関節可動域制限因子の分類と評価法の試案

概要

論文の詳細を見る
The purpose of this report is to introduce a plan of categorization of factors of limited range of motion and an evaluation of these factors. We put those factors into 6 categories, such as nerve-muscle, bone-cartilage, intra-capsule soft tissue, outer-capsule soft tissue, muscle guarding and pain. The evaluation process consists of four-stage tests. The first test determines the order of appearance of pain and end-feel on passive motion. The second test determines if the tension of muscle and/or skin is increased by inspection and palpation at the end of range. The third test determines if intra-capsular motion is reduced by joint play motion test. The fourth test determines if there is disorder at bone or joint cartilage. For experimentally, this method was used on 39 joints with limited range in 33 patients by three physical therapists. The advantage of this method enabled us to distinguish the factors of limited motion easily in a short time. The problems of this method were the poor reliability of joint play motion test and the difficulties of distinction of deep muscle contracture and evaluation of multi-axis joint.