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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/5363b1d42bd6-4ed9-42f7-a68d-d9343f7951fc
| 名前 / ファイル | ライセンス | アクション |
|---|---|---|
DKMJ-1-4-Irisawa-Fulltext (353.0 kB)
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| Item type | 学術雑誌論文 / Journal Article(1) | |||||||||||
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| 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
× Nishimura, Yukihide
× 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 |
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| 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. |
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| 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 | |||||||||||
