左右の下肢関節の非対称性による歩行時の影響について
- 歩行時において、左右の下肢関節の矢状面における運動学的な非対称性は、スタンス段階において麻痺側のひざ屈曲を増加させ、揺れ段階においては過度の腰屈曲を引き起こす。
- 左右の下肢関節の非対称性は、歩行時における麻痺側のひざおよび腰の動きに影響を与える。
- 矢状面における左右の下肢関節の非対称性は、歩行時における姿勢や動作パターンに変化をもたらす。
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英語翻訳お願いします
In gait, kinesiological asymmetry of the left and right lower extremity joints in the sagittal plane increases knee flexion of the paretic side during the stance phase, resulting in excessive hip flexion during the swing phase. 足取りでは、矢状面の左右の下肢関節の運動学的な非対称はスタンス段階の間、麻痺側のひざ屈曲を増やします。そして、揺れ段階の間、過度の腰屈曲に終わります 翻訳機にかけるとこんなかんじです… 医学論文の一部なのですが、お願いします。
- soraken
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これは、普通の医学の記述と言うよりは、理学療養のリハビリテーションの問題の様に思われますのでその方に詳しいアメリカ人に聞いてみました。 始めに語彙を二三 １。 sagittal plane と言うのは、確かに「矢状面」ですが、人体の断面には３種類あります。水平の面で横切りにするのが一つ、縦に切るのは、２種あって、左右の線と上下線を含む面で切るのと、前後の線と、上下の線を含む面で切る方法があり、この最後が sagittal plane 「矢状面」です。 ２。 歩行段階には、足を地に着けた stance phase 立脚期と、足を振り出すために浮かした swing phase 遊脚期 とがあります。 翻訳機の訳は文法的にはいいと思います。 ３。愚訳 歩行姿勢の場合、矢状面において、左右の下肢関節の運動学的な非対称が原因で、立脚期の間、麻痺側のひざ屈曲を増やし、遊脚期の間、過度の腰屈曲が起こる。 ４。内容 僕が聞いた人は、言っている事は理解できるが、「矢状面」に言及する必要はないし、麻痺しているから屈曲が大きいとは限らない、と言っています。 ５。 寝言 英語から日本語に直すのが僕の差し当たっての仕事ですから、それは４で、完了しました。しかしこの原文には専門の人には全面的に同意できない点もあるそうです。以上ご報告まで。
その他の回答 (3)
- oignies
- ベストアンサー率20% (673/3354)
訳すほどのものではないので、大意のみおつたえします。 右足と左足の、ひざの部分か何か、またの部分かもしれませんが、そこの ところが左右非対称だと、ひざががくがくだとか、腰ががくがくするというよ うなことをいっていると思います。ご自身の専門分野か、職業が翻訳家で あれば、専門の医学辞書で、どの部分の非対称なのかは、別途しらべて ください。
関連するQ&A
- 英語教えてください
(1)In the experimental group, the exercise consisted of a one-leg standing weight- bearing balance exercise in which ± 5° changes could be made for dynamic changes, while maintaining a hip flexion angle of 5° and a knee flexion angle of 10° during the stance phase． 実験群において、運動は±5°変化がダイナミックな変化のためになされることができた1-足立ちながらのweight-を含んだバランス運動から成りました、その一方で、5°の腰屈曲角度とスタンス段階の間の10°のひざ屈曲角度を維持しました。 うまく訳せません… (2)anti-spasticity drugsとは (3)GAITRite Systemとは (4)When physical therapists treat abnormal gait, hip extension by coordinated movement of the gluteus maximus and the hamstrings and knee extension by coordinated movement of the vasti and the soleus are very important exercises 理学療法士が異常歩行を治療するとき、大臀筋と膝窩筋の調整動きによる腰拡張とvastiとひらめ筋の調整変化によるひざ拡張は非常に重要なエクササイズです。 とありますが、vastiが分かりません。 (1)～(4)分かる方助けて下さい。
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In the gait cycle, lack of coordination in muscle activities between the hip and the knee during weight loading on the lower extremity in the stance phase results in reduced vertical ground reaction force in hemiplegia patients with lower extremity dysfunction on the affected side． 歩行周期では、低い下肢不全麻痺側片麻痺患者における削減垂直床反力の体重の上下肢立脚相の読み込み中に筋活動股関節と膝の間の調整の欠如の結果します。 うまく訳せません… お願いします
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Due to delayed muscle activity of the lower extremity to which application of weight loading failed during terminal stance peak, the anterior transition force weakens and gait patterns of both lower extremities are affected, leading to asymmetric gait． 重さ積載の応用がターミナルのスタンス・ピークの間、失敗した下肢の遅れた筋肉活動のために、力が弱める前方移行と両下肢の足取りパターンは影響を受けます。そして、非対称の足取りに至ります 翻訳にかけるとこんなかんじです。 すみません。
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- 英語
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This study emphasized hemiplegia patients’ lower extremity function on the paretic side during the stance phase in their rehabilitation exercise and conducted a one-leg standing weight-bearing balance exercise 本研究は片麻痺患者の低い上肢機能麻痺側立脚相のリハビリテーション運動中に強調し、片足立ち荷重バランス演習を実施しました。 こんな感じの翻訳であってるでしょうか…
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Loss of the ability to walk safely is often a primary reason for nursing home placement . the most common causes of such gait and balance disturbances are organic brain syndromes and musculoskeletal disorders . but even in the absence of specific diseases, disturbances in gait and balances may produce disability in up to 13%of older individuals . furthermore, nonspecific changes in gait and balance affect nearly all older individuals and are attributed to the normal aging process .reported changes have included increased postural sway accompanied by decreases in ambulatory velocity , step and stride length , step cadence and swingtime ratio . Impairments in gait and balance lead ton such undesirable consequences as heat of falling, galls with fractures , loss of confidence , loss of independence and lowered quality of life. Within long term care institutions , between 40 and 50% of residents will fall during any given year . musculoskeletal weakness , poor balance and number of prescribed medications have been associated with falling among institutionalized subjects . additionally, isokinetic testing of institutionalized fallers has demonstrated both knee and ankle weakness compared with controls . postural sway has also been found to be higher among those who fall . gait comparison of subjects hospitalized after falls versus controls has demonstrated slow walking speed , short step length , narrow stride width , a wide range of stepping frequency , large variability of step length and increasing variability with increasing step frequency . 毎度です(笑) 翻訳出来る方よろしくお願いします。
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The gains in muscle strength, stride length and gait velocity were greater in the left leg than in the right leg. All study participants were right side dominant. The most plausible explanation for the consistently greater nondominant side improvements is that the left lower extremity may have been subject to greater disuse atrophy than the right lower extremity. The finding of asymmetrical left lower extremity strength improvement in conjunction with left stride length and velocity improvement supports the work of Bassey et al 20. Correlating muscle strength to customary gait velocity. The percentage improvements in strength, tinetti mobility score, stride length and stride velocity were only 6,10,5 and 3% of the baseline values, respectively. These changes appeared to be small in relationship to the baseline deficiencies of 62% for strength, 71% for tinetti score, 56% for stride length and60% for gait velocity. Such changes are likely not trivial, however, because increases in gait speed of the magnitude produced by the present exercise program have proven to be predictors of eventual independent mobility in poorly mobile subjects 39. It is also possible that the type of exercise utilized in this particular study, but with greater intensity or longer duration, could magnify the gains. Finally, it needs to be emphasized that the inclusion/exclusion criteria for the study, in addition to the complexity of the protocol, resulted in an extremely small sample size. The small group of subjects may not have been representative of the entire ZVAMC NHCU population. These considerations limit the general izability of the study’s conclusions. 最後です。;; すみませんお願い致します…
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This suggests that in patients with hemiplegia after stroke, muscle activities of the hip and the knee, maintained at appropriate angles, are necessary for weight loading on the lower extremities in order to enhance their gait and balance これは、脳卒中の後の半身不随患者において、腰とひざ（適切な角度に維持される）の筋肉活動が彼らの足取りとバランスを強化するために下肢の上で重さ積載のために必要なことを示唆します 翻訳機にかけるとこんなかんじです… 医学論文の一部なのですが、お願いします。
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Testing procedures All study participants completed manual muscle and Tinetti mobility testing , isokinetic strength testing of the quadriceps and hamstring muscle groups , exercise stress testing and gait and balance testing bath at the beginning and gait and balance testing bath at the beginning and end of the 12-wk study period. These measurements were made by blinded examiners at baseline and 7 to 10 days after completion of either the exercise or control protocols. Positioning of the subjects for manual muscle testing of the various lower extremity muscle groups and the zero to five muscle strength grading system were based on the positions and grades established by Kendall and MCreary.27 Modifications in muscle testing were made as necessary following the procedures recommended by Daniels and Worthingham.28 Leg length discrepancies and significant joint motion limitations were recorded at this time. Clinical gait and balance were measured with a modified version of Tinetti’s instrument.29 This mobility test involves a series of simple tasks including sitting, standing up from and sitting down in a cair, standing and tandem standing both with eyes open and closed , turning in a circle, turning head from side to side , standing on one leg , reaching and bending to pick up an object, withstanding a nudge on the sternum while standing and walking short distances with or without the aid of an assistive device. Observations of gait were made for gait intiation, step length and height, step symmetry, step continuity and gait path. Each task was scored on a zero to one or zero to two scale . Isokinetic muscle strength testing was performed at 60°per second to obtain concentric isokinetic strength measurements for knee flexion and extension, measurements for knee flexion and extension, utilizing the Cybex II isokinetic dynamometer (Lumex, Inc. Bayshore, NY) and single-channel chart recorder. Adjustments for age were determined by estimating a 1% decline in strength per year after age 40.30 Measurements of endurance were recorded by tabulating the number of repetitions completed at 180°per second before strength declined to <50% of peak torque. Testing procedures All study participants completed manual muscle and Tinetti mobility testing , isokinetic strength testing of the quadriceps and hamstring muscle groups , exercise stress testing and gait and balance testing bath at the beginning and gait and balance testing bath at the beginning and end of the 12-wk study period. These measurements were made by blinded examiners at baseline and 7 to 10 days after completion of either the exercise or control protocols. Positioning of the subjects for manual muscle testing of the various lower extremity muscle groups and the zero to five muscle strength grading system were based on the positions and grades established by Kendall and MCreary.27 Modifications in muscle testing were made as necessary following the procedures recommended by Daniels and Worthingham.28 Leg length discrepancies and significant joint motion limitations were recorded at this time. Clinical gait and balance were measured with a modified version of Tinetti’s instrument.29 This mobility test involves a series of simple tasks including sitting, standing up from and sitting down in a cair, standing and tandem standing both with eyes open and closed , turning in a circle, turning head from side to side , standing on one leg , reaching and bending to pick up an object, withstanding a nudge on the sternum while standing and walking short distances with or without the aid of an assistive device. Observations of gait were made for gait intiation, step length and height, step symmetry, step continuity and gait path. Each task was scored on a zero to one or zero to two scale . よろしくお願いします
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Exercise stress testing was performed with a 1 or 2 mph Balke protocol. If the subjects could not ambulate on treadmill even at the slowest speed , exercise capacity was assessed with leg cycle ergometry 32. This protocol consisted of 3-min stages, beginning at 150 kpm and increasing 150 kpm/stage. The subjects were instructed to maintain a rate of 50 rpm with the exception of the maximal effort stage. Oeygen consumption (Vo2) was measured during each minute of exercise by open circuit spirometry. Fait and balance measurements were obtained using a modification of the method of Murray et al 33. The measured gait variables included: stride length, velocity, stance time, duration and cadence. Gait measurements were obtained by a videotape motion analysis system. Kinematic(time and distance)measurements of sagittal place movements and kinetic (reaction force )parameters were measured during level walking by using digitized video analysis (Motion Analysis Corp.) and the Kistler force plate, which was mounted in the walkway. Two-dimensional walking patterns were videotaped with normal room light by using two video cameras, one for observational purposes and one for kinematic analysis. Retroreflentive markers were taped to nine standard body landmarks: head, shoulder, tip, iliac crest, second sacral vertebra, knee, ankle, heel and the fifth metatarsal head. A minimum of four gait cycles were videotaped for each subject in each direction with the arms at the side and then crossed, while wearing low-heeled shoes. A gait cycle is the time period from heel strike to heel strike of the same limb as subjects traveled ～20 feet in direction across the walkway. If the subject fatigued while walking, he was allowed to sit and rest. Data ware analyzed on the IBM-AT computer using Expert Vision System software. Kinematic measurements for three representative gait cycles were averaged per side per subject. Under standardized conditions, videotapes of two two-dimensional walking patterns were patterns were obtained with two digital cameras. To identify body landmarks for digital processing of video images, retroreflective markers were taped to the body to identify eight standard landmarks: head, shoulder, hip, knee, ankle, heel, the fifth metatarsal head and a line which bisected the anterior and superior iliac spines. A minimum of four gait cycles were videotaped for each subject in each direction with the arms at the sides and then crossed. The digitized data were averaged for each of the measured gait variables. For postural stability and steadiness testing, the subjects were asked to stand quietly in a comfortable stance near the center of a Kistler force platform, with arms at the side, and look straight ahead at a visual reference for 30 s. Approximately 2nin after the eyes-open trial, the procedure was repeated with eyes closed. The force plate amplifiers were sampled at 100 Hz. The last 20 s of the 30-s trial were analyzed. The x, y and z axial forces platform were used to calculate the anterior-posterior and medial-lateral canter-of-pressure time series. The average distance from the geometric mean center-of-pres-sure and the total excursions of total distance traveled by the center-of pressure were calculated. すみません…お願いします。
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The Vo2 max did not rise significantly despite increases in leg strength and muscular endurance. Potential reasons for this lack improvement are the complex interaction of multiple disease processes, inadequate duration or intensity of training or the diminished end organ response to exercise training in the frail elderly. The exercise subjects did on average maintain an adequate heart rate response during aerobic training, achieving 82% of their exercise-tested maximal heart rate 35. The duration of 20 min three times weekly may have been suboptimal, with some authors recommending 30 min of aerobic training three times weekly for elderly individuals 36 37. Twenty minutes is considered to be the minimal time necessary to obtain an aerobic response 38. These results are consistent with the conclusion of vase et al 34. That it is difficult to improve aerobic capacity in mild to moderately impaired and deconditioned nursing home residents. In addition, it must be noted that attainment of an accurate Vo2 max depends heavily on subjective factors such as muscle fatigue, perceived exhaustion, level of motivation and the examiner’s willingness to allow subjects to reach exhaustion. A true Vo2 max may therefore be difficult to obtain in the frail elderly. The leg muscle frequently reach exhaustion before the cardiopulmonary system attains its maximal capacity and a valid Vo2 max is never achieved 36. Clinical mobility scores, as measured by the modified tinetti assessment scale, did improve significantly. Whether the improved Tinetti scores would be associated with improved activities of daily living or a decreased incidence of falls in the treated men remains to be learned. One participant in the exercise program who initially required the assistance of his arms to stand from a chair was able to the program. The two subjects who routinely used a cane or walker for added stability during ambulation continued to do so after completion of the exercise program. Although quantitative gait measurements demonstrated significant improvements in left-sided stride length and velocity with lesser increases in right-side stride length and velocity, other gait characteristics, namely stance time, gait duration and cadence, did not change significantly. Furthermore, balance measurements of total excursion revealed no significant changes with the eyes open or closed. These observations suggest that neurologic impairment may have been a more important cause than muscle weakness in causing the ambulatory difficulty of the subjects studied. On the other hand, exercise of greater intensity or longer duration requires testing before a coutributory role of weakness can be excluded. The finding of insignificant balance changes is consistent with results obtained in prior studies すみません… お願いします。
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専門の方からのご意見も… とても参考になりました。 こんな親切をしてくださって、感激です。 ありがとうございました。