上肢動作の代償動作を考える

Patients with shoulder joint dysfunction may perform compensatory motion using the glenohumeral joint,scapula, or trunk to accomplish the intended movement. It is necessary to consider which treatment strategyto pursue, improvement of normal movement or acquisition of compensatory function, dependin...

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Published in関西理学療法 Vol. 23; pp. 23 - 30
Main Authors 井尻, 朋人, 白井, 孝尚, 鈴木, 俊明, 福島, 秀晃
Format Journal Article
LanguageJapanese
Published 関西理学療法学会 2023
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ISSN1346-9606
1349-9572
DOI10.11354/jkpt.23.23

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Abstract Patients with shoulder joint dysfunction may perform compensatory motion using the glenohumeral joint,scapula, or trunk to accomplish the intended movement. It is necessary to consider which treatment strategyto pursue, improvement of normal movement or acquisition of compensatory function, depending on theintended goal. In this paper, compensatory movement caused by functional impairment of the glenohumeraljoint and scapula are used as examples. In addition, electromyographic data are presented and details of thekind of compensatory movement occurring are explained.
AbstractList Patients with shoulder joint dysfunction may perform compensatory motion using the glenohumeral joint,scapula, or trunk to accomplish the intended movement. It is necessary to consider which treatment strategyto pursue, improvement of normal movement or acquisition of compensatory function, depending on theintended goal. In this paper, compensatory movement caused by functional impairment of the glenohumeraljoint and scapula are used as examples. In addition, electromyographic data are presented and details of thekind of compensatory movement occurring are explained.
Author 鈴木, 俊明
白井, 孝尚
井尻, 朋人
福島, 秀晃
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  organization: 医療法人寿山会 喜馬病院
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  organization: 医療法人寿山会 喜馬病院
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  fullname: 鈴木, 俊明
  organization: 関西医療大学大学院 保健医療学研究科
– sequence: 1
  fullname: 福島, 秀晃
  organization: 伏見岡本病院 リハビリテーション科
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References 2) 健康長寿ネット. 代償動作(代償運動)による問題. https://www.tyojyu.or.jp/net/kenkou-tyoju/undou-kiso/daishodosamondai.html(2023 年4 月1 日閲覧)
1) 三浦雄一郎・他:肩関節運動機能とADL の関連性.関西理学 8: 25–34, 2008.
5) 石谷栄一・他:挙上動作における棘上筋・棘下筋活動の筋電図による評価~腱板修復術の後療法の指標~.肩関節 37:751–754, 2013.
6) 早田 荘・他:上肢挙上に伴う体幹機能.関西理学 17: 23–32, 2017.
10) Miura Y, et al.: Three-dimensional scapular kinematics duringarm elevation in massive rotator cuff tears. Prog Rehabil Med 2:20170005, 2017.
4) Perry J, et al.: Normal electromyographic values of six shouldermuscles during free motion. Orthop Trans 13: 322–323, 1989.
9) 福島秀晃・他:腱板断裂症例の上肢挙上角度と三角筋の筋活動について.肩関節 45: 84–88, 2021.
3) 鈴木俊明(監修),嘉戸直樹・他(編):脳卒中運動学.pp38–39,運動と医学の出版社, 2021
7) 立入久和・他:肩すくめ動作における棘上筋・棘下筋の筋活動.肩関節 35: 719–722, 2011.
8) 福島秀晃・他:上肢挙上困難な腱板広範囲断裂の肩甲帯周囲筋群の筋活動特性.肩関節43: 776–780, 2019.
References_xml – reference: 5) 石谷栄一・他:挙上動作における棘上筋・棘下筋活動の筋電図による評価~腱板修復術の後療法の指標~.肩関節 37:751–754, 2013.
– reference: 8) 福島秀晃・他:上肢挙上困難な腱板広範囲断裂の肩甲帯周囲筋群の筋活動特性.肩関節43: 776–780, 2019.
– reference: 3) 鈴木俊明(監修),嘉戸直樹・他(編):脳卒中運動学.pp38–39,運動と医学の出版社, 2021.
– reference: 2) 健康長寿ネット. 代償動作(代償運動)による問題. https://www.tyojyu.or.jp/net/kenkou-tyoju/undou-kiso/daishodosamondai.html(2023 年4 月1 日閲覧)
– reference: 6) 早田 荘・他:上肢挙上に伴う体幹機能.関西理学 17: 23–32, 2017.
– reference: 9) 福島秀晃・他:腱板断裂症例の上肢挙上角度と三角筋の筋活動について.肩関節 45: 84–88, 2021.
– reference: 10) Miura Y, et al.: Three-dimensional scapular kinematics duringarm elevation in massive rotator cuff tears. Prog Rehabil Med 2:20170005, 2017.
– reference: 4) Perry J, et al.: Normal electromyographic values of six shouldermuscles during free motion. Orthop Trans 13: 322–323, 1989.
– reference: 1) 三浦雄一郎・他:肩関節運動機能とADL の関連性.関西理学 8: 25–34, 2008.
– reference: 7) 立入久和・他:肩すくめ動作における棘上筋・棘下筋の筋活動.肩関節 35: 719–722, 2011.
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Snippet Patients with shoulder joint dysfunction may perform compensatory motion using the glenohumeral joint,scapula, or trunk to accomplish the intended movement. It...
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StartPage 23
SubjectTerms compensatory movement
electromyography
glenohumeral joint
scapula
Title 上肢動作の代償動作を考える
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