. In physical therapy, treatment with the patient being aware (use of feedback such as that by visual sensation) provides clues that improve problems. For improvement in impaired deep sensation and recovery of motor function, their association should be considered, and the induction of normal actions is important.

著者

楠 貴光 歳森 大輝 伊藤 翼宙 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.22, pp.67-74, 2022 (Released:2022-12-23)

参考文献数

10

---

In this study, the area where the iliac muscle and psoas major muscle are visualized on the surface was examined using ultrasound imaging system. The site where the iliac muscle was visualized on the surface was 0–1 cm lateral at 1 cm below the anterior superior iliac spine (ASIS), 0–2 cm lateral at 2 cm below the ASIS, 1–2 cm lateral at 3 cm below the ASIS, 2–3 cm lateral at 4 cm below the ASIS, 2–4 cm lateral at 5 cm below the ASIS, 3–4 cm lateral at 6 cm below the ASIS, 3–4 cm lateral at 7 cm below the ASIS. The psoas major muscle was not visualized on the surface. This result suggests that the activity of the iliac muscle can be examined using surface electromyography.

著者

刀坂 太 楠 貴光 早田 荘 赤松 圭介 藤本 将志 大沼 俊博 渡邊 裕文 三輪 成利 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.33, no.1, pp.121-126, 2018 (Released:2018-03-01)

参考文献数

9

被引用文献数

3 1

---

〔目的〕中殿筋と大殿筋の股関節に対する作用を明確にするために各線維を分け,股関節伸展および外転保持時の筋活動を検討した.〔対象と方法〕対象は健常男性10名とし,平均年齢は24.4歳であった.超音波画像診断装置を用いて中殿筋,大殿筋の各筋線維およびこれらが重層する部位を描出した.そして股関節伸展課題および外転課題にて1 kgごとに4 kgまでの重量負荷を加え,各筋線維の筋電図を測定した.〔結果〕股関節伸展課題では中殿筋後部線維,重層部位および大殿筋上部線維の筋活動は4 kgの重量負荷にて増大した.また股関節外転課題では中殿筋の各線維の筋活動は4 kgの重量負荷にて増大し,重層部位の筋活動は3 kg以上の重量負荷にて増大した.〔結語〕中殿筋,大殿筋の各筋線維は各々の作用に対する筋活動の増大を認めたが,大殿筋上部線維は股関節外転課題に関与しなかった.

著者

大沼 俊博 渡邊 裕文 藤本 将志 赤松 圭介 谷埜 予士次 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.11-22, 2013 (Released:2013-12-28)

参考文献数

9

被引用文献数

13

---

In a clinical setup, difficulty in maintaining posture and controlling movements while bending, lateral bending, or performing rotation of the thoracic and lumbar region due to reduced activities of the abdominal oblique, multifidus, longissimus, and iliocostalis muscles, when in the seated and standing positions, and during walking, is often encountered. We trained patients with postural and control difficulties to shift their body weight laterally from one limb to the other while standing to increase the activities of the trunk muscles and improve the seated, standing, and gait postures. The activities of the trunk muscles, that serve as clinical indicators, were evaluated using electromyography and measurement of tissue stiffness. In the present study, we present the results of our research on the activities of the trunk muscles in the sitting and standing positions, and during sustained lateral shifting of body weight from one limb to the other while standing, and discuss their clinical implications.

著者

渡邊 裕文 大沼 俊博

出版者

The Academy for Kansai Physical Therapy

雑誌

関西理学療法 (ISSN:13469606)

巻号頁・発行日

vol.8, pp.13-15, 2008

---

The activity of bathing involves multiple motions that consist of basic abilities and functions of the upper limbs. This paper aims to describe "the motion of stepping over the bathtub" that is a necessary activity of bathing. We describe these motions, and simulate the motion which can reproduced in the rehabilitation room, from sitting to long sitting on a platform. We divided these motions into three phases and explain the movement of normal adults and adults with hemiplegia, as well as the points of treatment about each phase.<br>

著者

楠 貴光 早田 荘 大沼 俊博 渡邊 裕文 野口 克己 宮本 達也 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.33, no.1, pp.77-81, 2018 (Released:2018-03-01)

参考文献数

11

被引用文献数

3

---

〔目的〕電気刺激による上腕三頭筋長頭の筋収縮が肩甲骨肢位に及ぼす影響を検討した.〔対象と方法〕健常人の20肢を対象に,上肢を肩関節水平屈曲60°位にて治療台上に保持させた.上腕三頭筋長頭に電気刺激を加え,X線を撮影し,安静時と電気刺激時の肩甲棘内側端と肩甲骨下角の脊椎間距離,肩甲骨上方回旋角を比較した.X撮影には放射線技師および医師の協力を得た.〔結果〕電気刺激時にて肩甲骨下角と脊椎間距離の中央値は7.9 mm,肩甲骨上方回旋角の中央値は9°増大し,有意差を認めた.〔結語〕肩関節水平屈曲60°位にて保持させた際の電気刺激による上腕三頭筋長頭の筋収縮は,肩甲骨外転および上方回旋に作用したと考える.

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

---

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

國枝 秀樹 末廣 健児 大沼 俊博 渡邊 裕文 石濱 崇史 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.14, pp.43-47, 2014 (Released:2014-12-27)

参考文献数

5

被引用文献数

1

---

The purpose of this study was to investigate the electromyographic (EMG) activities of the multifidus, longissimus, and iliocostal muscles in the standing and forefoot standing positions in order to understand the relationship between each muscle activity and thoracolumbar extension in the forefoot standing position. This study recruited 10 healthy male volunteers (mean age: 28.4 ± 6.1 years). The EMG activities of the multifidus, longissimus, and iliocostal muscles were measured in the standing and forefoot standing positions. The values of the integrated EMG activities of each task were compared. Each muscle showed a significant increase in the value of the integrated EMG activities in the forefoot standing position (p<0.01). The activities of the iliocostal muscles were separated into two types: Group A, in which the EMG activities did not increase much, and Group B, in which the EMG activities clearly increased. In group A, the forefoot standing position involved extension of the hip joint, and lumbar alignment was almost identical to that in the standing position. In group B, lumbar lordosis and anteversion of the pelvis were significantly greater in the forefoot standing position than in the standing position.

著者

大沼 俊博 藤本 将志 楠 貴光 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.18, pp.11-18, 2018 (Released:2018-12-20)

参考文献数

4

---

Therapists identify major dysfunction by analyzing seated posture and standing-up motion, with the aim of treating the dysfunction and implementing training for maintenance of seated posture and standing-up motion. Treatments to improve posture and motion will encourage exercise and can be based on kinesiology and anatomy. This article considers the following: 1) methods for assessment of seated posture based on kinesiology and anatomy; 2) standing-up motion; 3) handling skills of seated posture and standing-up motion; and 4) the relationships between a symptomatic area and seated posture/standing-up motion.

著者

二五田 美沙 早田 恵乃 藤本 将志 大沼 俊博 渡邊 裕文 田中 祥子 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.95-101, 2013 (Released:2013-12-28)

参考文献数

2

---

A patient with left hemiplegia following cerebral infarction could not maintain a sitting position. Treatment in this position was difficult for the patient because of a tendency to fall toward the paralyzed side (left side) when sitting, and associated anxiety. Therefore, with the aim of maintaining the sitting position, physiotherapy was started in this position for a week to treat hypotonia of the internal and external oblique muscles of the abdomen, longissimus muscle, and multifidus muscle, which was the primary condition. However, it was difficult to maintain a sitting position. Thus, we considered that it was necessary to treat hypotonia by placing the patient in a supine position to improve the ability to maintain the sitting position. After 3 days of practicing to turn to the non-paralyzed side (right side), and sitting-up exercises to increase the activity of the internal and external oblique muscles of the abdomen, longissimus muscle, and multifidus muscle, the patient was able to sit independently without support. To treat the condition and help maintain a sitting position, as well as to reduce the anxiety of falling, it is necessary to initially treat the patient in a supine position.

著者

池田 幸司 大沼 俊博 渡邊 裕文 藤本 将志 赤松 圭介 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.29, no.3, pp.421-424, 2014 (Released:2014-07-03)

参考文献数

11

被引用文献数

2 1

---

〔目的〕端座位での側方体重移動時における骨盤の側方傾斜と移動側股関節外転筋群の関連を明確にするため,一側殿部への荷重量がこれらの筋の筋電図積分値に及ぼす影響を検討することとした.〔対象〕健常男性16名(平均年齢27.1 ± 6.6歳)とした.〔方法〕端座位より一側殿部の荷重量の総荷重量に対する比率を変化させて,移動側中殿筋・大腿筋膜張筋・大殿筋上部線維の筋電図を測定し,各筋の課題間での筋電図積分値相対値を比較した.〔結果〕筋電図積分値相対値はすべての筋で荷重量85%まで有意に増加した.中殿筋と大腿筋膜張筋では荷重量90%以上で有意に減少した.〔結語〕端座位での側方体重移動に伴う骨盤の側方傾斜を促すには移動側股関節外転筋群の関与が重要である.

著者

大沼 俊博 渡邊 裕文 蔦谷 星子 三好 裕子 山口 剛司 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.2, pp.103-107, 2002 (Released:2005-05-21)

参考文献数

2

被引用文献数

1

---

To evaluate of sustained elevation of a paralyzed superior limb, we performed physical therapy for the limb in a patient with postapoplectic hemiplegia. During the physical therapy, sustained elevation of the paralyzed superior limb was achieved by activating muscle groups in the lower trunk and gluteal region controlled by the corticoreticular spinal tract, and by accelerating continuation of associated righting reflex. These findings suggest that postural adjustment of the body center and proximal extremities is required in hemiplegic patients to achieve functional improvement of a paralyzed superior limb.

著者

渡邊 裕文 大沼 俊博

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

no.8, pp.13-15, 2008

---

The activity of bathing involves multiple motions that consist of basic abilities and functions of the upper limbs. This paper aims to describe "the motion of stepping over the bathtub" that is a necessary activity of bathing. We describe these motions, and simulate the motion which can reproduced in the rehabilitation room, from sitting to long sitting on a platform. We divided these motions into three phases and explain the movement of normal adults and adults with hemiplegia, as well as the points of treatment about each phase.<br>

著者

大沼 俊博 渡邊 裕文 蔦谷 星子 三好 裕子 山口 剛司 藤本 将志 赤松 圭介 若林 志保子 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.3, pp.101-104, 2003 (Released:2005-04-12)

参考文献数

8

被引用文献数

2

---

During 45°-flexion of the hip joint, actions on the pelvis and integral values of abdominal muscle groups were measured by maintaining SLR at 3 different angles of hip joint abduction (0°, 15°, and 30°) to evaluate the relationship between the two. The results of this study suggest that rotating and anteverting actions occur on the pelvic side ipsilateral of SLR when the SLR is held at 30°-abduction of the hip joint in healthy volunteers. In addition, integral values of the abdominal scalenus ipsi- and contralateral of SLR and those of the rectus muscle of the abdomen ipsilateral of SLR obtained by maintaining SLR at 30°-abduction of the hip joint were significantly larger than those obtained at 0°-abduction of the hip joint (p<0.05). Integral values of the rectus muscle of the abdomen contralateral of SLR increase with the angle of hip joint abduction. These results suggest that attention should be focused on hip joint abduction angles during SLR exercise to increase the activity of the entire abdominal muscle groups.

著者

野崎 結 安井 重男 池田 幸司 藤本 将志 赤松 圭介 大沼 俊博 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.10, pp.85-92, 2010 (Released:2011-01-13)

参考文献数

6

---

We conducted physical therapy for a patient who experienced pain in the right gluteal and lateral femoral regions during walking following right hip replacement. Pain appeared due to flexion, adduction, and internal rotation of the right hip joint accompanied by exaggerated anterior inclination and right rotation of the pelvis on right heel contact through to right mid-stance. Physical therapy was conducted for the limited range of right hip joint motion and muscle weakness around this joint, which was assumed to be the cause of the abnormal gait and pain. Following this, standing step practice (Physical Therapy A) was conduced. After 6 weeks of Physical Therapy A, the limited range of right hip joint motion and muscle weakness around the joint had improved; however, the gait and pain had not improved. Thus, the therapy was re-evaluated, and bridge exercise was added to Physical Therapy A (Physical Therapy B). Physical Therapy B enabled induction of muscle activity and contractile patterns similar to those occurring during walking with respect to the muscle activity around the right hip joint that is necessary for right heel contact through to right mid-stance. A single session of Physical Therapy B improved the gait and reduced pain. Therefore, we concluded that the promotion of complex muscle activity, not in a single direction, and improvement of the muscle strength and contractile pattern are necessary in physical therapy for problematic muscle weakness.

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

---

〔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

田尻 恵乃 藤本 将志 赤松 圭介 大沼 俊博 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.9, pp.105-116, 2009 (Released:2010-01-16)

参考文献数

2

---

We experienced a patient with post-stroke left hemiplegia exhibiting Pusher's syndrome, who required assistance to maintain sitting and standing positions and to standing up. Hypotonia on the hemiplegic side and hypoesthesia were considered to be the basic problems with the posture and movement of this patient. Moreover, hypotonia of abdominal muscles on the non-hemiplegic side was assumed to be the main cause of Pusher's syndrome, a characteristic of this case. This condition may have induced excessive extension and abduction of upper and lower limbs on the nonhemiplegic side (Pusher's syndrome) in order to maintain posture and movement, leading to the requirement for excretory assistance. The hypotonic abdominal muscles on the non-hemiplegic side were trained through physical therapy, and Pusher's syndrome of upper and lower limbs on the non-hemiplegic side was improved. Following this, postures and movements were modified in consideration of bilateral symmetric sensory input, and movements necessary for toilet use were improved.

著者

大沼 俊博 楠 貴光 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.12-17, 2022 (Released:2022-12-23)

参考文献数

8

---

Physiotherapists often have opportunities to perform physical therapy for patients with hemiplegia due to cerebrovascular disorders (among patients with central nervous system diseases), during the acute, recovery and chronic phases of the condition. Physical therapy is performed for patients who have difficulties in maintaining a sitting posture or performing activities while sitting, or who have walking difficulties or difficulties in performing activities while standing, due to trunk or pelvic dysfunctions. The authors consider that physical therapy, focusing on the major causative dysfunction, should be performed for patients at any phase of the disease, and that this requires a proper knowledge of kinesiology and anatomy. In this special topic, we will discuss the main measures for reducing the trunk dysfunction of patients with hemiplegia due to cerebrovascular disorders.

著者

山口 剛司 大工谷 新一 渡邊 裕文 大沼 俊博

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.75-80, 2007 (Released:2008-01-18)

参考文献数

7

---

Foot function deteriorates after varus sprain of the ankle joint, and impairs smooth body movement in some cases. Dysfunction of the peroneal muscles, such as muscle weakness and delayed reaction time, occurs after varus sprain, and great importance has been attached to strengthening of the peroneal muscles in exercise therapy. Our exercise therapy targets stable posture control in weight-bearing on the little toe side, and we consider that not only the peroneal muscles but also varus muscles of the foot are important with regard to muscle activity in this position. In this study, we investigated muscle activity of the varus muscles of the foot and plantar pressure distribution on the supporting side in inward step positions as an exercise menu. Compared to the baseline position regarded as 0 cm, muscle activity increased at an inward step distance of 10 and 20 cm, and significantly increased at 30 and 40 cm (p<0.01). It is suggested that the inward steps induced weight-bearing on the little toe side, and forced tilting of the lower leg outward, during which the varus muscles may have acted to brake the outward tilting of the lower leg. This suggests that the varus muscles of the foot are important for posture control in weight-bearing on the little toe side.

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.