著者

谷埜 予士次 福島 綾子 酒井 英謙 高崎 恭輔 米田 浩久 鈴木 俊明

出版者

関西医療大学

雑誌

関西医療大学紀要 (ISSN:18819184)

巻号頁・発行日

vol.2, pp.32-37, 2008

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レッグエクステンションによって、膝伸筋群を効率よく強化するための基礎的研究として、骨盤肢位の変化と大腿四頭筋の筋活動について検討した。健常成人10名を対象とし、膝60°屈曲位での膝伸展を最大の30%強度で行わせた。骨盤肢位は「骨盤前傾位」、「骨盤中間位」、「骨盤軽度後傾位」、「骨盤最大後傾位」の4種類に規定し、各々の骨盤肢位を維持した状態で膝伸展保持を行わせた。そして、伸展トルク発揮中に大腿直筋(RF)、外側広筋(VL)、内側広筋斜走線維(VMO)から筋電図を記録した。VMOの筋電図積分値(iEMG)は、「骨盤前傾位」で、他の3種類の骨盤肢位のときと比較して有意な増大が認められた。また、VMOのiEMGは「骨盤最大後傾位」と比較して「骨盤中間位」でも有意に増大した。RF、VLのiEMGについては、骨盤肢位の変化に関わらず有意な差を認めなかった。本結果より、臨床への示唆として、膝60。屈曲位でのレッグエクステンションにおいて、VMOの筋活動を優位にしたい場合は骨盤を後傾位にすることなく、可及的に腰椎の生理的前弯に伴った骨盤の肢位にて、レッグエクステンションを行うことを推奨する。

著者

西村 栄津子 酒井 英謙 谷 万喜子 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.8, pp.101-105, 2008 (Released:2009-01-15)

参考文献数

9

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I report acupuncture treatment for abnormal neck posture and deviation of trunk in a patient with drug induced dystonia.The patient was a 60-year-old female. In the last 3 years, her neck and mouth had showen involuntary movement when she received medical treatment for her bipolar disorder, and she was diagnosed as having drug induced dystonia. Her symptoms were slightly improved by botulinum therapy (BTX) and transcranial magnetic stimulation (TMS), but she wanted to receive acupuncture treatment, so she came to our clinic. At the first consultation at our clinic, her neck posture in a sitting position showed left lateral bending, left rotation, flexion, and extension, and her trunk posture showed left lateral bending. Her neck presented with intermittent involuntary movement of left rotation and extension. The problems of her abnormal posture were some muscle tones and shortening of skin and muscles. Abnormal muscle tones were hypertonus of the trapezius muscle and erector spinae, and hypotonus of the abdomen muscles. Skin and muscle shortening presented on the posterior region of her neck (trapezius and splenius capitis muscle), the occipital region of the head, and the interscapulum, lumbar and dorsal. Her neck also showed intermittent involuntary movement. The acupuncture treatment was as follows: multiple epidermis penetrating needles were used to treat skin and muscle shortening on the posterior region of her neck (trapezius and splenius capitis muscle), occipital region of head, and interscapulum. Lumbar and dorsal retaining needles were used for Waiguan(TE5) for hypertonus of trapezius muscle, Chongyang(ST42) to increase abdomen muscles, Kunlun(BL60) for hypertonus erector spinae, and Baihui(GV20) to decrease the involuntary movement. After acupuncture treatment, the patient's involuntary movement of the neck was reduced, and flexion of trunk and extension of neck were improved. Currently there is no definitive treatment method for drug induced dystonia. This case suggests that abnormal neck posture and deviation of trunk in a patient with drug induced dystonia can be improved by acupuncture treatment.

著者

酒井 英謙 谷 万喜子 西村 栄津子 上田 愛 福島 綾子 井上 博紀 高田 あや 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.103-107, 2006 (Released:2007-01-30)

参考文献数

8

被引用文献数

5

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According to acupuncture therapy for dystonia patients practised at the Outpatient Clinic, Kansai College of Oriental Medicine, there is a report that remote acupuncture therapy by the meridian concept is effective. It was reported that dystonia is sensory defect rather than dyskinesia, and we report acupuncture therapy of soft stimulus to normalize the upper central nervous system for stimulated sensory nerve. Based on the meridian theory, we investigated the influence of acupuncture stimulus to the sternocleidomastoid muscle (L14) through which the large intestine meridian (L1) passes on the hand, on the central nervous system and muscles by comparison of surface EMGS among 3 groups: no stimulus, 5 min stimulus, 20 min stimulus. After 20 min stimulus, both PMT and MT were significantly shortened compared with before stimulus. However, in the no stimulus and 5 min stimulus groups there were no differences in PMT and MT compared with before stimulus. This suggests that to excite the central nervous system and muscle function via the sternocleidomastoid muscle, 20 min acupucture is needed.