Publications by authors named "Toru Shiwa"

Article Synopsis
  • Anomalous gait following total hip arthroplasty (THA) is characterized by excessive trunk lateral flexion, which can hinder walking ability; lateral weight shifting exercises during double-leg standing may help improve this.
  • This study aimed to evaluate how physical therapists' instructions to minimize trunk lateral flexion during these exercises affect the movement patterns and muscle activity of THA patients.
  • Results showed that guided patients demonstrated less trunk lateral flexion and improved hip mechanics compared to those without instruction, highlighting the importance of therapist guidance in rehabilitation post-THA, especially considering variations in trunk flexion direction.
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Background: Varus thrust (VT) is a frequently reported abnormal gait pattern in patients with medial knee osteoarthritis (KOA). VT is important to prevent KOA progression. However, there is no consensus on the relationship between VT and foot alignment and flexibility, although it has been reported that patients with KOA have pronated foot.

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[Purpose] The effect of heel lift insertion on gait in patients who have undergone total hip arthroplasty (THA) with patient-perceived leg length difference is seldom referenced in the literature. We used an AB design to investigate the alterations of gait function before and after inserting a heel lift on the non-operative side. [Participant and Methods] The participant had a patient-perceived leg length difference after THA and presented with gait disturbance.

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