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理学療法 = Journal of physical therapyの検索結果

もしかして: 理学療法 = journal of physical therapy 

中年者,前期高齢者,後期高齢者の下肢敏捷性の比較 CiNiiでみる

著者名:
山本 裕晃 

抄録:

出版年月日:
2020-01 , 
巻:
9 , 
号:
4 , 
ページ:
201-204 , 
ISSN:
2186-3741

地域在住高齢者における閉じこもり調査 : 身体機能,身体組成,認知・精神心理機能の特徴 CiNiiでみる

著者名:
白岩 加代子  村田 伸  安彦 鉄平  中野 英樹  合田 明生  野中 紘士  岩瀬 弘明  堀江 淳 

抄録:

出版年月日:
2020-01 , 
巻:
9 , 
号:
4 , 
ページ:
195-200 , 
ISSN:
2186-3741

超音波画像を用いた野球選手における回旋腱板筋厚の特徴 CiNiiでみる

著者名:
古後 晴基  山下 裕 

抄録:

出版年月日:
2020-01 , 
巻:
9 , 
号:
4 , 
ページ:
187-193 , 
ISSN:
2186-3741

在宅パーキンソン病患者の異なる歩行速度と身体組成および立位バランスとの関連 CiNiiでみる

著者名:
村田 伸  兒玉 隆之  中野 英樹  相馬 正之  佐藤 洋介  弓岡 まみ  村田 潤  中江 秀幸 

抄録:

出版年月日:
2020-01 , 
巻:
9 , 
号:
4 , 
ページ:
181-186 , 
ISSN:
2186-3741

要介護高齢者を対象とした立位での足指圧迫力の信頼性と妥当性 CiNiiでみる

著者名:
釜﨑 大志郎  大田尾 浩  八谷 瑞紀  稲富 渉  中村 敏宏  陣内 健太 

抄録:

出版年月日:
2020-01 , 
巻:
9 , 
号:
4 , 
ページ:
175-180 , 
ISSN:
2186-3741

地域在住高齢者における外出記録表を用いた外出支援プログラムの効果 CiNiiでみる

著者名:
若山 修一  堀田 和司  藤田 好彦  藤井 啓介  白石 英樹  藪下 典子  巻 直樹  中野 聡子  柳 久子 

抄録:

出版年月日:
2020-01 , 
巻:
9 , 
号:
4 , 
ページ:
167-173 , 
ISSN:
2186-3741

股関節開排運動における股関節周囲筋の筋活動 CiNiiでみる

著者名:
松本 典久  村田 伸  山田 道廣 

抄録:

出版年月日:
2020-01 , 
巻:
9 , 
号:
4 , 
ページ:
161-165 , 
ISSN:
2186-3741

Effects of different intensities and durations of aerobic exercise training on arterial stiffness CiNiiでみる

著者名:
Kobayashi Ryota  Kasahara Yasuo  Ikeo Tetsuo  Asaki Kenji  Sato Kaori  Matsui Takamitsu  Iwanuma Soichiro  Ohashi Nobuyuki  Hashiguchi Takeo 

抄録:

[Purpose] In the present study, we investigated the effects of regular aerobic training with different intensities and durations on new indices of arterial stiffness measured via an upper-arm oscillometric device. [Participants and Methods] We gathered data from 41 middle-aged and older people (age 65.0 ± 11.7 years). Participants were randomly divided into five groups: (1) 15 minutes of low intensity aerobic training (n=10); (2) 30 minutes of low intensity training (n=7); (3) 15 minutes of moderate-intensity training (n=9); (4) 30 minutes of moderate-intensity training (n=8); and (5) a non-training group (n=7). Training was conducted for 8 weeks, three times per week. Arterial pulse wave index, arterial pressure-volume index, brachial-ankle and heart-brachial pulse wave velocity, cardio-ankle vascular index, brachial and ankle blood pressure, heart rate, and peak oxygen uptake were measured before and after the intervention. [Results] All indicators of arterial stiffness and brachial and ankle blood pressure in the exercise groups were significantly lower after versus before the intervention. Peak oxygen uptake did not differ before versus after the intervention. [Conclusion] The present findings indicate that regular aerobic exercise may be important in reducing arterial stiffness regardless of the intensity or duration of aerobic exercise.


出版年月日:
2020 , 
巻:
32 , 
号:
2 , 
ページ:
104-109 , 
ISSN:
0915-5287

Does low back pain or leg pain in gluteus medius syndrome contribute to lumbar degenerative disease and hip osteoarthritis and vice versa? A literature review CiNiiでみる

著者名:
Kameda Masahiro  Tanimae Hideyuki  Kihara Akinori  Matsumoto Fujio 

抄録:

[Purpose] Gluteus medius syndrome is one of the major causes of back pain or leg pain and is similar to greater trochanteric pain syndrome, which also presents with back pain or leg pain. Greater trochanteric pain syndrome is associated with lumbar degenerative disease and hip osteoarthritis. The objective of this review was to demonstrate gluteus medius syndrome as a disease entity by reviewing relevant articles to elucidate the condition. [Methods] Gluteus medius syndrome was defined as myofascial pain syndrome arising from the gluteus medius. We performed a search of the literature using the following keywords: "back pain", "leg pain", "greater trochanteric pain syndrome", "degenerative lumbar disease", "hip osteoarthritis", and "gluteus medius". We reviewed articles related to gluteus medius syndrome and described the findings in terms of diagnosis and treatment based on the underlying pathology. [Results] A total of 135 articles were included in this review. Gluteus medius syndrome is similar as a disease entity to greater trochanteric pain syndrome, which presents with symptoms of low back pain and leg pain. Gluteus medius syndrome is also related to lumbar degenerative disease, hip osteoarthritis, knee osteoarthritis, and failed back surgery syndrome. [Conclusion] Accurate diagnosis of gluteus medius syndrome and appropriate treatment could possibly improve lumbar degenerative disease and osteoarthritis of the hip and knee, as well as hip-spine syndrome and failed back surgery syndrome.


出版年月日:
2020 , 
巻:
32 , 
号:
2 , 
ページ:
173-191 , 
ISSN:
0915-5287

Peak torque substantially varies between patients with non-specific low back pain; belong to directional preference classification, and healthy individuals—clinical biokinesiologic perspectives CiNiiでみる

著者名:
El-gohary Tarek Mohamed  Eweda Reda S.  Emara Hatem A  Elkader Samiha M. Abd  Khaled Osama A.  Al-shenqiti Abdullah M. 

抄録:

[Purpose] To compare flexion and extension peak torque of patients with nonspecific-chronic low back pain who were classified as directional preference subgroups, and their matched healthy controls. [Participants and Methods] Fifty male volunteers (25 with non-specific chronic low back pain and 25 healthy-matched controls) consented to participate. The investigator collected all demographic data, hips, knees and spinal mobility in addition to the peak torque using the Biodex isokinetic dynamometer. The measurement protocol consisted of 2 sets of 10 consecutive flexion-extension efforts performed at 120°/sec and 60°/sec angular velocity. A two minutes rest period was given between sets. The preset 50° range of motion included 20°(+20°) of trunk extension and 30°(−30°) of trunk flexion. [Results] A 2 × 2 mixed-design ANOVA showed a significant group X isokinetic velocity interaction. The main effect of isokinetic velocity was also significant. In reference to the peak torque of the flexors of the trunk, the main effect of group was significant. [Conclusion] The extension peak torque significantly depends on the velocity of the isokinetic dynamometer; however the flexion peak torque significantly depends on the participants' group attribution.


出版年月日:
2020 , 
巻:
32 , 
号:
2 , 
ページ:
125-129 , 
ISSN:
0915-5287

Validity and reliability of isometric knee extension muscle strength measurements using a belt-stabilized hand-held dynamometer: a comparison with the measurement using an isokinetic dynamometer in a sitting posture CiNiiでみる

著者名:
Hirano Masahiro  Katoh Munenori  Gomi Masahiro  Arai Saori 

抄録:

[Purpose] This study aimed to determine the validity and reliability of isometric knee extension muscle strength measurements using a belt-stabilized hand-held dynamometer compared to that using an isokinetic dynamometer with the participant in a sitting posture. [Participants and Methods] Forty-two university students participated. The isometric knee extension muscle strength was measured using a hand-held dynamometer and an isokinetic dynamometer. For both measurements, the participants were in the similar sitting posture. The sitting posture maintained trunk stability, with the hands on the bed, and the non-measurement-side toe touching the floor or table. The intra-class correlation coefficient and the relevance were verified. [Results] Intra-rater correlation coefficient (1, 1) of the two measurements was ≥0.75. A significant difference was found in the measurement value between males and females. No significant difference was found between the measurements value of the two devices. A significant positive correlation was found in the measurement value of two devices in the male participants. [Conclusion] When compared to the standard method of isometric knee extension muscle strength measurements using an isokinetic dynamometer with the participant in the sitting posture, measurements using the belt-stabilized hand-held dynamometer were considered valid and highly reliable in the male participants.


出版年月日:
2020 , 
巻:
32 , 
号:
2 , 
ページ:
120-124 , 
ISSN:
0915-5287

Physical therapy prehabilitation on a reverse total shoulder replacement candidate: a case study CiNiiでみる

著者名:
Villers James F.  Burch Jacob  Scheller Mark  Huang Han-Hung 

抄録:

[Purpose] The purpose of this report is to describe the PT evaluation, prehab interventions, and outcomes of a patient pursuing reverse total shoulder replacement (rTSR) for pain reduction and functional gains. [Participant and Methods] A 62-year-old male self-referred to PT two months before his right rTSR. His chief complaints were right shoulder pain, stiffness, and functional impairment due to rotator cuff tendon tears and shoulder arthritis. He demonstrated poor posture, limited ROM, decreased strength, and diminished function. The PT prehab program consisted of an initial encounter followed by six treatment sessions across approximately one month. [Results] On the last visit, the patient's pain had meaningfully decreased along with improved posture, AROM, and muscle strength producing a clinically significant improvement in function resulting in the postponing of his rTSR. On a three months follow-up, the patient had maintained or improved in his test and measures and functional outcomes. He expressed satisfaction with the prehab outcomes and that he had indefinitely postponed his rTSR. [Conclusion] PT prehab program improved pre-operative measures on pain, posture, joint mobility, muscle strength, and function on a patient who had been scheduled for rTSR surgery. PT prehab program may delay the need for rTSR surgery.


出版年月日:
2020 , 
巻:
32 , 
号:
2 , 
ページ:
197-205 , 
ISSN:
0915-5287

Extrinsic feedback from a feedback device promotes the learning of range of motion measurements CiNiiでみる

著者名:
Akizuki Kazunori  Mitamura Kaho  Yamamoto Ryohei  Yamaguchi Kazuto  Ohashi Yukari 

抄録:

[Purpose] Although it is widely recognized that feedback is important for skill acquisition or improvement, feedback is not completely utilized in physical therapy education. Therefore, we aimed to verify the effect of extrinsic feedback from a feedback device on proficiency in range of motion measurements by a universal goniometer. [Participants and Methods] The participants included 22 physical therapy students who were randomly assigned to feedback (n=11) and non-feedback groups (n=11). The passive right knee flexion range of motion was set as the measurement task. The experiment consisted of a pretest phase, practice trials, and a posttest phase. In the pretest phase, all participants conducted three measurements without extrinsic feedback. Extrinsic feedback related to measurement error from a device was given only to the feedback group. The posttest was conducted 24 hours after the practice trials with the same content as that in the pretest. [Results] The improvement rate from pretest to posttest was greater in the feedback group than in the non-feedback group. The results indicated that the measurement error decreases with extrinsic measurement error-related feedback during practice. [Conclusion] The utilization of extrinsic feedback from a feedback device is effective for enhancing range of motion measurement skills.


出版年月日:
2020 , 
巻:
32 , 
号:
2 , 
ページ:
114-119 , 
ISSN:
0915-5287

Evaluation of psychometric properties of the activities of daily living scale of motor function used by caregivers using Rasch analysis CiNiiでみる

著者名:
Kaneda Toshikatsu  Domen Kazuhisa  Takabatake Shinichi  Higashi Yasuhiro  Horishima Yuka  Somei Yuta  Nakaoka Kazuyo  Warabino Hiroshi  Kuwada Kousuke  Sakamoto Tomosaburo 

抄録:

[Purpose] We developed a prototype version of the Self-Assessment Burden Scale-Motor as a screening questionnaire for the need of care based on the evaluation of patients' activities of daily living. The questionnaire is comprised of seven items, each of which is scored on a 7-point Likert scale. This study aimed to examine the psychometric properties of the questionnaire using Rasch analysis. [Participants and Methods] A total of 200 individuals completed the questionnaire. Rasch analysis to investigate the rating scale structure and examine the structural validity and reliability of the scale. The unidimensionality of the items was examined using the mean square infit values and principal component analysis of residuals. The separation reliability of the scale was also examined. [Results] The rating scale structure can be improved by collapsing several categories (from seven categories to four categories). Unidimensionality was found for seven items. The separation reliability was acceptable for item calibrations and persons. [Conclusion] Inclusion of seven items with a 4-category rating scale was appropriate for the Self-Assessment Burden Scale-Motor questionnaire. Future studies should examine the intra-rater reliability and the criterion-related validity in more depth and develop a new scale to evaluate cognitive function.


出版年月日:
2020 , 
巻:
32 , 
号:
2 , 
ページ:
148-155 , 
ISSN:
0915-5287

The influence of trunk muscle strength on walking velocity in elderly people with sarcopenia CiNiiでみる

著者名:
Kato Kota  Hatanaka Yasuhiko 

抄録:

[Purpose] Sarcopenia increases the risk of falls and fractures. However, its relationship with walking, which is the generation mechanism of falls, has not been clarified. The purpose of this study was to clarify the trunk muscle strength and the characteristics of walking, in elderly people with sarcopenia. [Participants and Methods] The participants were 40 elderly people aged 65 years and over. The participants were able to walk without assistance and were attending outpatient rehabilitation or community day-care centers. The assessment and measurement items included: the presence or absence of sarcopenia (using the diagnostic criteria of the Asian Working Group for Sarcopenia), lower limb and trunk muscle strength, and characteristics of walking. The participants were divided into two groups depending on the presence or absence of sarcopenia, and a comparison was made between the two groups. [Results] The participants in the sarcopenia group had significantly lower trunk extension muscle strength as compared to the participants in the non-sarcopenia group. In addition, the hip joint maximum flexion moment, ankle joint maximum plantar flexion moment, and walking velocity of participants in the sarcopenia group were significantly lower than those in the non-sarcopenia group. [Conclusion] This study revealed that weakness of the trunk muscle strength causes a decrease in walking velocity in elderly people with sarcopenia.


出版年月日:
2020 , 
巻:
32 , 
号:
2 , 
ページ:
166-172 , 
ISSN:
0915-5287

Correlation between radiographic sagittal alignment, range of motion, muscle strength, and quality of life in adults with spinal deformities CiNiiでみる

著者名:
Saimon Yoshiki  Goh Ah-Cheng  Momose Kimito  Ryuzaki Daichi  Akahane Hiroyasu  Oba Akemi  Mukaiyama Keijiro 

抄録:

[Purpose] The aims of this study were to examine the relationship between range of motion/muscle strength of the spine and lower limbs with 1) radiographic sagittal alignment and 2) quality of life of participants with spinal deformities to adequately target the appropriate factors for effective treatment. [Participants and Methods] This study used an observational cross-sectional correlational design. Participants with spinal deformities and low back pain were recruited for the study. The dependent variables were range of motion/muscle strength of the spine and lower limbs, sagittal alignment, and quality of life. [Results] Regarding alignment, significant correlations were found between hip extension range of motion and sagittal vertebral axis; between occiput-to-wall distance and thoracolumbar kyphosis; and between back extensor endurance and pelvic tilt and pelvic incidence-lumbar lordosis mismatch, also known as the calculated (pelvic incidence) minus (lumbar lordosis) value. With regards to quality of life, significant correlations were found between pain-related disorders and lumbar spine range of motion, and between gait disturbance and knee and hip extension ranges of motion. [Conclusion] Our findings suggest that these factors should be targeted for assessment and treatment of adults with spinal deformities.


出版年月日:
2020 , 
巻:
32 , 
号:
2 , 
ページ:
140-147 , 
ISSN:
0915-5287

Fact-finding survey regarding judo-related injuries of judokas in developing country CiNiiでみる

著者名:
Nakazawa Rie  Sakamoto Masaaki  Dambadarjaa Batlkham  Khuyagbaatar Enkhchimeg  Khadbaatar Ariunaa 

抄録:

[Purpose] The purpose of this study was to investigate sports-related injuries among judokas in Mongolia which is classified in the lower-middle income country. This study may help prevent future sports-related injuries. [Participants and Methods] We studied 75 judokas affiliated to the judo club in Ulaanbaatar, Mongolia. The questionnaire survey included questions regarding current and past judo-related injuries. [Results] Out of 75 judokas, 39% judokas had current judo-related injuries, and 25% judokas had past injuries. The injuries were most commonly located in the shoulder/clavicular, followed by that in the ankle and knee. The most frequent injury was a sprain/ligament injury, followed by a fracture and a dislocation. Seventy-three percent of current injuries and 88% of the past injuries received medical attention. Self-management was carried out for 35% of the injuries. The time lost from judo matches and training was 0–1,095 days for current injuries and 0–545 days for past injuries. [Conclusion] In this study, the injury rate for judokas was higher than that reported in previous studies. In addition, numerous severe injuries were noted. It is observed that, despite medical attention and self-management, the recovery periods are prolonged. Additionally, we believe that the judokas are unable to return to competition without problems.


出版年月日:
2020 , 
巻:
32 , 
号:
2 , 
ページ:
161-165 , 
ISSN:
0915-5287

Intervention using behavior modification techniques to improve the lifestyle of high-risk metabolic syndrome patients CiNiiでみる

著者名:
Mangyo Rika  Arai Takeshi 

抄録:

[Purpose] The present study examined the effects of a 12-week intervention combined with behavior modification techniques to improve the lifestyle and biochemical indicators, of high-risk metabolic syndrome patients. [Participants and Methods] The 21 participants (10 participants in the intervention group and 11 participants in the control group) were provided with information about metabolic syndrome. Participants in the intervention group were asked to set goals to improve their lifestyle (dietary and exercise) and their self-efficacy. The participants completed and submitted a weekly, self-monitoring sheet and were provided with feedback on their lifestyle. [Results] Following intervention, the values of body mass index and abdominal circumference were significantly lower for the intervention group as compared to the control group. There were no differences in the total physical activity level, total energy intake, or blood levels of lipids between the two groups. [Conclusion] According to Motivational Interviewing, to modify and continue behaviors, it is important for people to recognize "their significance" and have "confidence". In the present study, information about metabolic syndrome was provided to enable the recognition of the importance of behaviors. Moreover, participants in the intervention group were required to set goals to increase their self-efficacy. We attribute the participants' weight loss and decrease in abdominal circumference to this.


出版年月日:
2020 , 
巻:
32 , 
号:
2 , 
ページ:
156-160 , 
ISSN:
0915-5287

Validity and reliability of velocity measurements on ultrasonography using custom software with an optical-flow algorithm CiNiiでみる

著者名:
Yamashita Tomoko  Ozawa Kohei  Gamada Kazuyoshi 

抄録:

[Purpose] The purposes of this study were: 1) to validate a commercial software program using an optical-flow algorithm to measure the velocity of muscle movement; and 2) to determine optimal image quality and the size and location of regions of interest. [Materials and Methods] First, a block of pork thigh muscle was pulled at 33 different constant velocities. Subsequently, an accelerometer, a high-velocity camera, and ultrasonography were used to obtain measurements, and an Echolizer software was used to determine ultrasound-based velocities. Finally, the impact of the location and size of the regions of interest and the brightness and contrast of the images was analyzed. [Results] The regression equation was expressed as y=1.150 × −0.071 with a determination coefficient of 0.996. The average absolute error of the software was 0.02 mm/s, and the average relative error was 0.20% of the actual velocity between 2.5 and 16.5 mm/s after the regression equation was applied to the measured data. The accuracy of measurement was reduced owing to the increased size of the regions of interest, which included poor image quality or a deeper zone. [Conclusion] Our method of measuring muscle velocity using a custom program showed high validity and reliability. It is necessary to use the regression equation in the program to improve accuracy. However, the validity of the method could be reduced if the regions of interest involve deep tissues or areas with poor visualization of the muscle bundles, or if the brightness and contrast of the image are set inaccurately.


出版年月日:
2020 , 
巻:
32 , 
号:
2 , 
ページ:
130-139 , 
ISSN:
0915-5287