The purpose of this study was to investigate the correlation between the muscle volume, measured with 3-dimensional magnetic resonance imaging (MRI), and the strength of the quadriceps femoris, measured with an isokinetic dynamometer, in healthy subjects. Twelve lower extremities of 6 healthy volunteers (3 males and 3 females, mean age ± SD 28.8 ± 5.9 years) were included. An exercise program to strengthen the quadriceps femoris using an exercise band was performed for 8 weeks. Quadriceps femoris muscle volume and knee extension torque were measured after the 8-week training. Knee extension torque and volume of the quadriceps femoris significantly increased after the 8-week training compared to their baseline values (p<0.001).There was a significant positive correlation between the amount of change in muscle volume and knee extension torque (r=0.64, p=0.02). Muscle volume measurement with MRI may be useful for monitoring knee extension torque changes, resulting from muscle strengthening exercises, of patients who cannot perform conventional muscle strength tests.
[Purpose] The purpose of this study was to investigate the effect of patellofemoral joint mobilization in the caudal direction on the arthrokinetic reflex by measuring the knee extensor muscle strength. [Methods] Forty participants without knee joint disease were split into a control group and an experimental group. The knee extensor muscle strengths of individuals in both groups were measured twice, once before and once after a one-hour rest. After the one-hour rest, patellofemoral joint mobilization was performed on the extensor muscles of the experimental group. This group’s muscle strength was then measured again immediately after the mobilization. From these results, the ratio of knee extensor torque to weight and the rate of knee extensor torque increase of each group were calculated and compared. [Result] The experimental group showed a statistically significant difference in the ratio of knee extensor torque to weight (p=0.03) and demonstrated a 11.4 ± 15.1% increase in the rate of knee extensor torque increase whereas the control group showed no significant changes. [Conclusion] The result of this study suggests that inducing the arthrokinetic reflex by means of patellofemoral joint mobilization removes neurogenic inhibition on the quadriceps muscle.
Abstract：[Introduction] The methodology and effectiveness of physical therapy for focal dystonia has not been reported yet. This report explains one example of the effective use of manual therapy on symptoms resulting from focal hand dystonia without abnormal findings, and it also reflects on the time it took for the diagnosis of focal hand dystonia to be made. [Case] A female in her forties presented for examination as she felt that she was holding items too strongly, because it was difficult for her to control the bending movements that her thumb and index finger had to make when holding items. [Evaluation and Treatment] There were no noteworthy abnormal findings, and it was difficult to interpret and treat the symptoms. However, when the patient experienced sharp pain in the CMC joint of the thumb, manipulation of the trapezium bone was conducted, and this resulted in a significant improvement in involuntary finger movement. [Conclusion] The results suggest that there is a possibility of muscular skeletal abnormalities such as positional fault of bones or hypermobility enhancing the symptoms of focal hand dystonia.
Tokyo Metropolitan University has been offering postgraduate education based on the standards set by the International Federation of Orthopaedic Manipulative Physical Therapists (IFOMPT) since it established the International Manipulative Physical Therapy Course in October 2017. The International Manipulative Physical Therapy Course is a two-year course, and two classes are delivered between 18:00 and 20:10 on weekdays. The curriculum is designed to teach students theoretical knowledge including the history and general theory of manipulative physical therapy, image assessment, evidence-based medicine, evidencebased physical therapy, clinical reasoning, and practical skills including joint mobilization, manipulation, soft tissue mobilization, nerve mobilization, and motor control training. In addition, the course offers many offcampus clinical training programs and research subjects for a master’s degree thesis. A feature of this course is that it will allow graduates to become an Orthopaedic Manual Physical Therapy (OMPT) at an institution recognized by the IFOMPT as a training institute for the development of OMPT in the future, in addition to obtaining a master’s degree. However, students need to understand that they have to keep learning to acquire knowledge and techniques because the knowledge and techniques they have at the time of graduation are fundamentals.
Due to the advancement of globalization encompassing the scope of physical therapy, working and studying in the field of physiotherapy within an overseas setting are alternatives in a range of career plans in the pursuit of medical development. There are various overseas universities that have specialist clinical master’s curriculums, which offer practical programs utilizing the latest professional knowledge and techniques for furthering improvement in a therapist’s skills. This paper provides an outline of the Master of Health Practice in Musculoskeletal Physiotherapy at the Auckland University of Technology based on the author’s experience.
This is a report of a short course of manual therapy I attended at the Institute of Physical Art (IPA) in the United States. The IPA concept is an integrated and artistic intervention which couples mechanical treatment of the joints, soft tissues, visceral and neurovascular systems with manual neuromuscular facilitation to enhance optimum motor control and human function. This article introduces the features of the IPA courses and my experience of the courses.