著者

Katsuyuki MORISHITA Hiroshi KARASUNO Yuka YOKOI Kazunori MOROZUMI Hisayoshi OGIHARA Toshikazu ITO Takayuki FUJIWARA Tetsuya FUJIMOTO Koji ABE

出版者

日本理学療法士協会

雑誌

Journal of the Japanese Physical Therapy Association (ISSN:13441272)

巻号頁・発行日

vol.17, no.1, pp.1-7, 2014 (Released:2014-12-20)

参考文献数

32

被引用文献数

19

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Purpose: This study aimed to clarify the effects of therapeutic ultrasound on intramuscular local blood circulation (and oxygen dynamics) using near-infrared spectroscopy (NIRS). Participants: The participants were 11 healthy males. Methods: All participants performed all three trials; (1) the ultrasound (US group), (2) without powered ultrasound (placebo group), and (3) rest (control group). Ultrasound was applied at 3 MHz, 1.0 W/cm2, and 100% duty cycle for 10 minutes. Evaluation index were oxygenated, deoxygenated, and total hemoglobin (Hb) concentrations in the intramuscular and skin surface temperature (SST). The experimental protocol was a total of 40 minutes, that is, 10 minutes before trial (rest), 10 minutes during the trial (ultrasound, placebo, and control), and 20 minutes after trial (rest). The NIRS and SST data collected before and after the trial were divided into 5 minutes intervals for further analysis. Results: Oxygenated and total hemoglobin levels were significantly higher in the US group than in the placebo and control groups for the 20 minutes after ultrasound ( p < 0.01). The SST was significantly higher in the US group than in the control for 15 minutes after ultrasound ( p < 0.05), while it was significantly lower in the placebo group than in the US and control groups for 20 minutes after the trials ( p < 0.01). Conclusion: The effects of ultrasound were maintained for 20 minutes after the trial on intramuscular blood circulation and oxygen dynamics. These effects were caused by a combination of thermal and mechanical effects of the ultrasound.

著者

Yoshiyuki YOSHIKAWA Masaharu SUGIMOTO Noriaki MAESHIGE Mikiko UEMURA Atsushi TAKAO Kazuhiro MATSUDA Hiroto TERASHI

出版者

日本理学療法士協会

雑誌

Journal of the Japanese Physical Therapy Association (ISSN:13441272)

巻号頁・発行日

vol.17, no.1, pp.52-52, 2014 (Released:2014-12-20)

被引用文献数

1

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Purpose: The purpose of this study is to evaluate the effects of low-intensity direct current (LIDC) with electrode placement of negative poles at wound site on pressure ulcer healing. Subject: The subjects were elderly patients having a pressure ulcer (sacrum, 2 cases; thoracic supine, 2 cases; ilium, 1 case; greater trochanter, 1 case; lateral malleolus, 1 case), and healings of these ulcers had been retarded. The DESIGN-R of these ulcers were between 13 and 19. Methods: The negative electrode of silver chloride was inserted into the foam dressing on the wound surface, and the positive pole was attached on intact skin around the wound. Electrical stimulation (intensity: 80 µA; frequency: 2 Hz; pulse length: 250 msec; duration: 40 minutes) were administrated five times per week. On every treatment, opposite electrodes were shunted by electrical cable after the stimulation. Result: Size reductions were observed on all ulcers treated with LIDC and these ulcers were healed completely at 5 ~10 weeks after the beginning of LIDC stimulation. Conclusion: The pressure ulcer healings were promoted by negative LIDC stimulation. It is suggested that LIDC stimulation with consideration for electrical polarity could be effective for shortening of the pressure ulcer healing period.

著者

Hiroshi Maejima Kiyohisa Takeishi Hitoshi Sunahori Akiko Yamawaki Kiyomi Nakajima Osamu Yoshimura

出版者

Japanese Physical Therapy Association(Renamed Japanese Society of Physical Therapy)

雑誌

Journal of the Japanese Physical Therapy Association (ISSN:13441272)

巻号頁・発行日

vol.7, no.1, pp.7-14, 2004 (Released:2004-04-22)

参考文献数

34

被引用文献数

7 7

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Falling due to unstable standing balance is considered to be the main cause of bone fractures, which lead elderly persons to becoming bedridden. Thus, the standing balance of elderly persons is being given increasingly greater attention. On the other hand, postural deformation caused by deformation in the spine and lower leg joints is considered to have an effect on standing balance. The objective of this study is to clarify the effect of postural deformation on the following three categories of standing balance; 1) the ability to immobilize Center of Gravity (COG) in standing statically, 2) the ability to control COG during movement and 3) the postural response induced by postural sway. Fifty elderly persons (age:77.7 ± 6.4 years old, fifty females) participated in this study. Postural deformation was measured using a Spinal Mouse, a device for non-invasive measurement of spinal curvature and photographic image in sagittal plane. In line with to Nakata's classification of postural deformation, subjects were classified by extension type, S-character deformation type, flexion type, hands on the knee type and normal group. In order to assess the ability to immobilize COG in static standing, Center of Pressure (COP) in static standing was measured for 30 sec. In order to assess the ability to control COG during movement, functional reach, maximal length of stride and the period of 10 m gait were measured. Postural response was induced by fore-aft perturbation of the platform on which the subjects stood. Postural responses were assessed by measuring both COP, and electromyography (EMG) of muscles in the lower legs. There was little significant difference among the five groups concerning postural deformation in every measured item, neither in the ability to immobilize COP in static standing, nor in the postural response induced by postural sway. However, the results of measured items concerning the ability to control COG during movement were significantly worse in flexion type and hands on the knee type compared with the normal group. It was suggested that postural deformation in elderly persons effects exclusively on the ability to control COG during movement in standing balance.

著者

Gaston Ariel Nishiwaki Yukio Urabe Kosuke Tanaka

出版者

JAPANESE PHYSICAL THERAPY ASSOCIATION

雑誌

Journal of the Japanese Physical Therapy Association (ISSN:13441272)

巻号頁・発行日

vol.9, no.1, pp.21-26, 2006 (Released:2006-05-01)

参考文献数

16

被引用文献数

6 9

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The purpose of this study was to come across an exercise that increases the Hamstring contraction levels so that it may protect the anterior cruciate ligament (ACL). Previous studies have postulated that changing the projection of the center of gravity behind the feet will decrease the translation of the tibia, therefore protect the ACL. Muscle activity of the quadriceps, hamstring and soleus muscles in healthy subjects was measured with an EMG during three different squat tasks with differences of support of body weight and the center of gravity. The subjects were nine healthy female recreational athletes with no history of any pathological knee condition or musculoskeletal system disorder. There was no significant difference in the activities of the four muscles (Vastus Medialis; Hamstring: Semitendinosus and Biceps Femoris; and Soleus); and there was a similar pattern in the activity between those muscles in the exercises. In addition, VM values were considerably higher than the Hamstring and soleus activity levels. There was no significant difference between one squat from another and among the phases (0-30°, 30-60° or 60-90°) of knee flexion. These results suggest that even when changing the projection of the center of gravity, the activity of the quadriceps is high compared to the hamstring and soleus muscles.

著者

Cid Andre Fidelis de Paula GOMES Yasmin El-HAGE Ana Paula AMARAL Carolina Marciela HERPICH Fabiano POLITTI Sandra Kalil-BUSSADORI Tabajara de Oliveira GONZALEZ Daniela Aparecida Biasotto-GONZALEZ

出版者

日本理学療法士協会

雑誌

Journal of the Japanese Physical Therapy Association (ISSN:13441272)

巻号頁・発行日

pp.Vol18_001, (Released:2015-02-24)

参考文献数

34

被引用文献数

2 14

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Purpose: The aim of the present study was to investigate the effects of massage therapy on the masticatory muscles and occlusal splint usage on quality of life and pain in individuals with sleep bruxism. Method: A randomized, controlled, blinded, clinical trial was conducted involving 78 volunteers aged 18 to 40 years with sleep bruxism. Quality of life and pain assessments were performed. Results: Significant differences (p < 0.05) were found on the physical functioning, general health state, vitality, role emotional and mental health subscales. A large effect size was found for all treatment protocols with regard to pain. The largest effect was found in the combined treatment group. Conclusions: The findings of the present study reveal that the occlusal splint usage alone led to improvements in components of quality of life among individuals with sleep bruxism. Moreover, both treatments (occlusal splint usage and massage therapy on the masticatory muscles) led to a reduction in pain.

著者

Gemma Victoria Espí-López Anna Arnal-Gómez Teresa Arbós-Berenguer Ángel Arturo López González Teófila Vicente-Herrero

出版者

日本理学療法士協会

雑誌

Journal of the Japanese Physical Therapy Association (ISSN:13441272)

巻号頁・発行日

pp.Vol17_005, (Released:2014-08-13)

参考文献数

23

被引用文献数

2 25

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Background: Tension-type headache (TTH) is a disease with a great incidence on quality of life and with a significant socioeconomic impact. Objectives: The aim of this review is to determine the effectiveness of physical therapy by using manual therapy (MT) for the relief of TTH. Data sources: A review was done identifying randomized controlled trials through searches in MEDLINE, PEDro, Cochrane and CINAHL (January 2002 - April 2012). Study selection: English-language studies, with adult patients and number of subjects not under 11, diagnosed with episodic tension-type headache (ETTH) and chronic tension-type headache (CTTH) were included. Data extraction: Initial search was undertaken with the words Effectiveness, Tension-type headache, and Manual therapy (39 studies). In addition, a search which included terms related to treatments such as physiotherapy, physical therapy, spinal manipulation was performed (25 studies). Results: From the two searches 9 studies met the inclusion criteria and were analysed finding statistically significant results: 1) myofascial release, cervical traction, neck muscles trigger points in cervical thoracic muscles and stretching; 2) Superficial heat and massage, connective tissue manipulation and vertebral Cyriax mobilization; 3) cervical or thoracic spinal manipulation and cervical chin-occipital manual traction; 4) massage, progressive relaxation and gentle stretching, program of active exercises of shoulder, neck and pericranial muscles; 5) massage, passive rhythmic mobilization techniques, cervical, thoracic and lumbopelvic postural correction and cranio-cervical exercises; 6) progressive muscular relaxation combined with joint mobilization, functional, muscle energy, and strain/counterstrain techniques, and cranial osteopathic treatment; 7) massage focused on relieving myofascial trigger point activity; 8) pressure release and muscle energy in suboccipital muscles; 9) combination of mobilizations of the cervical and thoracic spine, exercises and postural correction. All studies used a combination of different techniques and none analyzed treatments separately, also all the studies have assessed aspects related to TTH beyond frequency and intensity of pain. Conclusions: The findings from these studies showed evidence that physiotherapy with articulatory MT, combined with cervical muscle stretching and massage are effective for this disease in different aspects related with TTH. No evidence was found of the effectiveness of the techniques applied separately.