バランスシューズを用いた下肢リアライメントプログラムが大学女性バレーボール選手の着地時下肢筋活動に及ぼす効果：前後比較試験
バランスシューズは足に装着するトレーニング器具で，膝関節動的外反（dynamic valgus）の矯正効果が期待される。我々はバランスシューズを用いた15分間の下肢リアライメントプログラムを考案し，大学女性バレーボール選手の着地動作時の下肢筋活動に及ぼす効果を検証した。介入は週3回，4週間実施した。介入前後に，30㎝台からの片脚着地とdrop vertical jump 実施時の下肢筋活動を測定，分析した。介入後，片脚着地では初期接地後20msec 間での半腱様筋活動量と半腱様筋／大腿二頭筋比が，drop vertical jump では初期接地前後20msec 間での半腱様筋／大腿二頭筋比と...
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| Published in | ヘルスプロモーション理学療法研究 Vol. 3; no. 1; pp. 29 - 36 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本ヘルスプロモーション理学療法学会
2013
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 2186-3741 2187-3305 |
| DOI | 10.9759/hppt.3.29 |
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| Abstract | バランスシューズは足に装着するトレーニング器具で，膝関節動的外反（dynamic valgus）の矯正効果が期待される。我々はバランスシューズを用いた15分間の下肢リアライメントプログラムを考案し，大学女性バレーボール選手の着地動作時の下肢筋活動に及ぼす効果を検証した。介入は週3回，4週間実施した。介入前後に，30㎝台からの片脚着地とdrop vertical jump 実施時の下肢筋活動を測定，分析した。介入後，片脚着地では初期接地後20msec 間での半腱様筋活動量と半腱様筋／大腿二頭筋比が，drop vertical jump では初期接地前後20msec 間での半腱様筋／大腿二頭筋比と初期接地後20msec 間での内側広筋／外側広筋比が介入前に比べ増加した。このことより，本プログラムは，大学女性バレーボール選手の着地動作時の半腱様筋と内側広筋の筋活動を改善させる可能性があると結論づけられた。 |
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| AbstractList | バランスシューズは足に装着するトレーニング器具で，膝関節動的外反（dynamic valgus）の矯正効果が期待される。我々はバランスシューズを用いた15分間の下肢リアライメントプログラムを考案し，大学女性バレーボール選手の着地動作時の下肢筋活動に及ぼす効果を検証した。介入は週3回，4週間実施した。介入前後に，30㎝台からの片脚着地とdrop vertical jump 実施時の下肢筋活動を測定，分析した。介入後，片脚着地では初期接地後20msec 間での半腱様筋活動量と半腱様筋／大腿二頭筋比が，drop vertical jump では初期接地前後20msec 間での半腱様筋／大腿二頭筋比と初期接地後20msec 間での内側広筋／外側広筋比が介入前に比べ増加した。このことより，本プログラムは，大学女性バレーボール選手の着地動作時の半腱様筋と内側広筋の筋活動を改善させる可能性があると結論づけられた。 要旨:バランスシューズは足に装着するトレーニング器具で, 膝関節動的外反(dynamic valgus)の矯正効果が期待される. 我々はバランスシューズを用いた15分間の下肢リアライメントプログラムを考案し, 大学女性バレーボール選手の着地動作時の下肢筋活動に及ぼす効果を検証した. 介入は週3回, 4週間実施した. 介入前後に, 30cm台からの片脚着地とdrop vertical jump実施時の下肢筋活動を測定, 分析した. 介入後, 片脚着地では初期接地後20msec間での半腱様筋活動量と半腱様筋/大腿二頭筋比が, drop vertical jumpでは初期接地前後20msec間での半腱様筋/大腿二頭筋比と初期接地後20msec間での内側広筋/外側広筋比が介入前に比べ増加した. このことより, 本プログラムは, 大学女性バレーボール選手の着地動作時の半腱様筋と内側広筋の筋活動を改善させる可能性があると結論づけられた. |
| Author | 山地, 勇喜 窪田, 智史 蒲田, 和芳 |
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| References | 26) Nagano Y, Ida H, Akai M, et al.: Biomechanical characteristics of the knee joint in female athletes during tasks associ ated with anterior cruciate ligament injury. Knee, 2009, 16 (2): 153-158. 14) Olsen OE, Myklebust G, Engebretsen L, et al.: Exercises to prevent lower limb injuries in youth sports: cluster ran domised controlled trial. BMJ, 2005, 330(7489): 449. 35) Krosshaug T, Nakamae A, Boden BP, et al.: Mechanisms of anterior cruciate ligament injury in basketball: video analy sis of 39 cases. Am J Sports Med, 2007, 35(3): 359-367. 20) Russell KA, Palmieri RM, Zinder SM, et al.: Sex differences in valgus knee angle during a single-leg drop jump. J Athl Train, 2006, 41(2): 166-171. 17) Wilderman DR, Ross SE, Padua DA: Thigh muscle activity,knee motion, and impact force during side-step pivoting in agility-trained female basketball players. J Athl Train, 2009,44(1): 14-25. 25) Zazulak BT, Ponce PL, Straub SJ, et al.: Gender comparison of hip muscle activity during single-leg landing. J Orthop Sports Phys Ther, 2005, 35(5): 292-299. 11) Agel J, Arendt EA, Bershadsky B: Anterior cruciate ligament injury in national collegiate athletic association bas ketball and soccer: a 13-year review. Am J Sports Med,2005, 33(4): 524-530. 23) Myer GD, Ford KR, Hewett TE: The effects of gender on quadriceps muscle activation strategies during a maneu ver that mimics a high ACL injury risk position. J Electromyogr Kinesiol, 2005, 15(2): 181-189. 3) 鈴川仁人，高橋佐江子，永野康治・他：中学生バスケットボール選手の外傷に関する疫学的研究．日本整形外科ス ポーツ医学会雑誌，2009，29（1）：44‐49 8) Myklebust G, Holm I, Maehlum S, et al.: Clinical, functional,and radiologic outcome in team handball players 6 to 11 years after anterior cruciate ligament injury: a follow-up study. Am J Sports Med, 2003, 31(6): 981-989. 9) Lohmander LS, Englund PM, Dahl LL, et al.: The long-term consequence of anterior cruciate ligament and meniscus in juries: osteoarthritis. Am J Sports Med, 2007, 35(10): 1756- 1769. 16) LimBO,LeeYS,KimJG,etal.:Effects of sports injury prevention training on the biomechanical risk factors of ante rior cruciate ligament injury in high school female basketball players. Am J Sports Med, 2009, 37(9): 1728-1734. 18) Zebis MK, Bencke J, Andersen LL, et al.: The effects of neuromuscular training on knee joint motor control during sidecutting in female elite soccer and handball players. Clin J Sport Med, 2008, 18(4): 329-337. 6) Arendt E, Dick R: Knee injury patterns among men and women in collegiate basketball and soccer. NCAA data and review of literature. Am J Sports Med，1995, 23(6): 694-701. 12) Koga H, Nakamae A, Shima Y, et al.: Mechanisms for Noncontact Anterior Cruciate Ligament Injuries: Knee Joint Kinematics in 10 Injury Situations From Female Team Handball and Basketball. Am J Sports Med, 2010 28) 下野俊哉：表面筋電図マニュアル基礎編．酒井医療株式会社，東京，2004，107‐110 24) Palmieri-Smith RM, McLean SG, Ashton-Miller JA, et al.:Association of quadriceps and hamstrings cocontraction patterns with knee joint loading. J Athl Train, 2009, 44(3):256-263. 30) MacWilliams BA, Wilson DR, DesJardins JD, et al.: Hamstrings cocontraction reduces internal rotation, anterior translation, and anterior cruciate ligament load in weightbearing flexion. J Orthop Res, 1999, 17(6): 817-822. 15) Chimera NJ, Swanik KA, Swanik CB, et al.: Effects of Plyometric Training on Muscle-Activation Strategies and Performance in Female Athletes. J Athl Train, 2004, 39(1):24-31. 4) Johnson DL, Fu FH: Anterior cruciate ligament reconstruction: why do failures occur? Instr Course Lect, 1995, 44: 391 -406. 2) Renstrom P, Ljungqvist A, Arendt E, et al.: Non-contact ACL injuries in female athletes: an International Olympic Committee current concepts statement. Br J Sports Med,2008, 42(6): 394-412. 21) Beaulieu ML, Lamontagne M, Xu L: Lower limb muscle activity and kinematics of an unanticipated cutting manoeu vre: a gender comparison. Knee Surg Sports Traumatol Arthrosc, 2009, 17(8): 968-976. 27) Ford KR, Myer GD, Hewett TE: Valgus knee motion during landing in high school female and male basketball play ers. Med Sci Sports Exerc, 2003, 35(10): 1745-1750. 36) Cerulli G, Benoit DL, Lamontagne M, et al.: In vivo anterior cruciate ligament strain behaviour during a rapid decelera tion movement: case report. Knee Surg Sports Traumatol Arthrosc, 2003, 11(5): 307-311. 38) Burden AM, Trew M, Baltzopoulos V: Normalisation of gait EMGs: a re-examination. J Electromyogr Kinesiol, 2003, 13(6): 519-532. 33) Besier TF, Lloyd DG, Ackland TR: Muscle activation strategies at the knee during running and cutting maneuvers. Med Sci Sports Exerc, 2003, 35(1): 119-127. 34) Krosshaug T, Slauterbeck JR, Engebretsen L, et al.: Biomechanical analysis of anterior cruciate ligament injury mechanisms: three-dimensional motion reconstruction from video sequences. Scand J Med Sci Sports, 2007, 17(5):508-519. 13) Hewett TE, Lindenfeld TN, Riccobene JV, et al.: The effect of neuromuscular training on the incidence of knee injury in female athletes. A prospective study. Am J Sports Med,1999, 27(6): 699-706. 19) Hewett TE, Myer GD, Ford KR, et al.: Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. Am J Sports Med, 2005,33(4): 492-501. 29) Hislop HJ, Montgomery J：新・徒手筋力検査法原著第7 版．津山直一（訳），協同医書出版社，東京，2003，190‐227 22) Beaulieu ML, McLean SG: Sex-dimorphic landing mechanics and their role within the noncontact ACL injury mecha nism: evidence, limitations and directions. Sports Med Arthrosc Rehabil Ther Technol, 2012, 4(1): 10. 5) Kvist J: Rehabilitation following anterior cruciate ligament injury: current recommendations for sports participation. Sports Med, 2004, 34(4): 269-280. 32) Wojtys EM, Ashton-Miller JA, Huston LJ: A gender-related difference in the contribution of the knee musculature to sagittal-plane shear stiffness in subjects with similar knee laxity. J Bone Joint Surg Am, 2002, 84-A(1): 10-16. 7) Freedman KB, Glasgow MT, Glasgow SG, et al.: Anterior cruciate ligament injury and reconstruction among univer sity students. Clin Orthop Relat Res, 1998, (356): 208-212. 31) Li G, Rudy TW, Sakane M, et al.: The importance of quadriceps and hamstring muscle loading on knee kinematics and in-situ forces in the ACL. J Biomech, 1999, 32(4): 395-400. 10) Boden BP, Dean GS, Feagin JA, Jr., et al.: Mechanisms of anterior cruciate ligament injury. Orthopedics, 2000, 23(6): 573-578. 1) Griffin LY, Albohm MJ, Arendt EA, et al.: Understanding and preventing noncontact anterior cruciate ligament inju ries: a review of the Hunt Valley II meeting, January 2005. Am J Sports Med, 2006, 34(9): 1512-1532. 37) Taylor KA, Terry ME, Utturkar GM, et al.: Measurement of in vivo anterior cruciate ligament strain during dynamic jump landing. J Biomech, 2011, 44(3): 365-371. |
| References_xml | – reference: 16) LimBO,LeeYS,KimJG,etal.:Effects of sports injury prevention training on the biomechanical risk factors of ante rior cruciate ligament injury in high school female basketball players. Am J Sports Med, 2009, 37(9): 1728-1734. – reference: 4) Johnson DL, Fu FH: Anterior cruciate ligament reconstruction: why do failures occur? Instr Course Lect, 1995, 44: 391 -406. – reference: 28) 下野俊哉：表面筋電図マニュアル基礎編．酒井医療株式会社，東京，2004，107‐110． – reference: 20) Russell KA, Palmieri RM, Zinder SM, et al.: Sex differences in valgus knee angle during a single-leg drop jump. J Athl Train, 2006, 41(2): 166-171. – reference: 7) Freedman KB, Glasgow MT, Glasgow SG, et al.: Anterior cruciate ligament injury and reconstruction among univer sity students. Clin Orthop Relat Res, 1998, (356): 208-212. – reference: 18) Zebis MK, Bencke J, Andersen LL, et al.: The effects of neuromuscular training on knee joint motor control during sidecutting in female elite soccer and handball players. Clin J Sport Med, 2008, 18(4): 329-337. – reference: 21) Beaulieu ML, Lamontagne M, Xu L: Lower limb muscle activity and kinematics of an unanticipated cutting manoeu vre: a gender comparison. Knee Surg Sports Traumatol Arthrosc, 2009, 17(8): 968-976. – reference: 1) Griffin LY, Albohm MJ, Arendt EA, et al.: Understanding and preventing noncontact anterior cruciate ligament inju ries: a review of the Hunt Valley II meeting, January 2005. Am J Sports Med, 2006, 34(9): 1512-1532. – reference: 38) Burden AM, Trew M, Baltzopoulos V: Normalisation of gait EMGs: a re-examination. J Electromyogr Kinesiol, 2003, 13(6): 519-532. – reference: 15) Chimera NJ, Swanik KA, Swanik CB, et al.: Effects of Plyometric Training on Muscle-Activation Strategies and Performance in Female Athletes. J Athl Train, 2004, 39(1):24-31. – reference: 25) Zazulak BT, Ponce PL, Straub SJ, et al.: Gender comparison of hip muscle activity during single-leg landing. J Orthop Sports Phys Ther, 2005, 35(5): 292-299. – reference: 5) Kvist J: Rehabilitation following anterior cruciate ligament injury: current recommendations for sports participation. Sports Med, 2004, 34(4): 269-280. – reference: 37) Taylor KA, Terry ME, Utturkar GM, et al.: Measurement of in vivo anterior cruciate ligament strain during dynamic jump landing. J Biomech, 2011, 44(3): 365-371. – reference: 22) Beaulieu ML, McLean SG: Sex-dimorphic landing mechanics and their role within the noncontact ACL injury mecha nism: evidence, limitations and directions. Sports Med Arthrosc Rehabil Ther Technol, 2012, 4(1): 10. – reference: 31) Li G, Rudy TW, Sakane M, et al.: The importance of quadriceps and hamstring muscle loading on knee kinematics and in-situ forces in the ACL. J Biomech, 1999, 32(4): 395-400. – reference: 32) Wojtys EM, Ashton-Miller JA, Huston LJ: A gender-related difference in the contribution of the knee musculature to sagittal-plane shear stiffness in subjects with similar knee laxity. J Bone Joint Surg Am, 2002, 84-A(1): 10-16. – reference: 23) Myer GD, Ford KR, Hewett TE: The effects of gender on quadriceps muscle activation strategies during a maneu ver that mimics a high ACL injury risk position. J Electromyogr Kinesiol, 2005, 15(2): 181-189. – reference: 10) Boden BP, Dean GS, Feagin JA, Jr., et al.: Mechanisms of anterior cruciate ligament injury. Orthopedics, 2000, 23(6): 573-578. – reference: 35) Krosshaug T, Nakamae A, Boden BP, et al.: Mechanisms of anterior cruciate ligament injury in basketball: video analy sis of 39 cases. Am J Sports Med, 2007, 35(3): 359-367. – reference: 8) Myklebust G, Holm I, Maehlum S, et al.: Clinical, functional,and radiologic outcome in team handball players 6 to 11 years after anterior cruciate ligament injury: a follow-up study. Am J Sports Med, 2003, 31(6): 981-989. – reference: 11) Agel J, Arendt EA, Bershadsky B: Anterior cruciate ligament injury in national collegiate athletic association bas ketball and soccer: a 13-year review. Am J Sports Med,2005, 33(4): 524-530. – reference: 13) Hewett TE, Lindenfeld TN, Riccobene JV, et al.: The effect of neuromuscular training on the incidence of knee injury in female athletes. A prospective study. Am J Sports Med,1999, 27(6): 699-706. – reference: 12) Koga H, Nakamae A, Shima Y, et al.: Mechanisms for Noncontact Anterior Cruciate Ligament Injuries: Knee Joint Kinematics in 10 Injury Situations From Female Team Handball and Basketball. Am J Sports Med, 2010: – reference: 2) Renstrom P, Ljungqvist A, Arendt E, et al.: Non-contact ACL injuries in female athletes: an International Olympic Committee current concepts statement. Br J Sports Med,2008, 42(6): 394-412. – reference: 19) Hewett TE, Myer GD, Ford KR, et al.: Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes: a prospective study. Am J Sports Med, 2005,33(4): 492-501. – reference: 24) Palmieri-Smith RM, McLean SG, Ashton-Miller JA, et al.:Association of quadriceps and hamstrings cocontraction patterns with knee joint loading. J Athl Train, 2009, 44(3):256-263. – reference: 9) Lohmander LS, Englund PM, Dahl LL, et al.: The long-term consequence of anterior cruciate ligament and meniscus in juries: osteoarthritis. Am J Sports Med, 2007, 35(10): 1756- 1769. – reference: 3) 鈴川仁人，高橋佐江子，永野康治・他：中学生バスケットボール選手の外傷に関する疫学的研究．日本整形外科ス ポーツ医学会雑誌，2009，29（1）：44‐49． – reference: 26) Nagano Y, Ida H, Akai M, et al.: Biomechanical characteristics of the knee joint in female athletes during tasks associ ated with anterior cruciate ligament injury. Knee, 2009, 16 (2): 153-158. – reference: 14) Olsen OE, Myklebust G, Engebretsen L, et al.: Exercises to prevent lower limb injuries in youth sports: cluster ran domised controlled trial. BMJ, 2005, 330(7489): 449. – reference: 36) Cerulli G, Benoit DL, Lamontagne M, et al.: In vivo anterior cruciate ligament strain behaviour during a rapid decelera tion movement: case report. Knee Surg Sports Traumatol Arthrosc, 2003, 11(5): 307-311. – reference: 27) Ford KR, Myer GD, Hewett TE: Valgus knee motion during landing in high school female and male basketball play ers. Med Sci Sports Exerc, 2003, 35(10): 1745-1750. – reference: 34) Krosshaug T, Slauterbeck JR, Engebretsen L, et al.: Biomechanical analysis of anterior cruciate ligament injury mechanisms: three-dimensional motion reconstruction from video sequences. Scand J Med Sci Sports, 2007, 17(5):508-519. – reference: 30) MacWilliams BA, Wilson DR, DesJardins JD, et al.: Hamstrings cocontraction reduces internal rotation, anterior translation, and anterior cruciate ligament load in weightbearing flexion. J Orthop Res, 1999, 17(6): 817-822. – reference: 33) Besier TF, Lloyd DG, Ackland TR: Muscle activation strategies at the knee during running and cutting maneuvers. Med Sci Sports Exerc, 2003, 35(1): 119-127. – reference: 17) Wilderman DR, Ross SE, Padua DA: Thigh muscle activity,knee motion, and impact force during side-step pivoting in agility-trained female basketball players. J Athl Train, 2009,44(1): 14-25. – reference: 6) Arendt E, Dick R: Knee injury patterns among men and women in collegiate basketball and soccer. NCAA data and review of literature. Am J Sports Med，1995, 23(6): 694-701. – reference: 29) Hislop HJ, Montgomery J：新・徒手筋力検査法原著第7 版．津山直一（訳），協同医書出版社，東京，2003，190‐227． |
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| Snippet | バランスシューズは足に装着するトレーニング器具で，膝関節動的外反（dynamic valgus）の矯正効果が期待される。我々はバランスシューズを用いた15分間の下... 要旨:バランスシューズは足に装着するトレーニング器具で, 膝関節動的外反(dynamic valgus)の矯正効果が期待される. 我々はバランスシューズを用いた15分間の下... |
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| SubjectTerms | 動的アライメント 筋活動 膝前十字靱帯損傷予防プログラム |
| Title | バランスシューズを用いた下肢リアライメントプログラムが大学女性バレーボール選手の着地時下肢筋活動に及ぼす効果：前後比較試験 |
| URI | https://www.jstage.jst.go.jp/article/hppt/3/1/3_29/_article/-char/ja http://mol.medicalonline.jp/library/journal/download?GoodsID=ee0jhppt/2013/000301/007&name=0029-0036j |
| Volume | 3 |
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| ispartofPNX | ヘルスプロモーション理学療法研究, 2013, Vol.3(1), pp.29-36 |
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