著者

見目 智紀 落合 信靖 山崎 博範 西須 孝 森石 丈二

出版者

日本肩関節学会

雑誌

肩関節 (ISSN:09104461)

巻号頁・発行日

vol.35, no.2, pp.593-596, 2011 (Released:2011-11-02)

参考文献数

8

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The purpose of this study was to investigate the relationship between the loss of thoracic mobility and the stiffness of neck and shoulder. 61 persons (19 males, 42 females) who had no functional disorder in their shoulder were involved in this study. The average age was 34.0 ± 11.1 years old. The method of manipulation where we flex the subject's thoracic spine while holding the neck of the subject was the only maneuver in this study. We assessed VAS and place of the stiffness, change of sagittal spinal curvature in standing and banzai posture. The pop sound in the thoracic joint was obtained in 54 subjects. After the treatment, VAS was significantly decreased from 44.1 ± 29.8 to 18.8 ± 17.6. Among 29 persons feeling neck stiffness, 26 had improved. Among 44 feeling stiffness around upper scapula, 42 had improved. Among 14 feeling stiffness of medial scapula, 13 had improved. 2 felt stiffness on the scapula, 1 was improved after treatment. There was no significant difference between before and after manipulation in thoracic kyphosis, lumber lordosis and inclination of standing. But there was a significant relationship between the range of motion of the thoracic spine and VAS after manipulation. The improvement of the thoracic mobility induced significant improvement in the neck and shoulder stiffness. This result suggested the postural control disorder by the loss of thoracic mobility was one of the important factors of neck and shoulder stiffness.

著者

橋本 瑛子 落合 信靖 佐々木 裕 山口 毅 木島 丈博 山崎 博範 松木 圭介

出版者

日本肩関節学会

雑誌

肩関節 (ISSN:09104461)

巻号頁・発行日

vol.38, no.3, pp.779-783, 2014 (Released:2014-11-21)

参考文献数

14

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近年,肝臓等で報告があるIDEAL法は脂肪と水を分離して描出でき,定量評価可能なMRI撮像法である.本研究の目的は,IDEAL法,単純T2強調像,単純CT像からの腱板筋脂肪変性を比較し,大・広範囲腱板断裂の一次修復の可否を検討することである.IDEAL法を撮像した47例50肩を対象とした.IDEAL法では,斜位矢状断で各腱板筋にROIを設定し,In Phase,Fat Imageの信号値から脂肪を定量した.同撮像面で単純T2強調像,単純CT像から腱板筋脂肪変性の割合を算出した.IDEAL法と単純T2強調傍矢状断像から分類したGoutallier分類は解離し,単純T2強調像での脂肪変性評価はIDEAL法に比較し過小評価する傾向を認めた.また,大・広範囲腱板断裂の一次修復不能群ではIDEAL法での棘上筋実質部成分・棘下筋の脂肪含有率と単純T2強調像での棘下筋の脂肪含有率が有意に高値で,一次修復可否の判断材料となり得た.