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

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〔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

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

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〔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

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

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〔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

小島 佑太 辻 智美 伊藤 陸 早田 荘 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.17, pp.133-138, 2017 (Released:2017-12-29)

参考文献数

1

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We administered physical therapy for a patient who presented with right hemiplegia after cerebral infarction. When lowering clothing with the left hand for toileting, the patient risked falling posteriorly to the right. Therefore, therapy focused on enabling the removal of underclothing. Healthy subjects remove underclothing with the use of left elbow extension and left lateral bending of the trunk, while moving the pelvis in a right lateral direction. However, this patient was unable to adequately bend the trunk to the left and could not lower underclothing on the left side. In addition to not being able to control right lateral movement of the pelvis, she had rearward displacement of the right buttock, and risked falling posteriorly to the right. Physical examination and observation of motion revealed decreased tone of the right external abdominal oblique and the posterior fibers of the gluteus medius; the lower fibers of the gluteus maximus were considered the main problem. Physical therapy enabled the patient to undress for self-toileting by focusing on the impaired muscles.

著者

早田 荘 赤松 圭介 藤本 将志 田尻 恵乃 水上 俊樹 貝尻 望 大沼 俊博 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.10, pp.57-62, 2010 (Released:2011-01-13)

参考文献数

1

被引用文献数

1

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The efficacy of physical therapy for a patient with impaired hair-washing motion due to dysfunction of the inferior fibers of the trapezius was assessed. Surface electromyography was performed to investigate the clinical implications, and to elucidate the relationship between changes in the speed of elbow joint flexion-extension during simulated hair-washing motion and the corresponding activities of the superior, intermediate, and inferior fibers of the trapezius and of the caput longum of triceps brachii. In a sitting position, the subject moved the shoulder joint approximately 110 degrees in flexion and the elbow joint approximately 45 degrees horizontally on the measured side, and performed flexion-extension of the elbow joint in which the middle finger on the measured side reciprocated between the torus occipitalis and vertex in a hair-washing motion-simulating task. The motion speed was set at 40, 80, 120, and 160 motions per minute using a metronome and electromyograms of the superior, intermediate, and inferior fibers of the trapezius and the caput longum of triceps brachii were measured for 10 seconds 3 times during each task. Electromyogram waveforms of these fibers at each speed and the influence of changes in the elbow joint flexion-extension speed on the relative integrated electromyogram value were investigated. In the caput longum of triceps brachii, the amplitude of the electromyogram waveform in a single elbow joint flexion-extension motion was compared among the tasks at different speeds. The waveform amplitude increased and the relative integral value tended to increase as the elbow joint flexion-extension speed increased only in the inferior fibers of the trapezius. These findings suggest that to evaluate and improve hair-washing motion in patients with impairment of the scapulothoracic joint, the arm should be maintained in an elevated position during this motion. Furthermore, attention should be paid to the activity of the inferior fibers of the trapezius, which are assumed to be involved in stabilization of the scapula during the elbow joint flexion-extension motion, in this posture.

著者

田中 大志 高森 絵斗 早田 荘 赤松 圭介 大沼 俊博 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.15, pp.117-125, 2015 (Released:2016-01-06)

参考文献数

8

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We report on the use of physical therapy for a patient with right hemiplegia experiencing difficulty with getting up from a bed after cerebral infarction. Based on a previous study, the aim was for the patient to get up by rolling over to the non-paralyzed side to attain the sitting position. Observation of the getting up action of the patient revealed that the trunk flexion and rotation of the non-paralyzed side were insufficient. Therefore, the patient tried to lift the upper body by pushing with the non-paralyzed side elbow on the bed. However, the patient had difficulty performing the getting up action, because the upper body fell down to the rear due to paralysis on the side of rotation of the trunk. Our assessment showed hypotonia in both parts of the rectus abdominis, and in the external oblique muscle and serratus anterior muscle of the paralyzed side. Hypertonia was also found in the posterior fibers of the deltoid muscle and upper fibers of the latissimus dorsi muscle on the non-paralyzed side. After 1 week of physical therapy, the impairments improved and the patient was able to perform the getting up movement.

著者

早田 荘 楠 貴光 藤本 将志 大沼 俊博 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.15, pp.39-44, 2015 (Released:2016-01-06)

参考文献数

11

被引用文献数

4

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The purpose of this study was to clarify the activities of the longissimus, multifidus, and iliocostalis muscles at different angles of shoulder joint flexion. The subjects were 14 healthy males (mean age, 23.7 ± 1.9 years). Electromyograms of the longissimus, multifidus, and iliocostalis muscles were recorded at shoulder flexion angles of 0, 30, 60, 90, 120, and 150 degrees in a seated position. The relative values of the integrated electromyograms (iEMG) of the longissimus muscle on the side of shoulder joint flexion gradually increased up to the flexion angle of 90 degrees and gradually decreased thereafter. The longissimus iEMG value was significantly higher at 90 degrees than at 150 degrees. There were no changes in the relative values of the other muscles. We conclude that the longissimus muscle on the side of shoulder joint flexion contributes to the maintenance of posture.

著者

早田 荘 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.17, pp.23-32, 2017 (Released:2017-12-29)

参考文献数

14

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Arm elevation movement is used in daily living. There are many reports about the functions of the muscle activities and biomechanics of the shoulder joint. However, there are few reports about trunk function during arm elevation movement. We have performed physical therapy for patients without shoulder joint problems who had difficulty with arm elevation movement. We think trunk function is important in arm elevation movement. Therefore, we examined trunk function during arm elevation movement, and describe it in this report.