肩凝りについての検討 : とくに日内変動および指圧に対する感受性

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Many Japanese experience shoulder stiffness and physiotherapy such as "ACUPUNCTURE", "ANMA", "MASSAGE" and "SHIATU" have usually been applied to the patients. In this report, we studied the degree of shoulder stiffness and the susceptibility to acupressure "SHIATU". Forty five patients with stiffed shoulder were given questionnaire to determine the degree of shoulder stiffness along the circadian rhythm of a week. The degree of shoulder stiffness of each patient was measured using Visual Analogue Scale (VAS). Bilateral GB21 in each patient were then pressed with finger pressure meter (F. P. meter), and both pleasant and painful units were analyzed and indicated in kg/1cm_2. According to the questionnaire, the degree of shoulder stiffness was low in the morning, ascended toward the noon and reached its peak in the early evening. Thereafter, the degree of shoulder stiffness descended until bed-time, although it descended temporarily at 7 to 8 p.m. Transition study in one week demonstrated that the degree of shoulder stiffness was lowest on Sunday, started to ascend from Monday to Wednesday, reached its peak on Thursday and descend toward Sunday, suggesting the importance of psychological factors. The patients were then divided into two groups ; mild shoulder stiffness group and serious shoulder stiffness group. Patients in both groups were complaining of remarkable shoulder stiffness in the left shoulder. Mild shoulder stiffness group did not show any correlation between age, the degree of shoulder stiffness, the degree of pleasant unit in acupressure and the degree of painful unit in acupressure. Male patients showed negative correlation between the degree of shoulder stiffness and age, while female showed positive correlation between them. 0n the other hand, serious shoulder stiffness group showed positive correlation between age and the degree of shoulder stiffness. In addition, aged female patients were less sensitive to "SHIATU" and preferred stronger acupressure when compared to male patients who preferred light acupressure as the degree of shoulder stiffness ascend. In conclusion, our study indicate that the degree of shoulder stiffness, sex and susceptibility to acupressure are important factors to determine the degree of effective acupressure in "SHIATU" therapy.
関西鍼灸大学の論文
1997-10-25

肩凝りについての検討 : とくに日内変動および指圧に対する感受性

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