著者

伊藤 正憲 高橋 優基 嘉戸 直樹

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.23-27, 2015 (Released:2016-01-06)

参考文献数

1

被引用文献数

4

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While walking, we often change our direction and speed as necessary. The movement made to change the direction is divided into two types: the spin turn and the step turn. The axis of the lower extremity in the spin turn is on the same side as the direction in which the turn is made, whereas in the step turn, it is on the opposite side. In this study, with respect to the spin turn and step turn, the center of pressure trajectories and the electromyography patterns of the lower extremity were measured. Based on these results, the function of the lower extremity required for the spin turn and step turn is explained and discussed.

著者

嘉戸 直樹 伊藤 正憲 高橋 優基

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.29-32, 2015 (Released:2016-01-06)

参考文献数

5

被引用文献数

3

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Walking is the main means of locomotion. Locomotion is performed not only forward but also backward in daily life. However, there are few explanations of backward walking, compared to forward walking, in textbooks of motion analysis. In this study, previous studies of backward walking are reviewed, and the trajectories of center of pressure and electromyogram patterns assessed. The functions of the lower leg and the trunk in backward walking are discussed with reference to the results.

著者

藤原 聡 高橋 優基 前田 剛伸 嘉戸 直樹

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.66-73, 2021 (Released:2021-12-25)

参考文献数

18

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In clinical practice, muscle weakness is often considered a functional disability similar to limitation of range of motion. Physical therapists use manual muscle testing (MMT) as described by Daniels et al. for the general assessment for muscle weakness. This test quantitatively assesses muscle strength by the amount of joint movement, muscle contraction, and the effect of gravity and resistance. However, it is not possible to evaluate the strength of individual muscles involved in a single joint movement, or to separate a single muscle into fibers with different actions when using this method. It is also difficult to assess qualitatively whether muscle activity is assessed at a specific time during movement. In this paper, we examine the possibility of evaluating muscle weakness using MMT for knee extension, hip extension, and hip abduction by changing some of the test positions and the direction of manual resistance based on kinematics. For knee extension, we describe how to check the alignment of the patella and how to vary the movement speed to check for muscle activity at a given time. Each of these approaches are presented based on electromyogram data.

著者

高橋 優基 前田 剛伸 嘉戸 直樹

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.59-66, 2022 (Released:2022-12-23)

参考文献数

17

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In clinical practice, muscle weakness is often considered a functional disability similar to limitation of range of motion. We physical therapists use manual muscle testing (MMT) described by Daniels et al. for the general assessment of muscle weakness. This test quantitatively assesses muscle strength by the amount of joint movement, muscle contraction, and the effect of gravity and resistance. However, it is not possible to evaluate the strength of individual muscles involved in a single joint movement, or to separate a single muscle into fibers with different actions. In other words, it is difficult to narrow down the individual muscles and muscle fibers that are weak using MMT results. In this paper, we examine the possibility of evaluating muscle weakness using MMT for knee extension, and hip abduction by changing some of the test positions and the direction of manual resistance based on kinematics. Each of these proposed test positions is presented based on electromyogram data.

著者

佐野 紘一 飯田 智也 戎 智史 高橋 優基 伊藤 正憲 嘉戸 直樹

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.127-131, 2017 (Released:2017-12-29)

参考文献数

3

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This case report describes a patient with femoral neck fracture and body instability in the forward direction at the end of the stance phase during walking. Physical therapy for this patient included both muscle strength training of the hip extensor muscles and weight-transfer exercises with reaching movements using one upper limb while holding a T-cane. With physical therapy, weight transfer in the forward direction during the stance phase accompanied hip extension. Moreover, forward body instability at the end of the stance phase disappeared and walking ability improved. The effects of physical therapy for this patient are discussed with reference to improvements in joint angle values.

著者

高橋 優基 山本 吉則 嘉戸 直樹

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.19, pp.42-47, 2019 (Released:2019-12-26)

参考文献数

35

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In daily life and sport situations, external stimuli can be used to control exercise. In physical therapy, periodic auditory stimulation is said to be effective at improving patients' walking ability (walking speed, stride length, and cadence). A metronome, hand clapping, and vocalization are used by therapists to deliver periodic auditory stimuli. Prediction of the rhythm is necessary to perform efficient exercise based on auditory stimuli. Reaction time and synchronization tapping tasks are used to examine the ability to perform exercise according to rhythm prediction. The mechanisms of motor control in the central nervous system are different for periodic and non-periodic movements. This study describes the results of research on motion control according to rhythm prediction based on reaction time and synchronization tapping tasks, the ability to reproduce rhythmic movements with hand clapping and foot stepping, and rhythm tasks and sensory function, and discusses clinical applications of rhythm tasks.