腹斜筋および中殿筋の筋緊張異常によって歩行の実用性に問題を認めたウイルス性脳炎後遺症患者について

In this study, we reported the physical therapy in a subject who had difficulty with walking after viral encephalitis. In this case, we found that muscle tone in the right lower back was increased compensating for lowered muscle tone of the left obliquus internus abdominis and right gluteus medius....

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Published inJournal of Kansai Physical Therapy Vol. 5; pp. 119 - 124
Main Authors 坂田, 真未, 鈴木, 俊明, 金井, 一暁
Format Journal Article
LanguageJapanese
Published 関西理学療法学会 2005
The Academy for Kansai Physical Therapy
Subjects
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ISSN1346-9606
1349-9572
DOI10.11354/jkpt.5.119

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Abstract In this study, we reported the physical therapy in a subject who had difficulty with walking after viral encephalitis. In this case, we found that muscle tone in the right lower back was increased compensating for lowered muscle tone of the left obliquus internus abdominis and right gluteus medius. In gait, the subject showed a tendency to fall forward to the left in the early left stance phase and to fall backwards to the right in the early right stance phase resulting in an unsafe, unstable and unsustainable gait. In physical therapy, treatment for the lowered muscle tone was verified using electromyography, and the tendency to fall in gait was improved. The results suggest that normal muscle tone in the back, obliquus internus abdominis and gluteus medius is related to the stability of the pelvic girdle and hip joint.
AbstractList In this study, we reported the physical therapy in a subject who had difficulty with walking after viral encephalitis. In this case, we found that muscle tone in the right lower back was increased compensating for lowered muscle tone of the left obliquus internus abdominis and right gluteus medius. In gait, the subject showed a tendency to fall forward to the left in the early left stance phase and to fall backwards to the right in the early right stance phase resulting in an unsafe, unstable and unsustainable gait. In physical therapy, treatment for the lowered muscle tone was verified using electromyography, and the tendency to fall in gait was improved. The results suggest that normal muscle tone in the back, obliquus internus abdominis and gluteus medius is related to the stability of the pelvic girdle and hip joint.
Author 鈴木, 俊明
坂田, 真未
金井, 一暁
Author_FL SAKATA Mami
KANEI Kazuaki
SUZUKI Toshiaki
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  fullname: 坂田, 真未
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  fullname: 鈴木, 俊明
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  fullname: 金井, 一暁
  organization: 関西医療学園専門学校  理学療法学科
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DocumentTitleAlternate Unstable Gait after Viral Encephalitis due to Lowered Muscle Tone of the Obliquus Internus Abdominis and Gluteus Medius
DocumentTitle_FL Unstable Gait after Viral Encephalitis due to Lowered Muscle Tone of the Obliquus Internus Abdominis and Gluteus Medius
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References 4) Ng JK, et al.: Muscle fiber orientation of abdominal muscles and suggested surface EMG electrode positions. Electromyogr Clin Neurophysiol 38: 51-58, 1998.
5) Vink P, et al.: Specificity of surface EMG on the intrinsic lumber back muscles. Hum Move Sci 8: 67-78, 1989.
2) 半田 肇・他:神経局在診断改訂第4版.p44,文光堂,2000
3) 松岡成治・他:脳血管障害片麻痺患者における体幹筋の二次的に引き起こる筋短縮が筋緊張異常に及ぼす影響.関西理学療法 4:87-96,2004
1) 江藤文夫・他:神経内科学テキスト.p247,南江堂,2000
8) 三浦雄一郎:体幹筋機能の研究と慢性腰痛症の運動療法.関西理学 1:7-13,2001
6) Aldo O. Perotto:筋電図のための解剖ガイド第3版.西村書店,2000
7) 渡邊裕文:体重移動訓練.関西理学 3:15-19,2003
9) 米田浩久・他:歩行で過度の体幹の側方傾斜および回旋を認めた体幹ジストニア患者に対する運動療法の筋電図学的効果検討.関西理学 3:119-125,2003
References_xml – reference: 2) 半田 肇・他:神経局在診断改訂第4版.p44,文光堂,2000.
– reference: 4) Ng JK, et al.: Muscle fiber orientation of abdominal muscles and suggested surface EMG electrode positions. Electromyogr Clin Neurophysiol 38: 51-58, 1998.
– reference: 3) 松岡成治・他:脳血管障害片麻痺患者における体幹筋の二次的に引き起こる筋短縮が筋緊張異常に及ぼす影響.関西理学療法 4:87-96,2004.
– reference: 6) Aldo O. Perotto:筋電図のための解剖ガイド第3版.西村書店,2000.
– reference: 8) 三浦雄一郎:体幹筋機能の研究と慢性腰痛症の運動療法.関西理学 1:7-13,2001.
– reference: 7) 渡邊裕文:体重移動訓練.関西理学 3:15-19,2003.
– reference: 9) 米田浩久・他:歩行で過度の体幹の側方傾斜および回旋を認めた体幹ジストニア患者に対する運動療法の筋電図学的効果検討.関西理学 3:119-125,2003.
– reference: 5) Vink P, et al.: Specificity of surface EMG on the intrinsic lumber back muscles. Hum Move Sci 8: 67-78, 1989.
– reference: 1) 江藤文夫・他:神経内科学テキスト.p247,南江堂,2000.
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Snippet In this study, we reported the physical therapy in a subject who had difficulty with walking after viral encephalitis. In this case, we found that muscle tone...
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SubjectTerms gluteus medius
obliquus internus abdominis
virus patient
Title 腹斜筋および中殿筋の筋緊張異常によって歩行の実用性に問題を認めたウイルス性脳炎後遺症患者について
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