関西理学療法
Online ISSN : 1349-9572
Print ISSN : 1346-9606
ISSN-L : 1346-9606
下肢のスポーツ疾患のトップダウン評価の実際
下肢のスポーツ疾患のトップダウン評価の実際
上村 拓矢飛田 勇樹三浦 雄一郎福島 秀晃森原 徹
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2025 年 25 巻 p. 4-9

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Movement in patients with lower limb musculoskeletal disorders is often influenced by factors such as joint and tissue condition, surgical history, and intra– or extra–articular inflammation. In clinical settings, pain is frequently the primary complaint, which limits the opportunity for repeated movement observations. Therefore, collecting adequate pre–assessment information to understand the overall clinical picture and determine the key movements to observe becomes crucial. In sports injuries, fundamental actions such as running and jumping are typically combined in complex ways and performed at high speed, making movement analysis particularly difficult. To address this issue, we introduced the “F Task” in Kansai Physical Therapy Journal, Volume 24, as a novel method for movement assessment. This task is designed to account for the injury mechanism and disorder onset, allowing clinicians to evaluate movement characteristics even within confined clinical environments. By using a top–down assessment framework within the“F Task”, functional impairments can be systematically identified, potentially aiding physical therapists who may be less experienced in analyzing dynamic sports movements. This paper reports the practical application of top–down evaluation for lower limb musculoskeletal disorders, presenting one postoperative hip surgery case with difficulty in abduction and three sports injury cases successfully managed with the “F–task ” Therapeutic strategies are also outlined.
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