Vol.16(No.1 2016)

【The Original】 page 12-17

The remote effect of pelvic posterior depressor static contraction on the coordination of upper arm movement

Satoshi Saya, Mitsuo Arai, Hiroyuki Yoshiaki, Eriko Ogawa, Toshitake Tomiura

Abstract: The purpose of this study was to compare the remote after effects of different resistive staticc ontraction facilitation techniques ( SCFTs ) for lower trunk muscles on muscle strength improvement of the shoulder internal rotation. Furthermore , we aimed to determine the remote aftereffects of SCFT applied by manual resistance using aproprioceptive neuromuscular facilitation pattern in the midrange pelvic posterior depression technique (SCPDT) with the subject on muscle strength improvement of the shoulder internal rotation. The exercises included muscle strengthening (MS) for shoulder internal rotation and the SCPDT. Twenty normal subjects without neurological deficits (10 men and 10 women) , with a mean average age + SD of 31. 4 + 6. 6 years , were randomly as signed to one of the two exercise groups. The Mann– Whitney' s U test demonstrated that the SCPD groups showed significant improvement when compared with the MS group. 

Conclusion: Remote aftereffects of SCPDT on the muscle strength of the shoulder internal rotation were found in normal subjects(those without neurological deficits). This result 

suggests that SCF influenced the muscle strength of shoulder muscles in normal subjects.

Key Words：remote aftereffect , resistive static contraction facilitation, muscle strength,  proprioceptive neuromuscular facilitation

【Research and Report】 page 25-31

The effect of resistive pelvic exercise on the one-leg standing time in hemiplegic patient 

Shoko Takano, Mitsuo Arai, Miho Takezawa

Abstract：The purpose of this study was to determine how a reistive sustained contraction using the proprioceptive neuromuscular facilitation pattern for pelvic posterior depression (SCPD) influences the one-leg standing time for hemiplegic patients. A single-subject experimental design was used for three hemiplegic patients (mean age : 56. 3 years) .

Following a 7day period of baseline measurements(phase A1) , a 7day period of phase B1 was performed, which was then followed by a 7 day period of phase A2, and then a 7 day period of phase

 B2. In phases A1, A2, and A3, the subjects were treated with the one-leg standing exercise , which was repeated 10 times a day.

In phases B1, B2, and B3, the subjects were treated with the SCPD technique , which was repeated five times a day.

The results of two-way repeated-measures ANOVA indicated that there was no interaction between patients and each period. The Scheffé ' s post hoc test revealed that a significant difference was observed between phases A1 and B3. These results suggest  that the SCPD technique had cumulative effects on hemiplegic patients for increasing the ability of the one-leg standing compared to the one-leg standing exercises.

Key Words：hemiplegia, one-leg standing time, PNF, pelvic posterior depression

【Case Report】 page 32-39

A patient with anterior cerebral artery dissection-induced juvenile cerebral infarction manifesting as dysbasia: Gait acquisition process for impaired supplementary motor area 

Shinichi Watanabe, Akitoshi Mizuno,   Masashi Watanabe, Hisashi Okada, Fjiko Someya 

Abstract：Objective: Early physical therapy involving proprioceptive neuromuscular facilitation (PNF) was performed on a patient who had suffered an anterior cerebral artery dissection, which initially manifested as right hemiplegia. The patient's condition improved after therapy. Patient and course : The patient was a 47-year-old male. Speech initiation was slightly delayed, but the patient demonstrated good communication skills . On the 5th hospital day, the patient' s walking speed had declined in the 10-meter walk test (10 MWT) , Timed Up and Go Test (TUG) manual carrying a glass of water , and TUG be cause of a frozen gait affecting his right lower limb. In gait training, sensory input was promoted via PNF-based compression and stretching stimulation using a pelvic girdle. In addition, ergometer training was performed to acquire lateral symmetric movement. Lateral and backward movements and stair climbing were performed from the 12th hospital day onwards. On the 19th day, an improvement was noted in the patient' s 10 MWT, TUG, and TUG manual results. Conclusion: Gait training focusing on somatic sensations and involving a diverse range of gait patterns might be

useful for patients that exhibit a frozen gait and a reduced information processing ability.

Key Words：PNF; supplementary motor area, gait disorder , anterior cerebral artery dissection-induced juvenile cerebral infarction