著者

山口 剛司 渡邊 裕文 蔦谷 星子 大沼 俊博 三好 裕子 赤松 圭介 藤本 将志 若林 志保子 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.3, pp.139-144, 2003 (Released:2005-04-12)

参考文献数

2

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Lateral shift of the center of gravity for the treatment of cerebral angiopathic paralysis was investigated. These patients show increased tension in the dorsolumbar muscles on the paralyzed side, and have difficulty in shifting their weight toward the paralyzed side. Prior to the restoration of standing and walking motions, it is necessary to improve the sitting posture. In this study, we treated cerebral angiopathic paralysis by 2 lateral methods of shifting the center of gravity by inducing movement of the trunk alone and simultaneous movements of the trunk, pelvis and lower limbs. The effects of the treatment by these methods were evaluated with muscle integration values and observation of the posture of the patients. The muscular activity pattern of the muscles in the trunk became closer to normal, and posture and motion were improved when movements of the trunk, pelvis and lower limbs were simultaneously induced. It was suggested that simultaneous induction of the trunk, pelvis and lower limbs was important for treatment based on lateral shift of the center of gravity.

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

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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

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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.

著者

大沼 俊博 藤本 将志 赤松 圭介 渡邊 裕文 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.12, pp.15-23, 2012 (Released:2012-12-27)

参考文献数

7

被引用文献数

1

---

In clinical practice, sensory tests are performed for patients with a disorder to establish a diagnosis or verify a hypothesis concerning sensory impairment. The hypothesis is set up by the therapist through observational assessment and a graphic display of movements based on a top-down approach. This paper discusses sensory testing based on a top-down approach by presenting effective clinical methods to identify sensory impairments.

著者

玉置 昌孝 野口 翔平 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.17, pp.85-89, 2017

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<p>In this study, we examined the relationship between the activity pattern of hamstring muscles and postural change of weight shift, in the standing position. We used surface electromyographic data from the medial gluteus medius, biceps femoris, and semitendinosus muscles of 10 healthy male participants. During exercise tasks, we observed two groups of participants: those who registered ankle dorsiflexion during lateral weight shift movements and those who did not. The former group registered an increase in hamstring muscle activity and the latter group registered no change. Similar to a previous study, an increase in gluteus medius muscle activity was detected along with the start of lateral weight shift. It appears that the biceps femoris muscle works to increase hip extension before semitendinosus muscle activity, causing a forward weight shift and dorsiflexion of the ankle joint during lateral weight shift in the standing position.</p>

著者

高田 毅

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.7, pp.55-64, 2007 (Released:2008-01-18)

参考文献数

6

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The treatment of patients with cerebrovascular disease/hemiplegia is described briefly, including clinical scenes, particularly concerning reaching movement. · Problems with the upper extremity markedly affect the posture and movements. · Since reaching movement is a motivated action with a specific intention, it is important to guide the patients toward having such an intention. · When posture control of the pelvis and trunk is adequate, the stability of the periscapular region is maintained, and smooth reaching action becomes possible. · In the treatment, the action must be re-learned by comparing the actions with input from other senses such as vision and hearing, as well as past experiences and memories, and through feeding them back. · Finger sensibility is important for manipulation, dexterity movements, and holding.

著者

谷埜 予士次 熊崎 大輔 舌 正史 大工谷 新一 森 裕展

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.15-24, 2001

被引用文献数

1

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We performed physical therapy after reconstruction of the posterior cruciate ligament (PCL) on a Japanese Taekwondo player. In physical therapy after the reconstruction of PCL, we had to protect PCL from mechanical stress. To protect the reconstructed PCL in this case, we predicted the traction stress for PCL by motion analysis using surface electromyography (EMG). In order to avoid the traction stress on PCL, we checked the muscle activity of the quadriceps femoris and the hamstrings during various kinds of muscle strengthening exercises for the lower extremity in the closed kinetic chain (CKC). The muscle contraction of hamstrings with knee flexion caused the posterior displacement of the tibia, and the traction load on PCL was increased with a contraction of hamstrings. On the other hand, because the muscle contraction of the quadriceps femoris produced anterior sharing force of the tibia, the contraction of the quadriceps femoris could protect the PCL from traction load. Therefore, we selected the muscle strengthening exercises in which the muscle activity of the hamstrings was lower and the muscle activity of the quadriceps femoris was higher. Twelve weeks post operation, the muscle strength of the quadriceps femoris had reached a level compatible with returning to competition, and since the patient had no pain or instability of the knee, we had him perform athletic training (jogging, running, step drill, etc.). He could practice athletic training without any pain or feeling instability of the knee. After 19 weeks post operation, we had him perform kick training gradually under the doctor's permission, and to prevent the hamstrings tearing as well as increasing the performance of kicking, we started him on muscle strengthening exercises of the hamstrings with the kick training gradually. After about 27 weeks post operation, the patient could practice all Taekwondo training without any knee pain or feeling instability of the knee, and after about 43 weeks post operation, he competed successfully in the All Japan Taekwondo Championship and becoming. In conclusion, because we selected the muscle strengthening training avoiding traction load on the PCL, the patient could carry out athletic training and Taekwondo training in safety after the operation.<br>

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

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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

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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

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

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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

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

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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

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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

上村 拓矢 長崎 進 三浦 雄一郎 福島 秀晃 森原 徹

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.127-134, 2015 (Released:2016-01-06)

参考文献数

11

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The serratus anterior muscle is an important muscle for scapular joint function. It is innervated by the long thoracic nerve, and its function is to stabilize the medial border and inferior angle of the scapula. Generally, exercises that emphasize the protraction and upward rotation of the scapula (wall push-up plus, dynamic hag, push-up plus) have been recommended for strengthening the serratus anterior. However, because greater activation of the pectoral muscles is likely to occur during these exercises, there is a possibility that efficient serratus anterior muscle activity will not be obtained. In this study, a patient was subjected to physical therapy after right long thoracic nerve paralysis resulted in fatigue during shoulder flexion at 120° or higher. General strengthening exercises for the serratus anterior muscle were incorporated, but sufficient effects were not achieved. Therefore, our training focused on improving serratus anterior contraction patterns through facilitation, while reducing the activation of the pectoralis major. These exercises improved shoulder joint motor function and reduced fatigue during flexion better than general strengthening exercises. We consider that it is necessary to focus on facilitation and contraction patterns to improve serratus anterior activation after long thoracic nerve injury.

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.2, pp.93-95, 2002 (Released:2005-05-21)

参考文献数

14

被引用文献数

1

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We reported factors and their treatment for health care of low back pain from the viewpoint of oriental medicine. Factors in low back pain due to the kidney and spleen vacuity in medical and welfare workers, and helpers were thought to be due to "overfatigue (hard work)" which are non-endon-exopathogenic factors from the standpoint of oriental medicine. Treatment of low back pain in oriental medicine was as follows: The most important point in health care to avoid low back pain is to avoid fatigue. In the type of low back pain due to spleen vacuity, it is important not to be indifferent to health, over-drinking and over-eating, as endogenous dampness because there is a close relationship between spleen vacuity and "wet". It is important in preventing "wet", to try to not engage in bathing or hydrotherapy for a long time and after work, and to dry the body sufficiently. If we keep the spleen in good condition, we can avoid changing from "wet" to "phlegm (tan)" and avoid a out or decrease in "stasis blood (oketsu)". In the type of low back pain due to kidney vacuity, it is important to not become "cold" and if we do, to take care to warm our body soon.

著者

野村 有里 藤原 正史 山内 仁

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.63-67, 2008

被引用文献数

1