著者

Chih-Chung Chen Yu-Fen Chuang Andrew Chih-Wei Huang Chih-Kuang Chen Ya-Ju Chang

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.1368-1373, 2016 (Released:2016-04-28)

参考文献数

38

被引用文献数

1 16

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[Purpose] This study systematically reviewed the antalgic effects of non-invasive physical modalities (NIPMs) on central post-stroke pain (CPSP). [Subjects and Methods] Clinical studies were sought on September 2015 in 10 electronic databases, including Medline and Scopus. The searching strings were “central pain and stroke” and “treatment, and physical or non-pharmacological”. The inclusion and exclusion criteria were set for screening the clinical articles by two reviewers. Pain scores on visual analog scale in an article were used as the outcome measure for resulting judgment. The NIPMs intervention summarized from the eligible articles was rated from Levels A to C according to Evidence Classification Scheme for Therapeutic Interventions. [Results] Over 1200 articles were identified in the initial searches and 85 studies were retrieved. Sixteen studies were eligible and judged. Caloric vestibular stimulation (n=3), heterotopic noxious conditioning stimulation (n=1), and transcutaneous electrical stimulation (n=1) were rated below Level C. Transcranial direct current stimulation (TDCS; n=2) and transcranial magnetic stimulation (TMS; n=9) were rated as Level B. [Conclusion] The findings suggest that TMS and TDCS were better than other treatments for CPSP relief but the studies were of insufficient quality.

著者

西本 勝夫 中村 昌司 今井 智弘 田中 繁宏 藤本 繁夫

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.14, no.4, pp.181-187, 1999 (Released:2007-03-29)

参考文献数

23

被引用文献数

1 1

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この研究の目的は,老人保健施設に入所中の虚弱な高齢女性20例(非訓練群10例・82.6±4.7歳,訓練群10例・81.3±4.8歳)を対象に,この内,訓練群に対して2ヵ月間の「椅子からの立ち上がり動作」の訓練を行い,その効果を検討することである。非訓練群には有意な変化はなかったが,訓練群では,訓練動作の最大持続時間(314±190→710±326秒),大腿四頭筋の平均トルク値(0.46±0.27→0.78±0.37Nm/Kg)と筋電図積分値(100→146±32%),膝関節伸展のMotorTime(159±30→121±29msec)および6分間歩行距離(159±48→238±59m)が有意に改善した。訓練による変化量であるΔ平均トルク値とΔ筋電図積分値,Δ最大持続時間ならびにΔMotor Timeとの問にそれぞれ有意な相関を示した。また,6分間歩行距離と最大持続時間ならびに平均トルク値との問にも有意な相関を示した。今回の訓練によって,主に大腿四頭筋の神経・筋系の興奮性の改善が筋力や筋持久力を増大し,さらに,筋力の増大が筋の反応性を改善し,これらが歩行能力を増大させたと考えられる。

著者

Je-myung Shim

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.24, no.12, pp.1225-1228, 2012 (Released:2013-01-17)

参考文献数

12

被引用文献数

8 8

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[Purpose] The purpose of this study was to examine the degrees of changes in the gait and feet when walking on a treadmill using Nordic poles and without Nordic poles for 30 minutes. [Subjects] The participants of this study were 30 young adult males. The subjects were divided into a Nordic pole walking group of 15 subjects and a normal walking group of 15 subjects. [Methods] The subjects in both groups were encouraged to face forward and walk in comfortable postures on the treadmill. They did not wear any shoes during walking, and the speed of the treadmill was set to the average of the speeds at which the subjects could comfortably walk in both groups. We measured the gait and feet. [Results] In the Nordic pole group, step length was significantly increased. The rate of each segment from heel contact to foot flat and foot flat to heel off during the stance phase after gait showed significant differences between before and after the experiment. [Conclusion] The results of this study indicate that Nordic pole walking increases the stride and can be considered as helping patients with a disease affecting their gait. Since the use of Nordic poles shortens the time from foot flat to heel off, it is considered that the use of Nordic poles can shorten the midstance during the stance phase.

著者

Jiaqi Zhang Hongyue Zhang Laidi Kan Chi Zhang Pu 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.9, pp.2675-2680, 2016 (Released:2016-09-29)

参考文献数

26

被引用文献数

6

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[Purpose] To review and assess the effectiveness of whole body vibration therapy on the physical function of patients with type II diabetes mellitus. [Subjects and Methods] A computerized database search was performed through PubMed, Medline, EMBASE, the Cochrane Central Register of Controlled Trials, the Physiotherapy Evidence Database, and the reference lists of all relevant articles. The methodological quality was evaluated using the Physiotherapy Evidence Database scale. [Results] Five articles (four studies) with a combined study population of 154 patients with type II diabetes qualified for the inclusion criteria. Our review shows that whole body vibration therapy may have a positive impact on the muscle strength and balance of people with type 2 diabetes mellitus, whereas the effect on their mobility is still under discussion. [Conclusion] There was no sufficient evidence to support the premise that whole body vibration therapy is beneficial for the physical function of people with type II diabetes. Larger and higher-quality trials are needed.

著者

Won Seob Shin Seung Won Lee Yong Woo Lee Sung Bum Choi Chang Ho Song

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.23, no.4, pp.639-643, 2011 (Released:2011-09-22)

参考文献数

31

被引用文献数

5 16

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[Purpose] The purpose of this study was to investigate the effects of combined exercise training with aerobic and functional strengthening exercises on balance ability of hemiplegic stroke patients. [Subjects] The subjects were 21 patients with chronic stroke who were attending a rehabilitation center. [Methods] Participants were randomly allocated to two groups: a combined exercise training group (n=11) and a conventional exercise group (n=10). Both groups did 60 minutes exercise per day, 5 times a week for four weeks. [Results] Both groups showed significant improvements in static and dynamic balances, and the combined exercise showed greater improvement in dynamic balance. [Conclusion] The result of this study suggests that combined exercise training with functional strengthening exercise and aerobic exercise was effective at improve static and dynamic balance ability, and was more effective than conventional exercise at improving dynamic balance. This suggests that combined exercise training can be prescribed for stroke patients to reduce their risk of falls and lead to independent ADL.

著者

Won-gyu Yoo

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.29, no.6, pp.1043-1044, 2017 (Released:2017-06-07)

参考文献数

5

被引用文献数

2

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[Purpose] This study examined the activation of the rhomboid muscle according to the angle of the arm. [Subjects and Methods] The current study was conducted on 15 healthy males. The participants performed the pulling exercise in 5 conditions. The surface electromyography system was used to measure the muscle activities of the rhomboid and upper trapezius. [Results] The activity of the upper trapezius in condition 5 was significantly increased compared to that in condition 4. The activity of the rhomboid in condition 4 was significantly increased compared to that in conditions 1 and 5. [Conclusion] This study showed that performing a pulling exercise with the arms raised above the head (shoulder flexion at 120°) is more effective for reducing upper trapezius tension, while also selectively strengthening the rhomboid muscle.

著者

Won-Hwee Lee Min-Seok Ko

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.29, no.6, pp.1021-1024, 2017 (Released:2017-06-07)

参考文献数

19

被引用文献数

9

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[Purpose] This study investigated the effect of sleep posture on neck muscle activity. [Subjects and Methods] The study recruited 20 healthy subjects, who were positioned in three supine sleeping positions: both hands at sides, both hands on the chest, and dominant hand on the forehead. The activities of the scalene and upper trapezius muscles bilaterally were measured by surface electromyography. [Results] The upper trapezius and scalene muscle activity on the right side was significantly greater in the supine with dominant hand on the forehead position than in the other positions. [Conclusion] Sleep posture is important and prevent neck and shoulder musculoskeletal pain.

著者

Yoshihisa Koike Mitsuyo Hoshitani Yukie Tabata Kazuhiko Seki Reiko Nishimura Yoshio Kano

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.24, no.3, pp.291-294, 2012 (Released:2012-06-27)

参考文献数

33

被引用文献数

1 10

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[Purpose] The objective of this study was to investigate whether vibroacoustic therapy (VAT) could improve the psychological symptoms of 15 elderly nursing home (NH) residents with symptoms of depression. [Methods] Fifteen subjects received VAT for 30 minutes per day for 10 days. Depression was evaluated using the Dementia Mood Assessment Scale (DMAS). Tympanic temperature, pulse, blood pressure, and SpO2 were measured as physiological indexes of relaxation. In addition, sleep-wake rhythms of the 15 subjects were evaluated using actigraphy. [Results] Based on DMAS scores, mitigation of depression was observed in NH residents after receiving VAT. Moreover, significant decreases in tympanic temperature and pulse were observed after treatment. Total sleeping hours per day showed a significant decrease when mean sleeping hours in the first week were compared with the mean sleeping hours in the second week. [Conclusion] VAT provided relaxation effects for elderly NH residents, and improved depressive symptoms.

著者

榊原 僚子 加藤 宗規 菅沼 一男 芹田 透 知念 紗嘉

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.3, pp.473-479, 2010 (Released:2010-07-28)

参考文献数

12

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〔目的〕股関節痛と歩行困難を呈していた症例に対して,応用行動分析学に基づいた介入を行った結果について検討すること。〔対象〕両側変形性股関節症による股関節痛の増強により歩行不可能となり他院での4ヶ月の入院後,当院での外来通院を開始した52歳女性であった。〔方法〕1日で歩行した歩数(歩行量),歩行時痛についてベースライン測定後に行動分析を行い,規定した目標歩行量の遵守と自己記録を行動とした介入を設定した。介入の有効性について,1セッションが約3ヶ月間の7セッションの経過における歩行量,歩行時痛,使用する歩行補助具から検討した。〔結果〕行動は継続され,歩行量のばらつきと歩行時痛が減少し,歩行補助具は両松葉杖からT字杖に変化した。[結語]応用行動分析学を用いた今回の介入は,変形性股関節症で慢性的な強い歩行時痛を有していた症例に対して,理学療法士による1日の歩数を制限する指導を長期にわたり遵守させ,痛みと歩行能力の改善に影響したと考えられた。

著者

Sung-Bum Ju Gi Duck 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.29, no.2, pp.278-281, 2017 (Released:2017-02-24)

参考文献数

24

被引用文献数

4

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[Purpose] This study was conducted to investigate the effects of ankle functional rehabilitation exercise on ankle joint functional movement screen results and isokinetic muscular function in patients with chronic ankle sprain patients. [Subjects and Methods] In this study, 16 patients with chronic ankle sprain were randomized to an ankle functional rehabilitation exercise group (n=8) and a control group (n=8). The ankle functional rehabilitation exercise centered on a proprioceptive sense exercise program, which was applied 12 times for 2 weeks. To verify changes after the application, ankle joint functional movement screen scores and isokinetic muscular function were measured and analyzed. [Results] The ankle functional rehabilitation exercise group showed significant improvements in all items of the ankle joint functional movement screen and in isokinetic muscular function after the exercise, whereas the control group showed no difference after the application. [Conclusion] The ankle functional rehabilitation exercise program can be effectively applied in patients with chronic ankle sprain for the improvement of ankle joint functional movement screen score and isokinetic muscular function.

著者

福田 航 横山 茂樹 片岡 悠介 濱野 由夏 池野 祐太郎 五味 徳之

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.28, no.2, pp.201-204, 2013 (Released:2013-06-25)

参考文献数

6

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〔目的〕前十字靭帯(ACL)損傷患者の片脚スクワット中における膝周囲筋活動の特性を検討することである.〔対象〕ACL損傷患者9名と健常人8名である.〔方法〕課題は膝関節屈曲20~50度間の片脚スクワット,被検筋は内・外側広筋,内・外側ハムストリングとした.各筋の筋電図積分値から得られる最大随意収縮(MVC)で正規化した%MVCを,ACL損傷患者の健患側及び健常人の利き足側の間で比較した.〔結果〕患側の%MVCは健側と比較して内・外側広筋で小さく,内・外側ハムストリングで大きかった.〔結語〕ACL損傷患者において,片脚スクワット中の筋活動は膝関節の前方不安定性を安定化させる作用があることが示唆される.

著者

牧浦 大祐 土井 剛彦 浅井 剛 山口 良太 小松 稔 小嶋 麻悠子 小野 くみ子 小野 玲 平田 総一郎

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.6, pp.923-928, 2010 (Released:2011-01-28)

参考文献数

44

被引用文献数

2

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〔目的〕性は年齢と同じく歩行に影響を与える重要な因子である。近年,歩行中の加速度信号に波形解析(root mean square,自己相関分析)を加えて得られる歩容指標(歩行の変動性,動揺性,規則性)を用いた歩行の安定性の定量化が行われている。今回,歩容指標を用いて歩行の安定性に性差が存在するのか検討した。〔対象〕対象は健常若年成人46名(男性24名,女性22名)とした。〔方法〕25 mの自由歩行中の体幹加速度信号から得られた歩容指標の値を男性と女性2群の間で比較した。〔結果〕女性は男性に比べ,歩行の変動性,垂直・前後方向の動揺性が有意に大きく,逆に垂直方向の規則性は有意に低下していた。〔結語〕健常若年成人では歩行の安定性に性差が存在する可能性が示唆された。

著者

Ana Maria Dall Acqua Marcelo Baptista Döhnert Laura Jurema Dos Santos

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.24, no.10, pp.955-959, 2012 (Released:2012-12-28)

参考文献数

33

被引用文献数

1 4

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[Purpose] To analyze the effects of neuromuscular electrical stimulation (NMES) applied to the abdominal muscles of patients with COPD. [Subjects] A total of 22 patients in group A, mean age of 68.2 ± 6.4 years and in group B, 71.2 ± 10.1 years. [Methods] Randomized clinical trial. Patients with COPD were randomly an evenly divided into two groups: group A (NMES + conventional therapy) and group B (conventional physiotherapy) and respiratory muscle strength was measured by pressure manometry before and after the end of the experimental protocols. [Results] Maximum inspiratory pressure before and after the intervention of group A was -64 (44–74) cm H2O, respectively, and -68 (56–96) cmH2O, and in group B, -52 (46–92) cm H2O and -60 (50–72) cmH2O. Maximum expiratory pressure of group A was 84 (72–92) cmH2O and 112 (94–120), respectively, and in group B, 76 (60–100) cmH2O and 84 (60–108) cmH2O. [Conclusion] The results indicate that expiratory muscle training with Russian current together with conventional physical therapy during hospitalization improves the respiratory muscle strength of patients with COPD.

著者

Josiane Sotrate Gonçalves Cristiane Shinohara Moriguchi Karina Sachiko Takekawa Helenice Jane Cote Gil Coury Tatiana de Oliveira Sato

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.29, no.5, pp.793-798, 2017 (Released:2017-05-16)

参考文献数

42

被引用文献数

19

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[Purpose] To assess the effects of forearm support and shoulder posture on upper trapezius and anterior deltoid activity. [Subjects and Methods] Twenty-three female university students were evaluated. Muscle activity was assessed by a portable surface electromyography (sEMG) system (Myomonitor IV, Delsys, USA). Upper trapezius and anterior deltoid activity were recorded in five shoulder flexion postures: 0°, 15°, 30°, 45° and 60° and in two conditions: with the forearm supported and unsupported. Descriptive data analysis was performed and statistical analysis was conducted by a multivariate analysis of variance with three repeated factors (posture, support and side). [Results] Three-way interactions were not significant. Two-way interaction was significant for support and posture for both muscles, indicating that the muscular activity depends on the forearm support and shoulder posture. The forearm support reduced upper trapezius and anterior deltoid activity for all shoulder flexion angles. The mean and standard deviation for this decrease was 7.8 (SD=4.6)% of the maximal voluntary contraction for anterior deltoid and 3.8 (SD=2.0)% of the maximal voluntary contraction for upper trapezius. In the unsupported condition, increasing the shoulder flexion angle caused an increase in the upper trapezius and anterior deltoid activation. [Conclusion] These results highlight the importance of using forearm support and to maintain neutral shoulder posture, when the upper arms are not supported, to reduce muscle activation. Thus, this study provides evidence about the effect of these recommendations to reduce muscular activity.

著者

Kitae Kim Siddhartha Bikram Panday In-sik Shin Jin-hae Kim Hye-young Kim Gwang-jae Yu

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.29, no.5, pp.941-945, 2017 (Released:2017-05-16)

参考文献数

20

被引用文献数

1

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[Purpose] The purpose of this study was to examine the effect of a 40-minute race on muscle activity and spatiotemporal cycle variables at four-time points during a 12-km roller skiing test using the double-poling technique. [Subjects and Methods] Five elite cross-country (XC) skiers on the Korean National reserve team participated in the study. Part of a biathlon course that consisted of both flat land and slopes was selected, and three measurements were recorded after every 4-km lap. Spatiotemporal variables, mean frequency and mean amplitude of 6 muscles were the chosen computational parameters. [Results] Significant differences were observed in cycle time and rate. The mean frequency of the upper-body muscles exhibited declining trends, with statistically significant differences for the triceps brachii. In addition, there were significant differences in the mean amplitude of the tibialis anterior and gastrocnemius. The activity of the triceps brachii, tibialis anterior, and gastrocnemius showed some degree of dependence on the technique. [Conclusion] Training and race strategies that improve the function of elbow extensors and ankle dorsiflexors are important in XC skiing; the application of roller-ski training research to actual XC skiing competitions is needed.

著者

佐久間 香 西村 純 大畑 光司 市橋 則明

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.2, pp.263-267, 2009 (Released:2009-05-28)

参考文献数

14

被引用文献数

1

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[目的]本研究の目的はドロップジャンプ(以下DJ)時の下肢の運動学的特徴とStretch-shortening cycle(以下SSC)を跳躍に利用する能力との関係を調べることである。[対象]対象は健常男性28名とした。[方法]20 cm DJ時における下肢関節角度の変化に加え,垂直跳び(以下VJ)とDJの跳躍高を測定した。DJ時の関節角度の変化より,着地直前と踏切動作時の関節角度,踏切動作時の足関節運動の切り換わりから膝関節運動の切り換わりまでの時間を算出した。VJよりDJ跳躍高が増加した群と減少した群に分類し,両群の違いを比較した。[結果]増加した群は,着地直前の足関節底屈角度が有意に少なかった。また,足関節の切り換わりから膝関節の切り換わりまでの時間が有意に長く,足関節が膝関節より早く切り換わるものが多かった。[結語]少ない足関節底屈角度での着地に加え,足関節を膝関節より早く伸展運動に切り換えるような踏切動作をとることでSSCを効率的に利用したDJを行うことができることが示唆された。

著者

細井 俊希 澤田 豊 加藤 剛平 藤田 博曉 高橋 邦泰 黒川 幸雄

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.26, no.1, pp.111-115, 2011 (Released:2011-03-31)

参考文献数

18

被引用文献数

2 2

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〔目的〕回復期リハ病棟入院患者の入院時と退院後の活動量を,活動量計を用いて計測し,退院前後での活動量の変化を客観的に明らかにした。活動量が低下した原因について聴取した。〔方法〕歩行可能な回復期リハ病棟入院患者8名を対象とし,退院前と退院後それぞれ約1ヶ月間の活動量を測定した。また,退院後に活動量が低下した原因について聴取し,ICF分類に基づき分類した。〔結果〕1日平均歩数は,すべての対象者で,入院期間中に比べ退院後に減少していた。また,すべての対象者が退院後に活動量が低下したと自覚しており,考えられる原因は,保健サービス,気候,家族の態度,屋内の移動,動機づけなどに分類された。〔結語〕退院時に対象者やその家族と退院後の目標について十分に話し合い,積極的にデイケアなどの利用を促すようなケアプランを立てることが,リハ回数や外出機会の増加にもつながり,退院後の活動量の低下を防ぐことができると考えられた。

著者

JaeHyun Jung JiYeun Lee EunJung Chung Kyoung 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.26, no.3, pp.437-440, 2014 (Released:2014-03-25)

参考文献数

21

被引用文献数

5 28

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[Purpose] This study evaluated the effects of water and land-based obstacle training on static balance of chronic stroke patients. [Subjects] The subjects were randomly allocated to an aqua group (n=15) and a land group (n=15). [Methods] Both groups trained for 40 minutes, 3 times a week for 12 weeks. Static balance was assessed by measuring the mean velocities of mediolateral (ML) and anteroposterior (AP), and sway area with the eyes closed. [Results] Following the intervention, both groups showed significant changes in ML velocity, AP velocity, and sway area. The static balance of the aqua group was significantly better than the land group. [Conclusion] The results of this study suggest the feasibility and suitability of obstacle training in water for stroke patients.

著者

加藤 宏之

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.22, no.1, pp.7-12, 2007 (Released:2007-04-10)

参考文献数

20

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脳卒中後に見られる片麻痺の回復の脳内機序の詳細は不明である。最近開発されたfunctional MRI(fMRI)や光トポグラフィー(NIRS)を用いると脳卒中患者の麻痺手運動時の脳活動を非侵襲的に画像化することができる。また,拡散テンソル・トラクトグラフィーにより錐体路を描出することもできる。これらの評価法により,片麻痺の回復には,既存の運動ネットワークの損傷の程度に応じて,可逆的障害からの回復や大脳皮質運動ネットワークの再構築を駆使して,運動機能を回復させることを示唆するデータが得られている。さらに,この機能回復には発症後1ないし2ヶ月の臨界期が存在することも示唆されている。

著者

大住 倫弘 草場 正彦 植田 耕造 中野 英樹 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.27, no.5, pp.599-602, 2012 (Released:2012-12-05)

参考文献数

20

被引用文献数

1

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〔目的〕今回,幻肢痛患者の質的な評価を行い,皮膚受容感覚に関連する幻肢痛であると判断した2症例に対して,早期から触圧覚識別課題を実施した結果を報告する.〔対象〕2症例とも糖尿病性壊疽に陥り下腿切断を施行した後に,皮膚受容感覚に関連する幻肢痛が出現していた.〔方法〕断端部にクッションにより触圧覚が与えられる部位の識別を行った.〔結果〕課題開始当初は2症例とも触圧覚の部位を正確に識別することが困難であったが,課題を行っていくことで識別可能となっていき,幻肢痛も消失した.〔結語〕症例の幻肢痛がどのような病態なのかを質的に評価した上で,介入方法をできるだけ早期に決定していくことの重要性が示唆された.