肩関節水平屈曲・内旋可動域拡大を目的としたRadial Pressure Waveとストレッチの即時効果の比較検討
【目的】本研究目的は肩関節水平屈曲,内旋可動域に与えるRadial Pressure Wave(以下,RPW)とストレッチの即時的効果を比較検討することである。【方法】対象は健常成人男性43名,肩関節後方構成体,および筋に対してRPWのみを施行するRPW群(15例),スリーパーストレッチのみを施行するST群(14例),RPWとスリーパーストレッチを施行するMIX群(14例)に分類した。調査項目は肩関節外転位内旋,肩関節屈曲位内旋,肩関節水平屈曲,結帯動作とし,施行の前後に測定を行い,変化量を3群で比較した。【結果】肩関節屈曲位内旋,肩関節水平屈曲で主効果を認めた。下位検定において肩関節屈曲位内...
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| Published in | 理学療法の科学と研究 Vol. 14; no. 1; pp. 14_41 - 14_46 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 千葉県理学療法士会
24.03.2023
千葉県理学療法士会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1884-9032 2758-3864 |
| DOI | 10.57476/srpt.14.1_14_41 |
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| Abstract | 【目的】本研究目的は肩関節水平屈曲,内旋可動域に与えるRadial Pressure Wave(以下,RPW)とストレッチの即時的効果を比較検討することである。【方法】対象は健常成人男性43名,肩関節後方構成体,および筋に対してRPWのみを施行するRPW群(15例),スリーパーストレッチのみを施行するST群(14例),RPWとスリーパーストレッチを施行するMIX群(14例)に分類した。調査項目は肩関節外転位内旋,肩関節屈曲位内旋,肩関節水平屈曲,結帯動作とし,施行の前後に測定を行い,変化量を3群で比較した。【結果】肩関節屈曲位内旋,肩関節水平屈曲で主効果を認めた。下位検定において肩関節屈曲位内旋でST群に比べRPW群,MIX群が有意に高値を示した。肩関節水平屈曲ではST群に比べMIX群が有意に高値を示した。【結論】肩関節可動域の即時的な拡大に,RPWとストレッチの併用が有用である可能性がある。 |
|---|---|
| AbstractList | 【目的】本研究目的は肩関節水平屈曲,内旋可動域に与えるRadial Pressure Wave(以下,RPW)とストレッチの即時的効果を比較検討することである。【方法】対象は健常成人男性43名,肩関節後方構成体,および筋に対してRPWのみを施行するRPW群(15例),スリーパーストレッチのみを施行するST群(14例),RPWとスリーパーストレッチを施行するMIX群(14例)に分類した。調査項目は肩関節外転位内旋,肩関節屈曲位内旋,肩関節水平屈曲,結帯動作とし,施行の前後に測定を行い,変化量を3群で比較した。【結果】肩関節屈曲位内旋,肩関節水平屈曲で主効果を認めた。下位検定において肩関節屈曲位内旋でST群に比べRPW群,MIX群が有意に高値を示した。肩関節水平屈曲ではST群に比べMIX群が有意に高値を示した。【結論】肩関節可動域の即時的な拡大に,RPWとストレッチの併用が有用である可能性がある。 「要旨」【目的】本研究目的は肩関節水平屈曲, 内旋可動域に与えるRadial Pressure Wave(以下, RPW)とストレッチの即時的効果を比較検討することである. 【方法】対象は健常成人男性43名, 肩関節後方構成体, および筋に対してRPWのみを施行するRPW群(15例), スリーパーストレッチみを施行するST群(14例), RPWとスリーパーストレッチを施行するMIX群(14例)に分類した. 調査項目は肩関節外転位内旋, 肩関節屈曲位内旋, 肩関節水平屈曲, 結帯動作とし, 施行の前後に測定を行い, 変化量を3群で比較した. 【結果】肩関節屈曲位内旋, 肩関節水平屈曲で主効果を認めた. 下位検定において肩関節屈曲位内旋でST群に比べRPW群, MIX群が有意に高値を示した. 肩関節水平屈曲ではST群に比べMIX群が有意に高値を示した. 【結論】肩関節可動域の即時的な拡大に, RPWとストレッチの併用が有用である可能性がある. |
| Author | 高橋, 謙二 金子, 翔 澤野, 靖之 高橋, 憲正 岩崎, 航 二瓶, 好人 宮内, 秀徳 |
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| References | 26) Takahashi N, Ohtori S, et al.: Second application of low-energy shock waves has a cumulative effect on free nerve ending. Clin Orthop Relat Res. 2006; 443: 315-319. 38) Yamauchi T, Hasegawa S, et al.: Effect of two stretching methods on shoulder range of motion and muscle stiffness in baseball players with posterior shoulder tightness: a randomized controlled trial. J Shoulder Elbow Surg. 2016; 25(9): 1395-1403. 29) Han SH, Lee JW, et al.: Effect of extracorporeal shock wave therapy on cultured tenocytes. Foot ankle Int. 2009; 30(2): 93-8. 18) Mine K, Nakayama T, et al.: Effectiveness of stretching on posterior shoulder tightness and glenohumeral internal-rotation deficit: A systematic review of randomized controlled trials. J Sport Rehabil. 2017; 26(4): 294-305. 11) Vermeulen HM, Rozing PM, et al.: Comparison of high-grade and low-grade mobilization techniques in the management of adhesive capsulitis of the shoulder: randomized controlled trial. Phys Thea. 2006; 86(3): 355-368. 14) Izumi T, Aoki M, et al.: Stretching position for the posterior capsule of the Glenohumeral joint. Am J Sports Med. 2008; 36(10): 2014-22. 16) Cools AM, Johansson FR, et al.: Stretching the posterior shoulder structures in subjects with internal rotation deficit: comparison of two stretching techniques. Shoulder and Elbow. 2012; 4: 56-63. 19) Laudner KG, Sipes RC, et al.: The acute effects of sleeper stretches on shoulder range of motion. J Athl Train. 2008; 43(4): 359-363. 34) Mine K, Nakayama T, et al.: Effectiveness of stretching on posterior shoulder tightness and glenohumeral internal-rotation deficit: A systematic review of randomized controlled trials. J Sport Rehabil. 2017; 26(4): 294-305. 22) Li W, Zhang SX, et al.: Effect of extracorporeal shock-wave therapy for treating patients with chronic rotator cuff tendonitis. Medicine(Baltimore). 2017; 96(35): e7940. 27) Wang C, Wang FS, et al.: Shock eave induces neovascularization at the tendon-bone junction. J Orthop Res. 2003; 21(6): 984-9. 24) Hausdorof J, Lemmens MAM, et al.: Selective loss of unmyelinated nerve fibers after extracorporeal shockwave application to the musculoskeletal system. Neuroscience. 2008; 155(1): 138-144. 31) Engebretsen K, Grotle M, et al.: Supervised exercises with radial extracorporeal shock-wave therapy for subacromial shoulder pain: 1-year results of a single-blind randomized controlled trial. Phys Ther. 2011; 91(1): 37-47. 28) Berta L, Fazzari A, et al.: Extracorporeal shock waves enhance normal fibroblast proliferation in vitro and activate mRNA expression for TGF-beta1 and for collagen types I and III. Acta Orthop. 2009; 80(5): 612-7. 36) 村木孝行:バイオメカニクスに基づいた肩関節障害の評価と治療.理学療法の歩み.2014; 25(1): 3-10 20) McClure P, Balaicuis J, et al.: A randomized controlled comparison of stretching procedures for posterior shoulder tightness. J Orthop Sports Phys Ther. 2007; 37(3): 108-114. 32) Nagger TEDM EI, Maaty AIE, et al.: Effectiveness of radial extracorporeal shock-wave therapy versus ultrasound-guided low-dose intra-articular steroid injection in improving shoulder pain, function, and range of motion in diabetic patients with shoulder adhesive capsulitis. J Shoulder Elbow Surg. 2020; 29(7): 1300-1309. 2) 三笠元彦:五十肩-私の考え方と治療.整形・災害外科.1980; 23(1): pp21-24 23) 日本運動器SHOCK WAVE研究会ホームページ.Josst.org/treatment.html(2022年9月19日引用) 37) 林典雄,立木敏和:後方腱板(棘下筋・小円筋)と肩関節包との結合様式について.理学療法学.1996; 23(8): 522-527 33) Magosch P, Lichtenberg S, et al.: Radial shock wave therapy in calcifying tendinitis of the rotator cuff a prospective study. Z Orthop. 2003; 141: 629-633. 6) Bal A, Eksioglu E, et al.: Effectiveness of corticosteroid injection in adhesive capsulitis. Clin Rehabil, 2008; 22(6): 503-512. 21) Chen CY, Hu CC, et al.: Extracorporeal shockwave therapy improves short-term functional outcomes of shoulder adhesive capsulitis. J shoulder Elbow Surg. 2014; 23(12): 1843-1851. 1) Codman EA: The shoulder. Rupture of the spraspinatus tendon and other lesions in or about the subacromial bursa, Privately printed, Boston, 1934, pp216-224. 9) Zeik NH, Malik RA, et al.: Adhesive capsulitis of the shoulder and diabetes: A meta-analisis of prevalence. Muscles Ligaments Tendons J. 2016; 6(1): 26-34. 25) Takahashi N, Wada Y, et al.: Application of shock waves to rat skin decreases calcitonin gene related peptide immunoreactivity in dorsal root ganglion neurons. Auton Neurosci. 2003; 107(2): 81-84. 10) Lee SY, Lee KJ, et al.: Relationships between capsular stiffness and clinical features in adhesive capsulitis of the shoulder. PM R. 2015; 7(12): 1226-1234. 15) Hung CJ, Hsieh CL, et al.: Relationships between posterior shoulder muscle stiffness and rotation in patients with stiff shoulder. J Rehabil Med. 2010; 42(3): 216-220. 4) 日本理学療法士協会ホームページ 理学療法ガイドライン第2版.http://www.japanpt.or.jp/privilege/manegement/docs//p427-461.pdf (2021年11月27日引用) 7) Chan HBY, Pua PY, et al.: Physical therapy in the management of frozen shoulder. Singapore Med J, 2017; 58(12): 685-689. 12) Rundquist PJ, Ludewig PM: Patterns of motion loss in subject with idiopathic loss of shoulder range of motion. Clin Biomech. 2004; 19(8): 810-818. 5) Reeves B: The natural history of the frozen shoulder syndrome. Scand J Rheumatol. 1975; 4(4): 193-196. 8) Frank RM, Taylor D, et al.: The rotator interval of the shoulder: Implications in the treatment of shoulder instability. Orthop J Sports Med, 2015; 3(12): 2325967115621494. 35) Terry GC, Hammon D, et al.: The stabilizing function of passive shoulder restraints. Am J Sports Med. 1991; 19(1): 26-34. 3) Itoi E, Arce G, et al.: Shoulder stiffness: Current Concepts and Concerns. Arthroscopy. 2016; 32: 1402-1414. 17) Umehara J, Hasegawa S, et al.: Effect of scapular stabilization during cross-body stretch on the hardness of infraspinatus, teres minor, and deltoid muscles: An ultrasonic shear wave elastography study. Musculoskelet Sci Pract. 2017; 27: 91-96. 13) 見目友則:肩関節周囲炎.CLINICAL REHABILITATION.2019; 28(7): 613-620. 30) Duymaz T, Sindel D: Comparison of radial extracorporeal shock wave therapy and traditional physiotherapy in rotator cuff calcific tendinitis treatment. Arch Rheumatol. 2019; 34(3): 281-287. |
| References_xml | – reference: 15) Hung CJ, Hsieh CL, et al.: Relationships between posterior shoulder muscle stiffness and rotation in patients with stiff shoulder. J Rehabil Med. 2010; 42(3): 216-220. – reference: 20) McClure P, Balaicuis J, et al.: A randomized controlled comparison of stretching procedures for posterior shoulder tightness. J Orthop Sports Phys Ther. 2007; 37(3): 108-114. – reference: 24) Hausdorof J, Lemmens MAM, et al.: Selective loss of unmyelinated nerve fibers after extracorporeal shockwave application to the musculoskeletal system. Neuroscience. 2008; 155(1): 138-144. – reference: 26) Takahashi N, Ohtori S, et al.: Second application of low-energy shock waves has a cumulative effect on free nerve ending. Clin Orthop Relat Res. 2006; 443: 315-319. – reference: 14) Izumi T, Aoki M, et al.: Stretching position for the posterior capsule of the Glenohumeral joint. Am J Sports Med. 2008; 36(10): 2014-22. – reference: 31) Engebretsen K, Grotle M, et al.: Supervised exercises with radial extracorporeal shock-wave therapy for subacromial shoulder pain: 1-year results of a single-blind randomized controlled trial. Phys Ther. 2011; 91(1): 37-47. – reference: 5) Reeves B: The natural history of the frozen shoulder syndrome. Scand J Rheumatol. 1975; 4(4): 193-196. – reference: 10) Lee SY, Lee KJ, et al.: Relationships between capsular stiffness and clinical features in adhesive capsulitis of the shoulder. PM R. 2015; 7(12): 1226-1234. – reference: 17) Umehara J, Hasegawa S, et al.: Effect of scapular stabilization during cross-body stretch on the hardness of infraspinatus, teres minor, and deltoid muscles: An ultrasonic shear wave elastography study. Musculoskelet Sci Pract. 2017; 27: 91-96. – reference: 13) 見目友則:肩関節周囲炎.CLINICAL REHABILITATION.2019; 28(7): 613-620. – reference: 16) Cools AM, Johansson FR, et al.: Stretching the posterior shoulder structures in subjects with internal rotation deficit: comparison of two stretching techniques. Shoulder and Elbow. 2012; 4: 56-63. – reference: 32) Nagger TEDM EI, Maaty AIE, et al.: Effectiveness of radial extracorporeal shock-wave therapy versus ultrasound-guided low-dose intra-articular steroid injection in improving shoulder pain, function, and range of motion in diabetic patients with shoulder adhesive capsulitis. J Shoulder Elbow Surg. 2020; 29(7): 1300-1309. – reference: 30) Duymaz T, Sindel D: Comparison of radial extracorporeal shock wave therapy and traditional physiotherapy in rotator cuff calcific tendinitis treatment. Arch Rheumatol. 2019; 34(3): 281-287. – reference: 4) 日本理学療法士協会ホームページ 理学療法ガイドライン第2版.http://www.japanpt.or.jp/privilege/manegement/docs//p427-461.pdf (2021年11月27日引用) – reference: 8) Frank RM, Taylor D, et al.: The rotator interval of the shoulder: Implications in the treatment of shoulder instability. Orthop J Sports Med, 2015; 3(12): 2325967115621494. – reference: 36) 村木孝行:バイオメカニクスに基づいた肩関節障害の評価と治療.理学療法の歩み.2014; 25(1): 3-10. – reference: 28) Berta L, Fazzari A, et al.: Extracorporeal shock waves enhance normal fibroblast proliferation in vitro and activate mRNA expression for TGF-beta1 and for collagen types I and III. Acta Orthop. 2009; 80(5): 612-7. – reference: 27) Wang C, Wang FS, et al.: Shock eave induces neovascularization at the tendon-bone junction. J Orthop Res. 2003; 21(6): 984-9. – reference: 22) Li W, Zhang SX, et al.: Effect of extracorporeal shock-wave therapy for treating patients with chronic rotator cuff tendonitis. Medicine(Baltimore). 2017; 96(35): e7940. – reference: 12) Rundquist PJ, Ludewig PM: Patterns of motion loss in subject with idiopathic loss of shoulder range of motion. Clin Biomech. 2004; 19(8): 810-818. – reference: 18) Mine K, Nakayama T, et al.: Effectiveness of stretching on posterior shoulder tightness and glenohumeral internal-rotation deficit: A systematic review of randomized controlled trials. J Sport Rehabil. 2017; 26(4): 294-305. – reference: 23) 日本運動器SHOCK WAVE研究会ホームページ.Josst.org/treatment.html(2022年9月19日引用) – reference: 3) Itoi E, Arce G, et al.: Shoulder stiffness: Current Concepts and Concerns. Arthroscopy. 2016; 32: 1402-1414. – reference: 35) Terry GC, Hammon D, et al.: The stabilizing function of passive shoulder restraints. Am J Sports Med. 1991; 19(1): 26-34. – reference: 7) Chan HBY, Pua PY, et al.: Physical therapy in the management of frozen shoulder. Singapore Med J, 2017; 58(12): 685-689. – reference: 9) Zeik NH, Malik RA, et al.: Adhesive capsulitis of the shoulder and diabetes: A meta-analisis of prevalence. Muscles Ligaments Tendons J. 2016; 6(1): 26-34. – reference: 38) Yamauchi T, Hasegawa S, et al.: Effect of two stretching methods on shoulder range of motion and muscle stiffness in baseball players with posterior shoulder tightness: a randomized controlled trial. J Shoulder Elbow Surg. 2016; 25(9): 1395-1403. – reference: 19) Laudner KG, Sipes RC, et al.: The acute effects of sleeper stretches on shoulder range of motion. J Athl Train. 2008; 43(4): 359-363. – reference: 25) Takahashi N, Wada Y, et al.: Application of shock waves to rat skin decreases calcitonin gene related peptide immunoreactivity in dorsal root ganglion neurons. Auton Neurosci. 2003; 107(2): 81-84. – reference: 11) Vermeulen HM, Rozing PM, et al.: Comparison of high-grade and low-grade mobilization techniques in the management of adhesive capsulitis of the shoulder: randomized controlled trial. Phys Thea. 2006; 86(3): 355-368. – reference: 6) Bal A, Eksioglu E, et al.: Effectiveness of corticosteroid injection in adhesive capsulitis. Clin Rehabil, 2008; 22(6): 503-512. – reference: 21) Chen CY, Hu CC, et al.: Extracorporeal shockwave therapy improves short-term functional outcomes of shoulder adhesive capsulitis. J shoulder Elbow Surg. 2014; 23(12): 1843-1851. – reference: 34) Mine K, Nakayama T, et al.: Effectiveness of stretching on posterior shoulder tightness and glenohumeral internal-rotation deficit: A systematic review of randomized controlled trials. J Sport Rehabil. 2017; 26(4): 294-305. – reference: 1) Codman EA: The shoulder. Rupture of the spraspinatus tendon and other lesions in or about the subacromial bursa, Privately printed, Boston, 1934, pp216-224. – reference: 29) Han SH, Lee JW, et al.: Effect of extracorporeal shock wave therapy on cultured tenocytes. Foot ankle Int. 2009; 30(2): 93-8. – reference: 37) 林典雄,立木敏和:後方腱板(棘下筋・小円筋)と肩関節包との結合様式について.理学療法学.1996; 23(8): 522-527. – reference: 2) 三笠元彦:五十肩-私の考え方と治療.整形・災害外科.1980; 23(1): pp21-24. – reference: 33) Magosch P, Lichtenberg S, et al.: Radial shock wave therapy in calcifying tendinitis of the rotator cuff a prospective study. Z Orthop. 2003; 141: 629-633. |
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| Snippet | 【目的】本研究目的は肩関節水平屈曲,内旋可動域に与えるRadial Pressure Wave(以下,RPW)とストレッチの即時的効果を比較検討することである。【方法】対象は健常成人男... 「要旨」【目的】本研究目的は肩関節水平屈曲, 内旋可動域に与えるRadial Pressure Wave(以下, RPW)とストレッチの即時的効果を比較検討することである. 【方法】対象は健常成人... |
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| StartPage | 14_41 |
| SubjectTerms | Radial Pressure Wave ストレッチ 肩関節可動域 |
| Title | 肩関節水平屈曲・内旋可動域拡大を目的としたRadial Pressure Waveとストレッチの即時効果の比較検討 |
| URI | https://www.jstage.jst.go.jp/article/srpt/14/1/14_14_41/_article/-char/ja http://mol.medicalonline.jp/library/journal/download?GoodsID=fa5physi/2023/001401/007&name=0041-0046j |
| Volume | 14 |
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| ispartofPNX | 理学療法の科学と研究, 2023/03/24, Vol.14(1), pp.14_41-14_46 |
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