前十字靱帯損傷、内側側副靱帯損傷、内側半月損傷保存例に対する理学療法

―スポーツ動作許可後にみられた再受傷の恐怖感に着目して―

抄録

Physical therapy for a Japanese college woman basketball player with anterior cruciate ligament (ACL), medial collateral ligament (MCL) and medial meniscus (MM) injury was performed. The main problem in this case was fear of re-injury due to a feeling of instability in the knee during basketball. Her fearfulness and a feeling of instability in the knee were induced by the dynamic mal-alignment of the trunk and lower extremities during basketball movement, muscle weakness in knee extension with rapid movement and incorrect motor learning in the early phase of rehabilitation after injury. In physical therapy, it was emphasized that improvement of running, step-cutting and splinting with good alignment of the trunk and lower-extremities, muscle strengthening by knee extension with rapid movement and correct motor learning are important. As the result of physical therapy dynamic alignment of the trunk and lower extremities during basket movement and muscle strength for knee extension with rapid movement were improved. Her fearfulness and unstable feeling in the knee during basketball movement were alleviated. And 34 days later, she was able to play for more than 30 minutes in inter-collegiate games.