成長期野球選手の肘傷害に ... - meiji-u.ac.jp

1 10 1-14 2014.. 1 *2 3 4 2 . 1 . 2 .. 3 . 4 .. Web .. PubMed elbow pain baseball elbow little leaguer's elbow acupuncture electric acupuncture . 2003 2012 10 . 39 . 32 Web PubMed .. Key words growth stage elbow pain baseball elbow acupuncture . moxibustion Received September 24, 2013; Accepted March 18, 2014. I .. little leaguer's shoulder .. * 629-0392 6-1 .. Tel: 0771-72-1181 325.. E-mail: . 2 10 . 32 PubMed .. 2 . 32 . 1 . 2 2 . 1,2 7 3 . 13 4 . 13 5 . The Bulletin of meiji University of Integrative Medicine 0 PubMed .. 3 . 1 .. 2 3,4 . II 3 15 3830 . 338 219 . 1 137 127 . Web . 1 . 4 . 2640 3 . 1 . 2003 . 2012 10 PubMed elbow pain . baseball elbow little leaguer's elbow acupunc- ture electric acupuncture 2.

2 2003 2012 10 .. X . 6 5 10 . 2 . 1 5 . 2 5 . 6 . 3 4 15 54 . 5 6 . 5 1 62 . 2 .. III 22 44 .. 1 7 8 . 39 . X . 3. 1 .. 284 84 .. 6 . 15 . 3 . 17500 15 65 15 12 .. 3830 22 . 10 15 14 . 124 64 55 .. 3 441 .. 4 . 2640 127 117 84 81 .. 632 . 2 X .. 54 . 5 6 . 10 . 15 54 . 3 . 21 4 41 23 . 6 1. 22 4 18 . 62 . 5 0 5 . 89 76 .. 89 60 60 .. 7 6 9 . 111 111 . 22 12 12 .. X 9 3 . 4 2 . 2 . 84 . 66 60 . 49. 8 6 9 . 48 97 97 X . 13 12 .. 10 3 . 5 2 3 . X 15 9 . X . 7 3 .. 9 19 8 .. 2 .. 3 3 . 2 .. 9 19. X 3 .. 2 13 . 4 10 . 3 .. 1 .. 127 6 80 5 1 4 . 11 . 40 4 7 3 . 65 2 . 62 2 . 1 . 10 12 . 43 . The Bulletin of meiji University of Integrative Medicine Leg-Heel Angle . 26 Leg-Heel Angle 12 Leg-Heel Angle . 16 Leg-Heel Angle.

3 Leg-Heel Angle . 10 .. 17 10 . 7 . 10 12 . 13 36 Leg- Leg-Heel Angle .. 19 Heel Angle . 17 . 1 2 1 ROM .. 14 . 24 10 1 ROM .. 35 10 ROM 11 . 15 . 15 11 20 . 11 3 . 127 6 80 5 40 4 7 . 65 15 10 . 62 1 11 11 .. 1 . 3 16 20 4 . 4 .. 12,13 10 12 . Leg-Heel Angle 21,22 . 3 5 .. 23 654 . 5.. 14 . 24 . 10 1 . ROM . 1 2 . 5. 4 .. 60 13. carrying angle . 2 X . 16 . 24 .. 30 .. 6 .. 44 12 1 .. 17 X ROM . carrying angle 6 carrying angle . 18 . 20 .. 6 carrying angle 2nd . 43 2nd . 18 . 35 . 8 .. 20 13 SLR FFD .. 19 9 2nd .. 12 3rd . 9 . T . 40 .. 20 12 1 .. 14 26 .. 5 .. 71 17 15 .. 21 35 16 18 22 .. 19 16 . 73 17 15 . 22 35 16 18 22 . 19 16 .. 654 1 .. 23 260 2 254 3 .. 140 .. 4 .. 1 3 . 5 9,24 27 . 1 28 . 6 10.

4 6 .. 15 13 23 3 4 . 50 43 7 3 . 3 . 3 3 . 4 1 1 . 3 . The Bulletin of meiji University of Integrative Medicine 5 29 33 . 1 34 28 . 3 15 12 . 15 43 3 11 4 . 3 4 15 14 1 . 50 11 . 23 3 . 13 7 4 2 1. 3 1 2 . 1 3 . 3 4 . 3 8 .. 1 29 65 . 6 50. 24 15 . 83 18 . 67 .. X . 30 . 25 . 55 4 . 6 . 73 1 76 2 94 . 1 31 . 50 . 51 26 5. 32 . 17 8 . 25 26 . 47 . 3 9 34 8 24 .. 27 .. 33 . 7 . 7. 7 .. 9 .. X .. 24 . X . 83 .. 6 .. 6 . 1 2 . 73 1.. 76 2 94 . 80 . 25 1 50 .. 55 2 . 2. 80 .. 3 .. 1 .. 22 .. 10 .. 22 . 26 32 . 10 9 .. 31.. 22 .. follow up . 27 293 . 295 .. 8 .. 11 7 .. 7 133 15 .. 11 14 1 . 28 15 12. 4 X . 3 . 2 1. 9 6 . 1 2 .. 8 10 . 9 .. 65 18 . 3 67 . 29 . 50 15 3 . X 30 . X X . The Bulletin of meiji University of Integrative Medicine 77 19 17.

5 1 2 . 1 2 .. 31 10 .. 8 . 51 17 33 . 15 88 . 1 6 1 6 .. 32 51 . 17 8 . 26 5 . 47 . 34 . 8 24 . 15 .. 14 1 . 33 .. 15 22 2 . 10 .. 34 56 55 VAS . 365 VAS VAS 0. 26 VAS 0 .. 10 .. 9 . 34 . 56 . 55 VAS . 9. 5 10 .. 2 . 0 Pub Med . elbow pain . baseball elbow little leaguer's elbow . wind up cocking acceleration . acupuncture electric acupuncture ball release follow throw 5 . 0 cocking . acceleration . IV .. 14 ball release .. 5 8 .. 7 8 .. 5 6 .. 1 5 8 . 10 . 32 .. 7 . 1,2 8 .. 10 10 .. 3 .. over . use . 9,11,25 27 . The Bulletin of meiji University of Integrative Medicine .. 35 . 3 1 2 . 1 50 . 200 .. 11 over use 28 .. 32 .. 12 18,20 .. 33 15 .. 19 .. 23 .. carrying . angle 17 .. 34 .. 1 .. 4 . 10 . Pub Med.

6 11.. 2 . 1 .. 36 .. 2 . 37 .. V .. 1 10 . 32 . PubMed .. 2 .. 12 10 . 3 . 54(5): 1049-1050, 2011. 10.. 4 16(2): 73-76, 2009. 11.. 15: 15-18, 2012. 5 12.. The Bulletin of meiji University of Integrative Medicine . 23: 77-83, 2014. 13.. 22: 94-98, 2010. 14.. 1 . 24(2): 225-231, 2007. 15.. 1. 11: 39-42, 2006. 16.. 62(1): 38-46, 2012. 2. 2. in vivo 21: 17-21, 2009. 17.. 73(3): 177-190, 2010.. 3. 20: 52-57, 2008. 17: 11-15, 18.. 2005.. 4. 36(2): 333-337, 2011. 19.. 15: 62-68, 2003.. 5. 49(5): 981-982, 2006. 36(2): 243-250, 2011. 20.. 6.. 3: 1-5, 2011. 22: 88-93, 2010. 7. 21.. X . 23: 44-46, 2005. 48(1): 95-96, 2005. 8. 22.. X 12(2): . 79-80, 2005. 10: 23-24, 2005. 9. 23.. 13. 654 1 . 15(1): 57-69, 2007. 28: 34-38, 2010.

7 24. 32.. 32(1): 43-47, 2012. 24: 25. 118-121, 2012. 33.. 17(2): 87-90, 2010.. 26.. 20(1): 49-55, 2012. 43(11): 1125-1129, 2008. 34.. 27. Journal of Ath- . letic Rehabilitation, 5(1): 23-26, 2008. 13(1): 78-88, 2005. 28. 35.. 13 Suppl, 18(11): 985-990, 2005. 241-242, 2005. 29. 36.. 19(3): 460-465, 2011. 25: 33- 30. 38, 2011. 37.. 19: 23-28, 2007.. 31. 455-458, 2002. 14 10 . A discussion of the literature on elbow damage in adolescent baseball players: Possibilities and roles of sports acupuncture and moxibustion for treating baseball elbow . Yusuke Koseki1), Yukihiro Yoshida2), Tadashi Yano3)4), Kenji Katayama2). 1). Graduate School of Acupuncture and Moxubustion, meiji University of Integrative Medicine 2).

8 Department of Health Promoting and Geriatric Acupuncture and Moxibustion, meiji University of Integrative Medicine meiji University of Integrative Medicine The Bulletin of meiji University of Integrative Medicine 3). 4). Division of Teacher Education, meiji School of Oriental Medicine ABSTRACT. Objective: We surveyed the literature on the pathology, treatment, and prevention of elbow damage (termed baseball elbow ), a characteristic sports injury among baseball players, and investigated the role of sports acupuncture and moxibustion as possible treatment for managing baseball elbow. Methods: We searched the Japanese medical database Ichushi-Web using the keywords elbow, elbow joint, sports injury, adolescence, growth period, and baseball.

9 Additional searches were conducted using the following keywords: acupuncture, moxibustion, acupuncture and moxibustion, and electric acupuncture. Articles related to acupuncture and moxibustion relevant to adolescent elbow pain were searched in PubMed by using the following keywords: elbow pain, baseball elbow, little leaguer's elbow, acupuncture, and electric acupuncture. The searches spanned the 10-year period from 2003. through 2012. Results: There were 39 search results from Ichushi-Web; of these, 32 articles in which back referencing revealed conditions other than adolescent baseball elbow were excluded. Ichushi-Web and PubMed searches did not yield articles relevant to acupuncture and moxibustion.

10 Discussion: The injury rate of baseball elbow in adolescence is high, with the medial type being the most common. If this condition is not treated before it reaches an advanced stage, the time required for players to return to baseball increases, thus indicating that prevention is important. In the early stages of medial type of baseball elbow injuries, acupuncture and moxibustion treatments can be used; however, in advanced stages, surgical treatment must be considered. In acupuncture and moxibustion treatment, it is important not only to treat the local area but also to combine this with systemic conditioning. Besides acupuncture and moxibustion, an appropriate choice of treatment and a practitioner capable of offering comprehensive treatment are both necessary and important.