理学療法ジャーナル54巻7号

2020年07月発行

特集 脊椎・脊髄疾患の多彩な症状と理学療法

脊椎・脊髄疾患による脊柱柔軟性低下と隣接関節障害

著者： 建内宏重¹

所属機関： ¹京都大学大学院医学研究科人間健康科学系専攻

ページ範囲：P.753 - P.759

Point

●脊柱柔軟性の低下は，人工股関節全置換術後の脱臼リスクを高める

●脊柱柔軟性の低下は，大腿骨寛骨臼インピンジメントをより助長する可能性がある

●脊柱柔軟性は，変形性股・膝関節症に伴う姿勢変化の代償に重要であり，柔軟性の低下は変形性股関節症の進行を助長する可能性がある

参考文献

1）Laird RA, et al：Comparing lumbo-pelvic kinematics in people with and without back pain：a systematic review and meta-analysis. BMC Musculoskeletal Disord 2014；15：229. doi：10.1186/1471-2474-15-229

2）Sadler SG, et al：Restriction in lateral bending range of motion, lumbar lordosis, and hamstrings flexibility predicts the development of low back pain：a systematic review of prospective cohort studies. BMC Musculoskeletal Disord 2017；18：179. doi：10.1186/s12891-017-1534-0

3）Abdel MP, et al：What safe zone? The vast majority of dislocated THAs are within the Lewinnek safe zone for acetabular component position. Clin Orthop Relat Res 2016；474：386-391

4）Lum ZC, et al：The current knowledge on spinopelvic mobility. J Arthroplasty 2018；33：291-296

5）Endo K, et al：Sagittal lumbar and pelvic alignment in the standing and sitting positions. J Orthop Sci 2012；17：682-686

6）Hey HWD, et al：How the spine differs in standing and in sitting-important considerations for correction of spinal deformity. Spine J 2017；17：799-806

7）Moon MS, et al：Spinopelvic orientation on radiographs in various body postures：upright standing, chair sitting, Japanese style kneel sitting, and Korean style cross-legged sitting. Clin Orthop Surg 2018；10：322-327

8）Bedard NA, et al：Abnormally high dislocation rates of total hip arthroplasty after spinal deformity surgery. J Arthroplasty 2016；31：2884-2885

9）Esposito CI, et al：Total hip arthroplasty patients with fixed spinopelvic alignment are at high risk of hip dislocation. J Arthroplasty 2018；33：1449-1454

10）横尾健人，他：人工股関節全置換術後の前方からの靴下着脱動作角度の検討．Hip Joint 2018；44：S196-S198

11）中島卓三，他：靴下着脱動作における胸腰椎・骨盤運動の検討—健常成人とTHA術後患者の比較．Hip Joint 2013；39：207-209

12）Fader RR, et al：The role of lumbar lordosis and pelvic sagittal balance in femoroacetabular impingement. Bone Joint J 2018；100-B：1275-1279

13）Lamontagne M, et al：The effect of cam FAI on hip and pelvic motion during maximum squat. Clin Orthop Relat Res 2009；467：645-650

14）Bagwell JJ, et al：Hip kinematics and kinetics in persons with and without cam femoroacetabular impingement during a deep squat task. Clin Biomech（Bristol, Avon） 2016；31：87-92

15）Lewis CL, et al：Kinematic differences during single-leg step-down between individuals with femoroacetabular impingement syndrome and individuals without hip pain. J Orthop Sports Phys Ther 2018；48：270-279

16）Diamond LE, et al：Squatting biomechanics in individuals with symptomatic femoroacetabular impingement. Med Sci Sports Exerc 2017；49：1520-1529

17）Catelli DS, et al：Asymptomatic participants with a femoroacetabular deformity demonstrate stronger hip extensors and greater pelvis mobility during the deep squat task. Orthop J Sports Med 2018；6：2325967118782484. doi：10.1177/2325967118782484

18）Okuda T, et al：Stage-specific sagittal spinopelvic alignment changes in osteoarthritis of the hip secondary to developmental hip dysplasia. Spine（Phila Pa 1976） 2007；32：E816-E819

19）Weng WJ, et al：Characteristics of sagittal spine-pelvis-leg alignment in patients with severe hip osteoarthritis. Eur Spine J 2015；24：1228-1236

20）Fukushima K, et al：Relationship between spinal sagittal alignment and acetabular coverage：a patients-matched control study. Arch Orthop Trauma Surg 2018；138：1495-1499

21）Day LM, et al：Radiological severity of hip osteoarthritis in patients with adult spinal deformity：the effect on spinopelvic and lower extremity compensatory mechanisms. Eur Spine J 2018；27：2294-2302

22）Miyagi M, et al：Hip-spine syndrome：Cross-sectional-study of spinal alignment in patients with coxalgia. Hip Int 2019；29：21-25

23）Tateuchi H：Gait- and postural-alignment-related prognostic factors for hip and knee osteoarthritis：toward the prevention of osteoarthritis progression. Phys Ther Res 2019；22：31-37

24）Tateuchi H, et al：Sagittal alignment and mobility of the thoracolumbar spine are associated with radiographic progression of secondary hip osteoarthritis. Osteoarthritis Cartilage 2018；26：397-404

25）Tateuchi H, et al：Gait- and Posture-related factors associated with changes in hip pain and physical function in patients with secondary hip osteoarthritis：a prospective cohort study. Arch Phys Med Rehabil 2019；100：2053-2062

26）建内宏重：歩行時の股関節伸展に伴う負荷を軽減する方法．福井　勉（編）：新ブラッシュアップ理学療法—新たな技術を創造する臨床家88の挑戦．pp188-191，ヒューマンプレス，2017

27）Tauchi R, et al：Influence of spinal imbalance on knee osteoarthritis in community-living elderly adults. Nagoya J Med Sci 2015；77：329-337

28）Wang WJ, et al：Sagittal alignment of the spine-pelvis-lower extremity axis in patients with severe knee osteoarthritis：a radiographic Study. Bone Joint Res 2016；5：198-205

29）Oshima Y, et al：Knee-hip-spine syndrome：Improvement in preoperative abnormal posture following total knee arthroplasty. Adv Orthop 2019；1：8484938. doi：10.1155/2019/8484938

30）Tsuji T, et al：Knee-spine syndrome：correlation between sacral inclination and patellofemoral joint pain. J Orthop Sci 2002；7：519-523

31）Barrett E, et al：Is thoracic spine posture associated with shoulder pain, range of motion and function? A systematic review. Man Ther 2016；26：38-46

32）Nagamoto Y, et al：Sacroiliac joint motion in patients with degenerative lumbar spine disorders. J Neurosurg Spine 2015；23：209-216

33）Tousignant M, et al：The Modified-Modified Schober Test for range of motion assessment of lumbar flexion in patients with low back pain：a study of criterion validity, intra- and inter-rater reliability and minimum metrically detectable change. Disabil Rehabil 2005；27：553-559

34）Barrett E, et al：Reliability and validity of non-radiographic methods of thoracic kyphosis measurement：a systematic review. Man Ther 2014；19：10-17