著者
大工谷 新一
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.21-26, 2006 (Released:2007-01-30)
参考文献数
3
被引用文献数
4

This article describes the intervention for improvement of the limitation of range of ankle dorsal flexion. A limited range of ankle dorsal flexion is caused by shortening of antagonist musde or joint capsule, decrease of joint play and disorder of the axis of dorsal flexion. Especially, a disorder of the joint axis is the most important finding among all causes. Disorder of the joint axis has a close relation with shortening of the soft tissue around the ankle joint. Especially, there are some typical parts, in which shortening of the soft tissue is related to disorder of the ankle motion axis. These parts were identified as the D-point (Daikuya's normalizing point for ankle axis). Compression and stretching to the D-point normalized ankle axis disorder. Normalizing the ankle axis is an important strategy in physical therapy for the limitation of the range of ankle dorsal flexion, because normal soft tissue is loosened and shortened tissue is untouched in physical therapy for an abnormal ankle axis.
著者
末廣 健児 後藤 淳
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.11, pp.21-24, 2011 (Released:2012-01-06)
参考文献数
4

In physical therapy, we often encounter situations in which sensory disorders impede normal movement. Sensory information always accompanies movement, and normal movement cannot be achieved without sensory information. In this report, we describe the changes in movement caused by proprioceptive input in healthy persons and a post-stroke patient.
著者
後藤 淳
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.10, pp.5-14, 2010 (Released:2011-01-13)
参考文献数
5
被引用文献数
2

Generally, activities of daily living are performed smoothly at a subconscious level. However, in order to perform these activities smoothly, input and integration of information from each sensory stimulus and checking of the information with motion memory is necessary. In this paper, we discuss the role of sensory inputs, such as visual, somatic, and vestibular stimuli, in maintaining postural control. We also present information regarding postural changes that occur as a result of receiving somatic stimuli.
著者
後藤 淳
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.3, pp.21-31, 2003 (Released:2005-04-12)
参考文献数
12
被引用文献数
4

Many diseases present extraordinary muscle tonus and the therapeutic approach for spasticity which is seen in disorders of the upper motor neurons is difficult to treat. This study describes muscle tonus from the viewpoint of neurophysiology, and control of muscle tonus of the hemiparesis due to cerebrovascular disease demonstrated in the field of physical therapy.
著者
後藤 淳
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.14, pp.1-9, 2014 (Released:2014-12-27)
参考文献数
10

Various motor centers reaching the spinal cord from the cerebrum are involved in smooth movement. We do not have smooth movement even if impaired wherever of this course. The cerebellum takes various parts and communication in the central nerve thickly, and the cerebellum function is important at all in conducting smooth movement. First we describe the classification of ataxia. Then, we describe rehabilitation for ataxia from the viewpoint of cerebellum function.
著者
谷埜 予士次
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.2, pp.11-16, 2002 (Released:2005-05-21)
参考文献数
7

In the field of physical therapy, observational motion analysis is important to predict the impairment and/or to judge the effect of physical therapy. Many kinds of knowledge are needed to observe a human movement and to integrate its phenomena and impairment. It is very important to have a knowledge of mechanics, because human motion is governed by the laws of mechanics. In this paper, especially, I would like to mention both mechanical stress and various forces in a knowledge of mechanics. Mechanical stresses include the following: load, tension, compression, bending, shear and torsion. Various forces are displayed in this article, including gravity, inertial force and reaction force. I think that to understand these stresses and forces related to human movement may be useful for the prediction of impairment.
著者
渡邊 裕文 大沼 俊博
出版者
The Academy for Kansai Physical Therapy
雑誌
関西理学療法 (ISSN:13469606)
巻号頁・発行日
vol.8, pp.13-15, 2008

The activity of bathing involves multiple motions that consist of basic abilities and functions of the upper limbs. This paper aims to describe "the motion of stepping over the bathtub" that is a necessary activity of bathing. We describe these motions, and simulate the motion which can reproduced in the rehabilitation room, from sitting to long sitting on a platform. We divided these motions into three phases and explain the movement of normal adults and adults with hemiplegia, as well as the points of treatment about each phase.<br>
著者
伊藤 陸 藤本 将志 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.17, pp.33-40, 2017 (Released:2017-12-29)
参考文献数
25
被引用文献数
1

The activity of the gluteus maximus is said to change with exercise, the hip joint position, and muscle fiber. Therefore, it is important for physical therapy to deepen the understanding of the muscle activities of the upper and lower gluteus maximus in basic movements. In this paper, we examined the muscle activity patterns of the upper and lower gluteus maximus in basic movements using electromyography. The activities of the upper and lower gluteus maximus were different in timing and size of muscle activity in each basic movement, and we describe them using electromyograms.
著者
谷 万喜子
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.5, pp.47-50, 2005 (Released:2006-01-26)
参考文献数
9
被引用文献数
4

This report introduces how to choose acupoints in acupuncture and moxibustion therapy, from the basic theory of oriental medicine and from research reports on acupuncture and moxibustion that provide evidence for the choice of acupoints. In the future, researching the effects of acupuncture and moxibustion therapy using acupoints chosen using the basic theory of oriental medicine and connecting it with the diagnosis outline of western medicine, will give more effective acupuncture and moxibustion treatments for many patients.
著者
三浦 雄一郎
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.1, pp.7-13, 2001 (Released:2005-06-07)
参考文献数
12
被引用文献数
5

To evaluate physical functions in patients with chronic low back pain, it is important to evaluate trunk muscle function. Anatomical and electromyographical studies of trunk muscles in healthy subjects and patients with chronic low back pain are introduced in this paper. Many articles is published have asserted that the action of trunk muscles of patients with chronic low back pain is different from that of healthy subjects. In my research, electromyography (EMG) of trunk muscles during hip extension in the prone position was used in patients with chronic low back pain and healthy subjects. EMG showed that the action of trunk muscles during this motion in patients with chronic low back pain was weaker than that in healthy subjects, but EMG of trunk muscles during this motion after therapeutic exercises indicated improvement in patients with chronic low back pain. It has been said that EMG evaluation of the trunk muscles is an important method to use in patients with chronic low back pain.
著者
後藤 淳
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.4, pp.15-25, 2004 (Released:2005-03-11)
参考文献数
7
被引用文献数
1

We describe the estimation of problems in ataxia, presenting the clinical view and the treatment of ataxia. It is possible to classify ataxia into cerebellar ataxia, labyrinthine ataxia, spinal ataxia, cerebral ataxia and others. Each type of ataxia has characteristic symptoms, but compensatory methods for ataxia have many common parts. To understand ataxia, it is necessary to understand the following items:1:The characteristic symptoms of each type of ataxia2:The site of ataxic symptoms and the compensatory methods for ataxiai) The position of the head and neckii) Compensatory methods using the trunk movementiii) The relationship between the distal and the proximal parts of the limbsWe can often observe compensation for ataxia by excessive fixation, especially excessive extension of the trunk. Generally, the treatment for ataxia tends to stabilize only the unstable parts only by actual training (sitting or standing or walking…). It is very important that physiotherapists understand the true problems of the patient by copying the patient's posture and movement, then estimating the patient's activities of daily living. Then their actions will be better coordinated with appropriate treatment (smooth operation).
著者
後藤 淳 高田 毅 末廣 健児
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.2, pp.25-40, 2002 (Released:2005-05-21)
参考文献数
2
被引用文献数
4

There are various movements in our daily life. In this chapter, we considered standing-up from the following viewpoints: 1) Consideration of the literature: We consider normal "standing-up" from the kinematical viewpoint as mentioned in the each literature. 2) Consider the analysis of "standing-up" with the emphasizes on movement (the accent): We understand the influence of the other parts on the body with the emphasis on "standing-up", and we understand the difference between the normal "standing-up" and emphasized "standing-up". 3) Consideration from the "standing-up" analysis of each disease: After analyzing "standing-up" ralated to each disease, we compared it with emphasized movements and considered each relationship (similarity, common points, points of difference). There are various movements in our daily life. If we can understand "standing-up" which is common in our daily life. we can predict the other normal movements and the movements of patients with various diseases, and we can treat diseases early. Although "standing-up" is the basic movement in locomotion, we must not limit understanding to this. Because we can understand whole movements in more detail by considering the abovementioned viwepoints.
著者
北村 良城 中道 哲朗 山口 剛司
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.10, pp.77-84, 2010 (Released:2011-01-13)
参考文献数
4

Exercise therapy was ordered for a patient with Guillain-Barré syndrome who had difficulty typing on a computer keyboard with the left little finger. No abduction or flexion of the left little finger was observed during typing, while marked compensatory supination of the forearm was observed. Occupational therapy and electromyography findings suggested that weakness of the left ulnar carpal flexor and extensor muscles reduced the stability of the attachment sites of these muscles, which are the pisiform, hamate, and 5th metacarpal bones. The reduced stability of these bones inhibited efficient muscle activity of the abductor and flexor muscles in the little finger. In exercise therapy, the left ulnar carpal flexor and extensor muscles were simultaneously strengthened to increase the stability of the pisiform, hamate, and 5th metacarpal bones, with the goal of increasing the muscle activity of not only the left little finger abductor and flexor muscles but also those of the muscles around this finger. The patient was able to type by abduction and flexion of the left little finger 2 months after initiation of the exercise therapy, and this improvement was also observed on electromyography. It is important to perform an occupational therapeutic evaluation with exercise therapy, focusing not only on the activity of the muscles around the left little finger but also on the carpal and metacarpal stability due to activity of the left ulnar flexor muscles.
著者
飯塚 朋子 谷 万喜子 高田 あや 井上 博紀 鈴木 俊明 若山 育郎 吉田 宗平
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.2, pp.127-132, 2002 (Released:2005-05-21)
参考文献数
14

Cervical dystonia appeared in March 1998, and it seemed that no treatment was effective. Treatment by means of acupuncture started in March at Kansai College of Oriental Medicine. In the patient with cervical dystonia, EMG at the initial treatment showed only left splenius (SPL). Also shortening of the neck in the left frontal side was found, to treat these symptoms multiple epidermis needles was used. The retaining needles were GV20 for involuntary movement and SI3 for SPL. After 2 months from the start of treatment there was improvement of the neck posture in the sitting position, and smooth neck movement. This case also proves that EMG analysis and correct treatment by means of acupuncture improves the symptoms.
著者
嘉戸 直樹 伊藤 正憲
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.49-52, 2008 (Released:2009-01-15)
参考文献数
10

It is important to understand about the mechanism of motor learning. Moreover, it is necessary to guide automated behavior by intervening according to each stage of motor learning. In this paper, we summarize the neural mechanism and strategy of motor learning.
著者
西守 隆 大工谷 新一
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.4, pp.37-41, 2004 (Released:2005-03-11)
参考文献数
4

Interpretation and integration are defined as tying up a patient's capacity for action and measurement results. This paper explains the interpretation and integration divided into the following five. “Solving relativity of impairment and active limitation”. “Solving the cause of impairment”. “Solving the correlation of impairment”. “Solving the correlation of active limitation”. “Inferring a prognosis of impairment from references or improvement of clinical physical therapy”. Interpretation and integration are the most important parts of physiotherapy evaluation.
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

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

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.
著者
溝端 直人 西 僚太 大熊 菜央子 山野 晶夫 佐々木 英文 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.18, pp.47-50, 2018 (Released:2018-12-20)
参考文献数
18

To study the effect of motor imagery by recording the F-wave, which indicates spinal excitability, in patients with a history of falls because of decreased toe flexor strength. Thirty healthy subjects (22 men and 8 women, mean age: 22.9 ± 6.4 years) participated in this study. The F-wave was recorded with all the subjects in a resting state. The subjects were subsequently instructed to contract the left flexor hallucis brevis with maximum effort. After a 5-min rest period, they were asked to imagine the muscle contraction. F-waves were recorded at 0, 5, 10, and 15 min after completion of the motor imagery exercise. An increasing trend was observed in the persistence of the F/M amplitude ratio during imagery. Although the F/M amplitude ratio was not significantly different between the motor imagery and rest conditions, it was 3.0 ± 1.3% in the rest condition and 3.3 ± 1.4% in the motor imagery condition. The rate of F-wave appearance was not significantly different between the two conditions but showed an increasing trend in both conditions (86.4 ± 16.1% and 87.7 ± 13.4%, respectively). Application of motor imagery to contract the flexor hallucis brevis with maximum effort has potential for fall prevention as part of fall avoidance therapy.

1 0 0 0 OA 体重移動訓練

著者
渡邊 裕文
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.3, pp.15-19, 2003 (Released:2005-04-12)
参考文献数
2
被引用文献数
5

Consideration of the way in which body weight is applied is required in almost all movements. For example, when changing body position from the prostrate to the lying on the side position, the weight is shifted as when turning over in bed. And we are not conscious of muscle activity, for example, in physical therapy. And with regard to the application of body weight, we wish to know how body weight is applied, and if it can be maintained.