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  1. 30 医学部・医学研究科・附属病院
  2. 30a 学位論文
  3. 30a-01 博士論文(大学院医学研究科)
  4. 令和7年度前期

Distal radioulnar joint kinematics evaluated using ultrasonography during handstanding in female gymnasts

http://hdl.handle.net/10129/0002001874
http://hdl.handle.net/10129/0002001874
3a6aea17-2325-4cd2-a8b8-ed72dbf4d8e5
名前 / ファイル ライセンス アクション
tdm_2342_nishimura.pdf 本文 (643 KB)
tdm_2342_nishimura_a1.pdf 内容要旨 (158 KB)
tdm_2342_nishimura_a2.pdf 審査要旨 (135 KB)
Item type リポジトリ登録用アイテムタイプ(シンプル)(1)
公開日 2025-11-25
タイトル
タイトル Distal radioulnar joint kinematics evaluated using ultrasonography during handstanding in female gymnasts
言語 en
その他のタイトル
その他のタイトル 女子体操選手を対象とした超音波診断装置を使用した倒立動作時の遠位橈尺関節動態評価
言語 ja
キーワード
言語 en
主題Scheme Other
主題 Distal radioulnar joint
キーワード
言語 en
主題Scheme Other
主題 gymnastics
キーワード
言語 en
主題Scheme Other
主題 ultrasonography
キーワード
言語 en
主題Scheme Other
主題 kinematics
資源タイプ
資源タイプ識別子 http://purl.org/coar/resource_type/c_db06
資源タイプ doctoral thesis
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
著者 西村, 信哉

× 西村, 信哉

ja 西村, 信哉

en Nishimura, Shinya

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抄録
内容記述タイプ Abstract
内容記述 Background: Wrist pain prevalence is significantly higher in female gymnasts than in male gymnasts, and the pathological site varies depending on patient age. However, the differences between age groups have not been elucidated with a focus on changes in the kinematics of the distal radioulnar joint (DRUJ).

Purpose: To analyze the effect of wrist weightbearing during a handstand on the kinematics of the DRUJ using ultrasonography in female elementary school (ES), junior high school (JH), and high school (HS) gymnasts, and to determine whether wrist pain affects the kinematic measurements in female gymnasts.

Study Design: Descriptive laboratory study.

Methods: A total of 66 wrist joints in 33 female gymnasts (5 ES, 9 JH, and 19 HS students) were included. Ultrasound examinations were performed in neutral extension, nonweightbearing (NENWB); full extension, nonweightbearing; and full extension, weightbearing (FEWB). The radioulnar joint kinematics were evaluated by measuring the radioulnar separation and dorsivolar shift. The change in distance in the FEWB condition was determined as a reference for those in the NENWB condition and for comparison between the 3 school groups. Also, the change in distance was compared between the gymnasts with and without wrist pain.

Results: The radioulnar separation increased from the NENWB to the FEWB condition in all 3 groups, and a significantly larger change in distance was observed in HS students compared with ES students (P = .008). The dorsivolar shift decreased from the NENWB to the FEWB condition in ES and JH students; it was almost unchanged in HS students. There was a significant difference in change in dorsivolar shift from the NENWB to the FEWB condition between ES and JH students (P = .023). There were 2 ES, 2 JH, and 10 HS students with wrist pain. The change in radioulnar separation was significantly greater separation in gymnasts with wrist pain compared with those without wrist pain (P < .001).

Conclusion: The radioulnar joint kinematics during the FEWB condition varied with school age in female gymnasts. The larger increase in the radioulnar separation from the NENWB condition to the FEWB condition might be associated with a biomechanical mechanism of wrist pain in female gymnasts.

Clinical Relevance: Repetitive tensile loads put female gymnasts at risk of wrist pain and overuse injury.
言語 en
内容記述
内容記述タイプ Other
内容記述 Author(s): Nishimura, Shinya OT, BS / Wabiko, Yuki OT, BS / Miura, Hiroyuki OT, MS / Kamiharako, Aina OT / Tsuda, Eiichi MD, PhD
言語 en
書誌情報 en : Orthopaedic Journal of Sports Medicine

巻 13, 号 9, 発行日 2025-09-25
ISSN
収録物識別子タイプ EISSN
収録物識別子 2325-9671
DOI
関連タイプ isVersionOf
識別子タイプ DOI
関連識別子 https://doi.org/10.1177/23259671251368997
出版タイプ
出版タイプ NA
出版タイプResource http://purl.org/coar/version/c_be7fb7dd8ff6fe43
関連情報
関連タイプ isVersionOf
言語 en
関連名称 © The Author(s) 2025. Creative Commons License (CC BY-NC-ND 4.0) This article is distributed under the terms of the Creative Commons Attribution-NoDerivs 4.0 License (https://creativecommons.org/licenses/by-nc-nd/4.0/) which permits any use, reproduction and distribution of the work as published without adaptation or alteration, provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage). Request permissions for this article.
学位名
言語 ja
学位名 博士(医学)
学位授与機関
言語 ja
学位授与機関名 弘前大学
学位授与年月日
学位授与年月日 2025-09-30
学位授与番号
学位授与番号 甲第2342号
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