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.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
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
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
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
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
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
嶋谷 修幸 福島 綾子 高田 あや 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.6, pp.117-121, 2006 (Released:2007-01-30)
参考文献数
10

This report describes the effect of supraspinatus exercise during remote acupuncture therapy for a patient with periarthritis scapulohumeralis. It was considered that the cause of limitation of flexion in the shoulder joint was an abnormal flexion motion pattern due to lower activity of the supraspinatus muscle. The pattern of shoulder flexion was elevation and early upward rotation of the scapula caused by hyperactivity of the upper trapezius. Therefore, in order to increase the activity of the supraspinatus, remote acupuncture therapy was performed on the SI3 (Koukei) and to reduce the activity was performed on the TE5 (Gaikan). Exercise of the supraspinatus muscle was performed during remote acupuncture therapy. As a result of exercise during remote acupuncture therapy, the abnormal shoulder flexion pattern was improved and pain in the anterior part of the shoulder joint was reduced.
著者
福島 綾子 高田 あや 谷埜 予士次 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.109-113, 2004 (Released:2005-03-11)
参考文献数
6

This report described the effect of remote acupuncture therapy for a scoliosis patient with low back pain. It was considered that the cause of the low back pain was contraction of the erector spinae. Contraction pain of the erector spinae was induced by trunk malalignment due to reduced trunk stabilization. Trunk instability was induced by reduced activity of the obliquus abdominis. Therefore, in order to increase the activity of the obliquus abdominis, remote acupuncture therapy was performed on the GB41 (Ashirinkyu). GB41 was a reaction point on the Gallbladder Meridian through the obliquus abdominis. As a result of remote acupuncture therapy, low back pain and trunk instability were reduced because the activity of the obliquus abdominis was increased.
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.6, pp.27-30, 2006 (Released:2007-01-30)
参考文献数
9
被引用文献数
1

This article describes physical therapy for patients with knee joint instability. Therapists have to adjust the motion axis of the joint in range of motion exercises. Also, it is important to train the "dynamic stabilizer" in muscle strengthening exercises. Therefore, therapists have to understand the knee structure and muscle function in order to improve knee joint stability.
著者
大沼 俊博 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.6, pp.39-42, 2006 (Released:2007-01-30)
参考文献数
8
被引用文献数
1

We report on physical therapy and its evaluation in patients with impaired deep sensation. Evaluation in physical therapy should be performed not only in the static states but also in the situations and postures causing abnormal actions. In physical therapy, treatment with the patient being aware (use of feedback such as that by visual sensation) provides clues that improve problems. For improvement in impaired deep sensation and recovery of motor function, their association should be considered, and the induction of normal actions is important.
著者
鈴木 俊明 谷 万喜子 文野 住文
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.15, pp.1-2, 2015 (Released:2016-01-06)
被引用文献数
1

The important points of motion analysis in basic movements are as follows. The movements of simple joints should not be observed alone, but together with the movements of several joints that participate in the basic movement. Next, basic movements should be expressed as anatomical and kinematic data. Furthermore, to clarify problems such as impairment disorders, whether characteristic movements are needed for performance of basic movements needs to be determined. If these goals are definitively accomplished, then the appropriate timing of physical therapy can be accurately determined. In this report, the importance of motor analysis in the field of physical therapy is reconfirmed.
著者
三浦 雄一郎 福島 秀晃 森原 徹 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.12, pp.29-34, 2012 (Released:2012-12-27)
参考文献数
17
被引用文献数
3

The aim of this study was to clarify the function of the abdominal muscles in stabilizing the trunk during shoulder flexion. We used surface electromyographic (EMG) data from the rectus abdominis (RA) and external oblique abdominis (EO) muscles of 7 healthy male subjects (age 29.4 ± 4.7 years). Muscle activities of the right anterior deltoid, serratus anterior (SA), RA, and EO muscles were recorded while maintaining right shoulder flexion. The subjects held a plumb-bob of 5% of body weight. The angles of shoulder flexion were 30°, 60°, 90°, and 120°, and they were maintained for a full 5 s in each position. EMG activities of EO during shoulder flexion of 120° and 90° were significantly greater than that during shoulder flexion of 30° (p<0.05). EMG activity of SA during shoulder flexion of 120° was significantly greater than that during shoulder flexion of 30° (p<0.05). EMG activity of RA during shoulder flexion of 120° was significantly higher than those during shoulder flexion of 30° and 60° (p<0.05). The abdominal muscles are necessary to stabilize rotation of the trunk when the scapula is moved and rotated upward by concentric contraction of SA. Therefore, EO on the side of movement plays a major role in controlling trunk rotation toward the contralateral side. Although the activity level of RA was low, we consider that the finding that this muscle showed significantly greater EMG activity was due to its activity in efficiently fixing the rectus sheath while acting in concert with EO. In physical therapy evaluating motor function of the upper extremities, it is important to evaluate the abdominal muscles as well.
著者
早田 荘 楠 貴光 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.23-32, 2017 (Released:2017-12-29)
参考文献数
14

Arm elevation movement is used in daily living. There are many reports about the functions of the muscle activities and biomechanics of the shoulder joint. However, there are few reports about trunk function during arm elevation movement. We have performed physical therapy for patients without shoulder joint problems who had difficulty with arm elevation movement. We think trunk function is important in arm elevation movement. Therefore, we examined trunk function during arm elevation movement, and describe it in this report.
著者
井尻 朋人 高木 綾一 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.15, pp.33-37, 2015 (Released:2016-01-06)
参考文献数
22

We previously examined the order of the activity of scapular muscles during trials against an external load and during trials of isometric contractions in healthy participants. From these studies, we learned that scapular muscles can be divided into agonists and antagonists. An agonist muscle at the scapulothoracic joint (STJ) generates resistance against an external load just like the agonist at the glenohumeral joint (GHJ). In the present study, we investigated muscle activity during maximum isometric contraction in subjects with muscle weakness at the GHJ or STJ and analyzed the characteristics of the muscle activity. Two patients participated in this study. One patient (subject A) had muscle weakness at the GHJ, and the other patient (subject B) had muscle weakness at the STJ. We used electromyography to measure muscle activity during maximum isometric contractions of shoulder flexion, external rotation, and internal rotation and analyzed the changes in muscle activity as these muscles applied resistance against an external load. Subject A demonstrated lower muscle activity at both the GHJ and STJ than in the healthy shoulder and Subject B. The lower muscle activity observed at the STJ of subject A was possibly due to the absence of the transfer of energy to the STJ by the external load because of muscle weakness at the GHJ. This suggests that the normal STJ function depends on maintaining muscle strength at the GHJ at a constant level in isometric contraction.
著者
西守 隆 長谷川 治
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.89-93, 2003 (Released:2005-04-12)

The first edition of this book was published in 1946 and it has now reached the seventh edition. The principal change made in the sixth edition was the information on the testing of infants and young children. And also the hip extension test in the supine position has been added. If for any reason a patient cannot lie prone, the new method is used.