日本基礎理学療法学雑誌
Online ISSN : 2434-0731
Print ISSN : 2186-0742
原著
キアリ骨盤骨切り術および大腿骨外反骨切り術後にTrendelenburg歩行と大腿筋膜張筋の活動開始時期遅延を呈した症例
江口 友和小関 弘展佐久田 衛小無田 彰仁岩永 斉
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ジャーナル オープンアクセス

2014 年 17 巻 2 号 p. 25-29

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抄録

A 45 year-old man underwent Chiari pelvic osteotomy and valgus femoral osteotomy. Twenty weeks after surgery, muscle strength and range of motion were recovered; however, the patient exhibited Trendelenburg gait. We examined changes in electromyogram activity around the hip joint. The mean muscle activity initiation time was -0.27 sec. in the tensor fasciae latae, +0.15 sec. in the gluteus medius, +0.12 sec. in the gluteus maximus upper fiber, and +0.12 sec. in the gluteus maximus lower fiber (“+” means before initial heel contact;“-” means after initial heel contact). These were delayed compared with normal timing, especially in the tensor fasciae latae muscle. Delayed muscle activity initiation time of tensor fascia latae can cause Trendelenburg gait.

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© 2014 日本基礎理学療法学会
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