{"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}
以马尾性间歇跛行为主要症状而实施运动疗法的23例为对象，讨论了其效果。在我们设计的腰椎后弯可动性测试(PLF test)中，硬膜管面积与初诊时实测的步行距离呈显著正相关。另有22例发现髂腰肌和大腿筋膜张肌挛缩。我们进行的以改善髋关节及腰椎挛缩为目的的运动疗法，对21例(91.3%)有效，初诊时平均步行距离为102.1 m, 1个月后为8例(38.0%);2个月后，15例(71.4%)可以连续行走1公里以上。其他6例平均步行距离为640米。改善股关节的挛缩，有助于减轻走路时的骨盆前倾扭矩以及减少腰椎弯度。另外，通过改善腰椎后弯区域，促进动态pumping effect，作用于改善硬膜外静脉丛的回流，从而得到了步态改善。对于存在挛缩因素的间歇跛行，我们认为有必要尝试2个月左右的运动疗法。
{"title":"The effect of therapeutic exercise for intermittent claudication due to cauda equina compression","authors":"Norio Hayashi, 吉田 徹, 見松 健太郎","doi":"10.3753/YOTSU.13.165","DOIUrl":"https://doi.org/10.3753/YOTSU.13.165","url":null,"abstract":"馬尾性間欠跛行を主訴に運動療法を実施した23例を対象とし，その効果について検討した．初診時実測した歩行距離に対し，硬膜管面積とわれわれが考案した腰椎後弯可動性テスト（PLF test）において，有意な正の相関を認めた．また22例に腸腰筋と大腿筋膜張筋に拘縮を認めた．われわれが行った，股関節ならびに腰椎の拘縮改善を目的とする運動療法は，21例（91.3%）に有効であり，初診時平均102.1 mの歩行距離が，1カ月後で8例（38.0%），2カ月後で15例（71.4%）で1 km以上の連続歩行が可能となった．その他の6例も，平均640 mの歩行が可能であった．股関節の拘縮の改善は，歩行時の骨盤前傾トルクの軽減ならびに腰椎過前弯の減少に寄与すると考えられた．また，腰椎後弯域の改善による動的pumping effectの促進は，硬膜外静脈叢の還流改善に作用し，歩行改善を得たと考察した．拘縮要素が存在する間欠跛行例では，2カ月程度を目処に運動療法を試みる価値があると考えた．","PeriodicalId":198659,"journal":{"name":"The Journal of Japanese Society of Lumbar Spine Disorders","volume":"55 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":"124346690","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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