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片側の膝伸展制限が歩行中の腰部に与える力学的影響
http://hdl.handle.net/10232/00032254
http://hdl.handle.net/10232/0003225414c694a8-7362-47bc-a300-fd4d072c6234
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Diss_中辻晋太郎_4718700032_2022 (586.1 kB)
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Abstract_中辻晋太郎_4718700032_2022 (383.5 kB)
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Result_NAKATSUJI_Shintaro_hok_30 (127.3 kB)
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Comments_NAKATSUJI_Shintaro_hok_30 (62.4 kB)
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| Item type | 学位論文 / Thesis or Dissertation(1) | |||||
|---|---|---|---|---|---|---|
| 公開日 | 2023-01-30 | |||||
| タイトル | ||||||
| タイトル | Effect of Unilateral Knee Extension Restriction on the Lumbar Region during Gait | |||||
| タイトル言語 | en | |||||
| タイトル | ||||||
| タイトル | 片側の膝伸展制限が歩行中の腰部に与える力学的影響 | |||||
| タイトル言語 | ja | |||||
| 著者 |
中辻, 晋太郎
× 中辻, 晋太郎 |
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| 言語 | ||||||
| 言語 | eng | |||||
| 資源タイプ | ||||||
| 資源タイプ識別子 | http://purl.org/coar/resource_type/c_db06 | |||||
| 資源タイプ | doctoral thesis | |||||
| アクセス権 | ||||||
| アクセス権 | open access | |||||
| アクセス権URI | http://purl.org/coar/access_right/c_abf2 | |||||
| 要約 | ||||||
| 内容記述タイプ | Other | |||||
| 内容記述 | Unilateral knee extension restriction might change trunk alignment and increase mechanical load on the lumbar region during walking. We aimed to clarify lumbar region mechanical load during walking with restricted knee extension using a musculoskeletal model simulation. Seventeen healthy adult males were enrolled in this study. Participants walked 10 m at a comfortable velocity with and without restricted right knee extension of 15° and 30° using a knee brace. L4–5 joint moment, joint reaction force, and muscle forces around the lumbar region during walking were calculated for each condition. Peaks of kinetic data were compared among three gait conditions during 0%–30% and 50%–80% of the right gait cycle. Lumbar extension moment at early stance of the bilateral lower limbs was significantly increased in the 30° restricted condition (p < 0.001). Muscle force of the multifidus showed peaks at stance phase of the contralateral side during walking, and the erector spinae showed force peaks at early stance of the bilateral lower limb. Muscle force of the multifidus and erector spinae increased with increasing degree of knee flexion (p ≤ 0.010), with a large effect size (η2 = 0.273–0.486). The joint force acting on L4–5 showed two peaks at early stance of the bilateral lower limbs during the walking cycle. The anterior and vertical joint force on L4–5 increased by 14.2%–36.5% and 10.0%–23.0% in walking with restricted knee extension, respectively (p ≤ 0.010), with a large effect size (η2 = 0.149–0.425). Restricted knee joint extension changed trunk alignment and increased the muscle force and the vertical and anterior joint force on the L4–5 joint during walking; this tendency became more obvious with increased restriction angle. Our results provide important information for therapists engaged in the rehabilitation of patients with knee contracture. Shintaro Nakatsuji, Masayuki Kawada, Yasufumi Takeshita, Yuta Matsuzawa, Kazutaka Hata, Sota Araki, Ryoji Kiyama Effect of Unilateral Knee Extension Restriction on the Lumbar Region during Gait Journal of Healthcare Engineering Volume 2022, Article ID 1151753, 8 pages https://doi.org/10.1155/2022/1151753 |
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| 内容記述言語 | en | |||||
| 作成日 | ||||||
| 日付 | 2023-02-24 | |||||
| 日付タイプ | Collected | |||||
| 出版タイプ | ||||||
| 出版タイプ | VoR | |||||
| 出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
| NDC | ||||||
| 主題Scheme | NDC | |||||
| 主題 | 490 | |||||
| ファイル（説明） | ||||||
| 内容記述 | 博士論文全文, 博士論文要旨, 最終試験結果の要旨, 論文審査の要旨 | |||||
| 公開者・出版者 | ||||||
| 出版者 | Hindawi | |||||
| 出版者言語 | en | |||||
| 公開者・出版者 | ||||||
| 出版者 | 鹿児島大学 | |||||
| 出版者言語 | ja | |||||
| 備考 | ||||||
| 備考言語 | ja | |||||
| 備考 | 【指導教員：木山良二】 | |||||
| date.appl | ||||||
| appl | 【学位申請日】2022-08-31 | |||||
| 学位名 | ||||||
| 学位名の言語 | ja | |||||
| 学位名 | 博士（保健学） | |||||
| 学位名 | ||||||
| 学位名の言語 | en | |||||
| 学位名 | Doctor of Philosophy in Health Science | |||||
| 学位授与機関名 | ||||||
| 学位授与機関識別子Scheme | kakenhi | |||||
| 学位授与機関識別子 | 17701 | |||||
| 学位授与機関名の言語 | ja | |||||
| 学位授与機関名 | 鹿児島大学 | |||||
| 学位授与年月日 | ||||||
| 学位授与年月日 | 2023-02-03 | |||||
| 学位授与番号 | ||||||
| 学位授与番号 | 甲保研第30号 | |||||
