{"title":"腰痛性疾患にみられる「コルセット筋」の筋力低下と簡便な座位トレーニング","authors":"千秋 浜西","doi":"10.3753/YOTSU.13.52","DOIUrl":"https://doi.org/10.3753/YOTSU.13.52","url":null,"abstract":"腰部・下肢症状を有する外来患者49例で,用手的筋力測定装置により座位において躯幹の引き起こし筋力を測定したところ,無症状対照群の平均値,男性116N,女性78Nに対し,男性17例で86N,女性32例で64Nと著明に低下していた.外来で座位で躯幹を後傾させる,あるいは後傾させて両足をあげるなどの極めて簡便な「コルセット筋」訓練を指導し,経過を追って測定したところ,女性15例で51Nから78Nへ,男性9例では平均69Nから95Nへとそれぞれ筋力は増加し,これら24例のうち17例で腰痛や神経症状の改善が認められ,また病態や治療に対する不安感が大きく減少していた.内外腹斜筋,腹横筋,多裂筋など腹腔周囲「コルセット筋」の持続運動や筋力強化は慢性腰痛の予防と治療のみならず,腰椎由来の神経症状の治療や “ぎっくり腰” の予防にも有用であり,また筋力の即時数値評価は患者の訓練に対するコンプライアンスを高めるのに効果的であった.","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"22 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":"126199813","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}
{"title":"Surgical results of intrapedicular partial pediculectomy (IPPP) for lumbar foraminal stenosis","authors":"N. Ozeki","doi":"10.3753/YOTSU.13.130","DOIUrl":"https://doi.org/10.3753/YOTSU.13.130","url":null,"abstract":"","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"21 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":"125952930","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}
{"title":"Screening of lumbar spinal canal stenosis and the complication rate inelderly patients with chronic diseases","authors":"S. Ohtori","doi":"10.3753/YOTSU.14.80","DOIUrl":"https://doi.org/10.3753/YOTSU.14.80","url":null,"abstract":"腰部脊柱管狭窄症は,高齢社会における腰痛の原因として重要であり,また適切な治療法によりその症状を改善することができる.一方,内科へ通院する高齢患者における本症の頻度ならびに臨床症状の特徴については不明な点が多い.千葉大学糖尿病代謝内分泌内科シニア外来へ通院する高齢慢性疾患患者51名を対象に,「腰部脊柱管狭窄症の診断基準とQOL評価に関する研究班」の腰部脊柱管狭窄症診断サポートツールの原理に基づくアンケート調査を実施した.対象者のうち24名(47.1%)が,脊柱管狭窄症の疑診に相当する7点以上のスコアを示した.スコア7点以上で整形外科を受診した患者の57.1%が脊柱管狭窄症と確定診断された.確定診断を受けた患者で最も高頻度にみられた臨床症状は「間欠跛行(87.5%)」と「前屈での下肢症状軽減(62.5%)」であった.これら二大症状の両方を併せもつ場合,少なくとも55.6%に腰部脊柱管狭窄症が存在した.比較的簡便な方法を用いて,内科外来へ通院する高齢患者の脊柱管狭窄症をスクリーニングできる可能性がある.","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"14 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":"130129553","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}
{"title":"Treatment of discognic low back pain","authors":"S. Ohtori","doi":"10.3753/YOTSU.13.17","DOIUrl":"https://doi.org/10.3753/YOTSU.13.17","url":null,"abstract":"","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"30 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":"133585398","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}
{"title":"Evaluation of contraction pattern of trunk muscles in patients with chronic low back pain using surface electromyography","authors":"Yuichiro Miura","doi":"10.3753/YOTSU.14.122","DOIUrl":"https://doi.org/10.3753/YOTSU.14.122","url":null,"abstract":"","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"12 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":"133311644","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}
{"title":"Classification and therapeutic exercises of low back pain with symptoms of spine movement","authors":"Shoko Ikeda","doi":"10.3753/YOTSU.13.78","DOIUrl":"https://doi.org/10.3753/YOTSU.13.78","url":null,"abstract":"","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"19 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":"114739670","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}
{"title":"Relation between efficacy of the McKenzie exercise and the direction of motion pain at the initial examination among patients with acute low back pain","authors":"K. Anabuki","doi":"10.3753/YOTSU.14.112","DOIUrl":"https://doi.org/10.3753/YOTSU.14.112","url":null,"abstract":"","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"17 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":"123913330","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}