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理学療法ジャーナル55巻10号

2021年10月発行

文献概要

特集 タッチ—触れることと触れられること

ライトタッチと姿勢・歩行バランス

著者: 新井智之1 山崎雄一郎2

所属機関: 1埼玉医科大学保健医療学部理学療法学科 2丸木記念福祉メディカルセンターリハビリテーション科

ページ範囲:P.1084 - P.1090

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●ライトタッチは,体性感覚情報に基づく姿勢制御であり,年齢や障害にかかわらず,身体動揺を減少させる効果がある

●ライトタッチは,下肢筋活動をあまり減少させることなく,安定性を高める効果があり,バランス能力を高める介入手段として有用である

●肩の高さでのinterpersonal touchは,身体動揺を最も減少させることが示されており,臨床場面でも患者の歩行介助に応用できる

参考文献

1)Jeka JJ, et al:Fingertip contact influences human postural control. Exp Brain Res 1994;100:495-502
2)Jeka JJ, et al:The role of haptic cues from rough and slippery surfaces in human postural control. Exp Brain Res 1995;103:267-276
3)Jeka JJ, et al:Coupling of fingertip somatosensory information to head and body sway. Exp Brain Res 1997;113:475-483
4)Holden M, et al:Stabilization of posture by precision contact of the index finger. J Vestib Res 1994;4:285-301
5)Baldan AM, et al:Effect of light touch on postural sway in individuals with balance problems:a systematic review. Gait Posture 2014;40:1-10
6)新井智之,他:片脚立位姿勢におけるライトタッチの効果—ロコモーショントレーニングの基礎的検討.理療科2019;34:559-564
7)Kouzaki M, et al:Reduced postural sway during quiet standing by light touch is due to finger tactile feedback but not mechanical support. Exp Brain Res 2008;188:153-158
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16)Hirata RP, et al:Light touch contact improves pain-evoked postural instability during quiet standing. Pain Med 2018;19:2487-2495
17)Uchida Y, et al:Body sway and muscle activity during one-leg stance with help using a hand. J Mot Behav 2015;47:89-94
18)Boonsinsukh R, et al:Light touch cue through a cane improves pelvic stability during walking in stroke. Arch Phys Med Rehabil 2009;90:919-926
19)Dickstein R, et al:Light touch and center of mass stability during treadmill locomotion. Gait Posture 2004;20:41-47
20)Oates AR, et al:The effects of light touch on gait and dynamic balance during normal and tandem walking in individuals with an incomplete spinal cord injury. Spinal Cord 2021;59:159-166
21)Oates AR, et al:The effect of light touch on balance control during overground walking in healthy young adults. Heliyon 2017;3:e00484. doi.org/10.1016/j.heliyon.2017.e00484
22)Oates AR, et al:Adding light touch while walking in older adults:biomechanical and neuromotor effects. J Aging Phys Act 2020;20:1-6
23)Rogers MW, et al:Passive tactile sensory input improves stability during standing. Exp Brain Res 2001;136:514-522
24)Johannsen L, et al:Deliberately light interpersonal touch as an aid to balance control in neurologic conditions. Rehabil Nurs 2017;42:131-138

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1359

印刷版ISSN:0915-0552

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