著者

Kiyotaka Hasebe Yu Okubo Koji Kaneoka Kohei Takada Daisuke Suzuki Koichi Sairyo

出版者

徳島大学医学部

雑誌

The Journal of Medical Investigation (ISSN:13431420)

巻号頁・発行日

vol.63, no.1.2, pp.85-90, 2016 (Released:2016-04-01)

参考文献数

26

被引用文献数

20

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Objectives: To ascertain the dynamic stretch effects of flexibility of the hamstrings on lumbar spine and pelvic kinematics. Background: Tight hamstrings are positively correlated with low back pain. However, it is unclear how flexibility of the hamstrings affects spino-pelvic rhythm. Methods: Twelve healthy men participated in the study. The straight leg raising (SLR) angle, finger floor distance (FFD), and spino-pelvic rhythm was measured before and after the 6-week stretching protocol. The forward bending task was divided into 4 phases. The paired t-test was used to determine significant differences before and after the FFD, SLR angle, lumbar motion, and pelvic motion, and spino-pelvic rhythm in each phase (p<0.05). Results: After 6 weeks of stretching, significant improvements were seen in the FFD with maximum forward bending and in the SLR angle. Total pelvic rotation was also significantly increased in contrast to total lumbar flexion. A decreased spino-pelvic ratio was seen in the final phase. Conclusion: Dynamic stretching could change the spino-pelvic rhythm to a pelvis-dominant motion, indicating that flexible hamstrings are important for preventing low back pain. J. Med. Invest. 63: 85-90, February, 2016

著者

Osamu Yanagisawa Tomoki Oshikawa Naoto Matsunaga Gen Adachi Koji Kaneoka

出版者

Japanese Society for Magnetic Resonance in Medicine

雑誌

Magnetic Resonance in Medical Sciences (ISSN:13473182)

巻号頁・発行日

pp.mp.2020-0052, (Released:2020-09-01)

参考文献数

20

被引用文献数

3

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Purpose: We aimed to evaluate the acute physiological effects of high-load deadlift exercise on the lumbar intervertebral discs using MR diffusion-weighted imaging (DWI).Methods: Fifteen volunteers (11 men and 4 women; 23.2 ± 3.3 years) without lumbar intervertebral disc degeneration performed deadlift exercise (70% of 1 repetition maximum, 6 repetitions, 5 sets, 90 s rest between sets) using a Smith machine. Sagittal MR diffusion-weighted images of the lumbar intervertebral discs were obtained using a 1.5-Tesla MR system with a spine coil before and immediately after the exercise. We calculated apparent diffusion coefficient (ADC; an index of water movement) of the nucleus pulposus from diffusion weighted images at all lumbar intervertebral discs (L1/2 through L5/S1).Results: All lumbar intervertebral discs showed significantly decreased ADC values immediately after deadlift exercise (L1/2, −2.8%; L2/3, −2.1%; L3/4, −2.8%; L4/5, −4.9%; L5/S1, −6.2%; P < 0.01). In addition, the rate of ADC decrease of the L5/S1 disc was significantly greater than those of the L1/2 (P = 0.017), L2/3 (P < 0.01), and L3/4 (P = 0.02) discs.Conclusion: The movement of water molecules within the lumbar intervertebral discs is suppressed by high-load deadlift exercise, which would be attributed to mechanical stress on the lumbar intervertebral discs during deadlift exercise. In particular, the L5/S1 disc is subjected to greater mechanical stress than the other lumbar intervertebral discs.

著者

Yuiko Matsuura Satoshi Iizuka Keisuke Koizumi Keisuke Okuno Koji Kaneoka

出版者

Japan Society of Physical Education, Health and Sport Sciences

雑誌

International Journal of Sport and Health Science (ISSN:13481509)

巻号頁・発行日

pp.201820, (Released:2019-01-31)

参考文献数

13

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Trunk stabilization exercises improve injury prevention and performance, but the effect of deep trunk muscle training for underwater competitive performance and posture has not been clarified. If trunk stability can be obtained immediately after trunk stabilization exercises, such exercises may lead to performance improvements during underwater swimming and improve lumbar lordosis alignment during swim motions. The purpose of this study was to clarify the immediate effects of deep trunk muscle training on lumbar lordosis angle and swimming speed in underwater motion. The trial examined underwater motion before and after two different types and intensities of trunk stabilization exercises (low-intensity and high-intensity). Underwater motion was observed with an underwater high-speed camera placed 7.5 m from the pool wall, while lumbar lordosis angle was measured from the angle formed by markers affixed to the Th12, L3, and S1. During the glide swim, dolphin kick, and flutter kick trials, the maximum lumbar lordosis angle was calculated. Lumbar lordosis angle and swimming speed were calculated before and after two different intensities of trunk exercise interventions. There were significant differences in lumbar lordosis angle after both exercises during all three underwater motions. The high-intensity intervention elicited a significantly lower lumbar lordosis angle during glide swim, dolphin kick, and flutter kick, while swimming velocity was also improved during glide swim and flutter kick (P<0.05). Performing trunk exercise before practice or competition may help improve competition performance by reducing underwater resistance.

著者

Gen Adachi Tomoki Oshikawa Hiroshi Akuzawa Koji Kaneoka

出版者

The University of Tokushima Faculty of Medicine

雑誌

The Journal of Medical Investigation (ISSN:13431420)

巻号頁・発行日

vol.67, no.3.4, pp.274-279, 2020 (Released:2020-11-05)

参考文献数

32

被引用文献数

2

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The purpose of this study was to clarify the influence of different postures on the activity of the shoulder girdle and lower back muscles while using a smartphone. Sixteen healthy male participants maintained two postures while using a smartphone : a good posture in which the tragus and acromion were closer to the vertical line passing through the greater trochanter, and a poor posture in which the tragus and acromion were farther from the vertical line passing through the greater trochanter. The target muscles were the rhomboid major (Rhom), upper trapezius, middle trapezius, lower trapezius (LT), lumbar erector spinae (LES), and lumbar multifidus (LMF). The activities of the Rhom and LT were significantly lower with poor posture than those with good posture. The activities of LES and LMF were significantly higher with poor posture than those with good posture. The results of this study indicated that poor posture was associated with hypoactivity of the shoulder girdle muscles and hyperactivity of the lower back muscles when compared with good posture. Poor posture for prolonged periods while using a smartphone would lead to malfunction of the shoulder girdle muscles and musculofascial lower back pain. J. Med. Invest. 67 : 274-279, August, 2020

著者

Hiroshi Akuzawa Atsushi Imai Satoshi Iizuka Naoto Matsunaga Koji Kaneoka

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.28, no.12, pp.3458-3462, 2016 (Released:2016-12-27)

参考文献数

19

被引用文献数

4 17

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[Purpose] The purpose of the study was to assess the muscle activity change of the tibialis posterior, flexor digitorum longus, and peroneus longus during gait with orthoses. [Subjects and Methods] Sixteen healthy males participated in this study. Activity of each muscle was measured by using fine-wire and surface electromyography. Gait task was performed by the participants barefoot, with footwear and with orthoses. The electromyography data from a stance phase of each gait trial were used for analysis. The stance phase was divided into contact, midstance, and propulsion phases. The data from ten participants were extracted for final analysis, as electromyography measurements were unsuccessful for the other six. [Results] The results demonstrated that orthoses significantly reduced the tibialis posterior muscle activity in the propulsion phase compared to that in the barefoot condition. Although there was a significant difference in the midstance phase, post hoc analysis did not indicate significant differences among the phases. No significant electromyography amplitude change was detected in flexor digitorum longus and peroneus longus. [Conclusion] Orthothes reduced the tibialis posterior activity level during gait. This result may be beneficial for patients with injuries related to excessive activity of tibialis posterior.

著者

Tomoki Oshikawa Yasuhiro Morimoto Koji Kaneoka

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.30, no.3, pp.434-438, 2018 (Released:2018-03-02)

参考文献数

13

被引用文献数

7

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[Purpose] To compare the lumbar lordosis angle and electromyographic activities of the trunk and lower-limb muscles in the hip neutral position and external rotation during back squats. [Subjects and Methods] Ten healthy males without severe low back pain or lower-limb injury participated in this study. The lumbar lordosis angle and electromyographic activities were measured using three-dimensional motion-capture systems and surface electrodes during four back squats: parallel back squats in the hip neutral position and external rotation and full back squats in the hip neutral position and external rotation. A paired t-test was used to compare parallel and full back squats measurements in the hip neutral position and external rotation, respectively. [Results] During parallel back squats, the average lumbar lordosis angle was significantly larger in hip external rotation than in the hip neutral position. During full back squats, lumbar erector spinae and multifidus activities were significantly lower in hip external rotation than in the hip neutral position, whereas gluteus maximus activity was significantly higher in hip external rotation than in the hip neutral position. [Conclusion] The back squat in hip external rotation induced improvement of lumbar kyphosis, an increasing of the gluteus maximus activity and a decrease of both lumbar erector spinae and multifidus activities.

著者

Yasuhiro Morimoto Tomoki Oshikawa Atsushi Imai Yu Okubo Koji Kaneoka

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.30, no.1, pp.154-158, 2018 (Released:2018-01-27)

参考文献数

14

被引用文献数

7

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[Purpose] To measure electromyographic activity of the piriformis using fine-wire electrodes during 7 hip movements. [Subjects and Methods] Eleven healthy men, without severe low back pain or lower limb injury, participated in this study. Fine-wire electrodes were inserted into the piriformis and surface electrodes were attached to the muscles in the hip region and the trunk muscles on the dominant arm side. Electromyographic signal amplitude was measured during 7 hip movements: side-lying external rotation in hip neutral position, side-lying abduction in hip neutral position, side-lying abduction in hip external rotation, side-lying abduction in hip internal rotation, prone extension in hip neutral position, prone extension in hip external rotation, and prone extension in hip internal rotation. Repeated-measures one-way analysis of variance was used to examine electromyographic activity in each of the 7 hip movements. [Results] Piriformis electromyographic activity was highest during prone hip extension in external rotation. Both the superior and inferior portions of the gluteus maximus were also highly activated during prone hip extension in external rotation. [Conclusion] Prone hip extension in external rotation induced high electromyographic activity in the piriformis and superior and inferior gluteus maximus muscles.