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
1

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
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
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
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
2

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.

5 0 0 0 OA D test

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.4, pp.71-73, 2004 (Released:2005-03-11)
参考文献数
1

D test is an evaluation maneuver to hypothesize problems related to activities in daily life when a patient cannot perform because of some functional disorders. The procedure in the D test consists of three phases. In the first phase, the therapist investigates the joint motion axis during the ankle dorsal flexion of a patient. Next, the normal axis of ankle dorsal flexion is compared to the patient's actual axis. Finally, the therapist considers about factors and effects due to ankle axis abnormality, and observes and analyzes the ‘chain’ action from foot to head. The D test is very useful in the field of physical therapy evaluation. And for its clinical applications, it is necessary to master human functional anatomy and kinesiology.
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
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.2, pp.11-16, 2002 (Released:2005-05-21)
参考文献数
7

In the field of physical therapy, observational motion analysis is important to predict the impairment and/or to judge the effect of physical therapy. Many kinds of knowledge are needed to observe a human movement and to integrate its phenomena and impairment. It is very important to have a knowledge of mechanics, because human motion is governed by the laws of mechanics. In this paper, especially, I would like to mention both mechanical stress and various forces in a knowledge of mechanics. Mechanical stresses include the following: load, tension, compression, bending, shear and torsion. Various forces are displayed in this article, including gravity, inertial force and reaction force. I think that to understand these stresses and forces related to human movement may be useful for the prediction of impairment.
著者
西守 隆 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.37-41, 2004 (Released:2005-03-11)
参考文献数
4

Interpretation and integration are defined as tying up a patient's capacity for action and measurement results. This paper explains the interpretation and integration divided into the following five. “Solving relativity of impairment and active limitation”. “Solving the cause of impairment”. “Solving the correlation of impairment”. “Solving the correlation of active limitation”. “Inferring a prognosis of impairment from references or improvement of clinical physical therapy”. Interpretation and integration are the most important parts of physiotherapy evaluation.
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.16, pp.19-26, 2016 (Released:2016-12-29)
参考文献数
8

The head and neck have a very important function in the control of posture. The head and neck often unconsciously compensate if there is an abnormality in posture. However, that compensation movement becomes a habit for the patients who have an abnormality in posture, and when the compensatory movement of the head and neck is large it may become a problem. Here, we report the results of dorsal electromyography of what kind of compensation actually occurs by when changing the position of the head and neck in sitting, and in rising from sitting. We also describe an approach that paid attention to excessive compensation of the head and neck. It is difficult to define the right alignment of the head and neck. It is important in alignment of the head and neck that the head and neck do not cause a problem for posture, or movement. In other words, it is important that the head and neck should be in the right alignment which over muscle activities are not required. If the head and neck are in the right alignment, it is easy to get up or look around naturally.
著者
前田 梨奈 村尾 邦彦 石濱 崇史
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.87-93, 2013 (Released:2013-12-28)
参考文献数
2

We initiated physical therapy for a female patient with Alzheimer’s disease who suffered a left trochanteric fracture that caused a short and unstable left stance phase in gait. Initially, we performed muscle stretching and strengthening, and weight-bearing exercises in the sitting and standing positions, but the patient could not follow the therapy and did not achieve the target strength because of attention deficit due to Alzheimer’s disease. However, the patient was capable of independent activities of daily living (ADLs) such as dressing and grooming. Therefore, we initiated an exercise therapy which involved putting on and taking off a sock. After the therapy was started, the strength of the patient’s left gluteus maximus and external and internal oblique muscles improved and the instability in her gait stance decreased. This experience shows the necessity of selecting a therapy focused not only on the impairments but also on the patient’s abilities to perform ADL.

4 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
1

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
福島 秀晃 三浦 雄一郎 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.85-89, 2006 (Released:2007-01-30)
参考文献数
15
被引用文献数
5

Lateral shift in sitting is indispensable in daily life, and it has a big influence on the activities of daily living (ADL) in standing-up and walking. The purpose of this study was to clarify the function of each fiber of the trapezius-muscle during lateral shift in sitting by normal subjects using surface electromyography. The integrated electromyogram (IEMG) of the trapezius muscle in the non-shift side, tended to increase. Specifically, in the lower part fiber trapezius muscle, IEMG at 20 cm distance was significantly greater than others. On the other hand, IEMG of the trapezius muscle in the shift side tended to increase with the lateral distance of movement. In the middle fiber of trapezius muscle, IEMG at 20 cm distance was significantly greater than others. It was thought that the activity of the fiber of the lower part of the trapezius muscle in the non-shift side participated in braking the upper part of the trunk inclination which accompanies the increase of the distance. It was thought that the activity of the fiber of the middle part of the trapezius muscle in shift side participated in preservation of the controlled scapula. To stabilize the upper part of trunk to improve sitting, it is necessary to aim at the function of the fiber of the lower part of the trapezius muscle in the non-shift side.
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.5, pp.47-50, 2005 (Released:2006-01-26)
参考文献数
9
被引用文献数
4

This report introduces how to choose acupoints in acupuncture and moxibustion therapy, from the basic theory of oriental medicine and from research reports on acupuncture and moxibustion that provide evidence for the choice of acupoints. In the future, researching the effects of acupuncture and moxibustion therapy using acupoints chosen using the basic theory of oriental medicine and connecting it with the diagnosis outline of western medicine, will give more effective acupuncture and moxibustion treatments for many patients.
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
大沼 俊博 渡邊 裕文 藤本 将志 赤松 圭介 谷埜 予士次 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.13, pp.11-22, 2013 (Released:2013-12-28)
参考文献数
9
被引用文献数
13

In a clinical setup, difficulty in maintaining posture and controlling movements while bending, lateral bending, or performing rotation of the thoracic and lumbar region due to reduced activities of the abdominal oblique, multifidus, longissimus, and iliocostalis muscles, when in the seated and standing positions, and during walking, is often encountered. We trained patients with postural and control difficulties to shift their body weight laterally from one limb to the other while standing to increase the activities of the trunk muscles and improve the seated, standing, and gait postures. The activities of the trunk muscles, that serve as clinical indicators, were evaluated using electromyography and measurement of tissue stiffness. In the present study, we present the results of our research on the activities of the trunk muscles in the sitting and standing positions, and during sustained lateral shifting of body weight from one limb to the other while standing, and discuss their clinical implications.
著者
大沼 俊博 渡邊 裕文 蔦谷 星子 三好 裕子 山口 剛司 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.2, pp.103-107, 2002 (Released:2005-05-21)
参考文献数
2
被引用文献数
1

To evaluate of sustained elevation of a paralyzed superior limb, we performed physical therapy for the limb in a patient with postapoplectic hemiplegia. During the physical therapy, sustained elevation of the paralyzed superior limb was achieved by activating muscle groups in the lower trunk and gluteal region controlled by the corticoreticular spinal tract, and by accelerating continuation of associated righting reflex. These findings suggest that postural adjustment of the body center and proximal extremities is required in hemiplegic patients to achieve functional improvement of a paralyzed superior limb.
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

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
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
7

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
嘉戸 直樹 伊藤 正憲
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.49-52, 2008 (Released:2009-01-15)
参考文献数
10

It is important to understand about the mechanism of motor learning. Moreover, it is necessary to guide automated behavior by intervening according to each stage of motor learning. In this paper, we summarize the neural mechanism and strategy of motor learning.