{"created":"2023-06-19T08:55:40.611392+00:00","id":1523,"links":{},"metadata":{"_buckets":{"deposit":"8a25023f-b380-4624-83e4-9fbeab81f0b9"},"_deposit":{"created_by":9,"id":"1523","owners":[9],"pid":{"revision_id":0,"type":"depid","value":"1523"},"status":"published"},"_oai":{"id":"oai:nittaidai.repo.nii.ac.jp:00001523","sets":["95:96:200"]},"author_link":["7887","8111","8112","8113"],"control_number":"1523","item_10002_biblio_info_29":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2019-03-30","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"2","bibliographicPageEnd":"87","bibliographicPageStart":"81","bibliographicVolumeNumber":"48","bibliographic_titles":[{"bibliographic_title":"日本体育大学紀要","bibliographic_titleLang":"ja"},{"bibliographic_title":"Bulletin of Nippon Sport Science University","bibliographic_titleLang":"en"}]}]},"item_10002_description_27":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"Manipulative therapy (MT) is a typical treatment applied to the motor organ with a therapeutic objective in various medical fields. In a current clinical practice, however, the effectiveness of MT is subjectively evaluated by a therapist and/or a patient. MT has been expected to increase local blood flow and decrease edema and pain. However, these physiological changes have not been fully clarified due to the lack of non-invasive and cost-effective methodology to evaluate muscle blood flow. We here used diffuse correlation spectroscopy (DCS), a novel technique to non-invasively measure blood flow velocity, to quantitatively evaluate the effect of MT on the blood flow of the target muscle. Healthy participants (3 men/3 women, age: 22.5±0.7) took part in the study. Participants took a supine position on the treatment table to have a hip joint flexion test. The right leg was elevated to the maximum hip joint flection, and the hip flexion angle and the subjective pain intensity (evaluated by visual analog scale: VAS) were measured. Subsequently, the blood flow of the posterior surface of the femoral region was measured for 5 minutes at rest as a baseline. The blood flow of the same site was measured again after 5 minutes of MT. Finally, we measured a post-MT VAS under the hip joint flexion to the same angle as in the first flexion. Participant received two sessions of MT and control conditions, in which they received MT and no treatment (quiet rest for 5 minutes) between the two hip joint flexion measurements, respectively, in a random and counterbalanced order. Subjective pain intensity with hip joint flexion tended to decrease after MT (p=0.08) while no change was observed in case of control condition (p=0.41). The blood flow velocity of the treated muscle was significantly increased after MT relative to that of the pre-treatment state (p<0.05). There was no change in the blood flow velocity throughout the measurement in case of control condition. These results suggest that MT-induced mechanical pressure to the skin and muscle tissues promote venous return and increase local blood flow.","subitem_description_language":"en","subitem_description_type":"Abstract"},{"subitem_description":"手技療法は様々な医療の分野での治療の目的として運動器へ適用されている代表的な治療法である。手技療法は局所血流を増加させ，浮腫および疼痛を減少させるという仮定のもとに適用されているが，科学的な根拠に基づく計測方法や評価方法が確立されていない。本研究では，近年開発が進んでいる血流光計測技術である拡散相関分光法（diffuse correlation spectroscopy: DCS）を用いて，手技療法前後の局所筋血流の変化を非侵襲的かつ定量的に評価することを目的とした。健康な被験者（男性3名/女性3名，年齢：22.5±0.7歳）がこの研究に参加した。股関節を屈曲するために被験者は施術ベッドで背臥位とした。始めに疼痛が誘発されるまで股関節を最大屈曲させ，股関節屈曲角度と主観的疼痛感（visual analog scale: VAS）を計測した（Pre屈曲時）。続いて，腹臥位になり安静時5分間の大腿部後面の血流を計測した（Pre安静）。その後，5分間の手技療法を行い，手技療法後に再び大腿部後面の血流を計測した（Post安静）。最後に背臥位の状態でPre屈曲時と同角度まで股関節を屈曲した際のVAS値を再度計測した（Post屈曲時）。被験者は，2回の股関節屈曲の間に手技療法を行う手技療法条件と，手技療法を行わず腹臥位で安静とする対照条件の2試行をランダムな順序で行った。その結果，Post屈曲時のVAS値はPre屈曲時に比べて手技療法条件のみに減少傾向が確認された（p=0.08）が，対照条件では変化はみられなかった（p=0.41）。さらに，手技療法条件ではPre安静時に比べてPost安静時において筋血流速度の有意な増加がみられた（p<0.05）。このことは，手技療法による皮膚や筋組織への機械的な圧力が身体への静脈還流を促進し，組織血流の増加が引き起こされたことを示している。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_10002_description_28":{"attribute_name":"内容記述","attribute_value_mlt":[{"subitem_description":"本研究は科研費（助成金番号JP 17K19932）と立石科学振興財団（助成金番号 2177005）から支援を受けて行なった。","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_10002_description_62":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"原著論文","subitem_description_language":"ja","subitem_description_type":"Other"}]},"item_10002_publisher_55":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"日本体育大学","subitem_publisher_language":"ja"}]},"item_10002_source_id_30":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0285-0613","subitem_source_identifier_type":"PISSN"}]},"item_10002_source_id_32":{"attribute_name":"書誌レコードID","attribute_value_mlt":[{"subitem_source_identifier":"AN00194152","subitem_source_identifier_type":"NCID"}]},"item_10002_subject_39":{"attribute_name":"日本十進分類法","attribute_value_mlt":[{"subitem_subject":"492.7","subitem_subject_scheme":"NDC"}]},"item_10002_version_type_38":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_1693960965072":{"attribute_name":"助成情報","attribute_value_mlt":[{"subitem_award_numbers":{"subitem_award_number":"17K19932","subitem_award_uri":"https://kaken.nii.ac.jp/ja/grant/KAKENHI-PROJECT-17K19932/"},"subitem_award_titles":[{"subitem_award_title":"光計測で構築する手技療法のエビデンス：脳・筋血流同時診断技術への挑戦","subitem_award_title_language":"ja"}],"subitem_funder_names":[{"subitem_funder_name":"日本学術振興会","subitem_funder_name_language":"ja"}]},{"subitem_award_numbers":{"subitem_award_number":"2177005"},"subitem_award_titles":[{"subitem_award_title":"「手当て」の効果の可視化 : 脳と末梢の光機能計測による検討","subitem_award_title_language":"ja"}],"subitem_funder_names":[{"subitem_funder_name":"立石科学技術振興財団","subitem_funder_name_language":"ja"}]}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"松田, 康宏","creatorNameLang":"ja"},{"creatorName":"Matsuda, Yasuhiro","creatorNameLang":"en"},{"creatorName":"マツダ, ヤスヒロ","creatorNameLang":"ja-Kana"}],"familyNames":[{},{},{}],"givenNames":[{},{},{}],"nameIdentifiers":[{},{}]},{"creatorNames":[{"creatorName":"中林, 実輝絵","creatorNameLang":"ja"},{"creatorName":"Nakabayashi, Mikie","creatorNameLang":"en"},{"creatorName":"ナカバヤシ, ミキエ","creatorNameLang":"ja-Kana"}],"familyNames":[{},{},{}],"givenNames":[{},{},{}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"宮本, 彩華","creatorNameLang":"ja"},{"creatorName":"Miyamoto, Ayaka","creatorNameLang":"en"},{"creatorName":"ミヤモト, アヤカ","creatorNameLang":"ja-Kana"}],"familyNames":[{},{},{}],"givenNames":[{},{},{}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"小野, 弓絵","creatorNameLang":"ja"},{"creatorName":"Ono, Yumie","creatorNameLang":"en"},{"creatorName":"オノ, ユミエ","creatorNameLang":"ja-Kana"}],"familyNames":[{},{},{}],"givenNames":[{},{},{}],"nameIdentifiers":[{},{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2019-03-29"}],"displaytype":"detail","filename":"48-2-81-87.pdf","filesize":[{"value":"2.2 MB"}],"format":"application/pdf","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"48-2-81-87","objectType":"fulltext","url":"https://nittaidai.repo.nii.ac.jp/record/1523/files/48-2-81-87.pdf"},"version_id":"f88b0308-6a3f-46d3-8c5b-7221fb189231"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"diffuse correlation spectroscopy (DCS)","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"manipulative therapy","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"muscle blood flow","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"拡散相関分光法（DCS）","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"手技療法","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"筋血流","subitem_subject_language":"ja","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin paper","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"手技療法による骨格筋血流変化の定量評価 : 拡散相関分光法による検討","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"手技療法による骨格筋血流変化の定量評価 : 拡散相関分光法による検討","subitem_title_language":"ja"},{"subitem_title":"Quantitative evaluation of skeletal muscle blood flow by diffuse correlation spectroscopy : application to manipulative therapy","subitem_title_language":"en"}]},"item_type_id":"10002","owner":"9","path":["200"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2019-03-29"},"publish_date":"2019-03-29","publish_status":"0","recid":"1523","relation_version_is_last":true,"title":["手技療法による骨格筋血流変化の定量評価 : 拡散相関分光法による検討"],"weko_creator_id":"9","weko_shared_id":-1},"updated":"2023-09-06T12:56:30.204767+00:00"}