著者
矢形 幸久
出版者
The Japanese Association of Rehabilitation Medicine
雑誌
リハビリテーション医学 (ISSN:0034351X)
巻号頁・発行日
vol.35, no.8, pp.556-562, 1998-08-18 (Released:2009-10-28)
参考文献数
27
被引用文献数
5 3

本研究は,内側広筋優位の強化を目的とした大腿四頭筋等尺性収縮訓練について調べたものである.5種類の大腿四頭筋等尺性収縮訓練について,健常者群15名(15肢),廃用性筋萎縮がある患者群11名(15肢)における内側広筋,外側広筋,大腿直筋の筋活動を表面筋電図積分波形の最大波高で評価した.その結果,従来的な開運動鎖での四頭筋セッティングに比べ,足部回外位の足底接地で股内転等尺性収縮と同期して行うセッティングにおいて,外側広筋に対する内側広筋の比(VM/VL)は高値を示した.膝伸展等尺性収縮訓練では,股内転等尺性収縮との共同運動を足部回外位の閉運動鎖で行うことにより,内側広筋の収縮が外側広筋より優位となる.
著者
工藤 由理 中野 あずさ 佐藤 厚 今村 徹 佐藤 豊
出版者
社団法人 日本リハビリテーション医学会
雑誌
リハビリテーション医学 (ISSN:0034351X)
巻号頁・発行日
vol.42, no.7, pp.463-468, 2005 (Released:2006-09-22)
参考文献数
12
被引用文献数
5 6

Recent authors reported a cerebellar contribution to cognitive functions such as executive function, personality, spatial cognition, language and memory. Middleton and Strick showed the neuroanatomical projection from the dentate nucleus to dorsolateral prefrontal cortex. Patients with cerebellar diseases were reported to have cognitive impairment in their neuropsychological assessments. The present patient with cerebellar hemorrhage showed disorder of executive function and memory disorder in his neuropsy-chological assessments. In his daily living, we found him to exhibit a distractible affection and disinhibition, which often disrupted the rehabilitation processes. A brain MRI showed no lesions in the bilateral frontal areas but SPECT showed a lower blood flow there. To approach these cases, we should recognize the existence of impaired higher brain function, and not only be mindful of motor deficits.
著者
大川 弥生 上田 敏
出版者
The Japanese Association of Rehabilitation Medicine
雑誌
リハビリテーション医学 (ISSN:0034351X)
巻号頁・発行日
vol.25, no.5, pp.377-381, 1988-09-18 (Released:2009-10-28)
参考文献数
7
被引用文献数
7 2

脳卒中後片麻痺患者125名に対し32項目の全身動作テストを施行し,片麻痺の理学療法プログラムの再検討に役立つ以下の結果を得た.(1)動作の難易度は必ずしも「正常運動発達」の順序をとらない.(2)ある姿勢をとる動作のほうがその姿勢を保持することよりも困難である.(3)片膝立ちの健側前と患側前との差は,物につかまるか否かで達成率に大きな差がある.(4)全身動作テストと片麻痺機能テストとの相関は高い.
著者
内田 真紀子 蜂須賀 研二 小林 昌之 堂園 浩一朗 田中 正一 緒方 甫 野田 昌作
出版者
社団法人 日本リハビリテーション医学会
雑誌
リハビリテーション医学 (ISSN:0034351X)
巻号頁・発行日
vol.33, no.5, pp.326-329, 1996-05-18 (Released:2009-10-28)
参考文献数
15

We report a 19-year-old man suffering from acute poliomyelitis induced by the attenuated strain of type 3 polio virus. As he had severe muscular weakness in the right lower limb and slight weakness in the left lower limb, we prescribed the following rehabilitation program: active assistive or manual resistive exercises for his right lower limb, resistive exercises for his left lower limb, and gait training with a knee-ankle-foot orthosis. As only two or less than two cases of acute poliomyelitis a year have been reported in Japan, we are following up this patient from the standpoint of preventing post-polio syndrome.
著者
近藤 克則 戸倉 直実 二木 立
出版者
The Japanese Association of Rehabilitation Medicine
雑誌
リハビリテーション医学 (ISSN:0034351X)
巻号頁・発行日
vol.31, no.1, pp.46-53, 1994-01-18 (Released:2009-10-28)
参考文献数
17
被引用文献数
1 1

発症早期の座位で脳卒中の再発・進行頻度が増えるか否かを検討した.対象は発症後第7病日以内入院の全脳卒中患者384人.入院第14日以内の意識障害,片麻痺などの悪化を再発・進行とした.座位耐性訓練以外に,来院時・診察時・看護上の座位なども座位に含めた.その結果,入院後14日以内の死亡を含めた再発・進行は,(1)早期座位の対象となる入院第1病日の意識障害清明,または1桁の患者281人のうち42人(14.9%)でみられ,(2)入院第1日に座位にした群で21/200人(10.5%)と座位にしなかった群の21/81人(25.9%)よりむしろ低かった.(3)重症度・病型・病巣部位・全身状態の安定度などで層別化しても結果は同様で,早期座位を施行しても再発・進行は増えていなかった.
著者
鹿島 晴雄
出版者
社団法人 日本リハビリテーション医学会
雑誌
リハビリテーション医学 (ISSN:0034351X)
巻号頁・発行日
vol.32, no.5, pp.294-297, 1995-05-18 (Released:2009-10-28)
参考文献数
3
被引用文献数
1 3
著者
横串 算敏 成田 寛志 瀧内 敏郎 山下 敏彦 野坂 利也
出版者
社団法人日本リハビリテーション医学会
雑誌
リハビリテーション医学 : 日本リハビリテーション医学会誌 (ISSN:0034351X)
巻号頁・発行日
vol.33, no.7, pp.488-491, 1996-07-18
被引用文献数
3

5例の下腿切断者を対象に, ICEROSSを使用したTSB義足とPTB義足の比較検討を行った.歩行時の安定感, 総合評価の点では, 全例がTSB義足はPTB義足より優れていると評価した.運動学的評価では, TSB義足歩行時の遊脚後期と立脚初期での加速度垂直成分は, PTB義足歩行時に比べ有意に減少していた.歩行時の膝関節屈曲角度は, 両義足間で差はなかった.
著者
鎌倉 矩子
出版者
社団法人日本リハビリテーション医学会
雑誌
リハビリテーション医学 : 日本リハビリテーション医学会誌 (ISSN:0034351X)
巻号頁・発行日
vol.14, no.1, pp.57-72, 1977-01-18

The positional change of the wrist during activities using fingers is not precisely known. The lack of the control of the wrist could be one of the reasons why the quadriplegic patients are not actually using flexor hinge splints as expected. Minor attention to the role of the wrist in training the hemiplegic hands could make the affected hands less functional than potentially capable of. The purpose of this study is to provide some fundamental data regarding the functional adjustment of the wrist in the normal hand. 52 subjects volunteered. In Series I, discs of 5 different sizes, cylinderes of 3 different sizes, a pin and a card were transferred, rotated or turned on or between the various height. In Series II, 15 selected objects for the daily use were picked up, used and relocated. With use of the electrogoniometer developed for this study, the upper and lower terminal values (UTV, LTV) in extension-flexion plane of the wrist and the range of these two (U-L range) were measured for each task for each subject. The individual variation in each task demonstrated the normal distribution with the range of 40-50 degrees usually. Objects of ordinary sizes were transferred on the desk, with the wrist in sligth to moderate extension, demonstrating less than 10 degrees of U-L range. Thin, very small, very large or heavy objects located on the desk inclined the wrist position to flexion. Location of objects on higher horizontal plane or handling on the wall increased extension, usually without exceeding 65 degrees of extension. Consequently, the transfer task between planes of different height or different direction increased U-L range. Rotatory or turning task increased U-L range too, lowering LTV. Any tasks in Series II demonstrated the higher amount of U-L rane than simple transfer tasks on the desk in Series I. The amount of U-L ranges in use of selected objects for the daily use frequently exceeded the ones in single rotatory tasks or single transfer tasks between different planes, indicating the high frequency of the combination of these two factors in daily hand activities. The position of the wrist in the process of picking up selected objects for the daily use were quite similar to those of rotatory tasks in Series I. In use some tools, the position of the wrist was limited to only extension. However, many of selected objects for the daily use required the wide change of the wrist position including both flexion and extension. This was particularly so in objects handled on the surface of the body, such as a comb or toilet paper. For instance, in use of a pencil, the variation range demonstrated by 95% of subjects was [Ext. 15°-45°] in LTV, and [Ext. 30°-55°] in UTV, although in use of toilet paper, [Flex. 60°-25°] in LTV, and [Ext. 20°-60°] in UTV. In order that the position should not be deviated more than 3 standard deviations from the mean, the minimal dynamic range of the wrist was estimated to be Flex. 15°to Ext. 35°, (Flex. 25°to Ext. 40°in order to be within 2 standard deviations) allowing the associated finger movements.