著者

木田 知宏 伊藤 陸 藤本 将志 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.19, pp.34-41, 2019 (Released:2019-12-26)

参考文献数

11

---

In patients with musculoskeletal and central nervous system diseases, even if the sitting and standing postures can be maintained to some extent, the instability of the hip joint and pelvic area may limit the muscle activity when the lower limbs are raised. By presenting electromyographic studies and images of the hip joint and pelvis during the above-mentioned movements, this study introduces points of clinical evaluation and treatment.

著者

池澤 秀起

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.65-69, 2017 (Released:2017-12-29)

参考文献数

22

---

In clinical settings, we often treat pain, but the cause of pain is often not clear. We sometimes use X-ray images to identify the cause of pain. However, symptoms and X-ray images are not necessarily consistent. Therefore, a basic understanding of the nature of pain is necessary. We must learn how damaged tissue is restored, and the organization of healthy tissue. Only then can we understand how damaged connective tissue is restored and how the percentages of the fiber and matrix components change during the repair and organization processes. Based on this anatomic knowledge, we can understand how to treat pain.

著者

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.5, pp.1-9, 2005 (Released:2006-01-26)

参考文献数

9

被引用文献数

4

---

Understanding the spinal neural function is important in physical therapy for patients with neurological disease, especially the control of spasticity. We introduce our research and that of others about the spinal neural function for motor control using evoked EMG. The excitability of the spinal neural function, especially that of the spinal reflex is influenced by central and peripheral nerve function due to muscle contraction and muscle stretching at different parts. In this report, we introduce researches into the spinal reflex rearding: 1) Presynaptic inhibition in healthy and neurological diseases; 2) Excitability of the spinal neural function of an affected arm with muscle contraction of the leg in patients with cerebrovascular diseases (CVD); 3) Excitability of the spinal neural function of an affected arm at the distal part with muscle stretching of the affected arm at proximal parts in patients with CVD; and 4) Excitability of the spinal neural function of an affected arm with direct muscle stretching in patients with CVD. From these reports, it is suggested that the excitability of the spinal neural function is changed by several factors: muscle contraction, muscle stretching and others of the affected muscle and different parts.

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.2, pp.45-47, 2002 (Released:2005-05-21)

参考文献数

2

被引用文献数

2

---

This article describes the characteristics of running and sprinting from the viewpoint of kinematics and mechanical energy. Mechanical stress on the body induced by running does not always increase at faster running speed. Mechanical stress on the body when running is affected by the conversion of mechanical energy and momentum. In instruction on running in the field of physical therapy, it is not necessary to decide the grade of running as to speed. It is necessary to prescribe running while predicting mechanical stress on the body, and thinking about the conversion of mechanical energy and momentum.

著者

安井 重男 藤本 将志 渡邊 裕文 大沼 俊博 赤松 圭介 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.8, pp.69-73, 2008 (Released:2009-01-15)

参考文献数

5

被引用文献数

3

---

We have experimented with physical therapy for patients with difficulty of body weight transfer due to hyperactivity of the latissimus dorsi and muscular contractions. For lateral body weight transfer, training changed the distance of lateral transfer in the sitting position. Recent electromyographic (EMG) studies on the latissimus dorsi reported activities in its upper and lower fibers in the scapular brachial joint during trunk exercise. However, the activities of this muscle on lateral transfer in the sitting position have not been analyzed. In this study, we examined the influence of changes in the distance of lateral transfer in the sitting position using the EMG of the upper and lower fibers of the latissimus dorsi. Initially, in the end-sitting position (starting limb position), in which the bilateral arms were folded, we measured integrated EMG (iEMG) for the upper and lower fibers of the bilateral latissimus dorsi. Subsequently, the shoulder girdle was transferred in the lateral direction at distances of 5, 10, 15, and 20 cm without inclining or rotating the line between the bilateral acromions, while maintaining the head in the vertical position, with both feet placed on the ground from the starting limb position. We determined the respective iEMGs. There were no significant lateral transfer distance-related changes in the relative iEMG for the upper and lower fibers of the mobile side latissimus dorsi. Furthermore, the value for the upper fibers of the non-mobile side increased with the distance of lateral transfer. In addition, the value for the lower fibers of the non-mobile side also elevated with the lateral transfer distance; at a distance of 20 cm, the value was significantly higher than those at distances of 5 and 10 cm. Based on the results of this study, it may be important to evaluate the abdominal oblique muscles, dorsolumbar muscles, and latissimus dorsi in performing lateral body weight transfer. Training chang the distance of lateral transfer in the sitting position of patients with difficulty of lateral transfer . In addition, the actions of the upper fibers of the latissimus dorsi differed from those of the lower fibers, suggesting the necessity of assessing these fibers individually.

著者

金井 一暁 米田 浩久 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.4, pp.123-129, 2004 (Released:2005-03-11)

参考文献数

8

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In this study, It was found that there was a relationship between poorcoordination of the limbs and trunk and instability of the lower trunk and pelvic girdle in a stroke patient. It was clarified that instability of the lower trunk and pelvic girdle caused by lower muscle activity of the obliquus internus abdominis made the backmuscles tone higher, and that this condition made the poorcoordination. The effect of treatment for lower muscle activity of the obliquus internus abdominis was verified using a force-measuring platform and surface electromyogram. As a result, the trunk muscle tone in this patient got closer to normal, and the poorcoordination was alleviated. It was suggested that the approach to improve the instability of the lower trunk and pelvic girdle was effective in controlling the poorcoordination.

著者

渡邊 裕文 大沼 俊博 藤本 将志 水上 俊樹

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.11, pp.5-11, 2011 (Released:2012-01-06)

参考文献数

1

---

In this paper, we introduce some approaches that have been used for hemiplegic patients with serious sensory disturbance in our hospital's convalescence rehabilitation ward. The highest function level in the present case was sitting in a leaning position, and this patient needed assistance in all the activities of daily living. Our treatment aimed to adjust the alignment of the trunk and the neck and improve the mobility of the non-paralyzed upper and lower limbs. Herein, we discuss our goal, potential outcome, and problems of impairment through the treatment and sitting posture in the wheelchair before and after treatment.

著者

白井 鉄造 木村 典代 山内 仁 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.7, pp.125-129, 2007 (Released:2008-01-18)

参考文献数

6

---

We report a case of right hemiparesis after cerebral infarction, who was not able to walk without both lateral bending of trunk and elevation of pelvis on the unaffected side. In the evaluation, hypotonia of the paralyzed side obliquus abdominis muscles and gluteus muscles was confirmed, clearly indicating hypertonia of the paralyzed lumbar muscles. We approached the paralyzed side obliquus abdominis muscles group and gluteus muscles group, with the objective of suppressing paralysis of the lumbar muscles. After 2 weeks of physical therapy, the elevation of the pelvis on the unaffected side was decreased and the side movement of pelvis increased. We suggest physical therapy of CVA patients who have compensatory hypertonia should approach hypotonia of muscles, with the object of suppressing hypertonia.

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.14, pp.17-25, 2014 (Released:2014-12-27)

参考文献数

15

---

In physical therapy for contracture of the shoulder (or frozen shoulder), it is important to make an effort to understand the condition as well as to communicate closely with orthopedists. Inflammation around the shoulder limits shoulder movement through pain and contracture of the shoulder joint, and it is classified as the freezing stage, the frozen stage, and the thawing stage, each of which needs an appropriate choice of therapy. In the freezing stage, pain relief and maintaining range of motion are important. It is necessary to pay attention to the loading and positional relationship of the humerus and scapula, while avoiding pressure and tension, which can cause pain, on the rotator cuff, subacromial bursa, and coracoacromial ligament. The objective of therapy in the frozen stage is the improvement of range of motion, and rotator cuff and shoulder girdle functions. It is important to perform range of motion training with an anatomical understanding of the features of the rotator cuff interval region, which is the focal point of shoulder contracture. In particular, it is necessary to look out for the shoulder shrug phenomenon when performing arm elevation, because of its detrimental effect on the function of the supraspinatus muscle. With this in mind, the authors propose a shoulder exercise method in the side-lying position, which suppresses the shoulder shrug phenomenon, while improving the function of the rotator cuff and shoulder girdle muscles.

著者

髙尾 耕平 北原 あゆみ 森岡 研介 高崎 恭輔 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.13, pp.73-76, 2013 (Released:2013-12-28)

参考文献数

4

---

The purpose of this study was to examine the influence of a knee and ankle foot orthosis (KAFO) on normal gait. The subjects were 9 healthy males with a mean age of 23.2 ± 1.1 (range 20-31) years. Alterations in the angles of the trunk, hip, knee, and ankle were examined during walking with and without a KAFO using a three-dimensional motion analysis system (UM-CAT II). From the results, three patterns were defined, all of which could be considered types of compensation for the limitation of motion caused by KAFO.

著者

鈴木 俊明 谷 万喜子 浦上 さゆり 文野 住文 鬼形 周恵子

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.12, pp.1-6, 2012 (Released:2012-12-27)

参考文献数

3

---

We describe the following 3 important points in muscle tone evaluation. (1) It is important to examine the tension of the skin and other soft tissues as well. (2) The results of research into the rectus abdominis indicate that muscle tone in the central belly may not reflect the overall tone of that muscle. (3) Detailed evaluation of the function of all abdominal and back muscles should be performed.

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.18, pp.30-34, 2018 (Released:2018-12-20)

参考文献数

5

---

Many studies have discussed the biomechanics of the shoulder joints. However, therapists rarely use this research in clinical practice. In general, evaluation is performed using visual and tactile skills. Visual assessment is suitable for observing static motion, but skill is necessary to evaluate rapid and complicated motion. Visual assessment skills are easily taught to others, but observations can be misinterpreted. Tactile assessment skills are difficult to teach, but improve with experience, and proficiency enables detailed evaluation. Use of these sensory skills in combination can aid the evaluation of patients with shoulder joint disease. This paper introduces an approach to assessment using tactile and visual skills for evaluation and treatment with upper limb exercise therapy.

著者

高木 綾一 高崎 恭輔 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.7, pp.65-70, 2007 (Released:2008-01-18)

参考文献数

14

被引用文献数

3

---

It is difficult for cerebrovascular disease patients to maintain the standing position while holding the shoulder in the flexed position and flexing the shoulder. It is thought that center-of-gravity line deviates from the base of support because holding the shoulder in the flexed position or flexing the shoulder influence the body alignment and generate addtional forces. The center of plantar pressure moves toward the center of gravity line to avoid leaving the base of support. Therefore, clarifying the movement pattern of the center of plantar pressure while holding the shoulder in the flexed position and flexing the shoulder is important when we perform a physical therapy evaluation for patients with instability in standing. In this study, trace of the center of plantar pressure movement during holding the shoulder in the flexed position and flexing the shoulder in standing was investigated to evaluate postural control in healthy subjects. We analyzed the trace of the center of plantar pressure in standing as follows: 1) The center of plantar pressure average displacement with change of the shoulder flexion angle (0°, 30°, 60°, 90°, 120°, 150° and 180°); 2) The trace pattern of the center of plantar pressure in flexing the shoulder. We found trace patterns of center of plantar pressure which are common to subjects holding the shoulder flexed at 30°, 60° and 90°. Also, in the pattern classification of trace patterns of the center of plantar pressure during flexing the shoulder, we identified 5 patterns as follows: front S pattern, front reverse S pattern, rear S pattern, front C pattern and front reverse C pattern. We think that a force was generated by holding the shoulder in the flexed position and that flexing the shoulder was related to some of the patterns produced. It is important that the trace pattern of center of plantar pressure is ealuated while holding the shoulder in the flexed position and flexing the shoulder.

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.8, pp.57-61, 2008 (Released:2009-01-15)

参考文献数

2

---

In this article, an outline of the International Classification of Functioning, Disability and Health (ICF) is described, and, rehabilitation which is based on the ICF concept is proposed. Because the ICIDH model consists of impairments, disabilities and handicap from the "flow" of thinking originating from diseases, it could a only be constructed by professionals like a doctor or a therapist. However, because ICF is a classification of daily life function, its construction is possible by various disciplines, not just a doctor or a therapist. It is desirable that a therapist understands the ICF concept to maintain cooperation and a common language with other disciplines. To keep therapist's identity as "we can cure", it is therapists who have to recognize the concept of ICF with the new three dimensional paradigm described in this article. To establish the three dimensional paradigm of ICF, the therapist has to understand the "Wellness", which arises from the client's desire and needs, instead of "Health condition" in ICF. In other words, construct the three dimensional paradigm of ICF, to offer rehabilitation service, and the subject is lead to higher "Wellness", and as a results of this process, whole human rehabilitation is facilitated better than the rehabilitation which is done under the ICIDH model.

著者

松井 幸士 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.10, pp.63-70, 2010 (Released:2011-01-13)

参考文献数

3

---

We were involved in the physiotherapy of a patient with cerebrovascular disorder. The patient had repeated aspiration pneumonia. The trunk takes a bent position in a patient with repeated aspiration pneumonia, and the neck leans back. We performed physiotherapy for the facial expression and mastication muscles. As a result, the position of the patient's neck and trunk improved. Furthermore, the muscle tone of the trunk muscles was promoted by our treatment of the facial expression and mastication muscles, allowing the cervical vertebrae to rotate. In this article, we report the influence of the trunk on induction of the facial expression and mastication muscles and lordosis of the cervical vertebrae.

著者

鈴木 俊明 鬼形 周恵子 文野 住文 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.11, pp.13-19, 2011 (Released:2012-01-06)

---

We conducted evaluation and physical therapy for the affected arm function of a patient with cerebrovascular disease. In the evaluation of affected arm function, it is important to understand the relativity of the overall problem using observation not only of the movement of the affected arm but also of the whole body such as in walking. An effect of physical therapy on the problem of the affected arm may be found, but to maintain the effect of physical therapy we need an approach for the whole body together with the affected arm. ASPT (Acupoint Stimulated Physical Therapy) on Ba-geae was very effective for fine movement of the affected finger.

著者

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.15-19, 2006 (Released:2007-01-30)

参考文献数

7

被引用文献数

1

---

Generally diseases which cause disorder of coordinated movement are cerebrovascular diseases, brain tumors, multiple sclerosis, spinal cerebellar and degeneration. Especially, many patients with cerebellum disease have disorders of coordinated movement. This paper describes the function of the cerebellum and disorders of coordinated movement. For physical therapy of disorder of coordinated movement we define the part of instability and provide compensatory fixation. Then, it is important that we facilitate the stabilized movement of patients in a functional setting.

著者

松本 明彦 津江 正樹 赤松 圭介 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.13, pp.129-136, 2013 (Released:2013-12-28)

参考文献数

4

---

We report the case of a patient who, after posterior lumbar fixation for lumbar spinal canal stenosis, presented with difficulty in reaching the gluteal cleft with the right upper limb from the dorsal side while wiping after excretion and inevitably used the left upper limb. Through observation of a simulated wiping motion with the right upper limb, a decrease in the ability to perform the following movements was suspected: moving the pelvis from a posterior to an anterior inclination with flexion, internally rotating the left hip joint, extending the trunk, elevating the right pelvis and flexing the trunk to the right side, and rotating the trunk to the right. Examination based on these observations identified decreased tonus of the bilateral internal oblique muscles of the abdomen and multifidus and longissimus muscles, and increased tonus of the bilateral iliocostal muscles to be the primary causes. Therefore, surface electromyography was performed, and electromyographic waveform patterns of the aforementioned trunk muscles during simulated wiping motion with the right upper limb were compared with those of healthy subjects. No activity was detected in the bilateral internal oblique muscles of the abdomen. The patterns of the other muscles were similar, albeit with decreased activity. During physical therapy, the patient retained the physiological curvature of the spine, with the pelvis in the center of the anterior and posterior inclinations and the trunk extended in a sitting position. Furthermore, right pelvic elevation and right rotation of the trunk accompanied by right-sided flexion were promoted while shifting the body weight in the left anterior direction. Satisfactory wiping motion with the right upper limb was acquired through this therapy. This case report suggests that when examining the wiping motion after excretion, it is necessary to evaluate the ability to elevate the pelvis and flex and rotate the trunk to the required side while retaining the physiological curvature of the spine.

著者

舩坂 依里 阿部 直也 松岡 雅一 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.11, pp.123-129, 2011 (Released:2012-01-06)

参考文献数

3

---

We provided physical therapy for a patient with cerebrovascular disease presenting with left hemiparesis due to infarction of the right parietal, temporal and occipital lobes. The patient had difficulty standing up because of an abnormal muscle tone caused by deep sensory disturbance of the affected lower extremity. Physical therapy was provided to improve sensory function. After seven sessions of physical therapy in one week, deep sensation and abnormal muscle tone improved. Load-bearing ability of the affected extremity increased and the amount of support needed to stand up decreased because of the improved muscle tone. Sensation was also recognizable following this improvement. It was believed that the amount of support needed to stand up decreased, resulting in a change in the amount of exertion needed to adjust muscle tone. This indicates that physical therapy is necessary for considering the interaction between sensory disturbance and muscle tone in patients with hemiparesis caused by cerebrovascular accidents.

著者

山口 剛司 渡邊 裕文 蔦谷 星子 大沼 俊博 三好 裕子 赤松 圭介 藤本 将志 若林 志保子 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.3, pp.139-144, 2003 (Released:2005-04-12)

参考文献数

2

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Lateral shift of the center of gravity for the treatment of cerebral angiopathic paralysis was investigated. These patients show increased tension in the dorsolumbar muscles on the paralyzed side, and have difficulty in shifting their weight toward the paralyzed side. Prior to the restoration of standing and walking motions, it is necessary to improve the sitting posture. In this study, we treated cerebral angiopathic paralysis by 2 lateral methods of shifting the center of gravity by inducing movement of the trunk alone and simultaneous movements of the trunk, pelvis and lower limbs. The effects of the treatment by these methods were evaluated with muscle integration values and observation of the posture of the patients. The muscular activity pattern of the muscles in the trunk became closer to normal, and posture and motion were improved when movements of the trunk, pelvis and lower limbs were simultaneously induced. It was suggested that simultaneous induction of the trunk, pelvis and lower limbs was important for treatment based on lateral shift of the center of gravity.