外側広筋とその周囲組織の滑走性・伸張性に着目した理学療法によって、歩行動作の実用性向上を認めた大腿骨転子部骨折患者の一症例

• Published in: 関西理学療法 Vol. 18; pp. 114 - 119
• Main Authors: 堀口, 怜志, 池田, 裕介, 井尻, 朋人
• Format: Journal Article
• Language: Japanese
• Published: 関西理学療法学会 2018
• Subjects: gliding resistance; muscle weakness; pennation angle
• ISSN: 1346-9606; 1349-9572
• DOI: 10.11354/jkpt.18.114

We treated a patient with a femoral trochanteric fracture who needed to achieve safety in walking to enable him to return home. Decreased right knee extension strength was identified as a problem. To improve muscle strength, we focused on gliding and extensibility of the vastus lateralis, which was affected by an injury and Gamma nail repair. The evaluation identified an increase in the pennation angle at rest and a decreased fascia landing distance in the vastus lateralis. Therefore, manual therapy and active exercise were performed. Right knee extension strength improved, and safety in walking was achieved. This case shows the importance of improving muscle condition before starting exercise and training for patients with postoperative impairments.