理学療法ジャーナル55巻3号

2021年03月発行

特集 重症化予防

変形性関節症の重症化予防

著者： 和田治¹ 建内宏重²

所属機関： ¹あんしん病院リハビリテーション科 ²京都大学大学院医学研究科人間健康科学系専攻予防理学療法学講座

ページ範囲：P.250 - P.255

Point

●変形性膝関節症の重症化予防には大腿四頭筋の機能改善が重要となる

●変形性股関節症の重症化予防には脊柱のアライメントと柔軟性に着目するとよい

●関節累積負荷という指標は，治療プランを立案する際だけでなく，患者指導を行う際にも有効である

参考文献

1）厚生労働省：2019年国民生活基礎調査の概況．https://www.mhlw.go.jp/toukei/saikin/hw/k-tyosa/k-tyosa19/index.html（2020年12月22日閲覧）

2）Muraki S, et al：Association of radiographic and symptomatic knee osteoarthritis with health-related quality of life in a population-based cohort study in Japan：the ROAD study. Osteoarthritis Cartilage 2010；18：1227-1234

3）Cross M, et al：The global burden of hip and knee osteoarthritis：estimates from the global burden of disease 2010 study. Ann Rheum Dis 2014；73：1323-1330

4）Chapple CM, et al：Patient characteristics that predict progression of knee osteoarthritis：a systematic review of prognostic studies. Arthritis Care Res（Hoboken）2011；63：1115-1125

5）Chang A, et al：Thrust during ambulation and the progression of knee osteoarthritis. Arthritis Rheum 2004；50：3897-3903

6）Culvenor AG, et al：Knee extensor strength and risk of structural, symptomatic, and functional decline in knee osteoarthritis：a systematic review and meta-analysis. Arthritis Care Res（Hoboken）2017；69：649-658

7）Frontera WR, et al：A cross-sectional study of muscle strength and mass in 45- to 78-yr-old men and women. J Appl Physiol（1985）1991；71：644-650

8）Wada O, et al：Influence of the severity of knee osteoarthritis on the association between leg muscle mass and quadriceps strength：the SPSS-OK study. Clin Rheumatol 2019；38：719-725

9）Muraki S, et al：Quadriceps muscle strength, radiographic knee osteoarthritis and knee pain：the ROAD study. BMC Musculoskelet Disord 2015；16：305. doi：10.1186/s12891-015-0737-5

10）O'Reilly SC, et al：Quadriceps weakness in knee osteoarthritis：the effect on pain and disability. Ann Rheum Dis 1998；57：588-594

11）Rice DA, et al：Quadriceps arthrogenic muscle inhibition：neural mechanisms and treatment perspectives. Semin Arthritis Rheum 2010；40：250-266

12）Rutherford OM, et al：Clinical and experimental application of the percutaneous twitch superimposition technique for the study of human muscle activation. J Neurol Neurosurg Psychiatry 1986；49：1288-1291

13）中山　彰：整形外科疾患の理学療法に必要な関節の神経生理学．理療科2001；16：151-155

14）Otsuki S, et al：Correlation between varus knee malalignment and patellofemoral osteoarthritis. Knee Surg Sports Traumatol Arthrosc 2016；24：176-181

15）Shimoura K, et al：Immediate effects of transcutaneous electrical nerve stimulation on pain and physical performance in individuals with preradiographic knee osteoarthritis：a randomized controlled trial. Arch Phys Med Rehabil 2019；100：300-306

16）Vaz MA, et al：Neuromuscular electrical stimulation（NMES）reduces structural and functional losses of quadriceps muscle and improves health status in patients with knee osteoarthritis. J Orthop Res 2013；31：511-516

17）Lievense AM, et al：Prognostic factors of progress of hip osteoarthritis：a systematic review. Arthritis Rheum 2002；47：556-562

18）Ahedi HG, et al：Hip shape as a predictor of osteoarthritis progression in a prospective population Cohort. Arthritis Care Res（Hoboken）2017；69：1566-1573

19）Teirlinck CH, et al：Prognostic factors for progression of osteoarthritis of the hip：a systematic review. Arthritis Res Ther 2019；21：192. doi：10.1186/s13075-019-1969-9

20）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

21）Offierski CM, et al：Hip-spine syndrome. Spine（Phila Pa 1976）1983；8：316-321

22）Yoshimoto H, et al：Spinopelvic alignment in patients with osteoarthrosis of the hip：a radiographic comparison to patients with low back pain. Spine（Phila Pa 1976）2005；30：1650-1657

23）Shum GL, et al：Effect of low back pain on the kinematics and joint coordination of the lumbar spine and hip during sit-to-stand and stand-to-sit. Spine（Phila Pa 1976）2005；30：1998-2004

24）Tafazzol A, et al：Lumbopelvic rhythm during forward and backward sagittal trunk rotations：combined in vivo measurement with inertial tracking device and biomechanical modeling. Clin Biomech（Bristol, Avon）2014；29：7-13

25）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

26）Gottschalk F, et al：The functional anatomy of tensor fasciae latae and gluteus medius and minimus. J Anat 1989；166：179-189

27）Pisters MF, et al：The course of limitations in activities over 5 years in patients with knee and hip osteoarthritis with moderate functional limitations：risk factors for future functional decline. Osteoarthritis Cartilage 2012；20：503-510

28）Fukumoto Y, et al：Effects of high-velocity resistance training on muscle function, muscle properties, and physical performance in individuals with hip osteoarthritis：a randomized controlled trial. Clin Rehabil 2014；28：48-58

29）Fukumoto Y, et al：Effects of high- and low-velocity resistance training on gait kinematics and kinetics in individuals with hip osteoarthritis：a randomized controlled trial. Am J Phys Med Rehabil 2017；96：417-423

30）Lementowski PW, et al：Obesity and osteoarthritis. Am J Orthop（Belle Mead NJ）2008；37：148-151

31）Francisco V, et al：Biomechanics, obesity, and osteoarthritis. The role of adipokines：When the levee breaks. J Orthop Res 2018；36：594-604

32）Felson DT, et al：Weight loss reduces the risk for symptomatic knee osteoarthritis in women. The Framingham Study. Ann Intern Med 1992；116：535-539

33）Messier SP, et al：Intentional weight loss in overweight and obese patients with knee osteoarthritis：is more better? Arthritis Care Res（Hoboken）2018；70：1569-1575

34）Wada O, et al：Implications of evaluating leg muscle mass and fat mass separately for quadriceps strength in knee osteoarthritis：the SPSS-OK study. Clin Rheumatol 2020；39：1655-1661

35）Tateuchi H, et al：Daily cumulative hip moment is associated with radiographic progression of secondary hip osteoarthritis. Osteoarthritis Cartilage 2017；25：1291-1298