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
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

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.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
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
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.4, pp.15-25, 2004 (Released:2005-03-11)
参考文献数
7
被引用文献数
1

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
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.
著者
飯塚 朋子 谷 万喜子 高田 あや 井上 博紀 鈴木 俊明 若山 育郎 吉田 宗平
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.127-132, 2002 (Released:2005-05-21)
参考文献数
14

Cervical dystonia appeared in March 1998, and it seemed that no treatment was effective. Treatment by means of acupuncture started in March at Kansai College of Oriental Medicine. In the patient with cervical dystonia, EMG at the initial treatment showed only left splenius (SPL). Also shortening of the neck in the left frontal side was found, to treat these symptoms multiple epidermis needles was used. The retaining needles were GV20 for involuntary movement and SI3 for SPL. After 2 months from the start of treatment there was improvement of the neck posture in the sitting position, and smooth neck movement. This case also proves that EMG analysis and correct treatment by means of acupuncture improves the symptoms.
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.
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.17, pp.47-53, 2017 (Released:2017-12-29)
参考文献数
3

In a clinical setting, we observed the patterns of muscle activity which change with awareness and the muscular activity which increases in order to relieve pain. Using electromyography, we observed the change in calf raise movement and the increase in movement in the perineal position when the gluteal muscle was forced to contract. We were able to inhibit excessive compensation by the erector spinae muscle group. In addition, the trunk muscles and the leg muscles became involved at the same time and contributed to correct postural alignment.
著者
玉置 昌孝 野口 翔平 中道 哲朗 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.85-89, 2017

<p>In this study, we examined the relationship between the activity pattern of hamstring muscles and postural change of weight shift, in the standing position. We used surface electromyographic data from the medial gluteus medius, biceps femoris, and semitendinosus muscles of 10 healthy male participants. During exercise tasks, we observed two groups of participants: those who registered ankle dorsiflexion during lateral weight shift movements and those who did not. The former group registered an increase in hamstring muscle activity and the latter group registered no change. Similar to a previous study, an increase in gluteus medius muscle activity was detected along with the start of lateral weight shift. It appears that the biceps femoris muscle works to increase hip extension before semitendinosus muscle activity, causing a forward weight shift and dorsiflexion of the ankle joint during lateral weight shift in the standing position.</p>
著者
北村 良城 中道 哲朗 山口 剛司
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.77-84, 2010 (Released:2011-01-13)
参考文献数
4

Exercise therapy was ordered for a patient with Guillain-Barré syndrome who had difficulty typing on a computer keyboard with the left little finger. No abduction or flexion of the left little finger was observed during typing, while marked compensatory supination of the forearm was observed. Occupational therapy and electromyography findings suggested that weakness of the left ulnar carpal flexor and extensor muscles reduced the stability of the attachment sites of these muscles, which are the pisiform, hamate, and 5th metacarpal bones. The reduced stability of these bones inhibited efficient muscle activity of the abductor and flexor muscles in the little finger. In exercise therapy, the left ulnar carpal flexor and extensor muscles were simultaneously strengthened to increase the stability of the pisiform, hamate, and 5th metacarpal bones, with the goal of increasing the muscle activity of not only the left little finger abductor and flexor muscles but also those of the muscles around this finger. The patient was able to type by abduction and flexion of the left little finger 2 months after initiation of the exercise therapy, and this improvement was also observed on electromyography. It is important to perform an occupational therapeutic evaluation with exercise therapy, focusing not only on the activity of the muscles around the left little finger but also on the carpal and metacarpal stability due to activity of the left ulnar flexor muscles.
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

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
高田 毅
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.7, pp.55-64, 2007 (Released:2008-01-18)
参考文献数
6

The treatment of patients with cerebrovascular disease/hemiplegia is described briefly, including clinical scenes, particularly concerning reaching movement. · Problems with the upper extremity markedly affect the posture and movements. · Since reaching movement is a motivated action with a specific intention, it is important to guide the patients toward having such an intention. · When posture control of the pelvis and trunk is adequate, the stability of the periscapular region is maintained, and smooth reaching action becomes possible. · In the treatment, the action must be re-learned by comparing the actions with input from other senses such as vision and hearing, as well as past experiences and memories, and through feeding them back. · Finger sensibility is important for manipulation, dexterity movements, and holding.
著者
谷埜 予士次 熊崎 大輔 舌 正史 大工谷 新一 森 裕展
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.1, pp.15-24, 2001
被引用文献数
1

We performed physical therapy after reconstruction of the posterior cruciate ligament (PCL) on a Japanese Taekwondo player. In physical therapy after the reconstruction of PCL, we had to protect PCL from mechanical stress. To protect the reconstructed PCL in this case, we predicted the traction stress for PCL by motion analysis using surface electromyography (EMG). In order to avoid the traction stress on PCL, we checked the muscle activity of the quadriceps femoris and the hamstrings during various kinds of muscle strengthening exercises for the lower extremity in the closed kinetic chain (CKC). The muscle contraction of hamstrings with knee flexion caused the posterior displacement of the tibia, and the traction load on PCL was increased with a contraction of hamstrings. On the other hand, because the muscle contraction of the quadriceps femoris produced anterior sharing force of the tibia, the contraction of the quadriceps femoris could protect the PCL from traction load. Therefore, we selected the muscle strengthening exercises in which the muscle activity of the hamstrings was lower and the muscle activity of the quadriceps femoris was higher. Twelve weeks post operation, the muscle strength of the quadriceps femoris had reached a level compatible with returning to competition, and since the patient had no pain or instability of the knee, we had him perform athletic training (jogging, running, step drill, etc.). He could practice athletic training without any pain or feeling instability of the knee. After 19 weeks post operation, we had him perform kick training gradually under the doctor's permission, and to prevent the hamstrings tearing as well as increasing the performance of kicking, we started him on muscle strengthening exercises of the hamstrings with the kick training gradually. After about 27 weeks post operation, the patient could practice all Taekwondo training without any knee pain or feeling instability of the knee, and after about 43 weeks post operation, he competed successfully in the All Japan Taekwondo Championship and becoming. In conclusion, because we selected the muscle strengthening training avoiding traction load on the PCL, the patient could carry out athletic training and Taekwondo training in safety after the operation.<br>
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

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
嶋谷 修幸 福島 綾子 高田 あや 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.6, pp.117-121, 2006 (Released:2007-01-30)
参考文献数
10

This report describes the effect of supraspinatus exercise during remote acupuncture therapy for a patient with periarthritis scapulohumeralis. It was considered that the cause of limitation of flexion in the shoulder joint was an abnormal flexion motion pattern due to lower activity of the supraspinatus muscle. The pattern of shoulder flexion was elevation and early upward rotation of the scapula caused by hyperactivity of the upper trapezius. Therefore, in order to increase the activity of the supraspinatus, remote acupuncture therapy was performed on the SI3 (Koukei) and to reduce the activity was performed on the TE5 (Gaikan). Exercise of the supraspinatus muscle was performed during remote acupuncture therapy. As a result of exercise during remote acupuncture therapy, the abnormal shoulder flexion pattern was improved and pain in the anterior part of the shoulder joint was reduced.
著者
福島 綾子 高田 あや 谷埜 予士次 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.109-113, 2004 (Released:2005-03-11)
参考文献数
6

This report described the effect of remote acupuncture therapy for a scoliosis patient with low back pain. It was considered that the cause of the low back pain was contraction of the erector spinae. Contraction pain of the erector spinae was induced by trunk malalignment due to reduced trunk stabilization. Trunk instability was induced by reduced activity of the obliquus abdominis. Therefore, in order to increase the activity of the obliquus abdominis, remote acupuncture therapy was performed on the GB41 (Ashirinkyu). GB41 was a reaction point on the Gallbladder Meridian through the obliquus abdominis. As a result of remote acupuncture therapy, low back pain and trunk instability were reduced because the activity of the obliquus abdominis was increased.