上腕骨解剖頸軸回旋を利用した肩関節可動域運動の有用性

〔目的〕肩関節拘縮を伴う高齢患者を対象に,上腕骨解剖頸軸回旋humeral neck axis rotation; HNARを用いた関節可動域運動(range of motion exercise; ROM-ex)の有用性と適応について検討した.〔対象〕平均年齢は86.6±7.2歳の女性20名を対象とした.〔方法〕従来のROM-exとHNARを用いたROM-exを,それぞれ約20回実施し,屈曲,外転,内転,外旋(第1肢位)角度を測定した.〔結果〕従来のROM-exでは,有意な増加が認められなかったが,HNARを用いたROM-exでは,全測定可動域において,有意な増加が認められた.〔結語〕HNA...

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Published in理学療法科学 Vol. 28; no. 6; pp. 813 - 816
Main Author 大槻, 桂右
Format Journal Article
LanguageJapanese
Published 理学療法科学学会 2013
Subjects
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ISSN1341-1667
2434-2807
DOI10.1589/rika.28.813

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Abstract 〔目的〕肩関節拘縮を伴う高齢患者を対象に,上腕骨解剖頸軸回旋humeral neck axis rotation; HNARを用いた関節可動域運動(range of motion exercise; ROM-ex)の有用性と適応について検討した.〔対象〕平均年齢は86.6±7.2歳の女性20名を対象とした.〔方法〕従来のROM-exとHNARを用いたROM-exを,それぞれ約20回実施し,屈曲,外転,内転,外旋(第1肢位)角度を測定した.〔結果〕従来のROM-exでは,有意な増加が認められなかったが,HNARを用いたROM-exでは,全測定可動域において,有意な増加が認められた.〔結語〕HNARを用いたROM-exは不動による可動域制限を改善するための一手段として,有用性が示唆された.
AbstractList 「要旨」: [目的] 肩関節拘縮を伴う高齢患者を対象に, 上腕骨解剖頸軸回旋humeral neck axis rotation; HNARを用いた関節可動域運動(range of motion exercise; ROM-ex)の有用性と適応について検討した. [対象] 平均年齢は86.6±7.2歳の女性20名を対象とした. [方法] 従来のROM-exとHNARを用いたROM-exを, それぞれ約20回実施し, 屈曲, 外転, 内転, 外旋(第1肢位)角度を測定した. [結果] 従来のROM-exでは, 有意な増加が認められなかったが, HNARを用いたROM-exでは, 全測定可動域において, 有意な増加が認められた. [結語] HNARを用いたROM-exは不動による可動域制限を改善するための一手段として, 有用性が示唆された.
〔目的〕肩関節拘縮を伴う高齢患者を対象に,上腕骨解剖頸軸回旋humeral neck axis rotation; HNARを用いた関節可動域運動(range of motion exercise; ROM-ex)の有用性と適応について検討した.〔対象〕平均年齢は86.6±7.2歳の女性20名を対象とした.〔方法〕従来のROM-exとHNARを用いたROM-exを,それぞれ約20回実施し,屈曲,外転,内転,外旋(第1肢位)角度を測定した.〔結果〕従来のROM-exでは,有意な増加が認められなかったが,HNARを用いたROM-exでは,全測定可動域において,有意な増加が認められた.〔結語〕HNARを用いたROM-exは不動による可動域制限を改善するための一手段として,有用性が示唆された.
Author 大槻, 桂右
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きのこ老人保健施設リハビリテーション部
リハビリテーション支援研究所
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References 3) Michlovitz SL, Harris BA, Watkins MP: Therapy interventions for improving joint range of motion: a systematic review. J Hand Ther, 2007, 17(2): 118-131.
8) Andrea JB: Manual scapular stabilization: its effect on shoulder rotational range of motion. Arch Phys Med Rehabil, 2000, 81(7): 978-983.
7) Brandt C, Sole G, Krause MW, et al.: An evidence-based review on the validity of the Kaltenborn rule as applied to the glenohumeral joint. Man Ther, 2007, 12(1): 3-11.
5) Bennet W: Addressing glenohumeral stiffness while treating the painful and stiff shoulder arthroscopically. Arthroscopy, 2000, 16(2): 1142-1150.
9) Jerosch J: 360 degrees arthroscopic capsular release in patients with adhesive capsulitis of the glenohumeral joint indication, surgical technique, results. Knee Surg. Sports Traumatol Arthrosc, 2001, 9(3): 178-186.
10) Ozaki J, Nakagawa Y, Sakurai G, et al.: Recalcitrant chronic adhesive capsulitis of the shoulder. role of contracture of the coracohumeral ligament and rotator interval in pathogenesis and treatment. J. Bone Joint Surg, 1989, 71(10): 1511-1515.
4) Harvey L, Herbert R: Does stretching induce lasting increases in joint ROM? systematic review. Physiother Res lnt, 2007, 7(1): 1-13.
11) 信原克哉: 肩その機能と臨床.医学書院,東京, 2012, pp58-83.
2) Trudel G, Uhthoff HK: Contractures secondary to immobility is the restriction Articular or muscular? An experimental longitudinal study in the rat knee. Arch Phys Med Rehabil, 2000, 81(2): 6-13.
6) Ohtsuki K, Ishikura T: A clinical anatomical physical therapy approach for frozen shoulder joint patients. J Phys Ther Sci, 2010, 25(4): 493-497.
1) Halar EM, Bell KR: Contracture and other deleterious effects of immobility. Rehabilitation Medicine, Principles and Practice (2nd ed). J B Lippincott JA Philadelphia, 1993, 33: 681-699.
References_xml – reference: 2) Trudel G, Uhthoff HK: Contractures secondary to immobility is the restriction Articular or muscular? An experimental longitudinal study in the rat knee. Arch Phys Med Rehabil, 2000, 81(2): 6-13.
– reference: 8) Andrea JB: Manual scapular stabilization: its effect on shoulder rotational range of motion. Arch Phys Med Rehabil, 2000, 81(7): 978-983.
– reference: 11) 信原克哉: 肩その機能と臨床.医学書院,東京, 2012, pp58-83.
– reference: 1) Halar EM, Bell KR: Contracture and other deleterious effects of immobility. Rehabilitation Medicine, Principles and Practice (2nd ed). J B Lippincott JA Philadelphia, 1993, 33: 681-699.
– reference: 9) Jerosch J: 360 degrees arthroscopic capsular release in patients with adhesive capsulitis of the glenohumeral joint indication, surgical technique, results. Knee Surg. Sports Traumatol Arthrosc, 2001, 9(3): 178-186.
– reference: 3) Michlovitz SL, Harris BA, Watkins MP: Therapy interventions for improving joint range of motion: a systematic review. J Hand Ther, 2007, 17(2): 118-131.
– reference: 4) Harvey L, Herbert R: Does stretching induce lasting increases in joint ROM? systematic review. Physiother Res lnt, 2007, 7(1): 1-13.
– reference: 5) Bennet W: Addressing glenohumeral stiffness while treating the painful and stiff shoulder arthroscopically. Arthroscopy, 2000, 16(2): 1142-1150.
– reference: 6) Ohtsuki K, Ishikura T: A clinical anatomical physical therapy approach for frozen shoulder joint patients. J Phys Ther Sci, 2010, 25(4): 493-497.
– reference: 7) Brandt C, Sole G, Krause MW, et al.: An evidence-based review on the validity of the Kaltenborn rule as applied to the glenohumeral joint. Man Ther, 2007, 12(1): 3-11.
– reference: 10) Ozaki J, Nakagawa Y, Sakurai G, et al.: Recalcitrant chronic adhesive capsulitis of the shoulder. role of contracture of the coracohumeral ligament and rotator interval in pathogenesis and treatment. J. Bone Joint Surg, 1989, 71(10): 1511-1515.
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Snippet 〔目的〕肩関節拘縮を伴う高齢患者を対象に,上腕骨解剖頸軸回旋humeral neck axis rotation; HNARを用いた関節可動域運動(range of motion exercise; ROM-ex)の有用性と...
「要旨」: [目的] 肩関節拘縮を伴う高齢患者を対象に, 上腕骨解剖頸軸回旋humeral neck axis rotation; HNARを用いた関節可動域運動(range of motion exercise; ROM-ex)の有...
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SubjectTerms 上腕骨解剖頸軸回旋
肩関節
高齢者
Title 上腕骨解剖頸軸回旋を利用した肩関節可動域運動の有用性
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