@article{oai:ryotokuji-u.repo.nii.ac.jp:00000461,
 author = {源, 裕介 and Minamoto, Yusuke and 兎澤, 良輔 and Tozawa, Ryosuke},
 issue = {15},
 journal = {了德寺大学研究紀要, The Bullentin of Ryotokuji University},
 month = {},
 note = {変形性股関節症の症例に対するジグリングの効果に関して，理学所見に絞った報告は少ない．
目的は進行期変形性股関節症の一症例に対しジグリングを実施し，理学所見における変化を短期成績として報告することである．
症例は進行期変形性股関節症と診断された40歳代女性である．ジグリング開始前の理学所見をベースラインとし，１ヶ月ごとに理学所見をとり，開始から3ヶ月後までの短期成績を示した．ジグリングは300rpmで20分を1日2回実施し，毎日継続した．
ベースラインと比較して3ヶ月で改善したものは，股関節内転・外旋の可動域 ，Oberテストであった．また日本整形外科学会股関節疾患評価質問表(以下JHEQと略す)が16点から27点，JOAスコアが42点から49点(2ヶ月後では65点)と，ともに点数の改善が見られた．
内転及び外旋の可動域改善は，小殿筋がジグリングによる持続的な振動刺激によって緊張が抑制され起きたものと考えられた．JOAおよびJHEQスコアに関しては3ヶ月でわずかに改善は見られたため，一定の効果はあったと考える．, There are a few reports on improvement in imaging and subjective symptoms of osteoarthritis, but there are few reports on the effects of jiggling on physical examination.
　The purpose of this study was to report the short-term results of jiggling for a case of advanced-stage osteoarthritis of the hip.
　A woman in her 40s was diagnosed with advanced-stage osteoarthritis of the hip. Physical examination was performed prior to the start of jiggling and was used as the baseline. The same physical examination was performed every month thereafter, and short-term results were obtained up to 3 months after the start of jiggling. Jiggling was performed at 300 rpm for 20 minutes twice a day, and was continued daily.
　The physical examination at three months after the start of the program showed that the range of motion of hip adduction and external rotation, and the Ober test were improved compared to the baseline. The Japanese Orthopaedic Society Hip Evaluation Questionnaire (JHEQ) score ranged from 16 to 27 points, and the JOA score ranged from 42 to 49 points (65 points after 2 months), and both scores showed improvement.
　The gluteus minimus muscle, which is a limiting factor of adduction and external rotation of the hip joint, is attached to the joint capsule of the hip joint. Continuous vibration stimulation by jiggling might be transmitted through the joint capsule to the muscle and cause the suppression of tension. The improvement of external rotation range of motion and Ober test was considered to be caused by this stimulus. The JHEQ score also showed some improvement, but the range of improvement was small and the effect of the JHEQ was not yet fully shown. Therefore, we believe that there is room for further discussion on this issue.},
 pages = {23--30},
 title = {ジグリングが進行期変形性股関節症患者の理学所見に及ぼす影響〜ジグリング開始から3ヶ月後の短期成績について〜},
 year = {2021},
 yomi = {ミナモト, ユウスケ and トザワ, リョウスケ}
}