@article{oai:tokyo-metro-u.repo.nii.ac.jp:02000160,
 author = {伊佐次, 優一 and ISAJI, Yuichi and 乾, 淳幸 and INUI, Atsuyuki and 佐藤, 優 and SATO, Yutaka and 廣瀬, 健太 and HIROSE, Kenta and 山田, 拓実 and YAMADA, Takumi},
 issue = {5},
 journal = {理学療法科学},
 month = {},
 note = {[Purpose] We performed myofascial release on the patella for knee osteoarthritis (OA) patients and investigated the changes in the knee joint flexion range of motion and infrapatellar fat pad (IFP). [Participants and Methods] This study included 25 medial type primary knee osteoarthritis patients: 70.9 ± 9.9 years old, OA grade 2.1 ± 1.0. The heel buttock distance (HBD) and the thickness of the IFP measured using ultrasonography were measured before and after the treatment. Three myofascial release methods (patella separation release, infra, and supra patella release) were conducted for three minutes. [Results] After the treatment, HBD improved from an average of 14.2 cm to 10.1 cm, and the thickness of IFP decreased from an average of 21.6 mm to 20.7 mm. [Conclusion] Myofascial release on the patella was effective at reducing the HBD. The clinical significance of the change in IFP thickness needs to be further investigated., 〔目的〕変形性膝関節症患者の膝蓋骨周囲へ筋膜リリースを実施し，膝関節屈曲可動域および膝蓋下脂肪体（IFP）の厚みの変化を検討した．〔対象と方法〕対象は膝関節屈曲可動域制限を有する高齢女性の内側型変形性膝関節症患者25例（年齢は70.9 ± 9.9歳，OA gradeは2.1 ± 1.0）とした．評価方法は介入前後に殿踵間距離（HBD）を測定し，IFPの厚みは超音波画像による短軸像にて計測した．介入方法は膝蓋骨離開リリース，膝蓋骨上方・下方リリースを各3分間実施した．〔結果〕HBDは平均14.2 cmから10.1 cmと改善し，IFPの厚みは，平均21.6 mmから20.7 mmと減少した．〔結語〕膝蓋骨周囲への筋膜リリースはHBDの改善に有効であった．IFPの厚みの変化による臨床的意義に関しては，今後さらなる検討が必要である．, 東京都立大学学位論文甲第1249号　副論文},
 pages = {679--683},
 title = {高齢女性変形性膝関節症患者の膝蓋骨周囲軟部組織に対する筋膜リリースが膝関節屈曲可動域と膝蓋下脂肪体の厚みに及ぼす即時効果の検討},
 volume = {35},
 year = {2020},
 yomi = {イサジ, ユウイチ and イヌイ, アツユキ and サトウ, ユタカ and ヒロセ, ケンタ and ヤマダ, タクミ}
}