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The Journal of Japanese Society of Lumbar Spine Disorders最新文献

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The effect of therapeutic exercise for intermittent claudication due to cauda equina compression 治疗性运动对马尾受压引起的间歇性跛行的影响
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.13.165
Norio Hayashi, 吉田 徹, 見松 健太郎
{"title":"The effect of therapeutic exercise for intermittent claudication due to cauda equina compression","authors":"Norio Hayashi, 吉田 徹, 見松 健太郎","doi":"10.3753/YOTSU.13.165","DOIUrl":"https://doi.org/10.3753/YOTSU.13.165","url":null,"abstract":"馬尾性間欠跛行を主訴に運動療法を実施した23例を対象とし，その効果について検討した．初診時実測した歩行距離に対し，硬膜管面積とわれわれが考案した腰椎後弯可動性テスト（PLF test）において，有意な正の相関を認めた．また22例に腸腰筋と大腿筋膜張筋に拘縮を認めた．われわれが行った，股関節ならびに腰椎の拘縮改善を目的とする運動療法は，21例（91.3%）に有効であり，初診時平均102.1 mの歩行距離が，1カ月後で8例（38.0%），2カ月後で15例（71.4%）で1 km以上の連続歩行が可能となった．その他の6例も，平均640 mの歩行が可能であった．股関節の拘縮の改善は，歩行時の骨盤前傾トルクの軽減ならびに腰椎過前弯の減少に寄与すると考えられた．また，腰椎後弯域の改善による動的pumping effectの促進は，硬膜外静脈叢の還流改善に作用し，歩行改善を得たと考察した．拘縮要素が存在する間欠跛行例では，2カ月程度を目処に運動療法を試みる価値があると考えた．","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"55 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124346690","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Intervertebral disc regeneration from cellular level 椎间盘从细胞水平再生
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.15.95
Daisuke Sakai, 持田 讓治
{"title":"Intervertebral disc regeneration from cellular level","authors":"Daisuke Sakai, 持田 讓治","doi":"10.3753/YOTSU.15.95","DOIUrl":"https://doi.org/10.3753/YOTSU.15.95","url":null,"abstract":"椎間板障害は腰痛のみならず，椎間板ヘルニア，すべり症などを誘引しうる重大な問題である．われわれは髄核細胞の質を評価するアッセイ系を確立，髄核細胞の“heterogeneity”とその特色を明らかにした．また元来，椎間板を構成する細胞数は少ないが，ヒト検体を当研究室で用いた臨床研究の検討の結果，その細胞数は年齢とともに減少，その活性度（細胞増殖能,基質産生能），構成細胞分画についても年齢と相関関係にあることを実証した．椎間板細胞の質を迅速に評価できるアッセイ系は再生医療を行う上でセルプロセッシングセンターでの細胞品質評価に有用なツールになると考える．","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121366144","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Significance and our clinical experience of therapeutic exercise for low back disorders 治疗性运动治疗腰背部疾病的意义及临床经验
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.13.63
Toshihiko Watanabe
{"title":"Significance and our clinical experience of therapeutic exercise for low back disorders","authors":"Toshihiko Watanabe","doi":"10.3753/YOTSU.13.63","DOIUrl":"https://doi.org/10.3753/YOTSU.13.63","url":null,"abstract":"最近，腰椎周囲筋の機能解析が進み腰椎支持機構や運動機能との関係が論じられ，各腰痛病態に応じた運動療法を行ううえでの拠り所となる科学的根拠が示されつつある．腰椎の支持性は深部筋である多裂筋の特性に基づく腰椎分節間安定化作用と，腹横筋とこれに連結する胸腰筋膜が形成する輪状構造に依存することが論じられ，それゆえ腰椎支持力増強の意味において，多裂筋と腹横筋の同時収縮を企てる深部筋訓練は腰椎不安定性病態に対して原因治療的意味を有する．当院でもこの原理に基づく深部筋訓練にて腰椎不安定病態に対する良好な治療効果を確認しすでに報告した．一般に腰椎運動療法は腰痛の原因病態に直接的に作用する治療的意義を有し，各病態に応じた治療意義を有する運動種目が適用可能である．実施に際しては，医師は日常の臨床において各病態や病期に対する各運動種目の改善効果や限界の確認把握に努める事が大切で，患者のモチベーチョンを高めるためにこれらを事前に説明すべきである．","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"57 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121140162","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Genetic approach for low back pain 遗传方法治疗腰痛
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.14.70
Y. Kawaguchi
{"title":"Genetic approach for low back pain","authors":"Y. Kawaguchi","doi":"10.3753/YOTSU.14.70","DOIUrl":"https://doi.org/10.3753/YOTSU.14.70","url":null,"abstract":"","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"85 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126231266","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
間欠跛行の鑑別診断―慢性動脈閉塞症(PAOD)と腰部脊柱管狭窄症(LSCS)の鑑別について 间歇跛行的鉴别诊断——慢性动脉阻塞症(PAOD)和腰部椎管狭窄症(LSCS)的鉴别
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.13.155
義信 萩原
{"title":"間欠跛行の鑑別診断―慢性動脈閉塞症(PAOD)と腰部脊柱管狭窄症(LSCS)の鑑別について","authors":"義信 萩原","doi":"10.3753/YOTSU.13.155","DOIUrl":"https://doi.org/10.3753/YOTSU.13.155","url":null,"abstract":"間欠跛行を主訴とした患者における慢性動脈閉塞症(P)と腰部脊柱管狭窄症(S)を鑑別するために有用な検査を検討したので報告する．対象は間欠跛行を主訴に受診した136例．ankle brachial pressure index(ABPI)を測定し，グループ分類．その後足背動脈触知，立位負荷試験，姿勢因子を検討．足背動脈触知不可能P群11例，S群23例．sensitivity 61.1%，specifisity 80.5%．立位負荷試験陰性P群７例，S群25例．sensitivity 38.9%，specifisity 78.8%．姿勢因子陰性P群16例，S群49例．sensitivity 88.9%，specifisity 58.5%．今回検討した，PとSを鑑別する方法であるが，sensitivity，specifisityが満足できるほど高値となるものはなく，ABPI測定にかわりうるものはなかった．","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121582139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Mini-Open TLIF 金永林TLIF
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.15.73
洋 種市, 聡 稲見, 崇 並川, 大作 竹内, 守男 岩井智, 仲幸 加藤, 裕 野原
{"title":"Mini-Open TLIF","authors":"洋 種市, 聡 稲見, 崇 並川, 大作 竹内, 守男 岩井智, 仲幸 加藤, 裕 野原","doi":"10.3753/YOTSU.15.73","DOIUrl":"https://doi.org/10.3753/YOTSU.15.73","url":null,"abstract":"腰椎後方進入固定術の問題点として，展開に起因する背筋障害がクローズアップされている．これはいわゆる”fusion disease”と呼ばれる術後背部症状の遺残の原因となり，その予防に各種低侵襲手術が開発されている．正中展開と傍脊柱筋間アプローチ(Wiltse)を組み合わせた低侵襲アプローチにより椎体間固定術を行うmini-open TLIFの手術手技，learning curve，術後背筋障害軽減の実際を示す．","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124039218","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Lumbar disc herniation in elderly treated by Love’s method 洛夫法治疗老年腰椎间盘突出症
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.9.34
Y. Nohara
{"title":"Lumbar disc herniation in elderly treated by Love’s method","authors":"Y. Nohara","doi":"10.3753/YOTSU.9.34","DOIUrl":"https://doi.org/10.3753/YOTSU.9.34","url":null,"abstract":"","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"6 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133373970","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Possibility of molecular therapy for degenerated disc diseases 退变椎间盘疾病分子治疗的可能性
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.15.99
K. Nishida
{"title":"Possibility of molecular therapy for degenerated disc diseases","authors":"K. Nishida","doi":"10.3753/YOTSU.15.99","DOIUrl":"https://doi.org/10.3753/YOTSU.15.99","url":null,"abstract":"","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"222 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131952321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A case report-McKenzie method for a lumbar disc hernia patient who presented severe gait disturbance due to sciatica 一例报告-麦肯齐方法治疗腰椎间盘突出症患者因坐骨神经痛而出现严重的步态障碍
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.15.132
Kozo Kimura
{"title":"A case report-McKenzie method for a lumbar disc hernia patient who presented severe gait disturbance due to sciatica","authors":"Kozo Kimura","doi":"10.3753/YOTSU.15.132","DOIUrl":"https://doi.org/10.3753/YOTSU.15.132","url":null,"abstract":"","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123292858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Basic studies for discogenic low back pain 椎间盘源性腰痛的基础研究
The Journal of Japanese Society of Lumbar Spine Disorders Pub Date : 1900-01-01 DOI: 10.3753/YOTSU.14.45
Kazuhisa Takahashi
{"title":"Basic studies for discogenic low back pain","authors":"Kazuhisa Takahashi","doi":"10.3753/YOTSU.14.45","DOIUrl":"https://doi.org/10.3753/YOTSU.14.45","url":null,"abstract":"本稿では，椎間板性腰痛に関する基礎研究について概説する．腰椎椎間板には以下の特徴がある．椎間板は，傍脊椎交感神経により非髄節性に，また洞脊椎神経により分節性に神経支配されている．腰椎椎間板は二分軸索神経に支配されている可能性がある．髄核が線維輪外側に接すると，線維輪表面の神経に損傷を生じ，椎間板内への神経ingrowthを生じる可能性がある．NGF依存性の神経がラットの椎間板では優位であり，髄核が神経伸張を促進する可能性がある．腰椎固定術は変性椎間板内への神経のingrowthを抑制し，CGRP免疫反応性ニューロンの割合を減少させる可能性がある．椎間板性腰痛には内臓痛的な性質がある．","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124650094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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