{"title":"The use of clinical pathways in performing microlumbar discectomy","authors":"Shunji Tsubouch","doi":"10.3753/YOTSU.8.71","DOIUrl":"https://doi.org/10.3753/YOTSU.8.71","url":null,"abstract":"","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122975692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Significance of anterior interbody fusion from view of patho-mechanism of discogenic low back pain","authors":"S. Ohtori","doi":"10.3753/YOTSU.15.58","DOIUrl":"https://doi.org/10.3753/YOTSU.15.58","url":null,"abstract":"","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"83 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126017565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Clinical approach of prevention to low back pain in the work-related musculoskeletal disorders (WRMSD)","authors":"M. Inaoka","doi":"10.3753/YOTSU.12.44","DOIUrl":"https://doi.org/10.3753/YOTSU.12.44","url":null,"abstract":"","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125153975","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Trunk rotating exercise for low back pain","authors":"T. Aoki","doi":"10.3753/YOTSU.13.84","DOIUrl":"https://doi.org/10.3753/YOTSU.13.84","url":null,"abstract":"慢性腰痛患者に対し簡便な運動療法を指導し，その臨床的効果について検討した．方法は座位で体幹を左右に回旋させるのみの極めて簡単な方法である．ただし，一方向に回転させてからその位置で3秒同一姿勢を保持させ，それを反対側にも行って，これを5～10往復，1日3回行うように指導した．運動実施後1カ月の調査では，腰痛がほとんど消失したり，かなり改善して効果の顕著な症例が全体の70%に及んだ．本法は脊柱周囲の筋群に対するストレッチ効果が高いものと推定されるが，今後筋電図学的検討なども加えながら詳細に検討する予定である．","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"42 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132074098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The relationship between immune privilege of the disc and low back pain","authors":"K. Nishida","doi":"10.3753/YOTSU.14.50","DOIUrl":"https://doi.org/10.3753/YOTSU.14.50","url":null,"abstract":"","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127986626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Quality of life (QOL) and level of social activities affected by backache in the elderly","authors":"Norihiro Shirakihara","doi":"10.3753/YOTSU.7.65","DOIUrl":"https://doi.org/10.3753/YOTSU.7.65","url":null,"abstract":"","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133603420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correlation of sagittal spinal alignment with clinical symptoms in lumbar canal stenoses","authors":"Hidekazu Suzuki","doi":"10.3753/YOTSU.14.23","DOIUrl":"https://doi.org/10.3753/YOTSU.14.23","url":null,"abstract":"腰部脊柱管狭窄症の病型と脊柱矢状面アライメントの関係を検討した．対象は腰部脊柱管狭窄症患者93例で，馬尾性間欠性跛行の有無により馬尾型と神経根型に分け，単純X線立位全脊柱側面像についてC7 plumb lineとS1椎体上縁の後上隅角との距離（距離B），腰椎前弯角（LLA），骨盤傾斜角（PA）について検討した．病型は馬尾型53例（平均66.7歳），神経根型40例（平均67.0歳）であった．距離Bは馬尾型平均57.6 mm，神経根型平均40.3 mmで差を認め，年齢別基準値より大きかった．LLAは馬尾型平均18.8d，神経根型平均22.4dで馬尾型が小さく，PAは馬尾型平均27.2d，神経根型平均22.7dと馬尾型が大きかった．馬尾型腰部脊柱管狭窄症患者では神経根型と比較して体幹前傾，骨盤後傾が認められた．","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"69 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134026350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Roland-Morris Disability Questionnaire(RDQ）によるアウトカム評価","authors":"鈴鴨 よしみ","doi":"10.3753/YOTSU.15.17","DOIUrl":"https://doi.org/10.3753/YOTSU.15.17","url":null,"abstract":"Roland-Morris Disability Questionnaire (RDQ）は，患者自身が直接回答するPatient reported Outcomes(PRO）指標の1つとして位置づけられ，腰痛によって日常生活が障害される程度を評価する尺度である．「立つ」，「歩く」，「服を着る」，「仕事をする」などの日常の生活行動が腰痛のために障害されるか否かを尋ねる24項目に，「はい」，「いいえ」で回答してもらい，「はい」と回答した項目の数を加算して得点を算出する．RDQ日本語版は計量心理学的に十分な特性を持つことが検証されている．RDQは，1）項目と回答選択肢が少なく臨床で実施しやすいこと，2）全国調査により求められた基準値があること，3）すでに多くの研究に活用されていること，などが長所としてあげられる．一方で，1）少ない項目であるために個人を評価するには精度が不十分であること，2）精神面の影響を測定する項目が少ないこと，などが短所となりうる．目的に応じて尺度を選択することが重要である．","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129493313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Radicular low back pain","authors":"S. Konno","doi":"10.3753/YOTSU.13.48","DOIUrl":"https://doi.org/10.3753/YOTSU.13.48","url":null,"abstract":"神経根性腰痛は，腸骨稜よりも頭側の傍正中部に比較的限局した片側性腰痛で，神経根障害による下肢痛を合併しているのが特徴である．神経根性腰痛は単一椎間の神経根ブロックで消失することから，その発生や伝達経路は，ブロックされた神経根に集約されていると考えられる．神経根ブロックにより神経根性腰痛の分析や治療効果が期待できる．","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131254528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Utility of the knee lifting test for selecting the appropriate therapy for patients with low back pain","authors":"T. Uehara, 青木 一治, 友田 淳雄, 稲田 充, 松永 寛","doi":"10.3753/YOTSU.15.150","DOIUrl":"https://doi.org/10.3753/YOTSU.15.150","url":null,"abstract":"腰椎椎間板ヘルニア(LHNP)と腰椎椎間関節症(LFS)に対する運動療法は，それぞれ腰椎伸展運動と屈曲運動で相反している．しかし両疾患の症状は類似することがあり，その運動療法選択には苦慮するケースもある．われわれはLFSに反応しやすい腿挙げテスト(KL-t)を考案し，その有用性について検討した．対象は，腰痛を主訴とし，それぞれの運動療法を行った外来患者73名である．KL-tは，壁を背に立ち，両大腿を交互に挙げるもので，施行後腰痛の軽減・消失があれば陽性，不変・悪化は陰性とした．有用性の検討は，運動療法開始前のＸ線像と，KL-t前後の脊椎アライメントの測定から行なった．結果，陽性46名のうち，40名(87％)がLFSであった．陽性者では，KL-t後腰椎の前彎が有意に減少しており，その原因として，腸腰筋の弛緩が腰椎前彎ストレスの減少に働いたからではないかと考えた．本研究から椎間板や椎間関節の変性変化が軽度で，運動療法選択に苦慮するようなケースには有用なテストと考えた．","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115777593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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