著者

Chae-Woo Lee Seong Gil Kim Min Sik Yong

出版者

理学療法科学学会

雑誌

Journal of Physical Therapy Science (ISSN:09155287)

巻号頁・発行日

vol.26, no.2, pp.309-311, 2014 (Released:2014-02-28)

参考文献数

16

被引用文献数

5 34

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[Purpose] The aim of this study was to examine the the effects of hippotherapy on gait and balance ability in patients with stroke. [Subjects and Methods] Thirty stroke patients were randomly divided into a hippotherapy group and a treadmill group and they conducted exercise for eight weeks. [Results] Berg Balance Scale score, gait velocity, and step length asymmetry ratio were significantly improved in the group receiving hippotherapy training. However, in the group receiving treadmill training, only step length asymmetry ratio was significantly improved. In the comparison between the hippotherapy group and treadmill group, there was no significant difference in Berg Balance Scale score, but a significant difference was found in gait velocity and step length asymmetry ratio. [Conclusion] The results of this study indicated that hippotherapy is a helpful treatment for stroke patients.

著者

David M. Boland Eric V. Neufeld Jack Ruddell Brett A. Dolezal Christopher B. Cooper

出版者

理学療法科学学会

雑誌

Journal of Physical Therapy Science (ISSN:09155287)

巻号頁・発行日

vol.28, no.12, pp.3398-3402, 2016 (Released:2016-12-27)

参考文献数

20

被引用文献数

35

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[Purpose] To determine the intra- and inter-rater agreement of a mobile application, PostureScreen Mobile® (PSM), that assesses static standing posture. [Subjects and Methods] Three examiners with different levels of experience of assessing posture, one licensed physical therapist and two untrained undergraduate students, performed repeated postural assessments of 10 subjects, fully clothed or minimally clothed, using PSM on two nonconsecutive days. Anterior and right lateral images were captured and seventeen landmarks were identified on them. Intraclass correlation coefficients (ICCs) were calculated for each of 13 postural measures to evaluate inter-rater agreement on the first visit (fully or minimally clothed), as well as intra-rater agreement between the first and second visits (minimally clothed). [Results] Eleven postural measures were ultimately analyzed for inter- and intra-rater agreement. Inter-rater agreement was almost perfect (ICC≥0.81) for four measures and substantial (0.60<ICC≤0.80) for three measures during the fully clothed exam. During the minimally clothed exam, inter-rater agreement was almost perfect for four measures and substantial for four measures. Intra-rater agreement between two minimally clothed exams was almost perfect for two measures and substantial for five measures. [Conclusion] PSM is a widely available, inexpensive postural screening tool that requires little formal training. To maximize inter- and intra-rater agreement, postural screening using this mobile application should be conducted with subjects wearing minimal clothing. Assessing static standing posture via PSM gives repeatable measures for anatomical landmarks that were found to have substantial or almost perfect agreement. Our data also suggest that this technology may also be useful for diagnosing forward head posture.

著者

Eun-Ji Go Sang-Heon Lee

出版者

理学療法科学学会

雑誌

Journal of Physical Therapy Science (ISSN:09155287)

巻号頁・発行日

vol.28, no.12, pp.3350-3353, 2016 (Released:2016-12-27)

参考文献数

25

被引用文献数

7

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[Purpose] The aim of this study was to investigate the effect of an intensive sensorimotor stimulation program on the motor function of chronic hemiparetic patients. [Subjects and Methods] The subjects were three chronic stroke patients whose sensory function was intact, who had Mini-Mental State Examination − Korean version scores of more than 26, and manual muscle test scores of more than fair for affected shoulder and elbow. The research design was an A-B single subject experimental design. The intervention consisted of 4 baselines phase sessions, and 12 sensorimotor stimulation phase sessions. The sensory and motor stimulation was performed for 30 minutes per session. The efficacy of the program was evaluated by the Box and Block test, and the 10-second test. [Results] Box and Block test and 10-second test scores of each subject improved after the 8 weeks intervention. [Conclusion] The intensive sensorimotor stimulation program for the upper extremity may be an efficacious method for improving the function of the affected limb of chronic stroke patients.

著者

林田 一輝 大住 倫弘 今井 亮太 森岡 周

出版者

理学療法科学学会

雑誌

理学療法科学 (ISSN:13411667)

巻号頁・発行日

vol.31, no.6, pp.805-810, 2016 (Released:2016-12-22)

参考文献数

25

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〔目的〕今回Rubber Hand Illusionを用いてSelf-Touchによる身体所有感の脳内メカニズムを検証した.〔対象と方法〕健常者20名を対象に ①Self-Touch,②Self Rubber Hand Illusion(ラバーハンドを触れることによる錯覚),③Other-Touch(他者から触れられる),④Other Rubber Hand Illusion(ラバーハンドを触れられることによる錯覚)の4条件で機能的生体近赤外線分光装置を用いて脳活動を計測した.〔結果〕全条件で両側運動前野が,条件②のみ補足運動野が活動していた.〔結語〕Self-Touchによる身体所有感の錯覚の惹起には補足運動野の活動が関与している.

著者

片山 訓博 大倉 三洋 山﨑 裕司 重島 晃史 酒井 寿美 栗山 裕司 稲岡 忠勝 宮﨑 登美子 柏 智之 藤本 哲也 藤原 孝之

出版者

理学療法科学学会

雑誌

理学療法科学 (ISSN:13411667)

巻号頁・発行日

vol.27, no.4, pp.357-361, 2012 (Released:2012-09-07)

参考文献数

10

被引用文献数

1

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〔目的〕常圧低酸素環境における低強度運動時の呼吸循環代謝応答を測定し,エネルギー代謝に与える影響について検討した.〔対象〕健常成人男性13名.〔方法〕通常酸素濃度条件(1.0 atm,酸素濃度20.9%)と常圧低酸素条件(1.0 atm,酸素濃度14.5%)を設定した.両条件下でATポイントの70%負荷による自転車エルゴメータ運動を行った.実験中,酸素飽和度,心拍数,呼気ガスデータを測定した.〔結果〕低酸素条件では,通常酸素条件に比べ,運動時心拍数,分時換気量が有意に高値を示した.低酸素条件は,通常酸素条件に比べ,脂肪酸化率は有意に低かった.逆に,ブドウ糖酸化率は有意に高く,エネルギー代謝は亢進していた.〔結語〕常圧低酸素環境下の運動によって,糖質利用が促進される可能性が示唆された.

著者

Byung Joon Lee Hyun Gyu Cha Wan Hee Lee

出版者

理学療法科学学会

雑誌

Journal of Physical Therapy Science (ISSN:09155287)

巻号頁・発行日

vol.28, no.11, pp.3162-3164, 2016 (Released:2016-11-29)

参考文献数

10

被引用文献数

3

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[Purpose] The purpose of this study was to determine the effects on the trunk length and pelvic torsion of healthy individuals that arise from crossing the right leg while sitting. [Subjects and Methods] The subjects in this study were 30 healthy individuals consisting of 18 males and 12 females. The subjects were instructed to sit on a chair, the height of which was adjustable, so that their knee and hip joints were bent at 90°. For the study, they sat stripped to the waist, with the back and hips bare. They were then instructed to perform a one-leg-crossed sitting posture by placing the right leg on the top of the left knee. A spinal posture test was performed to measure the subjects’ trunk length and pelvic torsion by using a three-dimensional image-based spinal diagnostic system. [Results] The results of the three-dimensional spine examination showed statistically significant decreases in trunk length and pelvic torsion after the one-leg-crossed sitting posture. [Conclusion] In this study, the right leg-crossed sitting posture led to a decrease in the right trunk length with time and, in terms of pelvic torsion, increased the posterior rotation of the right pelvis when compared with the left pelvis.

著者

Jun Na Zhai Yu Sheng Qiu Jue Wang

出版者

理学療法科学学会

雑誌

Journal of Physical Therapy Science (ISSN:09155287)

巻号頁・発行日

vol.28, no.11, pp.3078-3083, 2016 (Released:2016-11-29)

参考文献数

25

被引用文献数

11

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[Purpose] This study was to evaluate the effects of orthotics on adults with flexible flatfoot when wearing orthotic insoles while walking on horizontal ground, walking up and down stairs and to determine if flexible flatfoot needs treatment. [Subjects and Methods] Fifteen college students with flexible flatfoot and fifteen college students with normal feet were recruited. First, load rate and contact area were measured by RSscan force plate when the subjects were walking on horizontal ground, walking up and down 10 cm and 20 cm stairs. Then the subjects with flexible flatfoot were instructed to wear orthotic insoles for 3 months, and plantar pressure was measured again. Finally, the data were subjected to repeated measures ANOVA. [Results] After treatment for 3 months, the plantar pressure of flatfoot was significantly improved. In addition, the data of the subjects with normal feet and flatfoot were significantly influenced by walking down 10 cm or 20 cm stairs. [Conclusion] Orthotic insoles could significantly improve the plantar pressure of flatfoot. Additionally, the arches of subjects with normal feet and flatfoot can be significantly deformed when walking down stairs. Therefore, it is essential for subjects with flexible flatfoot to wear orthotic insoles to avoid needless injury.

著者

Eom-ji Park Soon-hyung Baek Soohee Park

出版者

理学療法科学学会

雑誌

Journal of Physical Therapy Science (ISSN:09155287)

巻号頁・発行日

vol.28, no.11, pp.3227-3231, 2016 (Released:2016-11-29)

参考文献数

35

被引用文献数

11

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[Purpose] To provide data for systematic intervention plans in occupational therapy practice by objectivity showing the value of mirror therapy interventions in children with cerebral palsy. [Subjects and Methods] Medline and EMBASE databases were searched for the key words “cerebral palsy,” “mirror movement,” “mirror therapy,” and “mirror visual feedback.” Nine studies that met the inclusion and exclusion criteria were identified. The qualitatively determined level of evidence, period of research, comparisons and interventions, tools used to measure the intervention, and the effects were analyzed. [Results] According to the results analyzed, one (1/9, 11.1%) study showed the same result as the control group, one (1/9, 11.1%) showed a negative effect, and seven (7/9, 77.8%) showed positive effects of mirror-mediated therapy, with meaningful improvement in function, such as hand strength, movement speed, muscle activity, and accuracy of hand matching. [Conclusion] Through this study, the value of mirror-mediated therapeutic interventions in occupational therapy practice targeting cerebral palsy was confirmed. It is expected that this result will be useful in establishing mirror therapy as an interventional program.

著者

北村 菜月 佐藤 拓 川越 厚良 佐竹 將宏 塩谷 隆信

出版者

理学療法科学学会

雑誌

理学療法科学 (ISSN:13411667)

巻号頁・発行日

vol.25, no.5, pp.767-771, 2010 (Released:2010-11-25)

参考文献数

13

被引用文献数

7 7

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〔目的〕身体活動量の評価票であるIPAQ日本語版の信頼性・妥当性について,最近開発された生活活動量計(A-MES;3軸加速度計)を用いて検討することを目的とした。〔対象および方法〕信頼性の検討では健常学生56名を対象とした。IPAQ日本語版に1週間の期間を空けて2回回答し,各質問項目において級内相関係数を算出した。妥当性の検討では健常学生16名を対象とし,A-MESにより身体活動量を1週間測定し,最終日にIPAQ日本語版に回答した。A-MESの評価結果とIPAQ日本語版の質問項目とに共通する項目に関して,Pearsonの積率相関係数を算出した。〔結果〕信頼性について,IPAQ日本語版の全ての質問項目で級内相関係数は0.75を上回った。妥当性について,「休日における総坐位・臥位時間」において有意な相関係数が得られた。〔結語〕IPAQ日本語版は信頼性の高い質問票であること,休日の坐位,臥位といった身体活動の評価においてIPAQ日本語版は妥当性が認められることが示された。しかし,対象によっては記憶の影響を受けやすく,IPAQ日本語版の正確な身体活動量の評価に対する限界が示唆された。

著者

Kyunghoon Kim Sukmin Lee Donghoon Kim Kyoungbo Lee Youlim Kim

出版者

理学療法科学学会

雑誌

Journal of Physical Therapy Science (ISSN:09155287)

巻号頁・発行日

vol.28, no.2, pp.483-487, 2016 (Released:2016-02-29)

参考文献数

25

被引用文献数

2 27

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[Purpose] The objective of this study was to investigate the effects of mirror therapy combined with exercise tasks on the function of the upper limbs and activities of daily living. [Subjects and Methods] Twenty-five stroke patients who were receiving physical therapy at K Hospital in Gyeonggi-do, South Korea, were classified into a mirror therapy group (n=12) and a conventional therapy group (n=13). The therapies were applied for 30 minutes per day, five times per week, for a total of four weeks. Upper limb function was measured with the Action Research Arm test, the Fugl-Meyer Assessment, and the Box and Block test, and activities of daily living were measured with the Functional Independence Measure. A paired test was performed to compare the intragroup differences between before training and after four weeks of therapy, and an independent t-test was performed to compare the differences between the two groups before and after four weeks of therapy. [Results] In the intragroup comparison, both groups showed significant differences between measurements taken before and after four weeks of therapy. In the intergroup comparison, the mirror therapy group showed significant improvements compared with the conventional therapy group, both in upper limb function and activities of daily living. [Conclusion] The findings of this study demonstrated that mirror therapy is more effective than conventional therapy for the training of stroke patients to improve their upper limb function and activities of daily living.

著者

Hebert S. C. Fabre Ricardo L. Navarro Paula V.P. Oltramari-Navarro Rodrigo F. Oliveira Deise A. A. Pires-Oliveira Rodrigo A. C. Andraus Nelson Fuirini Karen B. P. Fernandes

出版者

理学療法科学学会

雑誌

Journal of Physical Therapy Science (ISSN:09155287)

巻号頁・発行日

vol.27, no.6, pp.1645-1648, 2015 (Released:2015-06-30)

参考文献数

27

被引用文献数

2 44

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[Purpose] This study aimed to evaluate the anti-inflammatory and analgesic effects of intraoral application of low-level laser therapy (660 nm) to control pain, swelling and interincisal opening following the extraction of mandibular third molars. [Subjects and Methods] Ten patients underwent removal of lower third molars using the same surgical protocol and pharmacological approach. In the postoperative period, all patients received four consecutive daily sessions of low-level laser therapy, beginning 24 hours after the surgery. Intraoral applications using the diode laser with 660 nm wavelength in the continuous scan mode were performed covering the entire surgical area, which was divided into four quadrants, each of 1 cm2 area at a distance of 1 cm. The energy applied at each point was 5 J/cm2 during 8 seconds. [Results] The swelling and interincisal opening returned to normal 24 hours after the first low-level laser therapy application (Friedman test). Moreover, the pain intensity was reduced on the third postoperative day, according to the Friedman test. [Conclusion] Low-level laser therapy (660 nm), at the dosimetry used in this study, was effective in reducing postoperative pain and swelling following oral surgery.

著者

Hiromitsu Itoh Kohei Takiguchi Yohei Shibata Satoshi Okubo Shinichi Yoshiya Ryosuke Kuroda

出版者

理学療法科学学会

雑誌

Journal of Physical Therapy Science (ISSN:09155287)

巻号頁・発行日

vol.28, no.9, pp.2461-2467, 2016 (Released:2016-09-29)

参考文献数

37

被引用文献数

5

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[Purpose] Kinematic and kinetic characteristics of the limb during side-hopping and hip/knee interaction during this motion have not been clarified. The purposes of this study were to examine the biomechanical parameters of the knee during side hop and analyze its relationship with clinical measurements of hip function. [Subjects and Methods] Eleven male college rugby players were included. A three-dimensional motion analysis system was used to assess motion characteristics of the knee during side hop. In addition, hip range of motion and muscle strength were evaluated. Subsequently, the relationship between knee motion and the clinical parameters of the hip was analyzed. [Results] In the lateral touchdown phase, the knee was positioned in an abducted and externally rotated position, and increasing abduction moment was applied to the knee. An analysis of the interaction between knee motion and hip function showed that range of motion for hip internal rotation was significantly correlated with external rotation angle and external rotation/abduction moments of the knee during the lateral touchdown phase. [Conclusion] Range of motion for hip internal rotation should be taken into consideration for identifying the biomechanical characteristics in the side hop test results.

著者

花里 陽子 秋山 純和 霍 明 胡 春英 霍 紅 常 冬梅 劉 建華

出版者

理学療法科学学会

雑誌

理学療法科学 (ISSN:13411667)

巻号頁・発行日

vol.31, no.3, pp.423-427, 2016 (Released:2016-07-06)

参考文献数

17

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〔目的〕中国における脳血管疾患患者家族の介護不安の内容を把握し,ADLと介護不安の関連を明らかにした.〔対象〕中国におけるリハビリテーションセンターに入院中の脳血管疾患患者の家族45名とした.〔方法〕質問紙によるアンケート調査を行った.調査項目は家族の基本属性,退院後の介護の状況,患者の背景,ADL状況とした.ADLと介護不安の有無との関連性をχ2検定により解析した.〔結果〕トイレ移乗,浴室移乗の介助と家族の介護不安の有無に有意な関連が認められた.〔結語〕移乗動作の介助が家族の介護不安につながっている可能性が示唆された.

著者

丸山 仁司

出版者

理学療法科学学会

雑誌

理学療法科学 (ISSN:13411667)

巻号頁・発行日

vol.20, no.1, pp.53-58, 2005 (Released:2005-06-30)

参考文献数

3

被引用文献数

2 2

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バイタルサインとは,生命の基本的な徴候のことで,脈拍,呼吸,体温,血圧をいい,それらについて,定義,概要,測定方法,測定結果の解釈について述べる。特に,脈拍は,心拍数との関係,脈の触診と異常,呼吸は,呼吸の異常,呼吸音,体温では発熱,血圧では高血圧などについて述べる。

著者

Haewon Byeon

出版者

理学療法科学学会

雑誌

Journal of Physical Therapy Science (ISSN:09155287)

巻号頁・発行日

vol.28, no.7, pp.2069-2071, 2016 (Released:2016-07-29)

参考文献数

13

被引用文献数

18

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[Purpose] The aim of this study was to compare improvements in swallowing function by the intervention of the Masako maneuver and neuromuscular electrical stimulation in patients with dysphagia caused by stroke. [Subjects and Methods] The Masako maneuver (n=23) and neuromuscular electrical stimulation (n=24) were conducted in 47 patients with dysphagia caused by stroke over a period of 4 weeks. Swallowing recovery was recorded using the functional dysphagia scale based on videofluoroscopic studies. [Results] Mean functional dysphagia scale values for the Masako maneuver and neuromuscular electrical stimulation groups decreased after the treatments. However, the pre-post functional dysphagia scale values showed no statistically significant differences between the groups. [Conclusion] The Masako maneuver and neuromuscular electrical stimulation each showed significant effects on the improvement of swallowing function for the patients with dysphagia caused by stroke, but no significant difference was observed between the two treatment methods.

著者

Sang-mi Chung Kyoung-bo Lee Young-dong Kim

出版者

理学療法科学学会

雑誌

Journal of Physical Therapy Science (ISSN:09155287)

巻号頁・発行日

vol.28, no.7, pp.2151-2153, 2016 (Released:2016-07-29)

参考文献数

10

被引用文献数

1

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[Purpose] This study investigated whether a shoulder reaching exercise was beneficial for restoring the standing balance of patients with hemiplegia after stroke. [Subjects and Methods] There were 13 subjects in the experimental group (EG) and 14 subjects in the control group (CG), all with hemiplegia following stroke. The shoulder reaching exercise intervention was performed by the EG and conventional physical therapy was administered to the CG for 30 minutes, 3 times a week for 4 weeks. Virtual reality (RM, BioRescue −AP 1153, France) was used as an assessment tool. All data were analyzed using SPSS version 18 (Statistical Package for the Social Science). [Results] After the intervention, the EG showed significant differences in the distances moved in the anteroposterior and mediolateral directions. The length and velocity were reduced after the intervention in both the EG and the CG. There were significant differences in the distances moved in the north, south and west directions between the groups. The sway path lengths of the subjects in the Romberg test were reduced under both the eyes open and closed conditions in the EG. There was no significant variation in sway velocity in the EG and the CG. [Conclusion] The shoulder reaching exercise had beneficial effects on the distances moved in the anteroposterior and mediolateral directions.

著者

Ziqiang Huang Yonggang Zhou Wei Chai Weiping Ji Guopeng Cui Miaoqun Ma Yin Zhu

出版者

理学療法科学学会

雑誌

Journal of Physical Therapy Science (ISSN:09155287)

巻号頁・発行日

vol.28, no.7, pp.1953-1956, 2016 (Released:2016-07-29)

参考文献数

16

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[Purpose] To study preoperative and postoperative hip circumference data of various types of congenital dysplasia of the hip treated with total hip replacement, including the femoral offset, femoral neck length, height, and hip abductor arm parameters. [Subjects and Methods] This study included seventy-eight cases of congenital dysplasia of the hip (I–III type). Furthermore, four parameters were measured, including the preoperative and postoperative femoral offset. Statistical data analysis was performed using the SPSS 13.0 software. [Results] The femoral offset was 33.3 ± 8.4 mm (preoperative) and 39.1 ± 7.1 mm (postoperative). The femoral head height was 59.5 ± 8.7 mm (preoperative) and 68.8 ± 11.0 mm (postoperative). The femoral neck length was 50.8 ± 10.8 mm (preoperative) and 61.5 ± 10.4 mm (postoperative). The hip abductor arm was 54.3 ± 9.6 mm (preoperative) 64.7 ± 10.1 mm (postoperative). The preoperative and postoperative parameters showed statistical differences. Furthermore, no significant differences were evidenced when comparing the postoperative hip parameters with the normal data parameters. [Conclusion] Total hip replacement on congenital dysplasia of the hip could lead to the rebuilt of an almost normal physiological anatomy for each hip case (type I–III).

著者

中村 豪志 川畑 翔 川野 裕也 萩原 純一 加茂 智彦 小川 芳徳

出版者

理学療法科学学会

雑誌

理学療法科学 (ISSN:13411667)

巻号頁・発行日

vol.31, no.2, pp.269-273, 2016 (Released:2016-04-29)

参考文献数

20

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〔目的〕縦手すりにもたれて,一側上肢で下衣を上げ下げする動作の効果を検証することとした.〔対象〕健常な男性10名とした.〔方法〕服の上から「短パン」を装着し,これを上げ下げする動作を測定した.手すりなしと手すりにもたれた姿勢で動作を行い,時間,重心総軌跡長,矩形面積,耳垂の上下移動距離の姿勢による相違点を解析した.〔結果〕手すりにもたれた動作では,手すりなしの動作と比較して,重心総軌跡長,矩形面積,耳垂移動距離の平均が有意に低かった.手すりにもたれた動作では,上げる動作における重心総軌跡長と矩形面積,下げる動作における矩形面積と耳垂移動距離で正の相関がみられた.〔結語〕一側上肢で下衣を上げ下げする動作は,縦手すりに寄りかかることでバランスが向上する.

著者

Chuanpis Boonkerd Weerawat Limroongreungrat

出版者

理学療法科学学会

雑誌

Journal of Physical Therapy Science (ISSN:09155287)

巻号頁・発行日

vol.28, no.4, pp.1303-1306, 2016 (Released:2016-04-28)

参考文献数

12

被引用文献数

14

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[Purpose] Elastic therapeutic tape has been widely used for rehabilitation and treatment of sports injuries. Tapes with different elastic properties serve different treatment purposes with inappropriate tension reducing tape effectiveness. Many tapes are available in the market, but studies on tape properties are limited. The aim of this study was to examine the material properties of elastic therapeutic tape. [Subjects and Methods] Brands of elastic therapeutic tape included KinesioTex®, ATex, Mueller, 3M, and ThaiTape. The Material Testing System Insight® 1 Electromechanical Testing Systems was used to apply a tensile force on elastic therapeutic tape. Ten specimens of each brand were tested. Stress, load, and Young’s modulus at 25%, 50%, 75%, 100%, and maximum point were collected. One-way analysis of variance with post hoc testing was used to analyze tape parameters. [Results] Maximum elongation and Young’s modulus at all percentages were significantly different between brands. There were no differences in maximum load and maximum stress. [Conclusion] Mechanical properties are different for commercial elastic therapeutic tapes. Physiotherapists and other clinicians should be aware of mechanical tape properties to correctly apply kinesio tape.

著者

原田 光明 佐野 岳 水上 昌文 居村 茂幸

出版者

理学療法科学学会

雑誌

理学療法科学 (ISSN:13411667)

巻号頁・発行日

vol.24, no.4, pp.609-611, 2009 (Released:2009-09-24)

参考文献数

7

被引用文献数

1 1

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〔目的〕重症心身障害児(者)(以下,重症児(者))は長期間にわたり臥位姿勢で過ごす時間が多く,筋緊張の不均衡や重力の影響により,二次障害として側彎や胸郭の変形などを併発しやすい。また重度の側彎症に伴い胸郭の変形が非対称性に進行してくる等の報告がある。しかし,臨床上において胸郭変形は視診的評価が主であり,客観的評価がなされていないのが現状である。そこで本研究において胸郭扁平率を用いて胸郭変形を検討することを目的とした。〔対象〕重症児(者)17名(平均年齢42.12±9.82歳)と健常成人18名(平均年齢40.56±10.05歳)とした。〔方法〕本研究ではGoldsmithらが考案,今川らが提唱している定量的胸郭扁平率について検討した。〔結果〕胸郭扁平率の平均は,重症児(者):0.63±0.08,健常成人:0.72±0.06であり,重症児(者)にて有意に低値を示した。また重症児(者)の胸郭扁平率は体重との間に有意な相関が認められた(r=0.463)。しかし,身長,BMIとの間には相関は認められなかった。〔結語〕このように胸郭扁平率は健常者に比べて,重症児(者)で低下する傾向にあったことから,胸郭扁平率は胸部変形を反映する指標となりうる可能性が示唆された。また今後の研究課題として症例数の増加による胸郭扁平率の数値的意味の検討,拘束性換気障害との関連性の検討が必要と考えられた。