著者

Shuori Yamada Tohru Hoshi Michio Toda Takahiro Tsuge Ko Matsudaira Hiroyuki Oka

出版者

The Society of Physical Therapy Science

雑誌

Journal of Physical Therapy Science (ISSN:09155287)

巻号頁・発行日

vol.35, no.2, pp.106-113, 2023 (Released:2023-02-01)

参考文献数

29

被引用文献数

1

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[Purpose] The purpose of this study was to determine whether strict adjustment of the pillow height using the Set-up for Spinal Sleep method improves clinical outcomes like neck pain and somatic symptoms. [Participants and Methods] A total of 84 participants with chief complaints of stiff shoulders and neck pain were evaluated using the numerical rating scale and the Somatic Symptom Scale-8. Questionnaires were used to collect data at the baseline, after two weeks, and after three months of adjusting the pillow height. [Results] Forty-two participants (50%) achieved the minimal clinically important difference for neck pain with a decrease of three points or higher in the numerical rating scale. The baseline neck pain scores were significantly higher in the group that achieved the minimal clinically important difference. The three-month change in neck pain and the Somatic Symptom Scale-8 was significantly greater in participants who were satisfied with treatment. There was a significant positive association between improvement in the numerical rating scale score and improvement in the Somatic Symptom Scale-8 at three months. [Conclusion] Strict adjustment of the pillow height using the Set-up for the Spinal Sleep method significantly improved both physical neck pain and somatic symptoms related to psychological and social problems.

著者

Arito Yozu Junji Katsuhira Hiroyuki Oka Ko Matsudaira

出版者

The Society of Physical Therapy Science

雑誌

Journal of Physical Therapy Science (ISSN:09155287)

巻号頁・発行日

vol.35, no.7, pp.502-506, 2023 (Released:2023-07-01)

参考文献数

16

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[Purpose] Humans keep their trunks vertical while walking. This defining characteristic is known as upright bipedalism. Research on the neural control of locomotion indicates that not only subcortical structures, but also the cerebral cortex, especially the supplementary motor area (SMA), is involved in locomotion. A previous study suggested that SMA may contribute to truncal upright posture-control during walking. Trunk Solution® (TS) is a trunk orthosis designed to support the trunk in decreasing the low back load. We hypothesized that the trunk orthosis might reduce the burden of truncal control on the SMA. The objective of this study was, therefore, to determine the effect of trunk orthosis on the SMA during walking. [Participants and Methods] Thirteen healthy participants were enrolled in the study. We measured the hemodynamics of the SMA during walking with functional near-infrared spectroscopy (fNIRS). The participants performed two gait tasks on a treadmill: (A) independent gait (usual gait) and (B) supported gait while wearing the TS. [Results] During (A) independent gait, the hemodynamics of the SMA exhibited no significant changes. During (B) gait with truncal support, the SMA hemodynamics decreased significantly. [Conclusion] TS may reduce the burden of truncal control on the SMA during walking.