経穴への圧刺激強度の違いが脊髄運動神経機能の興奮性へ与える影響 尺沢への抑制手技での検討

In this study, we clarified the effects of differences in pressure stimulation intensity of an acupuncture pointon spinal motor nerve function, and examined whether Acupoint Stimulation Physical Therapy (ASPT) is effective in the absence of pain. In 20 healthy subjects (mean age: 20.29 years), ASPT...

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Published in関西理学療法 Vol. 23; pp. 64 - 68
Main Authors 谷, 万喜子, 福本, 悠樹, 立花, 陽菜, 鈴木, 俊明, 東藤, 真理奈, 森, 兼大, 桂木, 響希, 千代, ひなた
Format Journal Article
LanguageJapanese
Published 関西理学療法学会 2023
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ISSN1346-9606
1349-9572
DOI10.11354/jkpt.23.64

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Abstract In this study, we clarified the effects of differences in pressure stimulation intensity of an acupuncture pointon spinal motor nerve function, and examined whether Acupoint Stimulation Physical Therapy (ASPT) is effective in the absence of pain. In 20 healthy subjects (mean age: 20.29 years), ASPT was performed on Chize (LU5) on the lunar lung sutra, and F waves arising in the muscle groups on the ball of the thumb on the non-dominant hand were measured at rest before the ASPT trial, during the ASPT trial, and 0 min, 5 min, 10 min, and 15 min after the ASPT trial. The pressure stimulation intensity of the ASPT trial was set at two painthresholds, 100% and 50%. The results show that the amplitude of the F/M ratio was significantly reduced at 5, 10, and 15 minutes after the ASPT trial compared to during the ASPT trial at 100% intensity pressure stimulation, but there was no difference at the 50% intensity pressure stimulation. These results suggest that pressure stimulation with a pain threshold of 50% is unlikely to have an inhibitory effect immediately after stimulation. Therefore, the intensity of pressure stimulation of acupuncture points in clinical practice should be performed at the pain threshold level for the immediate suppression of the excitability of spinal motor nerve function.
AbstractList In this study, we clarified the effects of differences in pressure stimulation intensity of an acupuncture pointon spinal motor nerve function, and examined whether Acupoint Stimulation Physical Therapy (ASPT) is effective in the absence of pain. In 20 healthy subjects (mean age: 20.29 years), ASPT was performed on Chize (LU5) on the lunar lung sutra, and F waves arising in the muscle groups on the ball of the thumb on the non-dominant hand were measured at rest before the ASPT trial, during the ASPT trial, and 0 min, 5 min, 10 min, and 15 min after the ASPT trial. The pressure stimulation intensity of the ASPT trial was set at two painthresholds, 100% and 50%. The results show that the amplitude of the F/M ratio was significantly reduced at 5, 10, and 15 minutes after the ASPT trial compared to during the ASPT trial at 100% intensity pressure stimulation, but there was no difference at the 50% intensity pressure stimulation. These results suggest that pressure stimulation with a pain threshold of 50% is unlikely to have an inhibitory effect immediately after stimulation. Therefore, the intensity of pressure stimulation of acupuncture points in clinical practice should be performed at the pain threshold level for the immediate suppression of the excitability of spinal motor nerve function.
Author 東藤, 真理奈
立花, 陽菜
鈴木, 俊明
福本, 悠樹
桂木, 響希
千代, ひなた
森, 兼大
谷, 万喜子
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References 6) Kakigi R, et al.: Electrophysiological studies on human painperception. Clin Neurophysiol 116: 743–763, 2005.
1) 鈴木俊明・他:The Electromyography Research for Physical Therapy and Acupuncture-理学療法・鍼灸治療における筋電図研究のすべて-.pp246–249,アイペック,2007
2) 鈴木俊明・他:経穴刺激理学療法の効果とその中高年に対する臨床応用に関する筋電図の検討.大阪ガスグループ福祉財団研究報告書 22: 69–75, 2009.
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12) 高草木薫:大脳基底核による運動の制御.臨床神経学 49:325–334, 2009.
5) 小山なつ・他:痛みの伝導路-歴史から学ぶ-.脊髄外科29: 287–292, 2015.
9) 岩村吉晃・他:タッチ.pp223–228,医学書院,2001
13) Onigata C, et al.: Unpleasant visual stimuli increase theexcitability of spinal motor neurons. Somatosens Mot Res 37:59–62, 2020.
4) 松村道一・他:アガる人・キレる人̶感情の運動作用,初版.pp146–147,市村出版,2006
3) 高森絵斗・他:麻痺側母指球筋に筋緊張亢進を呈した脳血管障害片麻痺患者に対する尺沢への経穴刺激理学療法の効果-抑制テクニックにおけるF 波の変化-.理学療法学 30: 939–943, 2015.
7) Tononi G, et al.: Time to be SHY? Some comments on sleep andsynaptic homeostasis. Neural Plast 415250, 2012..
10) Powell TP, et al.: Some aspects of the functional organization ofthe cortex of the postcentral gyrus of the monkey: a correlation offindings obtained in a single unit analysis with cytoarchitecture.Bull Johns Hopkins Hosp 105: 133–162, 1959.
References_xml – reference: 1) 鈴木俊明・他:The Electromyography Research for Physical Therapy and Acupuncture-理学療法・鍼灸治療における筋電図研究のすべて-.pp246–249,アイペック,2007.
– reference: 5) 小山なつ・他:痛みの伝導路-歴史から学ぶ-.脊髄外科29: 287–292, 2015.
– reference: 4) 松村道一・他:アガる人・キレる人̶感情の運動作用,初版.pp146–147,市村出版,2006.
– reference: 7) Tononi G, et al.: Time to be SHY? Some comments on sleep andsynaptic homeostasis. Neural Plast 415250, 2012..
– reference: 11) 岩村吉晃・他:タッチの感覚と脳.東邦医学会雑誌 48:203–207, 2001.
– reference: 10) Powell TP, et al.: Some aspects of the functional organization ofthe cortex of the postcentral gyrus of the monkey: a correlation offindings obtained in a single unit analysis with cytoarchitecture.Bull Johns Hopkins Hosp 105: 133–162, 1959.
– reference: 8) 岡田泰伸・他:ギャノング生理学,23 版.pp176–186,丸善出版,2011.
– reference: 9) 岩村吉晃・他:タッチ.pp223–228,医学書院,2001.
– reference: 12) 高草木薫:大脳基底核による運動の制御.臨床神経学 49:325–334, 2009.
– reference: 13) Onigata C, et al.: Unpleasant visual stimuli increase theexcitability of spinal motor neurons. Somatosens Mot Res 37:59–62, 2020.
– reference: 6) Kakigi R, et al.: Electrophysiological studies on human painperception. Clin Neurophysiol 116: 743–763, 2005.
– reference: 2) 鈴木俊明・他:経穴刺激理学療法の効果とその中高年に対する臨床応用に関する筋電図の検討.大阪ガスグループ福祉財団研究報告書 22: 69–75, 2009.
– reference: 3) 高森絵斗・他:麻痺側母指球筋に筋緊張亢進を呈した脳血管障害片麻痺患者に対する尺沢への経穴刺激理学療法の効果-抑制テクニックにおけるF 波の変化-.理学療法学 30: 939–943, 2015.
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Snippet In this study, we clarified the effects of differences in pressure stimulation intensity of an acupuncture pointon spinal motor nerve function, and examined...
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StartPage 64
SubjectTerms Acupoint Stimulation Physical Therapy
F wave
pressure stimulation intensity
Subtitle 尺沢への抑制手技での検討
Title 経穴への圧刺激強度の違いが脊髄運動神経機能の興奮性へ与える影響
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