著者
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.6, pp.21-26, 2006 (Released:2007-01-30)
参考文献数
3
被引用文献数
4

This article describes the intervention for improvement of the limitation of range of ankle dorsal flexion. A limited range of ankle dorsal flexion is caused by shortening of antagonist musde or joint capsule, decrease of joint play and disorder of the axis of dorsal flexion. Especially, a disorder of the joint axis is the most important finding among all causes. Disorder of the joint axis has a close relation with shortening of the soft tissue around the ankle joint. Especially, there are some typical parts, in which shortening of the soft tissue is related to disorder of the ankle motion axis. These parts were identified as the D-point (Daikuya's normalizing point for ankle axis). Compression and stretching to the D-point normalized ankle axis disorder. Normalizing the ankle axis is an important strategy in physical therapy for the limitation of the range of ankle dorsal flexion, because normal soft tissue is loosened and shortened tissue is untouched in physical therapy for an abnormal ankle axis.
著者
伊藤 陸 藤本 将志 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.33-40, 2017 (Released:2017-12-29)
参考文献数
25
被引用文献数
2

The activity of the gluteus maximus is said to change with exercise, the hip joint position, and muscle fiber. Therefore, it is important for physical therapy to deepen the understanding of the muscle activities of the upper and lower gluteus maximus in basic movements. In this paper, we examined the muscle activity patterns of the upper and lower gluteus maximus in basic movements using electromyography. The activities of the upper and lower gluteus maximus were different in timing and size of muscle activity in each basic movement, and we describe them using electromyograms.
著者
山﨑 航 畠中 泰彦
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.19, pp.74-83, 2019 (Released:2019-12-26)
参考文献数
46
被引用文献数
1

To provide more effective instructions for walking exercise in physical therapy, this study reviewed the biomechanics of turning during walking. Forty-one studies were found in PubMed using search terms related to “turning” and “biomechanics:” Twenty analyses of kinematics, eight analyses of kinetics, nine analyses of kinematics and kinetics, one analysis of kinematics and electrophysiology, and three analyses of kinematics, kinetics, and electrophysiology. The points where a unified view was found are as follows: 1) Performing turning required exertion of ankle plantarflexion torque and activation of hip abductor muscles; 2) The ground reaction force waveform and muscle activation of turning were similar to gait termination; 3) The turning angle was related to the variation of step length and rotation of the torso and pelvis. However, the joint torque and muscle activation of the torso were not analyzed. To perform physical therapy for turning, we suggest that strengthening ankle plantarflexion torque and activation of hip abductor muscles are necessary.
著者
藤本 将志 伊藤 陸 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.20, pp.28-34, 2020 (Released:2020-12-28)
参考文献数
10
被引用文献数
1

The Trendelenburg sign can occur due to various factors, and it is necessary to evaluate the factors in detail and then perform treatment to lead to voluntary training. In this paper, we consider the factors and movement patterns of the Trendelenburg sign appearing in electromyogram data, and explain voluntary training for those factors.
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.3, pp.21-31, 2003 (Released:2005-04-12)
参考文献数
12
被引用文献数
4

Many diseases present extraordinary muscle tonus and the therapeutic approach for spasticity which is seen in disorders of the upper motor neurons is difficult to treat. This study describes muscle tonus from the viewpoint of neurophysiology, and control of muscle tonus of the hemiparesis due to cerebrovascular disease demonstrated in the field of physical therapy.
著者
鈴木 俊明 西守 隆
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.33-39, 2003 (Released:2005-04-12)
参考文献数
2
被引用文献数
2

We reported the important points and methods of motion observation and motion analysis, which are evaluations in physical therapy. Motion observation involves watching and thinking in detail, and the problems were differentiated between those with impairment and disability. Motion observation and motion analysis by therapists are a very important techniques in physical therapy. To observe and analyze a patient's motion in detail is the first step in solving their problems in physical therapy.
著者
山﨑 航 福本 悠樹 東藤 真理奈
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.57-65, 2021 (Released:2021-12-25)
参考文献数
12
被引用文献数
1

An appropriate physical therapy assessment is important for acquiring basic physical therapy skills. Each therapist needs to fully understand the purpose and limitations of the physical therapy assessment. Seeking the detailed method of a test in physical therapy assessment is important for all therapists, and it is possible with an understanding of kinematics and anatomy. In this paper, we focus on the movement of the pelvis, trunk, and foot, and introduce clinical assessments that determine an impairment through corresponding joint movements.
著者
三浦 雄一郎 福島 秀晃
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.25-34, 2008 (Released:2009-01-15)
参考文献数
5
被引用文献数
6

In patients with disorder of the shoulder joint, the the activities of daily Living (ADL), "reach a shelf over the head", "move to a medially rotated position" and "open and shut a sliding door", often become difficult. ADL of reach a shelf over the head needs the function of flexion and abduction of the shoulder joint. ADL of open and shut a sliding door needs the function of horizontal abduction and adduction with the same flexion angle of the shoulder joint. To understand the movement function of the shoulder joint, it is necessary to distinguish to it from the function of the shoulder girdle and the function of the gleno-humeral joint. We think that it helps the physical therapy approach (the evaluation, the cure) to shoulder joint disease to pay attention to movement while sitting or supine in order to understand the function of the shoulder girdle. Evaluating the function of the gleno-humeral joint and the rotator cuff function corresponding to the direction of the movement and the angle change must also be considered.
著者
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.6, pp.39-42, 2006 (Released:2007-01-30)
参考文献数
8
被引用文献数
4

We report on physical therapy and its evaluation in patients with impaired deep sensation. Evaluation in physical therapy should be performed not only in the static states but also in the situations and postures causing abnormal actions. In physical therapy, treatment with the patient being aware (use of feedback such as that by visual sensation) provides clues that improve problems. For improvement in impaired deep sensation and recovery of motor function, their association should be considered, and the induction of normal actions is important.
著者
末廣 健児 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.11, pp.21-24, 2011 (Released:2012-01-06)
参考文献数
4
被引用文献数
1

In physical therapy, we often encounter situations in which sensory disorders impede normal movement. Sensory information always accompanies movement, and normal movement cannot be achieved without sensory information. In this report, we describe the changes in movement caused by proprioceptive input in healthy persons and a post-stroke patient.
著者
後藤 淳 高田 毅 末廣 健児
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.25-40, 2002 (Released:2005-05-21)
参考文献数
2
被引用文献数
11

There are various movements in our daily life. In this chapter, we considered standing-up from the following viewpoints: 1) Consideration of the literature: We consider normal "standing-up" from the kinematical viewpoint as mentioned in the each literature. 2) Consider the analysis of "standing-up" with the emphasizes on movement (the accent): We understand the influence of the other parts on the body with the emphasis on "standing-up", and we understand the difference between the normal "standing-up" and emphasized "standing-up". 3) Consideration from the "standing-up" analysis of each disease: After analyzing "standing-up" ralated to each disease, we compared it with emphasized movements and considered each relationship (similarity, common points, points of difference). There are various movements in our daily life. If we can understand "standing-up" which is common in our daily life. we can predict the other normal movements and the movements of patients with various diseases, and we can treat diseases early. Although "standing-up" is the basic movement in locomotion, we must not limit understanding to this. Because we can understand whole movements in more detail by considering the abovementioned viwepoints.
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.14, pp.1-9, 2014 (Released:2014-12-27)
参考文献数
10

Various motor centers reaching the spinal cord from the cerebrum are involved in smooth movement. We do not have smooth movement even if impaired wherever of this course. The cerebellum takes various parts and communication in the central nerve thickly, and the cerebellum function is important at all in conducting smooth movement. First we describe the classification of ataxia. Then, we describe rehabilitation for ataxia from the viewpoint of cerebellum function.
著者
福島 秀晃 三浦 雄一郎 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.17, pp.3-16, 2017 (Released:2017-12-29)
参考文献数
12
被引用文献数
2

The shoulder joint is called a complex, and consists of the sternoclavicular, acromioclavicular, scapulothoracic, and glenohumeral joints. It has a wide range of motion and contributes to the smoothness of upper limb function. The motor function of the upper limb is a complicated mechanism because the influence of the peripheral joints affects the shoulder joints, and it is difficult to understand. Electromyographic analysis of the shoulder joint function is useful for objectively presenting the effect of exercise therapy. Therefore, in this paper, we present the clinical applications of EMG data of shoulder joint function. Specifically, we focus on the following: 1) Understanding of muscle activity patterns according to the direction of movement of the shoulder joint and the elevation angle, taking into consideration the mechanism of the shoulder joint. 2) The shrug sign (shoulder shrinkage phenomenon) is a compensatory motion of shoulder joint disease cases. In addition to the activities of the elevator and retractor muscle groups of the shoulder girdle during this operation, the muscle activity of the supraspinatus muscle is also analyzed and discussed regarding its clinical applications. 3) Exercise posture (supine or lateral) promotes or suppresses treatment of the target muscles and re-education of muscle activity due to posture can be expected.
著者
福島 秀晃 三浦 雄一郎
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.13, pp.23-32, 2013 (Released:2013-12-28)
参考文献数
7
被引用文献数
5

To evaluate the scapulo-humeral rhythm of patients with a clinical condition, not only a quantitative evaluation (range of motion) but also a qualitative evaluation (a structural method that measures scapular upward rotation) is required. This study investigated the effectiveness of an analysis that assessed the scapular-girdle dynamics, in which the direction and translation of the coordinates were analyzed using electromyograms of the scapular muscle activities of the elevated upper limb. Scapula upward rotation did not show a difference during shoulder flexion and abduction. The difference between shoulder flexion and abduction was more prominent when we used a structural method that measured scapular upward rotation including clavicle movement. When considering a structural method that measures scapular upward rotation during shoulder flexion and abduction, the function of the scapular muscle must be taken into account, since it may worsen and develop into a clinical condition. The direction of gravity that acts on the shoulder joint changes when the shoulder position changes during exercise. Therefore, a change is observed in the mechanical energy of the shoulder. It should be possible to design a therapeutic-exercise program that includes exercise positions that improve the function of the scapular and shoulder muscles to treat shoulder disorders.
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.10, pp.5-14, 2010 (Released:2011-01-13)
参考文献数
5
被引用文献数
4

Generally, activities of daily living are performed smoothly at a subconscious level. However, in order to perform these activities smoothly, input and integration of information from each sensory stimulus and checking of the information with motion memory is necessary. In this paper, we discuss the role of sensory inputs, such as visual, somatic, and vestibular stimuli, in maintaining postural control. We also present information regarding postural changes that occur as a result of receiving somatic stimuli.
著者
伊藤 正憲 高橋 優基 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.15, pp.23-27, 2015 (Released:2016-01-06)
参考文献数
1
被引用文献数
4

While walking, we often change our direction and speed as necessary. The movement made to change the direction is divided into two types: the spin turn and the step turn. The axis of the lower extremity in the spin turn is on the same side as the direction in which the turn is made, whereas in the step turn, it is on the opposite side. In this study, with respect to the spin turn and step turn, the center of pressure trajectories and the electromyography patterns of the lower extremity were measured. Based on these results, the function of the lower extremity required for the spin turn and step turn is explained and discussed.

8 0 0 0 OA 後ろ歩き

著者
嘉戸 直樹 伊藤 正憲 高橋 優基
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.29-32, 2015 (Released:2016-01-06)
参考文献数
5
被引用文献数
3

Walking is the main means of locomotion. Locomotion is performed not only forward but also backward in daily life. However, there are few explanations of backward walking, compared to forward walking, in textbooks of motion analysis. In this study, previous studies of backward walking are reviewed, and the trajectories of center of pressure and electromyogram patterns assessed. The functions of the lower leg and the trunk in backward walking are discussed with reference to the results.
著者
中道 哲朗 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.14, pp.11-15, 2014 (Released:2014-12-27)
参考文献数
7
被引用文献数
2

It is essential for physical therapists, whose main role is to help people to improve their activities of daily living, to have an ability to solve muscle weakness and muscle tonus abnormality. This article describes the mechanisms of muscle power increase from the perspective of absolute muscle power and cross-sectional area of a muscle. In addition, two examples of the most commonly used exercises in clinical practice are used to show how the authors developed a way to enhance the activities of weak muscles by showing EMG wave patterns. We hope this article will help physical therapists to review their basic knowledge of muscle strengthening exercises.
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.4, pp.15-25, 2004 (Released:2005-03-11)
参考文献数
7
被引用文献数
2

We describe the estimation of problems in ataxia, presenting the clinical view and the treatment of ataxia. It is possible to classify ataxia into cerebellar ataxia, labyrinthine ataxia, spinal ataxia, cerebral ataxia and others. Each type of ataxia has characteristic symptoms, but compensatory methods for ataxia have many common parts. To understand ataxia, it is necessary to understand the following items:1:The characteristic symptoms of each type of ataxia2:The site of ataxic symptoms and the compensatory methods for ataxiai) The position of the head and neckii) Compensatory methods using the trunk movementiii) The relationship between the distal and the proximal parts of the limbsWe can often observe compensation for ataxia by excessive fixation, especially excessive extension of the trunk. Generally, the treatment for ataxia tends to stabilize only the unstable parts only by actual training (sitting or standing or walking…). It is very important that physiotherapists understand the true problems of the patient by copying the patient's posture and movement, then estimating the patient's activities of daily living. Then their actions will be better coordinated with appropriate treatment (smooth operation).
著者
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.3, pp.1-7, 2003 (Released:2005-04-12)
参考文献数
15
被引用文献数
3

This article sets out the classification of stretching techniques as the basic physical therapy approach for the limitation of joint motion. To achieve adequate stretching for muscle shortening, it is necessary to evaluate joint instability, laxity and alignment, and muscle conditions, such as the limit to joint movement imposed by muscle contraction. And in this article, the concept of muscle stretching for lateral hamstring muscles and triceps surae muscles is introduced.