著者

服部 祐介 山内 仁 大工谷 新一 中里 伸也

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.123-129, 2006 (Released:2007-01-30)

参考文献数

16

被引用文献数

2

---

We had a patient with a tear of rectus femoris during running. As a characteristic finding, a big hematoma was identified by ultrasonography. The patient wanted to return to sports activities as soon as possible, because she was a competitor in an important game in a pennant race. So, we selected acupuncture therapy for improvement of hematoma. Especially, we chose electro-acupuncture, which is thought to be effective for early healing. As a result of electro-acupuncture therapy for three weeks, the hematoma was decreased however muscle activity had declined as measured by surface electromyography. Therefore we gave intermittent continuous wave pulse stimulation of 30 Hz to the rectus femoris. After the stimulation, muscle contraction was improved. The patient had no physical findings and returned to sports activities.

著者

門田 美咲 井上 直人 北原 拓 黒川 拓馬 渕野 航平 柳川 洸輔 福本 悠樹 谷 万喜子 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.18, pp.60-63, 2018 (Released:2018-12-20)

参考文献数

11

被引用文献数

1

---

This study aimed to clarify the effect of physical therapy using acupuncture stimulation at the Shangdu point on spinal neural function. This study examined the F-wave excitability of the spinal neural function in 15 healthy subjects using pressure stimulation at the Shangdu point. F-wave persistence significantly decreased at 5, 10, and 15 minutes after treatment, compared with the resting state. F-wave persistence significantly decreased at 0, 5, 10, and 15 minutes after treatment, compared with that during application of pressure. F-wave persistence significantly decreased at 5, 10, and 15 minutes after treatment, compared with that at the 0 time point. Pressure at the Shangdu point inhibits the excitability of the spinal neural function.

著者

松田 大哉 野口 翔平 清水 啓介 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.18, pp.64-69, 2018 (Released:2018-12-20)

参考文献数

11

---

To investigate the effects on postural change and muscle activity in foot muscles during lateral weight shift while wearing an AFO. The subjects were 15 healthy men (average age 24.9 ± 2.5 years old). They performed a lateral weight shift in the standing position to the right lower limb while wearing an AFO on the right foot, then repeated the process without one. In each instance, postural change and electromyograms (EMG) of the peroneus, foot supinator muscles, and tibialis anterior were measured. When initiating the lateral weight shift while wearing the AFO, hip adduction on the moving side resulted in pelvic depression on the non-moving side. Continuation of the lateral weight shift also resulted in lateral flexion of the thoracolumbar area on the moving side, as well as outward inclination of the lower limb on the moving side. Compared to the barefoot lateral weight shift, there was a trend toward overall decrease in muscle activity in the peroneus, foot supinator muscles, and tibialis anterior. During a lateral weight shift while wearing an AFO, the AFO limits both foot pronation and supination. It can be surmised that this function of the AFO results in reduced muscle activity of the peroneus, used for grounding the foot, as well as in reduced muscle activity of the foot supinator muscles and tibialis anterior, which are used to restrict outward inclination of the lower limbs.

著者

早田 荘 楠 貴光 藤本 将志 大沼 俊博 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.39-44, 2015 (Released:2016-01-06)

参考文献数

11

被引用文献数

4

---

The purpose of this study was to clarify the activities of the longissimus, multifidus, and iliocostalis muscles at different angles of shoulder joint flexion. The subjects were 14 healthy males (mean age, 23.7 ± 1.9 years). Electromyograms of the longissimus, multifidus, and iliocostalis muscles were recorded at shoulder flexion angles of 0, 30, 60, 90, 120, and 150 degrees in a seated position. The relative values of the integrated electromyograms (iEMG) of the longissimus muscle on the side of shoulder joint flexion gradually increased up to the flexion angle of 90 degrees and gradually decreased thereafter. The longissimus iEMG value was significantly higher at 90 degrees than at 150 degrees. There were no changes in the relative values of the other muscles. We conclude that the longissimus muscle on the side of shoulder joint flexion contributes to the maintenance of posture.

著者

木田 知宏 伊藤 陸 楠 貴光 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.18, pp.76-82, 2018 (Released:2018-12-20)

参考文献数

4

---

One-sided lower limb raising motion during sitting is carried out in various daily living activities. In clinical practice, we often encounter patients experiencing instability during maintenance of the sitting posture. When such patients lift the lower limb of one side, the balance of the sitting posture is disturbed, leading to instability at the back and the side, necessitating assistance for basic daily chores in some cases. Physiotherapy training includes practice exercises for raising the legs to various heights for patients who find it difficult to raise the lower limb of one side in the sitting position. We hypothesized that movement of the spine, the pelvis, and a change in the pressure center of the seating surface accompany lifting of the lower limbs, and analyzed the spinal, pelvic, and limb positions using two-dimensional image analysis in physical movement, and the center of pressure displacement responses to changes in the height of unilateral lower limb elevation in the sitting position. The objective was to examine the characteristics of COP displacement. In the 30% elevation task, displacement of the right and left COP locus was observed in response to lower limb elevation, and with regard to the longitudinal COP locus, there was a tendency of the COP locus to displace backward after the COP shifted forward. In the 90% elevation task, COP displacement to the support side and the rear side was observed. Considering these facts, a pattern of characteristic COP displacement corresponding to the change in height of the leg lifting was seen. In healthy volunteers, it has been observed that the supporting side hip joint is always held in internal rotation, and that the load is applied at the sole so that efficient operation with less COP displacement occurs. In cases of instability in one side lower limb elevation, it has been suggested that evaluation of the alignment of the supporting side hip joint is as important as that of the elevated lower limb and the trunk.

著者

池田 幸司 藤本 将志 安井 重男 渡邊 裕文 大沼 俊博 赤松 圭介 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.9, pp.83-88, 2009 (Released:2010-01-16)

参考文献数

3

被引用文献数

4

---

In the clinical field, we have provided physical therapy for cases presenting with Trendelenburg sign on walking caused by reduced muscle strength of the abductor muscle group of the hip joint on the weighted side. The Trendelenburg sign can occur in the early stage or after the middle stage of the stance phase, showing various patterns. In this study, we focused on the relationship between Trendelenburg sign occurring in the early stage or after the middle stage of the stance phase and the abductor muscle group of the hip joint on the weighted side. The subjects were asked to flex their hip joint and bend the body forward with 95% of the body weight loaded on one side of the body in an upright position, and remain in this position with the angle from the initial position at 5, 10, 15, 20, and 25 degrees. We evaluated the influence of changes in the angle of the hip joint on integration values of electromyograms of the abductor muscle group of the hip joint (the tensor fascia lata muscle, gluteus medius muscle, and superior part of the gluteus maximus muscle) on the weighted side, using surface electromyograms. As a result, the relative integration value of the electromyograms of the tensor fasciae lata muscle and gluteus medius muscle on the weighted side significantly decreased as the angle of the hip joint increased. On the other hand, the relative integration value of electromyograms of superior part of the gluteus maximus muscle on the weighted side significantly elevated as the angle of the hip joint increased. The hip joint on the weighted side underwent flexion, and was subjected to an abduction force, as the angle of hip joint changed when one of the lower extremities was loaded. It was considered that superior part of the gluteus maximus muscle, which also belongs to the extensor muscle group of the hip joint, was primarily involved as a braking force. The results of this study suggest that the evaluation and treatment of superior part of the gluteus maximus muscle is important in controlling the dropping of the pelvis toward the non-weighted side (adduction of the hip joint of the standing leg) and its anterior inclination (flexion of the hip joint of the standing leg) in cases presenting with Trendelenburg sign.

著者

伊藤 陸 貝尻 望 藤本 将志 大沼 俊博 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.49-52, 2015 (Released:2016-01-06)

参考文献数

5

被引用文献数

1

---

To analyze walking turns, the influence the hip joint external rotation angle of the stepping limb in the standing position has on electromyographic activities of the upper and lower gluteus maximus muscle fibers was examined. The subjects were 10 healthy males with a mean age of 24.2. The standing position was defined as the position in which subjects stepped forward from a standing position. The hip joint external rotation angle of the starting position was changed, and the electromyographic activities of the upper and lower gluteus maximus muscle fibers were measured at each angle. The integrated electromyographic relative value of the upper gluteus maximus fiber significantly increased with the increase of the hip joint external rotation angle. The integrated electromyographic relative value of the lower gluteus maximus fiber also showed a tendency to increase. It is our opinion that the upper and lower gluteus maximus muscle fibers participate in the maintenance of the extension and external rotation of the support side hip through the actions of hip extension and external rotation. In addition, the support side hip performs adduction with increase in the angle of hip external rotation, indicating that the upper gluteus maximus fiber increases hip abduction to brake it.

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.6, pp.5-13, 2006 (Released:2007-01-30)

参考文献数

3

被引用文献数

2

---

In this article, I describe therapeutic exercise for disorders of higher brain function from the following points of view: developmental process of brain, alteration of brain function after physical therapy and brain fuction related to human activity. From the above points of view, 1) reduction of the compensatory motion, 2) location of the body axis, and 3) application of the search movement for physical therapy are thought to be important. Especially, we have to pay attention to search activity by patient at the scene of physical therapy treatment.

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.10, pp.25-31, 2010 (Released:2011-01-13)

参考文献数

1

被引用文献数

1

---

The lower limb comprises the hip joint, knee joint, and ankle joint. These joints are connected to each other and provide overall support to the lower limb. Knee-in and knee-out that occur while ascending and descending the stairs or when standing up produce tensile and compressive stresses inside or outside the knee joint, which in turn cause pain. This paper introduces a method for determining the lower limb joint which is chiefly responsible for knee-in and knee-out. It also discusses how to implement range of motion exercises in patients with joint dysfunction. The trunk comprises the pelvis, spine, and thorax. The spine consists of 7 cervical vertebrae, 12 thoracic vertebrae, and 5 lumbar vertebrae. Although these bones generate only small movements individually, these bones function together to provide a wide range of body motion. This paper introduces a method for qualitatively evaluating body motion, in addition to conventional quantitative methods such as the range of motion test.

著者

西守 隆 矢田 敦子

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.1, pp.31-34, 2001 (Released:2005-06-07)

参考文献数

12

---

The purpose of this study is to examine the effect of the range of motion (ROM) in pronation of the transverse tarsal joint on trunk motion in standing and hemi-standing. We investigated whether ROM on pronation of the transverse tarsal joint affected trunk rotation in standing and hemi-standing. Subjects were eight healthy persons (five males and three females), sixteen lower extremities. Each subject had bilateral ROM on pronation of the transverse tarsal joint measured with a goniometer, and classified sa the hypo-mobility side (ROM on pronation of transverse tarsal joint <10°) or normal-mobility side (ROM on pronation of the transverse tarsal joint ≥10°). And each subject also had ROM of trunk rotation measured on the supporting side in standing and hemi-standing with a goniometer. We compared the normal-mobility side with the hypo-mobility side as to the ROM of trunk rotation in standing and hemi-standing. Compared with the normal-mobility side, the ROM of trunk rotation was significantly decreased on the hypo-mobility side in hemi-standing (p<0.01). Consequently, the limitation of ROM in pronation of the transverse tarsal joint increases the degree of eversion of the subtalar joint in hemi-standing, and increases the degree of eversion of the subtalar joint in hemi-standing causing loss of stability of the lower extremities in hemi-standing. As a result of this study, we believe that on the hypo-mobility side, loss of stability of the lower extremities disturbs the cooperative connection between the lower extremities and the pelvis in hemi-standing. We concluded that trunk rotation in hemi-standing on the hypo-mobility side is decreased due to disturbance of the cooperative connection between the lower extremities and the pelvis in hemi-standing.

著者

木津 彰斗 末廣 健児 石濱 崇史 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.52-58, 2020 (Released:2020-12-28)

参考文献数

9

---

This study examined and compared the pelvic tilt angle and movement characteristics of a forward-reaching task at different speeds in the sitting position. Seven healthy males each performed a forward-reaching movement toward a target 20 cm ahead within periods of 2 seconds, 1 second, and 0.5 second. It was found that the thoracic vertebra tended to bend immediately after the initiation of movement in all the tasks. Additionally, in the 2-second and 1-second tasks, the pelvis showed a change in angle, tilting forward at initiation of the movement. In the 0.5-second task, however, the pelvis exhibited a slight change in angle, tilting backward to maintain posture at the initiation of movement.

著者

松田 直佳 神部 智紀 好井 直輝 清原 直幸 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.20, pp.135-140, 2020 (Released:2020-12-28)

参考文献数

4

---

We performed physical therapy for a patient with a right trochanteric fracture who complained of staggering while walking. From the right initial stance to the right mid-stance phases, the right hip joint abducted and the trunk tilted towards the right. The patient presented with poor extension of the right knee joint due to knee osteoarthritis. Thus, we focused on the hip joint adductor muscles. We performed physical therapy and observed improvement in the patient’s gait as the strength of her hip joint adductor muscles increased.

著者

淵本 恵 辻 智美 貝尻 望 藤本 将志 大沼 俊博 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.16, pp.101-107, 2016 (Released:2016-12-29)

参考文献数

3

---

In this report, we describe the physical therapy prescribed for a patient with right hemiplegia following cerebral hemorrhage. The patient had difficulty in swinging off the toes because of right hip flexion during walking. This posture did not allow sufficient right hip joint extension from the right loading response to mid stance. In the left swing phase, right hip joint medial rotation from the flexion position caused her trunk to lean forward. She recovered to the right rear direction by right lateral bending and extension of the thoracic and lumbar spine, and right shoulder extension. Even in the terminal stance, right hip joint flexion persisted. The patient increased her right hip joint flexion in the right swing phase. Her walk weight movement was insufficient because right hip joint flexure was increased in the right terminal stance. As a result, the right foot caught on the floor during the right swing. We regarded gluteus maximus weakness to be the chief issue causing right hip joint flexion in the stance phase and conducted physiotherapy accordingly. We report the progress in gait improvement as a result of the prescribed physiotherapy.

著者

水元 裕樹 池澤 秀起 光田 尚代 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.101-106, 2015 (Released:2016-01-06)

参考文献数

6

---

A stroke patient with left hemiplegia was at risk of falling to the right side when turning left, due to, lack of displacement to the left side of the center of gravity which resulted in instability to the right side when turning. Therapy was administered for the left hip joint abductor muscle, left obliquus internus abdominis muscle, and obliquus externus abdominis muscle, but this did not improve turning movements. Therefore, therapy then focused on the alignment of the upper trunk, right shoulder joint, and the right latissimus dorsi muscle. As a result of the new therapy, the center of gravity shifted to the left side thereby reducing the risk of fall. It is our opinion that the right lateral bending of the upper trunk was caused by hypertonia of the right latissimus dorsi muscle, and that hypertonia of the right latissimus dorsi muscle had prevented the patient from shifting her center of gravity to the left side.

著者

加古原 彩 三浦 雄一郎 福島 秀晃 布谷 美樹 田中 伸幸 近藤 克征

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.137-143, 2006 (Released:2007-01-30)

参考文献数

7

---

In this article, we describe physical therapy for a case of decline in muscular strength caused by axillary nervous paralysis with a dislocation of the shoulder joint. This case was characterized by difficulty in flexional movement in the scapulothoracic joint in primary flexion of the shoulder joint because of the adduction and lift of the scapula. We defined the alignment on the several phases that the specific movement of scapula appears. We practiced scapula alignment and performed electromyographic assessment. In this case, in addition to a decline of muscular activity in the deltoid muscle, the upper, middle and lower fibers of the trapezius muscle started to move before the anterior fibers of the deltoid muscle. So, we supposed that this phenomenon caused the disorder, the specific movement of the scapula. We observed the start of activity of the deltoid and trapezius muscles and administered a pendular movement as a therapeutic exercise. Improvement in both excursion of flexion and in patterns of muscular activity in the deltoid and trapezius muscles were confirmed. Furthermore, with repetition of kinesiatrics in the sitting position on the edge of a bed following results was acquired; an increase in muscular activation in the anterior fibers of the deltoid muscle and a muscle activation with same order. This lead to improvement of stability of the scapula because of a decrease in adduction and lift of the scapula in the start position. From the above, we suggest that choice of the method of kinesic therapy, paying attention to the posture of patients and paying attention to the stability of scapulothoracic joint is important.

著者

梶迫 美沙子 光田 尚代 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.12, pp.101-108, 2012 (Released:2012-12-27)

参考文献数

5

---

A patient with a trochanteric fracture of the left femur presented at our hospital. Initially, muscle strengthening of the left lower leg was attempted. This led to subsequent improvement in muscle weakness, and the patient could walk by herself with a cane. However, when she tried walking without a cane, the movement of her first step seemed unstable. We realized that the major impairment was instability at the first step of walking. To resolve this issue, we aimed at practical improvement of the instability. We focused on alignment of the pelvis and trunk, and on the center of pressure at the first step of walking. Efficient, smooth walking is possible due to a reverse reaction phenomenon derived from the standing position in a healthy person. However, in the present case, the movements of the center of pressure and the patient’s standing position at the first step were different from the general pattern. We concentrated on improving her posture and control in the standing upright position. Thereafter, the patient’s standing upright position and the center of pressure at the first step changed remarkably and she acquired smooth walking following the first step.

著者

安井 柚夏 白井 孝尚 井尻 朋人 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.89-94, 2022 (Released:2022-12-23)

参考文献数

13

---

We report a case of postoperative fracture of the right femoral tuberosity with a resultant pain in the lateral part of the right hip experienced at the start of walking. During steady-state gait, right pelvic rotation with medial rotation of the right hip occurred in the right stance phase of the patient. However, at gait initiation, medial rotation of the right hip was limited. We focused on and treated the anterior fibers of the right gluteus medius muscles, which are responsible for internal hip rotation. Post treatment, the patient reported an improvement in the pain felt at gait initiation, an improvement in the medial rotation of the right hip during the right stance phase, and an improvement in walking stability.

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 (Released:2017-12-29)

参考文献数

5

被引用文献数

1

---

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.

著者

黒部 正孝 松原 広幸 藤原 聡 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.102-106, 2021 (Released:2021-12-25)

参考文献数

5

---

We carried out rehabilitation therapy for a post-stroke patient. The patient could not turn over sufficiently because he could not swing his left lower leg to the right and did not rotate his pelvis to the right enough. We tested the muscle tone and found decreased muscle tone in the right iliopsoas muscle and the oblique fibers of the left internal oblique abdominal muscle. From the results of the test, we thought that the decreased muscle tone of the right psoas major muscle was preventing the right swing of the left lower limb, and the reduced tonus of the left internal oblique muscle prevented the pelvis from rotating to the right. Therefore, we conducted a therapeutic approach for these muscles. As a result, the patient was able to perform a complete turning movement.

著者

奥田 典生

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.57-61, 2002 (Released:2005-05-21)

参考文献数

1

---

Medical fields are not exempted from the effects of waves of deregulation and structural changes. The minus revision of medical fees has been implemented from this April, and all hospitals, public and private, are facing the need to search for significant management strategies to survive. But quite a few hospitals depend on administrative organizations for their management practice, and to meet the needs of the age, a change to independent hospital management is expected. It is necessary to recognize highly precise management analyses and diagnoses of hospital management as the means of providing better, appropriate medical services to the patients, and that securing a stable medical business profit is not the prime purpose. When hospital management analysis is carried out, lowering personnel expenses, which is the core of total cost, is an important point. It is necessary to reconsider wages based on seniority, and to adopt a system based on ability and further to introduce meritocracy in the future. In this paper the author speculates upon various problems arising from recent medical fee revision, focusing particularly on the personnel wage system from the hospital management viewpoint.