健常女性および膝前十字靭帯損傷患者における股関節回旋筋力の比較 内旋筋と外旋筋の筋力比に着目して
〔目的〕膝前十字靭帯損傷の既往の有無による股関節内旋筋力，外旋筋力およびこれらの比の差異を明らかにすることとした．〔対象と方法〕対象は，健常成人女性22名および膝前十字靭帯損傷の既往のある女性9名とした．ハンドヘルドダイナモメータにより計測される股関節内旋筋力と外旋筋力，およびこれらの比をマン・ホイットニーのU検定を用い，群間で比較した．〔結果〕股関節外旋筋力は有意差を示さなかったが，股関節内旋筋力および内外旋筋間の筋力比はACL群で有意に大きかった．〔結語〕ACL損傷の既往がある者には，股関節内外旋筋の筋力比に不均衡が生じていることから，損傷患者ではこの筋力比を健常者の水準値に近づけることは...
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| Published in | Rigaku ryoho kagaku Vol. 32; no. 2; pp. 313 - 316 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Tokyo
理学療法科学学会
01.01.2017
Japan Science and Technology Agency |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1341-1667 2434-2807 |
| DOI | 10.1589/rika.32.313 |
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| Abstract | 〔目的〕膝前十字靭帯損傷の既往の有無による股関節内旋筋力，外旋筋力およびこれらの比の差異を明らかにすることとした．〔対象と方法〕対象は，健常成人女性22名および膝前十字靭帯損傷の既往のある女性9名とした．ハンドヘルドダイナモメータにより計測される股関節内旋筋力と外旋筋力，およびこれらの比をマン・ホイットニーのU検定を用い，群間で比較した．〔結果〕股関節外旋筋力は有意差を示さなかったが，股関節内旋筋力および内外旋筋間の筋力比はACL群で有意に大きかった．〔結語〕ACL損傷の既往がある者には，股関節内外旋筋の筋力比に不均衡が生じていることから，損傷患者ではこの筋力比を健常者の水準値に近づけることは，有益な理学療法介入となる可能性がある． |
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| AbstractList | [Purpose] To clarify the differences in hip internal and external rotation muscle strengths, and their ratio, between subjects with and without a history of anterior cruciate ligament (ACL) injury. [Subjects and Methods] The subjects were 22 healthy females and 9 females with a history of ACL injury. Hip internal and external rotation muscle strengths of the two groups were measured with a hand-held dynamometer, and compared together with their ratio using the Mann-Whitney U-test. [Results] No significant difference was found in the hip external muscle strengths of the two groups; however, in the ACL injury group, the hip internal rotation muscle strength and the internal:external muscle strength ratio were significantly larger. [Conclusion] Subjects in the ACL injury group had imbalance in the strength ratio of the hip internal and external rotation muscles. Therefore, there is a possibility that physical therapy intervention to restore this muscle strength ratio to close to that of healthy individuals would be beneficial for them. 「要旨」: 〔目的〕膝前十字靭帯損傷の既往の有無による股関節内旋筋力, 外旋筋力およびこれらの比の差異を明らかにすることとした. 〔対象と方法〕対象は, 健常成人女性22名および膝前十字靭帯損傷の既往のある女性9名とした. ハンドヘルドダイナモメータにより計測される股関節内旋筋力と外旋筋力, およびこれらの比をマン・ホイットニーのU検定を用い, 群間で比較した. 〔結果〕股関節外旋筋力は有意差を示さなかったが, 股関節内旋筋力および内外旋筋間の筋力比はACL群で有意に大きかった. 〔結語〕ACL損傷の既往がある者には, 股関節内外旋筋の筋力比に不均衡が生じていることから, 損傷患者ではこの筋力比を健常者の水準値に近づけることは, 有益な理学療法介入となる可能性がある. 〔目的〕膝前十字靭帯損傷の既往の有無による股関節内旋筋力，外旋筋力およびこれらの比の差異を明らかにすることとした．〔対象と方法〕対象は，健常成人女性22名および膝前十字靭帯損傷の既往のある女性9名とした．ハンドヘルドダイナモメータにより計測される股関節内旋筋力と外旋筋力，およびこれらの比をマン・ホイットニーのU検定を用い，群間で比較した．〔結果〕股関節外旋筋力は有意差を示さなかったが，股関節内旋筋力および内外旋筋間の筋力比はACL群で有意に大きかった．〔結語〕ACL損傷の既往がある者には，股関節内外旋筋の筋力比に不均衡が生じていることから，損傷患者ではこの筋力比を健常者の水準値に近づけることは，有益な理学療法介入となる可能性がある． |
| Author | 幸田, 仁志 今北, 英高 坂東, 峰鳴 福本, 貴彦 瓜谷, 大輔 粕渕, 賢志 |
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| References | 19) Kemp JL, Schache AG, Makdissi M, et al.: Greater understanding of normal hip physical function may guide clinicians in providing targeted rehabilitation programmes. J Sci Med Sport, 2013, 16: 292-296. 13) Katoh M, Yamasaki H: Test-retest reliability of isometric leg muscle strength measurements made using a hand-held dynamometer restrained by a belt: Comparison during and between sessions. J Phys Ther Sci, 2009, 21: 239-243. 4) Myklebust G, Maehlum S, Holm I, et al.: A prospective cohort study of anterior cruciate ligament injuries in elite Norwegian team handball. Scand J Med Sci Sports, 1998, 8: 149-153. 9) Zazulak BT, Ponce PL, Straub SJ, et al.: Gender comparison of hip muscle activity during single-leg landing. J Orthop Sports Phys Ther, 2005, 35: 292-299. 21) Uritani D, Fukumoto T: Differences of isometric internal and external hip rotation torques among three different hip flexion positions. J Phys Ther Sci, 2012, 24: 863-865. 7) Söderman K, Alfredson H, Pietilä T, et al.: Risk factors for leg injuries in female soccer players: A prospective investigation during one out-door season. Knee Surg Sports Traumatol Arthrosc, 2001, 9: 313-321. 18) Cheung RT, Smith AW, Wong del P: H:q ratios and bilateral leg strength in college field and court sports players. J Hum Kinet, 2012, 33: 63-71. 2) Boden BP, Dean GS, Feagin JA Jr, et al.: Mechanisms of anterior cruciate ligament injury. Orthopedics, 2000, 23: 573-578. 6) 上島隆秀，加藤 浩，城石晴子・他：高校バスケットボール男女一流選手の膝屈伸筋力特性．理学療法学，1996, 23: 257-261. 14) Katoh M, Hiiragi Y, Uchida M: Validity of isometric muscle strength measurements of the lower limbs using a hand-held dynamometer and belt: A comparison with an isokinetic dynamometer. J Phys Ther Sci, 2011, 23: 553-557. 20) Hunt GC, Fromherz WA, Danoff J, et al.: Femoral transverse torque: an assessment method. J Orthop Sports Phys Ther, 1986, 7: 319-324. 3) Harmon KG, Ireland ML: Gender differences in noncontact anterior cruciate ligament injuries. Clin Sports Med, 2000, 19: 287-302. 5) Knapik JJ, Bauman CL, Jones BH, et al.: Preseason strength and flexibility imbalances associated with athletic injuries in female collegiate athletes. Am J Sports Med, 1991, 19: 76-81. 11) Willson JD, Ireland ML, Davis I: Core strength and lower extremity alignment during single leg squats. Med Sci Sports Exerc, 2006, 38: 945-952. 8) Kennedy JC, Weinberg HW, Wilson AS: The anatomy and function of the anterior cruciate ligament. As determined by clinical and morphological studies. J Bone Joint Surg Am, 1974, 56: 223-235. 12) Katoh M, Yamasaki H: Comparison of reliability of isometric leg muscle strength measurements made using a hand-held dynamometer with and without a restraining belt. J Phys Ther Sci, 2009, 21: 37-42. 16) Cashman GE: The effect of weak hip abductors or external rotators on knee valgus kinematics in healthy subjects: A systematic review. J Sport Rehabil, 2012, 21: 273-284. 1) 細田多穂：理学療法ハンドブック第3巻—疾患別・理学療法基本プログラム．柳澤 健（編），協同医書出版社，東京，2010, p332. 10) Neumann DA: 筋骨格系のキネシオロジー，原著第2版．嶋田智明・他（監訳），医歯薬出版，東京，2010, p587. 15) Quatman CE, Hewett TE: The anterior cruciate ligament injury controversy: Is “valgus collapse” a sex-specific mechanism? Br J Sports Med, 2009, 43: 328-335. 17) Lawrence RK 3rd, Kernozek TW, Miller EJ, et al.: Influences of hip external rotation strength on knee mechanics during single-leg drop landings in females. Clin Biomech (Bristol, Avon), 2008, 23: 806-813. |
| References_xml | – reference: 16) Cashman GE: The effect of weak hip abductors or external rotators on knee valgus kinematics in healthy subjects: A systematic review. J Sport Rehabil, 2012, 21: 273-284. – reference: 19) Kemp JL, Schache AG, Makdissi M, et al.: Greater understanding of normal hip physical function may guide clinicians in providing targeted rehabilitation programmes. J Sci Med Sport, 2013, 16: 292-296. – reference: 4) Myklebust G, Maehlum S, Holm I, et al.: A prospective cohort study of anterior cruciate ligament injuries in elite Norwegian team handball. Scand J Med Sci Sports, 1998, 8: 149-153. – reference: 13) Katoh M, Yamasaki H: Test-retest reliability of isometric leg muscle strength measurements made using a hand-held dynamometer restrained by a belt: Comparison during and between sessions. J Phys Ther Sci, 2009, 21: 239-243. – reference: 17) Lawrence RK 3rd, Kernozek TW, Miller EJ, et al.: Influences of hip external rotation strength on knee mechanics during single-leg drop landings in females. Clin Biomech (Bristol, Avon), 2008, 23: 806-813. – reference: 18) Cheung RT, Smith AW, Wong del P: H:q ratios and bilateral leg strength in college field and court sports players. J Hum Kinet, 2012, 33: 63-71. – reference: 1) 細田多穂：理学療法ハンドブック第3巻—疾患別・理学療法基本プログラム．柳澤 健（編），協同医書出版社，東京，2010, p332. – reference: 8) Kennedy JC, Weinberg HW, Wilson AS: The anatomy and function of the anterior cruciate ligament. As determined by clinical and morphological studies. J Bone Joint Surg Am, 1974, 56: 223-235. – reference: 6) 上島隆秀，加藤 浩，城石晴子・他：高校バスケットボール男女一流選手の膝屈伸筋力特性．理学療法学，1996, 23: 257-261. – reference: 7) Söderman K, Alfredson H, Pietilä T, et al.: Risk factors for leg injuries in female soccer players: A prospective investigation during one out-door season. Knee Surg Sports Traumatol Arthrosc, 2001, 9: 313-321. – reference: 9) Zazulak BT, Ponce PL, Straub SJ, et al.: Gender comparison of hip muscle activity during single-leg landing. J Orthop Sports Phys Ther, 2005, 35: 292-299. – reference: 3) Harmon KG, Ireland ML: Gender differences in noncontact anterior cruciate ligament injuries. Clin Sports Med, 2000, 19: 287-302. – reference: 10) Neumann DA: 筋骨格系のキネシオロジー，原著第2版．嶋田智明・他（監訳），医歯薬出版，東京，2010, p587. – reference: 20) Hunt GC, Fromherz WA, Danoff J, et al.: Femoral transverse torque: an assessment method. J Orthop Sports Phys Ther, 1986, 7: 319-324. – reference: 5) Knapik JJ, Bauman CL, Jones BH, et al.: Preseason strength and flexibility imbalances associated with athletic injuries in female collegiate athletes. Am J Sports Med, 1991, 19: 76-81. – reference: 2) Boden BP, Dean GS, Feagin JA Jr, et al.: Mechanisms of anterior cruciate ligament injury. Orthopedics, 2000, 23: 573-578. – reference: 21) Uritani D, Fukumoto T: Differences of isometric internal and external hip rotation torques among three different hip flexion positions. J Phys Ther Sci, 2012, 24: 863-865. – reference: 11) Willson JD, Ireland ML, Davis I: Core strength and lower extremity alignment during single leg squats. Med Sci Sports Exerc, 2006, 38: 945-952. – reference: 14) Katoh M, Hiiragi Y, Uchida M: Validity of isometric muscle strength measurements of the lower limbs using a hand-held dynamometer and belt: A comparison with an isokinetic dynamometer. J Phys Ther Sci, 2011, 23: 553-557. – reference: 12) Katoh M, Yamasaki H: Comparison of reliability of isometric leg muscle strength measurements made using a hand-held dynamometer with and without a restraining belt. J Phys Ther Sci, 2009, 21: 37-42. – reference: 15) Quatman CE, Hewett TE: The anterior cruciate ligament injury controversy: Is “valgus collapse” a sex-specific mechanism? Br J Sports Med, 2009, 43: 328-335. |
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| Snippet | ... 「要旨」: 〔目的〕膝前十字靭帯損傷の既往の有無による股関節内旋筋力, 外旋筋力およびこれらの比の差異を明らかにすることとした. 〔対象と方法〕対象は, 健常成人女性22名および膝前十字靭帯損傷の既往のある女性9名とした. ハンドヘルドダイナモメータにより計測される股関節内旋筋力と外旋筋力,... [Purpose] To clarify the differences in hip internal and external rotation muscle strengths, and their ratio, between subjects with and without a history of... |
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| SubjectTerms | Knee Skin & tissue grafts 回旋筋力 股関節 膝前十字靭帯損傷 |
| Subtitle | 内旋筋と外旋筋の筋力比に着目して |
| Title | 健常女性および膝前十字靭帯損傷患者における股関節回旋筋力の比較 |
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