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全身性関節弛緩症と足関節不安定性 : 足関節の捻挫既往, 及びスポーツ歴との関連について


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Title: 全身性関節弛緩症と足関節不安定性 : 足関節の捻挫既往, 及びスポーツ歴との関連について
Other Titles: Relation between General Joint Laxity and Ankle Instability
Authors: 大城, 昌平 / 松本, 司 / 横山, 茂樹 / 藤田, 雅章
Authors (alternative): Ogi, Shohei / Matsumoto, Tsukasa / Yokoyama, Shigeki / Fujita, Masaaki
Issue Date: 10-Sep-1990
Publisher: 社団法人日本理学療法士協会
Citation: 理学療法学. 17(5), p.463-468: 1990
Abstract: 全身性関節弛緩症 (GJL) が足関節不安定性の発症や病態にどのように関与しているか, 特に足関節の捻挫既往, 及びスポーツ活動の関連について知るため, G几の58例116足関節を対象に, 中等度以上の捻挫既往の有無と3年以上のスポーツ歴の有無について間診し, 足関節の機械的不安定性の指標としてストレスX線撮影, 機能的不安定性の指標として片脚立位での重心動揺の測定を行った。まず, 症例を捻挫既往の有無により2群に分けて検討した。次に, 3年以上のスポーツ歴の有無と, さらに捻挫既往の有無により分けた4群について検討した。その結果, GJL, あるいはGJL存在下でのスポーツ活動そのものは足関節不安定性に直接的に関与しているのではなく, 捻挫既往の有無が, 足関節不安定性の重要な関連因子であることが示唆された。 / Recently we have noticed that many young patients, diagnosed as ankle instability, tended to complain not only of ankle pain, but also of other arthralgia. Consequently, it appeared to us that these arthralgia were based on general joint laxity. So we conducted a comparative study between general joint laxity devised by Kuriyama (1984) and ankle instability. Fifty-eight cases (116 ankles) of general joint laxity, whose ages were from 12 to 29 years old (average, 18. 1 yrs.), male 5 cases, female 53 cases, were investigated. They were classified under 3 different categories; A) Those with a history of ankle sprain (37 cases: 56 ankles: 48.3%). B) Those with more than 3 years involvement in sports (40 cases: 80 ankles: 69.0%). C) Those with no experience or less than 3 years involevement in sports (18 cases: 36 ankles: 31.0%). All 3 categories went through the following tests; stress X-ray (anterior talar displacement: ATD, talar tilt angle: TTA), and swing of center of gravity (C. O. G.) on one leg standing (SD AREA, Root Mean Sqare: RMS). Results of these tests were compared to that of normal ankles (ATD: 30 ankles, ADT: 200 ankles, swing of C. O. G.: 50 ankles) without general joint laxity and ankle sprain. Of the 40 cases in Group B, 30 cases (46 ankles, 57.5%) had a history of ankle sprain. Of the 18 cases in Group C, 7 cases (10 ankles, 27.8%) had a history of ankle sprain. From these data, it appeared that ankle sprain is connected with a person's involvement in sports (p<0.01). In addition, the results. showed that despite their involvement in sports, the 32 cases in Group A showed significantly larger range in stress X-ray and swing of center of gravity compared with normal ankles (p<0.01), while those without any history of ankle sprain showed normal range. These findings suggested that the history of ankle sprain was closely related to the ankle instability in the cases of general joint laxity and that a person with general joint laxity received sprain easily through sports or other physical activities.
Keywords: 全身性関節弛緩症 / 足関節不安定性 / ストレスX線 / 重心動揺
URI: http://hdl.handle.net/10069/20974
ISSN: 02893770
Relational Links: http://ci.nii.ac.jp/naid/110003995194/
Rights: 社団法人日本理学療法士協会 / 本文データは学協会の許諾に基づきCiNiiから複製したものである
Type: Journal Article
Text Version: publisher
Appears in Collections:Articles in academic journal

Citable URI : http://hdl.handle.net/10069/20974

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