著者

東藤 真理奈 福本 悠樹

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.22, pp.51-58, 2022 (Released:2022-12-23)

参考文献数

25

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Evaluation is a very important part of the process of providing physical therapy. After selecting movements based on the patient’s daily activities and narrowing down the problematic joint movements based on movement observation, it is necessary to evaluate the patient and to establish the functional impairment. Sometimes there are cases where problematic joint range of motion can be deduced from the movement, but no range-of-motion measurement method exists. The patient may be diagnosed with joint range of motion limitation based on movement observation, and treatment may be developed, but no change in movement is observed. In this section, we introduce methods for evaluating joint range of motion with awareness of the axis of motion, and explain how to evaluate external rotation of the lower leg together with an explanation of the correct interpretation of the motion.

著者

楠 貴光 歳森 大輝 伊藤 翼宙 大沼 俊博 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.22, pp.67-74, 2022 (Released:2022-12-23)

参考文献数

10

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In this study, the area where the iliac muscle and psoas major muscle are visualized on the surface was examined using ultrasound imaging system. The site where the iliac muscle was visualized on the surface was 0–1 cm lateral at 1 cm below the anterior superior iliac spine (ASIS), 0–2 cm lateral at 2 cm below the ASIS, 1–2 cm lateral at 3 cm below the ASIS, 2–3 cm lateral at 4 cm below the ASIS, 2–4 cm lateral at 5 cm below the ASIS, 3–4 cm lateral at 6 cm below the ASIS, 3–4 cm lateral at 7 cm below the ASIS. The psoas major muscle was not visualized on the surface. This result suggests that the activity of the iliac muscle can be examined using surface electromyography.

著者

和田 直子 岡山 裕美 熊崎 大輔 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.12, pp.41-44, 2012 (Released:2012-12-27)

参考文献数

8

被引用文献数

2

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Limited range of motion in the knee joint is often observed in patients after total knee arthroplasty. Decreased extensibility of the skin is one of the factors limiting motion. The purpose of this study was to examine the extensibility of the skin over the knee during knee flexionat at angles of 0°, 30°, 60°, 90°, 120°, 150°, and maximal flexion as performed by 30 healthy subjects (15 males, 15 females). The skin covering the anterior area of the knee was divided into 4 sections: skin over the femur, the suprapatellar bursa, the patella, and the patellar ligament. The dimensions of each section at each flexion position were measured. The results indicate that the extensibility of the skin over the suprapatellar bursa and the patella in positions from 0° to 30° was significantly greater than that covering the femur and the patellar ligament (p<0.05). In addition, as the degree of knee flexion increased, the extensibility of the skin over the suprapatellar bursa and the patellar ligament was greater than that over the other areas. The results of this study indicate that evaluation of skin extensibility during physical therapy for patients with limited range of motion in the knee must include not only the area that shows limited motion but also the surrounding areas.

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

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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

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

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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

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

藤原 聡 高橋 優基 前田 剛伸 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.21, pp.66-73, 2021 (Released:2021-12-25)

参考文献数

18

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In clinical practice, muscle weakness is often considered a functional disability similar to limitation of range of motion. Physical therapists use manual muscle testing (MMT) as described by Daniels et al. for the general assessment for muscle weakness. This test quantitatively assesses muscle strength by the amount of joint movement, muscle contraction, and the effect of gravity and resistance. However, it is not possible to evaluate the strength of individual muscles involved in a single joint movement, or to separate a single muscle into fibers with different actions when using this method. It is also difficult to assess qualitatively whether muscle activity is assessed at a specific time during movement. In this paper, we examine the possibility of evaluating muscle weakness using MMT for knee extension, hip extension, and hip abduction by changing some of the test positions and the direction of manual resistance based on kinematics. For knee extension, we describe how to check the alignment of the patella and how to vary the movement speed to check for muscle activity at a given time. Each of these approaches are presented based on electromyogram data.

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

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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

井尻 朋人 白井 孝尚 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.21, pp.4-11, 2021 (Released:2021-12-25)

参考文献数

11

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It is known that the patients with shoulder disorder have scapular dyskinesia in shoulder motion, and there are many variations in scapular dyskinesia. Scapular movement is a consequence of the movements in the sternoclavicular and acromioclavicular joints. Therefore, we have to assess and focus on the functional impairment instead of the phenomenon. In this article, the perspectives of determining a functional impairment from the patient’s motion are presented.

著者

高見 武志 松田 俊樹 三馬 孝明 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.11, pp.65-70, 2011 (Released:2012-01-06)

参考文献数

5

被引用文献数

3

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Sometimes, when improving the range of motion or muscle strength of the shoulder joint, we fail to obtain sufficient therapeutic effects in subjects who have difficulty in raising their arms up along the spine from a position in which the arms are at the back (belt-tying movement). In many such cases, scapular motion is inadequate or different from the normal motion during belt-tying movement. On the other hand, we have experienced several cases in which the scapula moved more smoothly and belt-tying movement was improved by strengthening the scapular muscles using exercise therapy. This study aimed to elucidate the muscle activity pattern of scapular muscles during the belt-tying movement. We found that the upper trapezius muscle fibers elevate the scapula and middle trapezius muscle fibers maintain scapula adduction; and the lower trapezius muscle fibers and the serratus anterior muscle were considered to regulate anterior inclination of the scapula at T12 and lower vertebrae. Patients experiencing difficulty in belt-tying movement should receive a quantitative and qualitative assessment of the timing of movement of the trapezius muscle fibers and the serratus anterior muscle after gaining an understanding of the stage in which the patient starts to feel difficulty in movement.

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

5

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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

大西 真代 塚本 枝里 鈴木 裕介 山本 吉則 嘉戸 直樹 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.11, pp.131-138, 2011 (Released:2012-01-06)

参考文献数

3

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We administered physical therapy to a patient with post-stroke right hemiplegia who had difficulty eating with the fingers of the affected hand. The functioning of the fingers was preserved, but their dexterity decreased because the affected upper limb could not maintain forward elevation. We believed that instability of the trunk and scapular region of the affected side influenced finger movements of that side. Therapeutic gain, after providing physical therapy to the trunk and affected shoulder region, was assessed using surface electromyography. Alignment of the trunk and affected shoulder region as well as feeding activity improved. Surface electromyography evaluation during forward elevation of the affected upper limb showed an improvement in the muscle activation pattern. Stability of the chest and scapula was necessary to attain finger dexterity in this patient.

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

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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

中道 哲朗 渡邊 裕文 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.15, pp.17-21, 2015 (Released:2016-01-06)

参考文献数

4

被引用文献数

6

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Single-leg standing is performed in various daily activities such as wearing and removing trousers, stepping into and out of a bathtub, and ascending and descending stairs. Therefore the acquisition of stable and safe single-leg standing is crucial for independent living. Watanabe et al. (Journal of Kansai Physical Therapy, Vol. 9) have reported the importance of the trunk and hip muscle activities of the legs both on and off the ground in the single-leg standing position. Single-leg standing also requires maintenance of the center of pressure (COP) by the foot on the ground. To achieve this condition, the functions of the trunk and hip as well as the functional activity of the foot on the ground have important roles, including the ability to keep COP in the same place, and the ability to flexibly shift COP with the foot on the ground. In addition to the trunk and hip muscle activities, these abilities are attained when the functional muscle activity of the foot activates the medial and lateral longitudinal and transverse arches. This paper describes the assessment methods of the lateral longitudinal arch and the function of the abductor digiti minimi muscle of the foot in supporting the lateral longitudinal arch.

著者

三浦 雄一郎 福島 秀晃 森原 徹 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.12, pp.29-34, 2012 (Released:2012-12-27)

参考文献数

17

被引用文献数

5

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The aim of this study was to clarify the function of the abdominal muscles in stabilizing the trunk during shoulder flexion. We used surface electromyographic (EMG) data from the rectus abdominis (RA) and external oblique abdominis (EO) muscles of 7 healthy male subjects (age 29.4 ± 4.7 years). Muscle activities of the right anterior deltoid, serratus anterior (SA), RA, and EO muscles were recorded while maintaining right shoulder flexion. The subjects held a plumb-bob of 5% of body weight. The angles of shoulder flexion were 30°, 60°, 90°, and 120°, and they were maintained for a full 5 s in each position. EMG activities of EO during shoulder flexion of 120° and 90° were significantly greater than that during shoulder flexion of 30° (p<0.05). EMG activity of SA during shoulder flexion of 120° was significantly greater than that during shoulder flexion of 30° (p<0.05). EMG activity of RA during shoulder flexion of 120° was significantly higher than those during shoulder flexion of 30° and 60° (p<0.05). The abdominal muscles are necessary to stabilize rotation of the trunk when the scapula is moved and rotated upward by concentric contraction of SA. Therefore, EO on the side of movement plays a major role in controlling trunk rotation toward the contralateral side. Although the activity level of RA was low, we consider that the finding that this muscle showed significantly greater EMG activity was due to its activity in efficiently fixing the rectus sheath while acting in concert with EO. In physical therapy evaluating motor function of the upper extremities, it is important to evaluate the abdominal muscles as well.

著者

山本 吉則 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.13-16, 2015 (Released:2016-01-06)

参考文献数

5

被引用文献数

5

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Sitting down is one of the items of activities of daily living, and it involves movement from a standing to a sitting position. This paper outlines the components of this sitting-down movement. Sitting down and standing up are inverse motions. The electromyography pattern of the sitting-down movement was analyzed and is discussed with reference to physical therapy. An improved understanding of the components of this movement is desirable.

著者

池澤 秀起 井尻 朋人 高木 綾一 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.65-71, 2013 (Released:2013-12-28)

参考文献数

12

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Weakness of the trapezius lower muscle fibers is one of the problems of patients with shoulder joint disease. Therefore, we attempted to train the muscle activity of these muscle fibers by providing movements to the upper limbs. Stimulating these movements is often difficult for various reasons such as limited range of motion. Therefore, we attempted to increase the muscle activity of the opposite side lower trapezius muscle fibers by hip joint abduction in the prone position. In this study, we compared the muscle activities of the lower trapezius muscle fibers during two tasks. First, the upper limbs were placed with the shoulder joint abducted at 145 degrees in the prone position. Then, hip joint abduction was performed in the prone position. A significant difference was not observed between the integrated electromyogram values of the lower trapezius muscle fibers of the tow tasks. In particular, the muscle activity of trapezius lower fibers was approximately the same in shoulder joint abduction of 145 degrees in the prone position as in hip joint abduction, suggesting that hip joint abduction in the prone position is an effective method of training the lower trapezius muscle fibers that does not require upper limb movement.

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

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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

木津 彰斗 末廣 健児 國枝 秀樹 石濱 崇史 池田 幸司 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.16, pp.43-47, 2016 (Released:2016-12-29)

参考文献数

3

被引用文献数

5

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The purpose of this study was to illustrate the actions of the gluteus maximus (GM), medial hamstrings (MH), and lateral hamstrings (LH) during forward-reaching in a sitting position using electromyography (EMG). We found that as the distance of forward-reaching increased, EMG activity of the GM, MH, and LH muscles increased to maintain forward-bending of the trunk. In addition, lower GM activation increased at a shorter reaching distance than the upper GM. From the analysis of posture during this task, we also found that the distance covered during forward-reaching was increased by up to 15 cm mainly through flexion of the thoracic spine. This mechanism enhances the distance of forward-reaching achieved by flexion of the hip joint, but extension of the lumbar spine. From these results, we suggest that forward reaching is not simply caused by flexion of the hip joint and that each fiber of GM, MH, and LH muscles has a different function in the sequence of activities that leads to a change in posture.

著者

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.5, pp.73-75, 2005 (Released:2006-01-26)

参考文献数

6

被引用文献数

1

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The basal ganglia is a group of neural cells in the subcortical structure region. It is important in the control of the movement and motor learning. The function of the basal ganglia is described in this text based on a reference documents.