足関節機能的不安定性者における足関節位置覚検査法の検討 自動的検査法と他動的検査法の比較
〔目的〕足関節機能的不安定性（FAI）者の足関節位置覚検査法における自動的検査法と他動的検査法の相違を把握することである．〔対象〕FAIを有する男性17名および健常男性29名とした．〔方法〕評価は自動的および他動的再現検査法とし，測定肢位は足関節回外位2肢位の背底屈方向4肢位とした．測定指標は実測誤差および絶対誤差とした．〔結果〕自動的検査法ではFAI者と健常者の間で測定肢位の変化による相違は認めなかったが，他動的検査法ではFAI者が健常者より底屈するほど背屈方向へ誤認した．〔結語〕自動的検査法では誤認しにくく，筋収縮による影響と推察された．一方，他動的検査法では足関節底屈域にて誤認しやすく，...
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| Published in | 理学療法科学 Vol. 26; no. 5; pp. 557 - 562 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
理学療法科学学会
2011
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| Subjects | |
| Online Access | Get full text |
| ISSN | 1341-1667 2434-2807 |
| DOI | 10.1589/rika.26.557 |
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| Abstract | 〔目的〕足関節機能的不安定性（FAI）者の足関節位置覚検査法における自動的検査法と他動的検査法の相違を把握することである．〔対象〕FAIを有する男性17名および健常男性29名とした．〔方法〕評価は自動的および他動的再現検査法とし，測定肢位は足関節回外位2肢位の背底屈方向4肢位とした．測定指標は実測誤差および絶対誤差とした．〔結果〕自動的検査法ではFAI者と健常者の間で測定肢位の変化による相違は認めなかったが，他動的検査法ではFAI者が健常者より底屈するほど背屈方向へ誤認した．〔結語〕自動的検査法では誤認しにくく，筋収縮による影響と推察された．一方，他動的検査法では足関節底屈域にて誤認しやすく，損傷を受けた靱帯の関与する可能性を示唆した． |
|---|---|
| AbstractList | 〔目的〕足関節機能的不安定性（FAI）者の足関節位置覚検査法における自動的検査法と他動的検査法の相違を把握することである．〔対象〕FAIを有する男性17名および健常男性29名とした．〔方法〕評価は自動的および他動的再現検査法とし，測定肢位は足関節回外位2肢位の背底屈方向4肢位とした．測定指標は実測誤差および絶対誤差とした．〔結果〕自動的検査法ではFAI者と健常者の間で測定肢位の変化による相違は認めなかったが，他動的検査法ではFAI者が健常者より底屈するほど背屈方向へ誤認した．〔結語〕自動的検査法では誤認しにくく，筋収縮による影響と推察された．一方，他動的検査法では足関節底屈域にて誤認しやすく，損傷を受けた靱帯の関与する可能性を示唆した． 要旨:〔目的〕足関節機能的不安定性(FAI)者の足関節位置覚検査法における自動的検査法と他動的検査法の相違を把握することである. 〔対象〕FAIを有する男性17名および健常男性29名とした. 〔方法〕評価は自動的および他動的再現検査法とし, 測定肢位は足関節回外位2肢位の背底屈方向4肢位とした. 測定指標は実測誤差および絶対誤差とした. 〔結果〕自動的検査法ではFAI者と健常者の間で測定肢位の変化による相違は認めなかったが, 他動的検査法ではFAI者が健常者より底屈するほど背屈方向へ誤認した. 〔結語〕自動的検査法では誤認しにくく, 筋収縮による影響と推察された. 一方, 他動的検査法では足関節底屈域にて誤認しやすく, 損傷を受けた靱帯の関与する可能性を示唆した. |
| Author | 根地嶋, 誠 横山, 茂樹 蒲田, 和芳 |
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| References | 2) Han KH, Muwanga CL: The incidence of recurrent soft tissue ankle injuries. Br J Clin Pract, 1990, 44: 609-611. 15) Robbins S: Propriception and stability; Foot position awareness as a function of age and footwear. Age and Ageing, 1995, 24: 67-72. 22) Matsusaka N, Yokoyama S, Tsurusaki T, et al.: Effect of ankle disk training combined with tactile stimulation to the leg and foot on function instability of the ankle. Am J Sports Med, 2001, 29: 25-30. 10) Boyle J, Negus V: Joint position sense in the recurrently sprained ankle. Aust J Physiother, 1998, 44: 159-163. 4) Smith RW, Reischl SF: Treatment of ankle sprains in young athletes. Am J Sports Med, 1986, 14: 465-471. 3) Wilkerson LA: Ankle injuries in athletes. Primary Care, 1992, 19: 377-392. 5) Yeung MS, Chan KM, So CH, et al.: An epidemiological survey on ankle sprain. Br J Sports Med, 1994, 28: 112-116. 11) Gross MT: Effect of recurrent lateral ankle sprain on active and passive judgments of joint position. Phys Ther, 1987, 67: 1505-1509. 16) Garn SN, Newton RA: Kinesthetic awareness in subjects with multiple ankle sprains. Phys Ther, 1998, 68: 1667-1671. 1) Jackson DW, Ashley RL., Powell JW: Ankle sprains in young athletes. Relation of severity and disability. Clin Orthop Relat Res, 1974, 101: 201-215. 20) Konradsen L, Ravn JB: Ankle instability caused by prolonged peroneal reaction time. Acta Orthop Acand. 1990, 61: 388-390. 28) Renstrom P, Wertz M, Incavo S, et al.: Strain in the lateral ligaments of the ankle. Foot Ankle, 1988, 9: 59-63. 23) Beighton EP, Solomon L, Soskolne CL: Articular mobility in an African population. Ann Rheum Dis, 1973, 32: 413-418. 18) Tropp H, Ekstrand J, Gillquist J: Factors affecting stabilomerty recordings of single limb stance. Am J Sport Med, 1984, 12: 52-59. 9) Glencross D: Position sense following joint injury. J Sports Med Phys Fitness. 1981, 21: 23-27. 19) Guskiewicz KM, Perrin DH: Effect of Orthotics on postural sway following inversion ankle sprain. J Orthop Sports Phys Ther, 1996, 23: 326-331. 13) Konradsen L, Ravn JB, Sorensen AI: Proprioception at the ankle. The effect of anesthetic blockade of ligament reports. J Bone Joint Surg Br, 1993, 75: 433-436. 6) Freeman MA: Instability of the foot after injuries to the lateral ligament of the ankle. J Bone Joint Surg Br, 1965, 47: 669-677. 24) Kang SJ, Yokoyama S, Matsusaka N, et al.: 3-D Analysis of Functional Instabilities of the Ankle using Digital Still Cameras. Proc. of The Eighth Int. Symp. on Artificial Life and Robotics, 2003: 463-466. 8) Lentell GL, Katzman LL, Walters MR: The relationship between muscle function and ankle stability. J Orthop Sports Phys Ther, 1990, 11: 605-611. 27) Nigg BM, Karvan G, Frank CB, et al.: Elongation and forces of ankle ligaments in physiological range of motion. Foot Ankle. 1990, 11: 30-40. 21) Sheth P, Yu B, Laskowski ER, et al.: Ankle disk training influences reaction times of selected muscles in a simulated ankle sprain. Am J Sports Med, 1997, 25: 538-543. 14) Feurchach JW, Grabiner MD, Koh TJ, et al.: Effect of an ankle orthosis and ankle ligament anesthesia on ankle joint proprioception. Am J Sports Med, 1994, 22: 223-229. 7) Hertel J: Functional instability following lateral ankle sprain. Sports Med, 2000, 29; 361-371. 12) Holme E, Magnusson SP, Becher K, et al.: The effect of supervised rehabilitation on strength, postural sway, position sense and re-injury risk after acute ankle ligament sprain. Scand J Med Sci Sports, 1999, 9: 104-109. 26) Al-Falaha NA: Response profiles of human muscle afferents during active finger movement. Brain, 1990, 113: 325-346. 17) Jerosch J, Bischof M: Proprioceptive capabilities of the ankle in stable and unstable joints. Sports Exercise and Injury, 1996, 2: 167-171. 25) Vallbo AB: Slowly adapting muscle receptors in man. Acta Physiol Scand, 1970, 78: 325-333. |
| References_xml | – reference: 15) Robbins S: Propriception and stability; Foot position awareness as a function of age and footwear. Age and Ageing, 1995, 24: 67-72. – reference: 17) Jerosch J, Bischof M: Proprioceptive capabilities of the ankle in stable and unstable joints. Sports Exercise and Injury, 1996, 2: 167-171. – reference: 12) Holme E, Magnusson SP, Becher K, et al.: The effect of supervised rehabilitation on strength, postural sway, position sense and re-injury risk after acute ankle ligament sprain. Scand J Med Sci Sports, 1999, 9: 104-109. – reference: 16) Garn SN, Newton RA: Kinesthetic awareness in subjects with multiple ankle sprains. Phys Ther, 1998, 68: 1667-1671. – reference: 1) Jackson DW, Ashley RL., Powell JW: Ankle sprains in young athletes. Relation of severity and disability. Clin Orthop Relat Res, 1974, 101: 201-215. – reference: 5) Yeung MS, Chan KM, So CH, et al.: An epidemiological survey on ankle sprain. Br J Sports Med, 1994, 28: 112-116. – reference: 8) Lentell GL, Katzman LL, Walters MR: The relationship between muscle function and ankle stability. J Orthop Sports Phys Ther, 1990, 11: 605-611. – reference: 23) Beighton EP, Solomon L, Soskolne CL: Articular mobility in an African population. Ann Rheum Dis, 1973, 32: 413-418. – reference: 2) Han KH, Muwanga CL: The incidence of recurrent soft tissue ankle injuries. Br J Clin Pract, 1990, 44: 609-611. – reference: 25) Vallbo AB: Slowly adapting muscle receptors in man. Acta Physiol Scand, 1970, 78: 325-333. – reference: 6) Freeman MA: Instability of the foot after injuries to the lateral ligament of the ankle. J Bone Joint Surg Br, 1965, 47: 669-677. – reference: 27) Nigg BM, Karvan G, Frank CB, et al.: Elongation and forces of ankle ligaments in physiological range of motion. Foot Ankle. 1990, 11: 30-40. – reference: 13) Konradsen L, Ravn JB, Sorensen AI: Proprioception at the ankle. The effect of anesthetic blockade of ligament reports. J Bone Joint Surg Br, 1993, 75: 433-436. – reference: 20) Konradsen L, Ravn JB: Ankle instability caused by prolonged peroneal reaction time. Acta Orthop Acand. 1990, 61: 388-390. – reference: 11) Gross MT: Effect of recurrent lateral ankle sprain on active and passive judgments of joint position. Phys Ther, 1987, 67: 1505-1509. – reference: 4) Smith RW, Reischl SF: Treatment of ankle sprains in young athletes. Am J Sports Med, 1986, 14: 465-471. – reference: 10) Boyle J, Negus V: Joint position sense in the recurrently sprained ankle. Aust J Physiother, 1998, 44: 159-163. – reference: 22) Matsusaka N, Yokoyama S, Tsurusaki T, et al.: Effect of ankle disk training combined with tactile stimulation to the leg and foot on function instability of the ankle. Am J Sports Med, 2001, 29: 25-30. – reference: 18) Tropp H, Ekstrand J, Gillquist J: Factors affecting stabilomerty recordings of single limb stance. Am J Sport Med, 1984, 12: 52-59. – reference: 9) Glencross D: Position sense following joint injury. J Sports Med Phys Fitness. 1981, 21: 23-27. – reference: 19) Guskiewicz KM, Perrin DH: Effect of Orthotics on postural sway following inversion ankle sprain. J Orthop Sports Phys Ther, 1996, 23: 326-331. – reference: 26) Al-Falaha NA: Response profiles of human muscle afferents during active finger movement. Brain, 1990, 113: 325-346. – reference: 24) Kang SJ, Yokoyama S, Matsusaka N, et al.: 3-D Analysis of Functional Instabilities of the Ankle using Digital Still Cameras. Proc. of The Eighth Int. Symp. on Artificial Life and Robotics, 2003: 463-466. – reference: 14) Feurchach JW, Grabiner MD, Koh TJ, et al.: Effect of an ankle orthosis and ankle ligament anesthesia on ankle joint proprioception. Am J Sports Med, 1994, 22: 223-229. – reference: 3) Wilkerson LA: Ankle injuries in athletes. Primary Care, 1992, 19: 377-392. – reference: 7) Hertel J: Functional instability following lateral ankle sprain. Sports Med, 2000, 29; 361-371. – reference: 21) Sheth P, Yu B, Laskowski ER, et al.: Ankle disk training influences reaction times of selected muscles in a simulated ankle sprain. Am J Sports Med, 1997, 25: 538-543. – reference: 28) Renstrom P, Wertz M, Incavo S, et al.: Strain in the lateral ligaments of the ankle. Foot Ankle, 1988, 9: 59-63. |
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| Snippet | 〔目的〕足関節機能的不安定性（FAI）者の足関節位置覚検査法における自動的検査法と他動的検査法の相違を把握することである．〔対象〕FAIを有する男性17名および健常男性29... 要旨:〔目的〕足関節機能的不安定性(FAI)者の足関節位置覚検査法における自動的検査法と他動的検査法の相違を把握することである. 〔対象〕FAIを有する男性17名および健常男... |
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| SubjectTerms | 再現検査法 足関節機能的不安定性 関節位置覚 |
| Subtitle | 自動的検査法と他動的検査法の比較 |
| Title | 足関節機能的不安定性者における足関節位置覚検査法の検討 |
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