Japanese

Title	肩甲骨および骨盤の同時運動パターンが肩関節周囲炎患者の関節可動域に及ぼす影響
Subtitle	症例報告
Authors	藤原祐介1), 金森毅繁1)
Authors (kana)
Organization	1)筑波記念病院 リハビリテーション部
Journal	PNFリサーチ
Volume	22
Number	1
Page	11-16
Year/Month	2023 / 3
Article	報告
Publisher	日本PNF学会
Abstract	「要旨」肩関節周囲炎により可動域制限を呈した症例に対して, 固有受容性神経筋促通法(Proprioceptive Neuromuscular Facilitation: 以下, PNF)のアプローチの1つである肩甲骨後方下制と骨盤前方挙上の組み合わせパターンを施行した. 症例は50代男性で, 肩関節周囲炎の病期分類や機能解剖に基づき, 段階的に関節可動域練習, 筋力強化練習を実施したが, 臥位と座位における肩関節自動屈曲可動域の差が残存した. 各筋群の筋力強化練習や直接的アプローチでは効果が出なかったため, 間接的アプローチとして肩甲骨後方下制と骨盤前方挙上の組み合わせの螺旋的なパターンを用いた抵抗運動を行った. その結果, 肩甲骨外転, 上方回旋が誘導され肩関節可動域の改善が見られた. 従来の機能解剖に基づいた治療だけではなく, 間接的アプローチを用いることで肩関節可動域の改善に繋がる可能性が示唆された.
Practice	医療技術
Keywords	固有受容性神経筋促通法(PNF), 肩関節周囲炎, 肩甲骨と骨盤の組み合わせパターン, proprioceptive neuromuscular facilitation, shoulder periarthritis, combination of scapula and pelvic pattern

English

Title	The impact of a combination of scapula and pelvic in the proprioceptive neuromuscular facilitation movement pattern on patients with limited range of motion due to shoulder periarthritis
Subtitle	Case report
Authors	Yusuke Fujiwara1), Takeshige Kanamori1)
Authors (kana)
Organization	1)Department of rehabilitation, Tsukuba Memorial Hospital
Journal	PNF Research
Volume	22
Number	1
Page	11-16
Year/Month	2023 / 3
Article	Report
Publisher	The PNF Society of Japan
Abstract	[Abstract]: We performed a combination of posterior scapular lowering and anterior pelvic elevation, which is one of the approaches of proprioceptive neuromuscular facilitation (PNF), on a patient with limited range of motion due to periarthritis of the shoulder. The patient was a male in his 50s. Based on the staging and functional anatomy of periarthritis of the shoulder, joint range of motion exercises and muscle strengthening exercises were performed step by step, but the difference in automatic flexion range of motion of the shoulder joint between supine and sitting position remained. Since muscle strengthening exercises and direct approaches to each muscle group were not effective, resistance exercises using a spiral pattern of combined posterior scapular lowering and anterior pelvic elevation were performed as an indirect approach. As a result, scapular abduction and upward rotation were induced, and the shoulder joint range of motion was improved. The results suggest that not only conventional treatment based on functional anatomy but also an indirect approach may lead to improvement of shoulder joint range of motion.
Practice	Medical technology
Keywords	PNF, proprioceptive neuromuscular facilitation, shoulder periarthritis, combination of scapula and pelvic pattern

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