著者

伊藤 陸 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.17, pp.33-40, 2017 (Released:2017-12-29)

参考文献数

25

被引用文献数

2

---

The activity of the gluteus maximus is said to change with exercise, the hip joint position, and muscle fiber. Therefore, it is important for physical therapy to deepen the understanding of the muscle activities of the upper and lower gluteus maximus in basic movements. In this paper, we examined the muscle activity patterns of the upper and lower gluteus maximus in basic movements using electromyography. The activities of the upper and lower gluteus maximus were different in timing and size of muscle activity in each basic movement, and we describe them using electromyograms.

著者

藤本 将志 伊藤 陸 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.20, pp.28-34, 2020 (Released:2020-12-28)

参考文献数

10

被引用文献数

1

---

The Trendelenburg sign can occur due to various factors, and it is necessary to evaluate the factors in detail and then perform treatment to lead to voluntary training. In this paper, we consider the factors and movement patterns of the Trendelenburg sign appearing in electromyogram data, and explain voluntary training for those factors.

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

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

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

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〔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 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

藤本 将志 伊藤 陸 小島 佑太 池田 幸司 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.21, pp.19-26, 2021 (Released:2021-12-25)

参考文献数

6

---

The authors use top-down evaluation to determine impairments and perform physical therapy regardless of musculoskeletal or central nervous system disorders. One of the abnormal postures in patients with musculoskeletal disorders is a hunched posture with trunk flexion. In addition to the influence of the trunk, hunched posture tends to become more prominent with the influence of the lower limbs, lifestyle, and aging,. In this paper, we explain how to weigh the relevance of the problems considering the effects of not only the trunk but also the lower limbs, when considering the problems of trunk flexion posture in musculoskeletal disorders. In addition, we also explain the main points for performing examinations and physical therapy for problems of the trunk, while presenting posture and motion analysis of cases and electromyogram data of healthy subjects.

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

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.

著者

藤本 将志 伊藤 陸 小島 佑太 池田 幸司 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.22, pp.33-39, 2022 (Released:2022-12-23)

参考文献数

5

---

We recommend performing a top-down physiotherapy evaluation rather than a bottom-up evaluation. During an assessment, it is desirable to detect problems at the impairment level and narrow them down to one problem in terms of order and relevance. By intervention for narrowed-down problems and re-evaluation of changes, a clearer physical therapy can be developed. In this study, we introduce abnormal postures and movements that are characteristics of patients with musculoskeletal diseases involving lumbar and hip joint impairment. Furthermore, we present one problem focusing on muscle weakness and decreased muscle tone as the possible underlying cause of impairment. We explain intervention methods for this impairment using kinematic and anatomical viewpoints and electromyography.

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

---

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

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

---

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

池田 幸司 藤本 将志 安井 重男 渡邊 裕文 大沼 俊博 赤松 圭介 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.9, pp.83-88, 2009 (Released:2010-01-16)

参考文献数

3

被引用文献数

4

---

In the clinical field, we have provided physical therapy for cases presenting with Trendelenburg sign on walking caused by reduced muscle strength of the abductor muscle group of the hip joint on the weighted side. The Trendelenburg sign can occur in the early stage or after the middle stage of the stance phase, showing various patterns. In this study, we focused on the relationship between Trendelenburg sign occurring in the early stage or after the middle stage of the stance phase and the abductor muscle group of the hip joint on the weighted side. The subjects were asked to flex their hip joint and bend the body forward with 95% of the body weight loaded on one side of the body in an upright position, and remain in this position with the angle from the initial position at 5, 10, 15, 20, and 25 degrees. We evaluated the influence of changes in the angle of the hip joint on integration values of electromyograms of the abductor muscle group of the hip joint (the tensor fascia lata muscle, gluteus medius muscle, and superior part of the gluteus maximus muscle) on the weighted side, using surface electromyograms. As a result, the relative integration value of the electromyograms of the tensor fasciae lata muscle and gluteus medius muscle on the weighted side significantly decreased as the angle of the hip joint increased. On the other hand, the relative integration value of electromyograms of superior part of the gluteus maximus muscle on the weighted side significantly elevated as the angle of the hip joint increased. The hip joint on the weighted side underwent flexion, and was subjected to an abduction force, as the angle of hip joint changed when one of the lower extremities was loaded. It was considered that superior part of the gluteus maximus muscle, which also belongs to the extensor muscle group of the hip joint, was primarily involved as a braking force. The results of this study suggest that the evaluation and treatment of superior part of the gluteus maximus muscle is important in controlling the dropping of the pelvis toward the non-weighted side (adduction of the hip joint of the standing leg) and its anterior inclination (flexion of the hip joint of the standing leg) in cases presenting with Trendelenburg sign.

著者

伊藤 陸 貝尻 望 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.49-52, 2015 (Released:2016-01-06)

参考文献数

5

被引用文献数

1

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To analyze walking turns, the influence the hip joint external rotation angle of the stepping limb in the standing position has on electromyographic activities of the upper and lower gluteus maximus muscle fibers was examined. The subjects were 10 healthy males with a mean age of 24.2. The standing position was defined as the position in which subjects stepped forward from a standing position. The hip joint external rotation angle of the starting position was changed, and the electromyographic activities of the upper and lower gluteus maximus muscle fibers were measured at each angle. The integrated electromyographic relative value of the upper gluteus maximus fiber significantly increased with the increase of the hip joint external rotation angle. The integrated electromyographic relative value of the lower gluteus maximus fiber also showed a tendency to increase. It is our opinion that the upper and lower gluteus maximus muscle fibers participate in the maintenance of the extension and external rotation of the support side hip through the actions of hip extension and external rotation. In addition, the support side hip performs adduction with increase in the angle of hip external rotation, indicating that the upper gluteus maximus fiber increases hip abduction to brake it.

著者

淵本 恵 辻 智美 貝尻 望 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.16, pp.101-107, 2016 (Released:2016-12-29)

参考文献数

3

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In this report, we describe the physical therapy prescribed for a patient with right hemiplegia following cerebral hemorrhage. The patient had difficulty in swinging off the toes because of right hip flexion during walking. This posture did not allow sufficient right hip joint extension from the right loading response to mid stance. In the left swing phase, right hip joint medial rotation from the flexion position caused her trunk to lean forward. She recovered to the right rear direction by right lateral bending and extension of the thoracic and lumbar spine, and right shoulder extension. Even in the terminal stance, right hip joint flexion persisted. The patient increased her right hip joint flexion in the right swing phase. Her walk weight movement was insufficient because right hip joint flexure was increased in the right terminal stance. As a result, the right foot caught on the floor during the right swing. We regarded gluteus maximus weakness to be the chief issue causing right hip joint flexion in the stance phase and conducted physiotherapy accordingly. We report the progress in gait improvement as a result of the prescribed physiotherapy.