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  1. Dokkyo Medical Journal
  2. 1(4) 2022

Gait Disturbance after Excision of Hamstrings and Effect of an Ankle-Foot Orthosis; A Case Report

https://dmu.repo.nii.ac.jp/records/5363
https://dmu.repo.nii.ac.jp/records/5363
b1d42bd6-4ed9-42f7-a68d-d9343f7951fc
名前 / ファイル ライセンス アクション
DKMJ-1-4-9.pdf DKMJ-1-4-Irisawa-Fulltext (353.0 kB)
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Item type 学術雑誌論文 / Journal Article(1)
タイトル
タイトル Gait Disturbance after Excision of Hamstrings and Effect of an Ankle-Foot Orthosis; A Case Report
言語
言語 eng
キーワード
主題Scheme Other
主題 ankle-foot orthosis
キーワード
主題Scheme Other
主題 electromyogram
キーワード
主題Scheme Other
主題 gait analysis
キーワード
主題Scheme Other
主題 ground reaction force
キーワード
主題Scheme Other
主題 limb-sparing surgery
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
資源タイプ journal article
著者 Irisawa, Hiroshi

× Irisawa, Hiroshi

en Irisawa, Hiroshi

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Nishimura, Yukihide

× Nishimura, Yukihide

en Nishimura, Yukihide

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Mizushima, Takashi

× Mizushima, Takashi

en Mizushima, Takashi

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著者所属
Department of Rehabilitation Medicine, Dokkyo Medical University, Tochigi, Japan
著者所属
Department of Rehabilitation Medicine, Iwate Medical University
著者所属
Department of Rehabilitation Medicine, Dokkyo Medical University, Tochigi, Japan
書誌情報 Dokkyo Medical Journal

巻 1, 号 4, p. 337-343, 発行日 2022-12
抄録
内容記述タイプ Abstract
内容記述 Limb-sparing surgery is important treatment for soft tissue sarcoma, but resection of major muscles in the lower extremities causes motor and gait dysfunction. However, we have experienced limb-sparing patients who have had significant improvement in their ability to walk.

We present the case of a 52-year-old woman who had limb-sparing surgery for soft tissue sarcoma that removed hamstring muscles (biceps femoris, semimembranosus, and semitendinosus). After surgery, the patient suffered from gait disturbance but was able to stabilize her gait by wearing ankle-foot orthosis. The patient underwent knee flexor strength testing and gait analysis with and without the ankle-foot orthosis. The maximum torque of the knee flexor muscles was higher when the patient used the ankle-foot orthosis than without it. Gait analysis demonstrated improvement of knee flexion with the ankle-foot orthosis. The surface electromyogram showed that gastrocnemius activity was increased markedly by using the ankle-foot orthosis.

The ankle-foot orthosis not only fixed the ankle in place to avoid foot drop, but also allowed gastrocnemius to act effectively as a knee flexor muscle after hamstring resection. We recommend using an ankle-foot orthosis to improve the gait of patients who have undergone hamstring resection because of a soft tissue tumor, infection, or trauma.
記事種別
Case Report
出版者
出版者 Dokkyo Medical Society
ISSN
収録物識別子タイプ ISSN
収録物識別子 2436-522X
DOI
識別子タイプ DOI
関連識別子 10.51040/dkmj.2022-010
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