80070151

open access

Version of Record

コカンセツ クッキョク コウシュク ノ シュツゲン ヨウシキ ニ カンスル ウンドウガクテキ ケンキュウ

A Kinesiological Study of Appearance Patterns of Hip Flexion Contracture

Japanese (日本語)

神戸大学医療技術短期大学部紀要

7

1-8

神戸大学医療技術短期大学部

1991

2007-11-21

The purpose of this study was to characterize the appearance patterns of flexion contracture at the hip joints in 78 patients with various physical disabilities due to neurologic and orthopedic conditions such as hemiplegia and fracture of the femoral neck. The presence and degree of hip flexion contracture were estimated in the supine position using the Thomas maneuver with a goniometer. As a result, it was revealed that lack of mobility caused by hip flexion contracture was not compensated for by pelvic tilt and increasing lumbar lordosis under the following conditions: 1) the contracture at the hip was more than 15 degrees, 2) bilateral hip flexion contracture existed, 3) there was associated flexion contracture of the knee joint, 4) ambulatory function was limited. It was also found that bilateral hip flexion contracture existed under the following conditions: 1) the patient was over 70 years old, 2) the degree of hip flexion contracture was more than 15 degrees, 3) hip flexion contracture was not concealed by an unnoticed change in posture, 4) there was the complication of knee flexion contracture as well as restricted ambulatory function. These results suggest that hip flexion contracture affects not only the functions of the involved legs, but also the postures and gait patterns of the patients with this disability.

紀要論文