著者

佐野 紘一 飯田 智也 戎 智史 高橋 優基 伊藤 正憲 嘉戸 直樹

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.127-131, 2017 (Released:2017-12-29)

参考文献数

3

---

This case report describes a patient with femoral neck fracture and body instability in the forward direction at the end of the stance phase during walking. Physical therapy for this patient included both muscle strength training of the hip extensor muscles and weight-transfer exercises with reaching movements using one upper limb while holding a T-cane. With physical therapy, weight transfer in the forward direction during the stance phase accompanied hip extension. Moreover, forward body instability at the end of the stance phase disappeared and walking ability improved. The effects of physical therapy for this patient are discussed with reference to improvements in joint angle values.

著者

嘉戸 直樹

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.13, pp.33-37, 2013 (Released:2013-12-28)

参考文献数

12

---

Motor adaptation and learning are processes in which the efficiency of movement is improved with regular practice. In these processes, changes in neuromuscular function are observed. In this report, we review a previous study of changes in neuromuscular function in a motor learning process, and assess the physical therapy.

著者

弓永 久哲 鈴木 俊明 米田 浩久 若山 育郎

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.5, pp.83-89, 2005 (Released:2006-01-26)

参考文献数

8

被引用文献数

1

---

The purpose of this study was to investigate the trunk muscles causing associated reactions in a hemiplegia patient with cerebrovascular disoders. Clinical evaluation and surface electromyographic based motion analysis were performed to confirm impairment problems in the patient. He showed associated reaction of left elbow flexion and left forearm supination caused by left anterior tilt to right posterior tilt of the trunk in the stance phase shift to the swing phase in gait. Surface electromyographic evaluation was performed while practing a similar gait task. The results indicated that high muscle activity of the affected side biceps brachii muscle was caused by high muscle activity of the unaffected side low back muscles. These finding suggest that not causing hypertonia of unaffected side low back muscles in normal movement of gait is very important.

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.5, pp.11-21, 2005 (Released:2006-01-26)

参考文献数

12

被引用文献数

6

---

In this chapter, we describe the kind of senses and the central nervous system from the viewpoint of sensory inputs. There is a close relation between the sense and movement, and the memory of movement is very important in activating movement. We should use sensory evaluation as accurate proof of the problems that we expect from postural-movement analysis. We memorize the sense of movement appropriately on moving, and we can create new movement smoothly on the basis of this information. If a patient can cause each movement consciously, it means that he can memorize the sense of movement and that we can treat him appropriately.

著者

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.1-4, 2006 (Released:2007-01-30)

参考文献数

2

被引用文献数

4

---

To analyze the relationship between the problems of impairment and disability is important for the selection of the best therapy. The approach to the problems of impairment and disability is not a special technique, and the basic technique is as follows: expansion of ROM, control of muscle strength and muscle tonus, and control of sensory and motion education. To succeed in this technique it is important that the therapeutic position, the position of the therapist's hand and the end point of each therapy, are appropriate. Recognizing the importance of these processes in providing therapy, should make us the best therapist for the patient.

著者

和田 平悟 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.21, pp.138-142, 2021 (Released:2021-12-25)

参考文献数

1

---

We report a case of left-side hemiplegia due to subarachnoid hemorrhage. When our patient walked with a T-shaped cane, almost no extension and adduction of the left hip joint from the left loading response to the left mid-stance, poor weight transfer to the left lower limb, and instability from the right mid-stance to the right terminal stance due to hyperabduction of the right hip joint were noted. The patient's right hip joint was externally rotated, and the pelvis was left rotated throughout both standing and walking due to internal rotation weakness of the right hip joint. The left hip joint was poorly flexed in the left swing phase due to hypotonia of the left iliacus muscle, and the left lower leg had been swinging out for many years due to left pelvic elevation along with left lumbar flexion. It was necessary to first address the problems of the right lower limb. Left hip extension, adduction, and internal rotation, left ankle dorsiflexion, and left foot supination were absent. In addition, horizontal movement of the pelvis was difficult. An approach improving the left rotation of the pelvis and external rotation of the left lower leg via external rotation of the right hip joint, resulted in extension and adduction of the left hip joint occurring in the middle stage of the left stance, enabling the patient to transfer weight onto the left lower limb.

著者

髙崎 浩壽 角川 広輝 石濱 崇史

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.21, pp.45-51, 2021 (Released:2021-12-25)

参考文献数

3

---

We believe that it is important to determine impairments from motion observation in the process of pursuing the ADL problems of patients. Physical therapists are involved in a wide variety of illnesses, and there are many opportunities to confront the impairments caused by falls. Most of the injuries caused by falls are due to stumbling. Regarding motion observation, it is necessary to focus on pelvic tilt at the time just before toe-off on the swing leg side, and carefully examine which factor corresponds to it, and to look at the joint movement in detail. We think that it is important to consider this. Here, we look at the factors that cause stumbling from an examination of cases.

著者

野瀬 晃志 中道 哲朗 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.21, pp.12-18, 2021 (Released:2021-12-25)

参考文献数

5

---

There are two types of assessments in physical therapy: top-down and bottom-up. Top-down evaluations, which we recommend, focus on movement observation and analysis. In this article, we introduce some points for analyzing ankle joint problems. When observing movements, determining the details of the movements according to the type of movement is sometimes difficult. In such cases, dynamic alignment evaluation is occasionally performed, an example of which is presented in this article. In addition, patients with ankle joint diseases often have limited range of motion of ankle dorsiflexion. Multiple factors contribute to ankle dorsiflexion limitation, such as flexor hallucis longus and Kager’s fat pad, which we describe in this study using an ultrasound imaging system.

著者

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.21, pp.1-3, 2021 (Released:2021-12-25)

参考文献数

2

---

To perform patient treatment in physical therapy, it is necessary to identify the problems correctly. The problems must be narrowed down to the impairments that can be understood from the physical therapy evaluation. To determine the impairment level, it is important that motion observation and motion analysis of the patient’s problems are performed correctly.

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.3, pp.59-62, 2003 (Released:2005-04-12)

参考文献数

5

---

This article describes the factors in posture and motion from the standpoint of dynamics and kinematics. Factors in stability include the following: base of support, gravity, link segment, mass and friction. And also, angular momentum introduces us to an understanding of the stability of motion during a jump. Understanding stability is important in analyzing posture and motion in the field of physical therapy.

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.8, pp.43-48, 2008 (Released:2009-01-15)

参考文献数

5

---

Introduce treatment for speech and swallowing by acupuncture or acupoint pressure for rehabilitation in this article. For both speech and swallowing, the aim of the treatment is not only improvement of oral function but also improvement of posture. It is necessary to pay attention to the neck and trunk posture for treating speech and swallowing. If we find shortening of the skin or muscles on the neck and the trunk, the first treatment is to stretch shortening skin and shortening muscles. To treat abnormal muscle tonus, I choose acupoint treatment by the meridian method. The acupoint treatment is decided by the relationship of the affected muscle and the meridian. I treat patients' acupoint by acupuncture, but if you cannot use acupuncture, apply pressure to the acupoint using your fingers. This method is named "acupoint stimulation physical therapy (ASPT)", and is advocated by Toshiaki Suzuki. The acupoints that we use for neck and trunk posture are as follows: to control neck flexor muscles, Hegu(LI4) for the sternocleidmastoid muscle, and Chongyang(ST42) for scalenus muscles; and to control for neck extensor muscles, Waiguan(TE5) for the trapezius muscle; (upper part), Houxi(SI3) or Waiguan(TE5) for the splenius, and Kunlun(BL60) for elevator scapula. If the abnormal posture appears at the trunk, hypotonus of the abdomen muscles and hypertonus of the back muscles occur simultaneously. To control these muscles, we use acupoints of Chongyang(ST42) for abdomen muscles and Kunlun(BL60) for back muscles. Some kinds of dysarthria and dysphagia are too difficult for conventional rehabilitation, but I think that ASPT, an alternative treatment approach, may raise the possibility of favorable outcomes for dysarthria and dysphagia.

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

小島 佑太 辻 智美 伊藤 陸 早田 荘 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.133-138, 2017 (Released:2017-12-29)

参考文献数

1

---

We administered physical therapy for a patient who presented with right hemiplegia after cerebral infarction. When lowering clothing with the left hand for toileting, the patient risked falling posteriorly to the right. Therefore, therapy focused on enabling the removal of underclothing. Healthy subjects remove underclothing with the use of left elbow extension and left lateral bending of the trunk, while moving the pelvis in a right lateral direction. However, this patient was unable to adequately bend the trunk to the left and could not lower underclothing on the left side. In addition to not being able to control right lateral movement of the pelvis, she had rearward displacement of the right buttock, and risked falling posteriorly to the right. Physical examination and observation of motion revealed decreased tone of the right external abdominal oblique and the posterior fibers of the gluteus medius; the lower fibers of the gluteus maximus were considered the main problem. Physical therapy enabled the patient to undress for self-toileting by focusing on the impaired muscles.

著者

小林 寛和 宮下 浩二 藤堂 庫治

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.49-57, 2003 (Released:2005-04-12)

参考文献数

27

被引用文献数

4

---

In competitive sports, complex movements by athletes can be observed.These movements are highly rationalized and sophisticated, compared to movements in the activity of daily life. They are practised and perfected in order to win. This all too often leads to injury. Stability is defined in various ways, but in this paper, stability and stable movements are defined as movements with the minimum of sports injuries but the maximum of sports performance. Movements that are likely to cause injuries and have a bad effect on performance are defined as unstable movements. The movements seen in running, throwing and tackling are focussed on mechanical factors related to injuries. Points of importance are made with regard to stability.

著者

嘉戸 直樹

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.33-36, 2014 (Released:2014-12-27)

参考文献数

12

---

Somatic sensation has an important role in the control of movement. The information from a receptor produces perception in the cerebral cortex. Movement is adjusted using this sensory information. In addition, movement is sometimes adjusted by reflex through the spinal cord or brain stem, and it is not perceived. In order to perform a suitable sensory stimulus, physiological consideration of the observed phenomenon is required. In this paper, a previous study of sensory motor function is reviewed, and physiotherapy is discussed.

著者

松岡 成治 米田 浩久 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.4, pp.87-96, 2004 (Released:2005-03-11)

参考文献数

5

被引用文献数

1

---

We encountered 5 patients with cerebrovascular disease, who demonstrated shortening of the trunk muscle. We thought that the shortening was caused by primary low muscle tone. We investigated whether there was an effect on sitting and walking postures by stretching the shortening muscles. So we stretched these muscles at first. But we could not obtain good effect on either static sitting or walking postures. Then we selected one patient, and tried using weight shifting during sitting with sufficient muscle contraction. As a result, we could acquire improvement in both sitting and walking postures. From the above investigation, it was suggested that both stretching the shortened muscles and performing physical therapy based on normal movements were important therapeutic exercise for patients with cerebrovascular disease.

著者

田尻 恵乃 藤本 将志 赤松 圭介 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.9, pp.105-116, 2009 (Released:2010-01-16)

参考文献数

2

---

We experienced a patient with post-stroke left hemiplegia exhibiting Pusher's syndrome, who required assistance to maintain sitting and standing positions and to standing up. Hypotonia on the hemiplegic side and hypoesthesia were considered to be the basic problems with the posture and movement of this patient. Moreover, hypotonia of abdominal muscles on the non-hemiplegic side was assumed to be the main cause of Pusher's syndrome, a characteristic of this case. This condition may have induced excessive extension and abduction of upper and lower limbs on the nonhemiplegic side (Pusher's syndrome) in order to maintain posture and movement, leading to the requirement for excretory assistance. The hypotonic abdominal muscles on the non-hemiplegic side were trained through physical therapy, and Pusher's syndrome of upper and lower limbs on the non-hemiplegic side was improved. Following this, postures and movements were modified in consideration of bilateral symmetric sensory input, and movements necessary for toilet use were improved.

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.17, pp.47-53, 2017 (Released:2017-12-29)

参考文献数

3

---

In a clinical setting, we observed the patterns of muscle activity which change with awareness and the muscular activity which increases in order to relieve pain. Using electromyography, we observed the change in calf raise movement and the increase in movement in the perineal position when the gluteal muscle was forced to contract. We were able to inhibit excessive compensation by the erector spinae muscle group. In addition, the trunk muscles and the leg muscles became involved at the same time and contributed to correct postural alignment.

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.