icon fsr

文献詳細

雑誌文献

理学療法ジャーナル56巻5号

2022年05月発行

文献概要

特集 動作分析と臨床のマッチング

変形性股関節症患者の動作分析—メカニカルストレスの集中・分散・回避の観点から

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.534 - P.541

文献購入ページに移動
Point

●運動器疾患では,動作の異常が疾患や症状を発症・悪化させる場合があり,動作分析は特に重要である

●正常・異常動作は,メカニカルストレスの局所への集中・分散・回避の観点から分類することができる

●股関節疾患では,骨盤・脊柱などとの連動性のなかで,股関節局所のストレスを全身で分散させることが大切である


*本論文中,動画マークのある箇所につきましては,関連する動画を見ることができます(公開期間:2025年5月31日).

参考文献

1)D'Souza N, et al:Are biomechanics during gait associated with the structural disease onset and progression of lower limb osteoarthritis? A systematic review and meta-analysis. Osteoarthritis Cartilage 2022;30:381-394
2)建内宏重:股関節—協調と分散から捉える.ヒューマンプレス,2020
3)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
4)Murray R, et al:Pelvifemoral rhythm during unilateral hip flexion in standing. Clin Biomech 2002;17:147-151
5)Azevedo DC, et al:Pelvic rotation in femoroacetabular impingement is decreased compared to other symptomatic hip conditions. J Orthop Sports Phys Ther 2016;46:957-964
6)本島直之,他:立位大腿挙上動作における体幹・骨盤・大腿リズムの加齢変化.理学療法学2019;46:343-350
7)建内宏重:股関節の病態運動学と理学療法Ⅱ—関節運動・動作の捉え方.理学療法2007;24:474-482
8)Tateuchi H, et al:Radiographic and clinical factors associated with one-leg standing and gait in patients with mild-to-moderate secondary hip osteoarthritis. Gait Posture 2016;49:207-221
9)福井 勉:動作分析と理学療法—並進運動と鉛直線.理学療法学2012;39:289-292
10)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
11)Bagwell JJ, et al:Hip kinematics and kinetics in persons with and without cam femoroacetabular impingement during a deep squat task. Clin Biomech 2016;31:87-92
12)Diamond LE, et al:Squatting biomechanics in individuals with symptomatic femoroacetabular impingement. Med Sci Sports Exerc 2017;49:1520-1529
13)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
14)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
15)Ornetti P, et al:Gait analysis as a quantifiable outcome measure in hip or knee osteoarthritis:a systematic review. Joint Bone Spine 2010;77:421-425
16)Constantinou M, et al:Spatial-temporal gait characteristics in individuals with hip osteoarthritis:a systematic literature review and meta-analysis. J Orthop Sports Phys Ther 2014;44:291-303
17)Tateuchi H, et al:Dynamic hip joint stiffness in individuals with total hip arthroplasty:relationships between hip impairments and dynamics of the other loints. Clin Biomech 2011;26:598-604
18)Ardestani MM, et al:Can a linear combination of gait principal component vectors identify hip OA stages? J Biomech 2016;49:2023-2030
19)Tateuchi H, et al:Daily cumulative hip moment is associated with radiographic progression of secondary hip osteoarthritis. Osteoarthritis Cartilage 2017;25:1291-1298
20)Tateuchi H, et al:Gait kinematics of the hip, pelvis, and trunk associated with external hip adduction moment in patients with secondary hip osteoarthritis:toward determination of the key point in gait modification. BMC Musculoskelet Disord 2020;21:8. doi:10.1186/s12891-019-3022-1

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

雑誌購入ページに移動
icon up
あなたは医療従事者ですか?