The Japanese Journal of Rehabilitation Medicine
Online ISSN : 1881-8560
Print ISSN : 1881-3526
ISSN-L : 1881-3526
Volume 57 , Issue 10
Showing 1-18 articles out of 18 articles from the selected issue
  • Kazuo Kinoshita, Kenji Higuchi, Yasuhide Nakayama, Takuya Ohtani, Masa ...
    2020 Volume 57 Issue 10 Pages 976-985
    Published: October 16, 2020
    Released: December 05, 2020
    [Advance publication] Released: August 11, 2020

    Objective:This study was aimed at investigating the acquirement of socks-handling ability with hip flex, abduction, and external rotation position (hip open position)in 5 months after the posterior approach to total hip arthroplasty (THA), with consideration of the functional goals by conducting a multicenter cooperative study.

    Methods:The study included 101 patients (104 hip joints) with hip osteoarthritis. We evaluated patient attribution;ranges of motion of the hip, knee and ankle;hip pain in socks-handling;and upper extremity length, which were evaluated before the operation, upon hospital discharge and at 5 months after the posterior approach to THA. The patients were classified into those who attained and did not attain socks-handling ability in open hip position until 5 months after THA. We investigated the factors for acquiring socks-handling ability by using a multiple logistic regression analysis.

    Results:We identified three factors that significantly correlated to socks-handling ability as follows:(1) socks-handling ability before the operation, (2) range of hip external rotation before operation, and (3) range of hip abduction before discharge. The goal to acquire socks-handling ability is 27.5° hip external rotation and 17.5° hip abduction.

    Conclusion:We suggest that socks-handling ability must be acquired before THA and that the target range of hip abduction and external rotation must be attained during the early post-THA stage.

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  • Yudai Fujimoto, Yoshinori Imura, Takaaki Tanaka, Seiji Ikeda, Miki Fuj ...
    2020 Volume 57 Issue 10 Pages 986-990
    Published: October 16, 2020
    Released: December 05, 2020
    [Advance publication] Released: August 11, 2020

    Wide resection of malignant bone and soft tissue tumors of the extremities may require resection of muscles, which correspondingly impairs limb movements. We describe a 67-year old man with a malignant soft tissue tumor of the right upper arm. Preoperatively, there was no impairment of right upper extremity function. The patient underwent wide resection of the tumor and triceps muscle. Postoperative rehabilitation included range of motion exercises, residual muscle strength exercises, and activities of daily living (ADL) exercises. One week postoperatively, the patient could independently perform the ADL exercises. Two weeks postoperatively, the patient scored 2 during manual muscle testing (MMT) for elbow extension, indicating a complete range of motion in a gravity-eliminated position. However, the patient could not raise the arm without bending it. Considering the needs of the patient, we prescribed an elbow extension brace to support the upper limb while being raised. With this brace, the patient was able to sustain elbow extension during upper limb elevation. Three months postoperatively, the patient’s elbow joint extension remained MMT 2, grip strength was 28 kg, and the International Society of Limb Salvage and Musculoskeletal Tumor Society score was 76.7%.Although the triceps muscle was resected, there was no problem with the patient’s ADL. However, the patient could not maintain elbow extension in an anti-gravity position while raising the upper limb. In such cases, prescribing an elbow brace may be useful.

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