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

秋本 浩二 西須 孝 柿崎 潤 落合 信靖 藤田 耕司

出版者

日本肘関節学会

雑誌

日本肘関節学会雑誌 (ISSN:13497324)

巻号頁・発行日

vol.24, no.2, pp.105-108, 2017 (Released:2019-06-05)

参考文献数

10

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背景:病態について不明な点が多いPanner病の4例を経験し,その病態について検討を行った.方法:症例は全例男性で年齢は平均9.1歳,経過観察期間は平均35.5か月であった.調査項目は患者背景(スポーツ歴・家族の喫煙歴・ステロイド内服歴・骨年齢),症状,単純X線所見の変化,治療経過とした. 結果:スポーツ歴はドッジボール2例,テニス1例,野球1例であった.家族の喫煙歴は1例,ステロイド内服歴は2例にみられ,1例で骨年齢が暦年齢より若かった.症状は,全例に肘関節痛があり,肘関節可動域制限が3例にみられた.単純X線で骨端核が修復されるまでの期間は平均12.7か月であった.全例保存加療を行い,オーバーヘッド動作制限期間は平均15か月で,全例臨床症状は改善した. 結論:Panner病4例に対し保存加療を施行し,全例臨床症状は改善した.オーバーヘッド動作を伴うスポーツ歴,ステロイド内服歴はPanner病のrisk factorになりえると考えられた.

著者

西須 孝 高橋 謙二 藤田 耕司 三橋 繁 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.23, no.2, pp.293-296, 1999-07-30 (Released:2012-11-20)

参考文献数

6

被引用文献数

1

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The purpose of this study is to evaluate the effects of extracorporeal shockwaves on chronic calcific tendinitis of the shoulder. We studied 4 patients with chronic calcific tendinitis of the shoulder. Extracorporeal shock wave therapy was applied using Dornier Epos (Dornier Company, Germany). The JOA score, the VAS score (resting pain, night pain and tenderness) and plain radiographs before and after the shock wave treatments were studied in 4 shoulders.The average JOA score was 55.5 points (range,37-70 points) just before the start of the shock wave application. At the end of this study and over-three months after the shock wave application, it was 75.5 points (range,57-98 points). The VAS scores were decreased in all 4 patients after the shock wave application. The areas of calcification were reduced in 3 out of 4 shoulders. We concluded that extracorporeal shock wave therapy was useful for chronic calcific tendinitis of the shoulder.