Measurement of the cross-sectional area of the hamstring muscles during initial and stretch positions with gravity magnetic resonance imaging

13301甲第4912号博士（保健学）金沢大学博士論文本文Full 以下に掲載：Jounal of Physical Therapy Science 31(3) pp.267-272 2019. The Society of Physical Therapy Science. 共著者：Dai Nakaizumi, Hitoshi Asai, Pleiades Tiharu Inaoka, Naoki Ohno, Tosiaki Miyat

日本人糖尿病患者の足部関節可動域における性別と年齢の影響

Although patients with diabetes often are well known to have limited mobility in theirankle joints, limited information is available regarding how this effect is distributed bygender or age. This study was performed to address these questions. The subjects weredivided into four groups, i.e., 28 male diabetic older (MDO) patients (age range, 50 - 69years), 14 male diabetic young (MDY) patients (age range, 30 - 49 years), 10 femalediabetic older (FDO) patients (age range, 50 - 69 years), and 10 healthy male controlsubjects (age range, 50 - 69 years). Control age and gender matched (CAG) means thatthe control subjects matched with MDO patients in gender and age. The parametersexamined were passive range of motion of plantar flexion and dorsiflexion of the anklejoint, flexion and extension of the first metatarsophalangeal joint, and pronation as wellas supination of the subtalar joint. Each range of motion was compared across all fourgroups. The ankle ranges of motion for the MDO, MDY, FDO, and CAG groups were55.4° ± 8.4°, 56.8° ± 6.9°, 60.7° ± 9.5°, and 69.1° ± 9.2°, respectively. The MDO andMDY groups had significantly decreased capability in this regard compared with the CAGgroup. In contrast, the first metatarsophalangeal ranges of motion for the MDO, MDY,FDO, and CAG groups were 82.9° ± 9.6°, 86.7° ± 13.7°, 90.2° ± 11.6°, and 96.3° ± 8.9°,respectively. The MDO group had significantly lower values than the CAG group, but therewas no significant difference in the subtalar range of motion between these two groups.This study suggested that limited ankle joint mobility may occur in female diabetic patientsindependent of age

Structured Rehabilitation Program for Multidirectional Shoulder Instability in a Patient with Ehlers-Danlos Syndrome

Patients with Ehlers-Danlos syndrome (EDS) present many musculoskeletal disorders. The purpose of this case report was to describe the effectiveness of a scapular motor control program for a patient with multidirectional severe shoulder instability due to EDS, with 6-month follow-up. The patient was a 14-year-old female with EDS hypermobile type who suffered recurrent shoulder dislocation. Her chief complaints were bilateral shoulder discomfort and instability during writing motion. In the early part of intervention, she was prescribed exercise therapy for multidirectional instability (MDI) with orthosis. In the latter part of intervention, she was instructed in the scapular motor control program. Active and passive range of motion (ROM), sulcus sign, and Rowe score for shoulder instability were measured at baseline and at 3, 6, and 12 months after interventions. The shoulder ROM and instability score were improved after 6-month intervention. The findings from this report indicate that the scapular motor control program for shoulder instability would be effective even for patients with EDS hypermobile type. A patient who could not increase passive ROM due to dislocation is also able to achieve fair function of the shoulder joint instead of increasing active ROM. These positive outcomes indicate the possibility of benefit from the scapular motor control program for an MDI patient with EDS as a conservative treatment