SEBT ࡢධ๓ ᚋࡢ⤖ ᯝࢆ⾲ 7-7 ♧ࡍ㸬SEBT ࡢධ๓ᚋࡢẚ ㍑࠾࠸࡚ 㸪 A㸦anterior㸸๓᪉ 㸧 ࡘ࠸ ࡚ࡣ 㸪ᕥ ྑ ࠸ࡎ ࢀ ࠾ ࠸࡚ ࡶ᭷ ព ᕪࡣ ࡳ ࡽࢀ ࡞ ࡗ ࡓ㸦ᕥ㸸p = 0.699, ྑ㸸p = 0.722㸧㸬PM㸦posteromedial㸸ᚋ ෆ᪉㸧ࡘ࠸࡚ࡣ㸪
ྑࡣධ ๓ 114.2s6.0㸦ᖹᆒsᶆ‽೫ᕪ㸧 ࡽධᚋ 117.5s4.7 ࡛᭷ពቑຍ ࡉࡏ㸦p = 0.006㸧㸪ᕥࡘ࠸࡚ ࡶ 114.6s7.0 ࡽ 117.6s5.2 ᭷ពቑຍࡉ ࡏࡓ㸦p = 0.018㸧㸬PL㸦posterolateral㸸ᚋእ ᪉ 㸧ࡘ࠸࡚ࡣ㸪ྑ ࡣ ධ๓ 110.1 s5.3 ࡽධᚋ 113.2s5.3 ࡛᭷ពቑຍࡉ ࡏ㸦p = 0.005㸧㸪ᕥࡢ PLࡘ࠸࡚
ࡶ110.1s8.2 ࡽ 112.8s6.2᭷ព ቑຍ ࡉࡏࡓ㸦p = 0.042㸧㸬
6-7-4. ⪃ᐹ
ᮏ◊✲ࡣ㸪 ୗ⫥ യᐖ ண㜵ࢺ࣮ࣞࢽ ࣥࢢࡢ ධຠᯝ᳨ド ࡋ࡚㸪 ᏛዪᏊࣛࢡ
ࣟࢫ㑅ᡭࢆᑐ ㇟ࡋ 㸪 ㏻ᖖ⾜ࢃࢀ࡚ ࠸ࡿ࢛࢘ ࣮࣑ࣥࢢࢵ ࣉ࣓ࢽࣗ ࣮ ࡛⾜ࢃࢀ
࡚࠸ࡿࣛࣥࢪ ࡸࢪࣕࣥ ࣉࡽࡢ╔ᆅ ືస㸪ࢧ ࢻࢫࢸࢵࣉ ࡸษࡾ㏉ ࡋືస
͆㊊㊑ࢆ㛤࠸ ࡚ᗋࢆᥗ ࡴ ͇ࢆᣦ♧ࡋ ࡓᣦᑟἲ ࡀ㸪㊊㊑㛤 ⬟㸪 ㊊㊑ ᢕᥱຊ㸪㊊
㒊ᙧែ㸪㟼ⓗ ࠾ࡼࡧື ⓗࣂࣛࣥࢫ⬟ ຊཬࡰ ࡍᙳ㡪ࢆ ẚ㍑ ᳨ドࡍࡿ ࡇࢆ┠ⓗ
ࡋ࡚⾜ࡗࡓ 㸬
㊊㊑㛤⬟ ࡘ࠸࡚ 㸪ධᚋ࡛ᕥ ྑࡶ ㊊㊑ࢆ㛤 ࡉ ࡏࡿྜ ࢆ᭷ពቑ ຍࡉ ࡏ ࡓ 㸦⾲ 7-2㸧㸬 ≉ ධ ๓ ࠾ ࠸࡚ 㸪 ྑ㊊ ㊑ ẚ ࡚ ᕥ㊊ ㊑ ࡢ㛤 ⬟ࡀ
147
ప࠸ഴྥࡀࡳ ࡽࢀࡓࡀ 㸦p = 0.178㸧㸪ධᚋ ࠾࠸࡚ࡣᕥ ㊊㊑ࡢ㛤 ⬟ࡀቑຍ ഴྥࢆ♧ࡋࡓ 㸦p = 0.391㸧㸬ࡲࡓ㸪 ࡑࡢ ᭱㊊㊑㛤 ᭱㊊ ㊑㛤ᗘࢆ
ẚ㍑ ࡋ ࡓ 㸦⾲ 7-8㸧㸬 ᭱ ㊊ ㊑ 㛤 ࡣ 㸪ྍ ⬟ ࡞㝈 ࡾ ㊊ ㊑㛤 ࢆ⾜ ࢃ ࡏࡓ ࡁࡢ ẕ㊑ࡽᑠ㊑ ࡲ࡛ࡢ㊥ 㞳ࢆ♧ࡋ㸪㊊ ㊑㛤ᗘ ࡣ㸪᭱㊊㊑ 㛤ࡢ ್ࡽ㸪Ᏻ 㟼ࡢྠ㊊㊑ 㛫㊥㞳ࡢ ᕪࢆ♧ࡍ㸬ࡇ ࡢ⤖ᯝ ࡽ㸪᭱㊊㊑ 㛤ࡘ ࠸࡚㸪ධ ๓ࡣᕥ㊊㊑ ẚྑ㊊ ㊑ࡀࡼࡃ㛤ࡃ ഴྥࡀぢ ࡽࢀࡓࡀ㸪ࢺ ࣮ࣞࢽࣥ ࢢᚋ࡛ࡣ㸪 ᕥྑࡢ㊊㊑ ࡶྠ⛬ ᗘ㛤ྍ⬟ ࡞ࡗ࡚࠸ ࡓ㸬ࡲࡓ 㸪㊊ ㊑㛤ᗘ ࡘ࠸࡚ࡣ 㸪
ධ๓ࡣᕥ㊊ ㊑ẚ ྑ㊊㊑ࡢᏳ㟼 ࡽ᭱ 㛤ࡢᕪ ࡀࡁ ࡗࡓࡀ㸪ࢺ
࣮ࣞࢽࣥࢢᚋ ࡛ࡣ㸪ᕥ ㊊㊑ࡢ㛤ࡢ ᕪࡢ᪉ࡀ ࡁࡃ㸪ࡼࡾ 㛤ᗘࡀ ቑຍࡋ ࡚࠸
ࡓ㸬
㊊㊑㛤ືస ࡣ㸪㊊㒊 ෆᅾ➽࡛࠶ࡿ ẕ㊑እ㌿ ➽ 㸪ᑠ㊑እ㌿ ➽ 㸪⫼ഃ 㦵㛫➽࡛
⾜ࢃࢀࡿ[Oatis, 2009]㸪▷㊑ఙ➽ ࠾ࡼࡧ㛗 ẕ㊑ఙ➽ࡼ ࡗ࡚ࡶ⾜ ࢃࢀ࡚࠸ࡿ 㸬
ᅇ⾜ࡗࡓ࢘ ࢛࣮࣑ࣥ ࢢࢵࣉࡢ ᣦᑟἲࡢ ୍ࡘࡋ࡚ྲྀ ࡾධࢀࡓ ͆㊊㊑ࢆ㛤
࠸࡚ᗋࢆᥗࡴ ͇ࡢືస ᣦ♧ࡀ㸪ྠస ⏝➽ࢆᙉ ࡃ⥭ᙇࡉࡏࡓ ࡇ㸪 ࡉࡽࡣࡑ
ࢀࢆ㛗ᮇ㛫 ࢃࡓࡾ ⧞ ࡾ㏉ࡋ⥅⥆ࡋ ࡚ᣦ♧ࢆ ࠼ࡓࡇ࡛ ㊊㊑㛤 ⬟ຊࡢྥୖ
ࡘ࡞ࡀࡗࡓ ࡢ࡛ࡣ࡞ ࠸ ᥎ ࡋ ࡓ㸦 ⾲ 7-2㸪⾲ 7-8㸧㸬
㊊㊑ ᢕ ᥱ ຊ ࡘ ࠸ ࡚ࡣ 㸦⾲ 7-3㸧 㸪ᗙ ࠾ࡼ ࡧ❧ ጼ ໃ࡛ ࡢ ᐃ್ ࡶ
ධᚋ࠾࠸࡚ ᭷ពቑ ຍ ࡋࡓ㸬ධ ๓ᚋࡢ㊊ ㊑ᢕᥱຊࡢᕥ ྑᕪࡘ ࠸࡚ ࡣ㸪࠸
ࡎࢀࡶ᭷ព࡞ ᕪࡣ ࡳࡽ ࢀ࡞ࡗࡓ㸬 ᅇࡢ◊ ✲࡛⾜ࡗࡓ㊊ ㊑ᢕᥱຊ ࡢ ᐃ᪉ἲ ࡣ㸪㏻ᖖ⾜ࢃ ࢀ࡚࠸ࡿ ᗙ࡛ࡢ ᐃ ຍ࠼㸪 ❧࡛ࡢ ᐃ ࡶ ⾜ ࠺ࡇ ࡋࡓ㸬
148
ࡇࢀࡣ㸪ᮏ◊ ✲࡛⾜ࡗ ࡓ㊊㊑㛤ື స ࡸ㊊㊑ ᢕᥱືసࡀ㸪 ࢛࣮࣑࢘ ࣥࢢࢵࣉ
࡛⾜ࢃࢀ࡚࠸ ࡿࣛࣥࢪ ࡸࢫࢸࢵࣉື స㸪 ࢪࣕ ࣥࣉࡽࡢ ╔ ᆅືస ➼ ࡍ࡚❧
ጼໃ࡛⾜ࢃࢀ ࡚࠸ࡿⅭ ࡛࠶ࡿ㸬⤖ᯝ 㸪ᗙ ❧ࡢ㊊㊑ ᢕᥱຊᖹ ᆒ್ࡢᕪ
ࡘ࠸࡚ẚ㍑ࡋ ࡚ࡳࡿ 㸦⾲ 7-3㸧㸪ධ ๓ࡢ ྑ㊊㊑࡛ 3.3kg㸪ᕥ㊊ ㊑ 3.4kg㸪
ධᚋࡢྑ㊊㊑ ࡛ 3.7kg㸪ᕥ㊊㊑ 4.0kg ࡢᕪࡀ ࡳࡽࢀࡓ 㸬ࡇ ࢀࡽࢆᖹ ᆒࡍࡿ 㸪
ྑ㊊㊑࡛ᖹᆒ 3.5kg㸪 ᕥ㊊㊑࡛ 3.7kg㸪 ᕥྑ ྜࢃࡏ࡚ᖹᆒ 3.6kg ࡢ ᗙ❧
ࡢ㊊㊑ᢕᥱຊ ࡢᕪࡀࡳ ࡽࢀࡓ㸬 ㊊㊑ ᢕᥱືస స⏝ࡍࡿ➽ ࡣ㸪 ㊊㒊 ෆᅾ➽࡛࠶
ࡿ▷ẕ㊑ᒅ➽ࠊ㛗ẕ㊑ ᒅ➽ࠊẕ㊑ෆ㌿ ➽㸪▷ ㊑ᒅ➽㸪▷ᑠ㊑ ᒅ➽㸪⫼ഃ㦵㛫➽㸪 ᗏഃ㦵㛫➽㸪 ᵝ➽ ࡛ ࠶ࡿࡀ[Oatis, 2009]㸪㊊㊑㛤⬟ྠ ᵝ㸪࢘ ࢛࣮࣑ࣥࢢ
ࢵࣉ⾜ࢃ ࡏࡓ ͆㊊ ㊑ࢆ㛤࠸࡚ᗋ ࢆᥗࡴ ͇ ࡢືసᣦ♧ࡀ ྠస⏝➽ ࢆᙉࡃ⦰
ࡉࡏ㸪ࡉࡽ ࡣࡑࢀࢆ 㛗ᮇ㛫ࢃࡓ ࡾ ⧞ࡾ㏉ ࡋ⥅⥆ࡋ࡚ື సᣦ♧ࢆ ࠼ࡓࡇ
࡛ࢺ࣮ࣞࢽࣥ ࢢຠᯝࢆ ᭷ពᚓࡿࡇ ࡀฟ᮶ ࡓࡢ࡛ࡣ࡞࠸ ⪃࠼ ࡓ㸬 NDTS ࡘ࠸࡚ ࡣ㸦⾲ 7-4㸧㸪 ධ๓ᚋࡢ ẚ ㍑ ࠾࠸࡚㸪 ᕥྑ ࠸ࡎ ࢀࡶ 0.8㹼 1mm⛬ ᗘࡢῶᑡ ഴྥ ࢆ♧ࡋ ࡓࡀ 㸪᭷ពᕪࡣ ࡳࡽࢀ࡞ࡗ ࡓ㸦ྑ㸸p = 0.166㸪ᕥ 㸸 p = 0.111㸧㸬ඛ⾜◊✲ ࡽ㸪Ⲵ㔜 ࡛ࡢ ẕ㊑ እ㌿➽ࡼࡿ ㊊㊑ᒅ᭤ స⏝ࡀ㊊㒊 ෆഃ⦪࣮ࢳ ࡢᨭᣢ 㔜せ࡞ᙺࢆ ᯝࡓࡋ࡚ ࠸ࡿࡇࡀከ ᩘሗ࿌ࡉ ࢀ࡚ ࠸ࡿࡀ [Fiolkowski et al., 2003; Headlee et al., 2008; Jung et al., 2012; Mann and Inman, 1964; Wong, 2007]㸪㊊㊑㛤ືసࡸ ㊊㊑ᢕᥱ ືసࡼࡾ㸪 ẕ㊑እ㌿ ➽ ࡸ㛗࣭▷
ẕ㊑ᒅ➽➼ࡢ ➽స⏝ࡀ ෆഃ⦪࣮ࢳ ๛ᛶࢆ㧗 ࡵ㸪 ධ๓ ẚ ධ ᚋࡣ NDTS ࡀᑠࡉࡃ࡞ࡿ ண ࡋ ࡓ ࡀ㸪ᖹᆒ್ ࡛ప್ࢆ ♧ࡋ ࡓࡶࡢࡢ ᭷ពᕪࡣ ㄆࡵࡽࢀ࡞
ࡗࡓ㸬
࣮ࢳ㧗⋡ࡢ ධ๓ᚋ ࡢẚ㍑ 㸦⾲ 7-5㸧 ࡘ ࠸࡚ࡶ NDTS ྠᵝ 㸪㊊㊑㛤
ࡸ㊊㊑ᢕᥱື సࡼࡾ 㸪 ẕ㊑እ㌿➽ ࡸ㛗࣭▷ ẕ㊑ᒅ➽➼ࡢ ➽స⏝ࡀ ෆഃ⦪࣮
ࢳ๛ᛶࢆ㧗ࡵ ࡿࡇ࡛ ࣮ࢳ㧗⋡ࡢ ྥୖᐤ ࡉࡏࡿࡢ࡛ ࡣ࡞࠸ ᥎ ࡋࡓ ࡀ㸪ᚓࡽࢀࡓ ⤖ᯝࡣ ධᚋࡣᕥྑ㊊ ࡶ ࣮ࢳ㧗⋡ࢆቑ ຍࡉࡏࡓ 㸬 ẕ㊑እ㌿
➽ࡢస⏝ࡀ㊊ 㒊ෆഃ⦪ ࣮ࢳࡢᨭᣢ ࣭ᣲୖ ᐤࡉࡏ࡚࠸ ࡿࡇࡀ ከᩘሗ࿌ࡉ
ࢀ࡚࠸ࡿࡀ㸪Jung㸦2012㸧ࡣ㸪toe-curl ࢚ࢡ ࢧࢧࢬࡸ short-foot ࢚ࢡࢧࢧࢬ
ࢆ⾜ࢃࡏࡓ ࡇࢁ㸪≉ ❧࡛ ࡢ short-foot ࢚ࢡࢧࢧࢬ ᚋ᭷ព ⾲㠃➽㟁 ᅗ࠾࠸࡚㧗 ್ࢆ♧ࡋ 㸪 ෆഃ⦪࣮ ࢳࢆ᭷ព ᣲୖࡉࡏࡓ ሗ࿌ࡋ ࡚࠸ࡿ㸬ࡲ
149
ࡓ㸪Wong㸦2007㸧 ࡣ 㸪In-vitro ࡛ẕ㊑እ㌿ ➽ࢆ⦰ࡉࡏ ࡓෆ ഃ⦪࣮ࢳࢆ
ᣲୖࡉࡏ㸪ẕ ㊑እ㌿➽ ࡣ㟼ⓗ࡞ෆഃ ⦪࣮ࢳ ᨭᣢస⏝ ࡔࡅ ࡛࡞ࡃ 㸪 Ṍ⾜࠾
ࡅࡿືⓗ࡞ෆ ഃ⦪࣮ ࢳᨭᣢస⏝ࢆ ࡶࡘࡇ ࢆ♧၀ࡋ࡚࠸ ࡿ㸬 ࡑࡢ ㊊㒊ෆ ᅾ➽௨እࡶ ㊊ᗏ⭝⭷ ࡸ㊊ᗏ➽⭷ࡀ ㊊㒊࣮ ࢳࢧ࣏࣮ࢺ ᐤࡋ࡚ ࠸ࡿࡇࡀ
」ᩘሗ࿌ࡉࢀ ࡚࠾ࡾ[Thordarson et al, 1997; Carlson et al., 2000; Franco, 1987]㸪ᮏ
◊✲࠾ࡅࡿ ͆㊊㊑ࢆ 㛤࠸࡚ᗋࢆᥗ ࡴ ͇ࡢື సᣦ♧ࡀ㊊㒊 ࣮ࢳ๛ ᛶࡢྥୖ
ᐤࡉࡏࡓࡇ ࡀ♧၀ ࡉࢀࡓ㸬
㔜ᚰ ື ᦂ ᛶ ࡘ ࠸ ࡚ࡣ 㸪 ධ ๓ ᚋࡢ ẚ ㍑ ࡘ ࠸࡚ 㸦 ⾲ 7-6㸧 㸪 㔜ᚰ ༢ ㌶㊧
㛗ࡢᕥ⬮❧ ࡢࡳ ᭷ ពᕪࡀㄆࡵࡽ ࢀ㸦 ධ ๓2.86s0.88mm/⛊ ࡽධᚋ3.46 s0.91mm/⛊㸪p = 0.031㸧㸪ࡑࡢ࡚ࡢ 㡯 ┠ ࡢ᭷ពᕪࡣ ㄆࡵࡽࢀ ࡞ࡗࡓ㸬㔜 ᚰືᦂᛶࢸࢫ ࢺࡣ㸪ᅛ ᭷ឤぬჾࡸ⚄ ⤒➽༠ㄪ ᛶ ࡢホ౯ࡢ୍ ࡘ ࡋ࡚ ⏝࠸ࡽࢀ࡚
࠾ ࡾ 㸪 ࡑ ࢀ ࡽ ࡣ ࣂ ࣛ ࣥ ࢫ ಖ ᣢ ⬟ ຊ ࡢ ホ ౯ ࡢ ୍ ࡘ ࡋ ࡚ ⏝ ࠸ ࡽ ࢀ ࡚ ࠸ ࡿ[ ⏣, 1995; ᪁ࡽ, 2006; Ỉ⃝ᑐ㤿, 2009; ᮃ᭶ᓟᓥ, 2000; Guskiewicz and Perrin., 1996]㸬ᅇࡢ◊ ✲࡛ ⾜ࡗࡓ᪉ἲࡣ 㸪㛤 ║࡛ ࡢ∦⬮❧ጼ ໃ࡛ࡢࣂ ࣛࣥࢫ ಖᣢ⬟
ຊࡢホ౯ࡋ ࡓ㸬㔜ᚰ ືᦂᛶࢸࢫࢺ ࡣ㸪ࢫ ࣮ࣜࢺࢆᑐ㇟ ࡋ ࡓ㊊ 㛵⠇യᐖ
ᑐ ࡍ ࡿ ホ ౯ ἲ ࡢ ୍ ࡘ ࡋ ࡚ ከ ᩘ ⏝ ࠸ ࡽ ࢀ ࡚ ࠸ ࡿ[Wikstrom, 2006; Zech, 2010;
Beynnon, 2002]㸬ᮏ◊ ✲࡛⏝࠸ࡓࣃ ࣓࣮ࣛࢱ ࡘ࠸࡚㸪㔜ᚰ⥲㌶ ㊧ 㛗 ࡣ㔜ᚰⅬࡢ
⥲⛣ື㊥㞳ࢆ ♧ࡋ ࡚࠾ ࡾ㸪㌟యືᦂ ࡢᏳᐃᛶ ࢆホ౯ࡍࡿ ௦ ⾲ⓗ࡞್ ࡛࠶ ࡿ㸬㔜 ᚰ༢㠃✚㌶ ㊧㛗ࡣ㔜 ᚰືᦂ㠃✚ ࡢ 1cm2ᙜ ࡓࡾࡢ⛣ື㊥ 㞳ࢆ♧ࡋ 㸪㔜ᚰእ࿘ 㠃
✚ࡣືᦂࡢእ ࿘ࢆᅖࡴ 㠃✚ ࢆ♧ࡍ 㸬㔜ᚰ ▴ᙧ 㠃✚ࡣ㔜ᚰື ᦂࡢ๓ᚋ ᭱ࢆ⦪㍈ 㸪 ᕥྑ᭱ࢆᶓ ㍈ࡋࡓ ᅄゅᙧࡢ㠃✚ ࡢࡇࢆ ♧ࡍ 㸬㔜ᚰ▴ ᙧ㠃✚ࡣ 㸪അ↛ࡁ
࡞ືᦂࡀ⏕ࡌ ࡓ㝿ィ ࡉࢀࡿ␗ᖖ ࡁ࡞ ್ࢆྵࡳ㸪㌟ యືᦂ ࡀ ᭱ࡶࡁࡃ
࡞ࡗࡓ㠃✚ ࡞ࡿ㸬ᮏ ◊✲࡛⾜ࡗࡓ͆㊊㊑ 㛤 ࠾ࡼࡧ㊊㊑ ᢕᥱ ͇ᣦ ᑟࡢධࡣ㸪 㟼ⓗࣂࣛࣥࢫ ಖᣢ⬟ຊ ୍㒊࠾࠸ ࡚ᙳ㡪ࡀ ㄆࡵࡽࢀ㸪ከ ࡃࡣ ᙳ㡪 ࡀㄆࡵࡽࢀ
࡞ࡗࡓ㸬ࡇ ࢀࡣ㸪ᮏ ◊✲࡛⾜ࢃࢀ ࡓᑐ㇟⪅ ࡀⱝᖺࢫࣜ ࣮ࢺ࡛࠶ ࡾ㸪㐠ື⬟
ຊࡀ㧗࠸ࡇ ࡀ᥎ ࡉ ࢀࡿᑐ㇟⪅ࡢ ሙྜࡣ㸪 㛤║࡛ࡢ∦⬮ ❧ጼໃ ࠸ࡗࡓ⡆
༢࡞ㄢ㢟ືస ࡛ࡣ࡞ࡃ 㸪㛢║࡛ࡢ∦ ⬮❧ጼ ໃࢆࡽࡏࡓ ࠺࠼࡛ࡢ ẚ㍑㸪ࡲࡓ 㛤║∦⬮❧ ጼໃ࡛࠶ ࡗ࡚ࡶጼໃಖ ᣢ㛫ࢆ 㛗ࡃࡍࡿ➼㸪 ㄢ㢟 ᮲௳ ࢆ㧗ࡃࡋ࡚
ẚ㍑ࡍࡿࡢࡀ ᮃࡲࡋ࠸ ⪃࠼ࡓ㸬
150
SEBT ࡣ㸪 ືⓗ ୗ ⫥ࣂ ࣛࣥ ࢫ⬟ ຊࡢ ホ ౯ ⏝ ࠸ࡽ ࢀࡿ ࢸࢫ ࢺἲ ࡛ ࠶ ࡿࡀ 㸪ከ ࡃࡣୗ⫥യᐖ[Plisky et al., 2006; Filipa et al., 2010; Bressel et al., 2007; Robinson et al., 2008]㸪㊊㛵⠇ യᐖ[Olmsted et al., 2002; Hertel et al., 2006; Hertel et al., 2008; Chaiwanichsiri et al., 2005; Gribble et al., 2004; Gribble et al., 2007; Sefton et al., 2009; de Noronha et al., 2012; O'Driscoll et al., 2011]㸪⭸㛵⠇യᐖ[Herrington et ak., 2009]ࡢホ౯ࡘ࠸ ࡚ሗ࿌ࡋ࡚ ࠸ ࡿඛ⾜ㄽ ᩥࡀከᩘࢆ༨ ࡵࡿ㸬࡞ ࠾㸪ᮏ◊✲
࡛⾜ࡗࡓ SEBT ホ౯᪉ ἲࡣ㸪Hertel ࡽ㸦2006㸧ࡀ᥎ዡࡋ࡚ ࠸ࡿ᪉ἲ ࢆཧ⪃㸪
㏻ᖖ8 ᪉ྥ㸦A㸦๓᪉ 㸧㸪๓ෆ᪉ 㸪ෆ᪉ 㸪PM㸦ᚋෆ᪉ 㸧㸪ᚋ᪉ 㸪PL㸦ᚋእ᪉ 㸧㸪
እ ᪉ 㸪 ๓ እ ᪉ 㸧 ࡢ ࣜ ࣮ ࢳ ㊥ 㞳 ࡛ ࡢ ホ ౯ ࡀ ⾜ ࢃ ࢀ ࡿ ࡀ 㸪 ᮏ ◊ ✲ ࡛ ࡣ A㸪PM㸪PL ࡢ3 ᪉ྥ࡛ ࡢ࣮ࣜࢳ㊥ 㞳 ࡛ẚ㍑᳨ド ࢆ⾜࠺ࡇ ࡋࡓ㸬௨ ୗ♧ࡍ ඛ⾜ㄽᩥࡢ ሗ࿌ࡣ㸪ከࡃ ࡣ8 ᪉ྥ ࡽホ౯ࡉࢀ ࡓෆᐜ࡛ ࠶ࡾ㸪ᮏ◊✲ ࡛⾜ࡗࡓ ࣮ࣜࢳ᪉ྥ
୍ 㒊 ␗ ࡞ࡗ ࡚ ࠸ ࡿ 㸬SEBT ࢆ ⏝ ࠸ ࡓ ホ ౯ ࠾ ࠸ ࡚ 㸪 ≉ ㊊ 㛵 ⠇ യ ᐖ SEBT
㛵ࡍࡿሗ࿌ ࡀከ࠸ࡀ 㸪Gribbleࡽ㸦2004㸧ࡣ៏ᛶ㊊㛵⠇ Ᏻᐃ㸦chronic ankle instability㸸௨ ୗ 㸪CAI㸧 ࢆࡶ ࡘ ⪅ ࡢ യ ᐖ ⬮ ഃ 㠀യ ᐖ ⬮ ഃࢆ ẚ ㍑ 㸦8 ᪉ྥ ࡛ ホ ౯ 㸧 ࡋ ࡓ ࡇ ࢁ 㸪 യ ᐖ ⬮ ഃ ࡣ 㠀 യ ᐖ ⬮ ഃ ẚ ࡚ ࣜ ࣮ ࢳ ㊥ 㞳 ࡢ ྜ ࡀ 㸪A㸪 ෆ ᪉ 㸪 ᚋ ᪉ ࠾ ࠸ ࡚ ᭷ ព ᑠ ࡉ ࡗ ࡓ ࡇ ࢆ ሗ ࿌ ࡋ 㸪Hertel ࡽ 㸦2006㸧 ࡣ 㸪CAI
ࢆࡶࡘയᐖ⬮ ഃ㠀 യ ᐖ⬮ഃࡢẚ㍑ ࠾࠸࡚ 㸪യᐖ⬮ഃࡣ㠀 യᐖ⬮ ഃẚ㸦8 ᪉ྥ࡛ホ౯㸧㸪๓ෆ᪉ 㸪ෆ᪉㸪PL ࣮ࣜ ࢳ ㊥㞳ࡢྜࡀ ᭷ពᑠ ࡉࡗࡓࡇ
ࢆሗ࿌ࡋ㸪≉ PL CAI ࡢᙉ ࠸㛵㐃ᛶ ࢆ ♧ࡋࡓࡇࢆ ሗ࿌ ࡋ࡚ ࠸ࡿ㸬ࡲࡓ㸪 CAI ࢆ ࡶ ࡘ യ ᐖ ⬮ ഃ ࢥ ࣥ ࢺ ࣟ ࣮ ࣝ ⩌ ࡢ ྠ ഃ ⬮ ࡢ ẚ ㍑ ࠾ ࠸ ࡚ 㸪Olmsted ࡽ 㸦2002㸧ࡣ㸪യᐖ⬮ഃ 㠀യᐖ⬮ഃ ࡢẚ㍑ ࠾࠸࡚㸪 യᐖ ⬮ഃࡣ㠀 യᐖ⬮ഃ
ẚ㸪᪉ྥ ࡢᖹᆒ್ ࡢẚ㍑࠾࠸ ࡚࣮ࣜࢳ ㊥㞳ࡢྜࡀ ᭷ពᑠ ࡉࡗࡓࡇ
ࢆሗ࿌ࡋ㸪Hertel ࡽ 㸦2006㸧ࡣ㸪CAI ࢆࡶ ࡘയᐖ⬮ഃ ࢥࣥࢺࣟ ࣮ࣝ⩌ࡢྠ
ഃ⬮ࡢẚ㍑㸦8 ᪉ྥ࡛ ホ౯㸧࠾࠸ ࡚㸪๓ෆ ᪉㸪ෆ᪉㸪PL ࡛ࣜ ࣮ ࢳ㊥㞳ࡢྜ
ࡀ᭷ពᑠࡉ ࡗࡓࡇ ࢆሗ࿌ࡋࡓ 㸬ࡑࡢ 㸪⭸㛵⠇യ ᐖ SEBT ࡢ㛵ಀ
ࢆሗ࿌ࡋࡓඛ ⾜ㄽᩥ ࡘ࠸࡚ࡣ㸪Herrington ࡽ㸦2009㸧ࡣ㸪ACL ⩌ࢥࣥ
ࢺ࣮ࣟࣝ⩌ ࡢẚ㍑㸦8 ᪉ྥ࡛ホ౯㸧࠾ ࠸ ࡚㸪ACL ⩌ࡣࢥ ࣥࢺ࣮ࣟࣝ⩌
ẚ㸪A㸪እ᪉㸪PM ࡢ࣮ࣜࢳ㊥㞳 ࡢྜࡀ ᭷ពᑠࡉ ࡗࡓࡇ ࢆሗ࿌ࡋ࡚
࠸ࡿ㸬ࡇࢀࡽ ࡢሗ࿌ ࡽ㸪㊊㛵⠇࠾ ࡼࡧ⭸㛵 ⠇യᐖࢆ᭷ࡍ ࡿࡶࡢ SEBT ࡢ
151
㛵ಀ࠾࠸࡚ 㸪≉ A㸪ෆ᪉㸪PL ࡢ ࣮ࣜࢳ ㊥㞳ࡢྜࡀ ᑠࡉ࠸ࡇ ࡀ࠺ࡀ࠼
ࡿ㸬ᮏ◊✲ࡢ ⤖ᯝࢆ ධ๓ᚋ᳨࡛ド ࡋ࡚ࡳࡿ 㸦⾲ 7-7㸧㸪A ࡘ ࠸࡚ࡣᕥྑ
⬮࠸ࡎࢀࡶ᭷ ពᕪࡀ ㄆ ࡵࡽࢀ࡞ࡗ ࡓࡀ㸦ᕥ 㸸p = 0.699, ྑ㸸p = 0.722㸧㸪PM
ࡘ࠸࡚ࡣᕥ ྑ⬮ඹ ᭷ពቑຍࡉ ࡏ㸦ࡑࢀ ࡒࢀ p = 0.006㸪0.018㸧㸪PL ࡘ
࠸࡚ࡶᕥྑ⬮ ඹ᭷ព ቑຍࡉࡏࡓ㸦ࡑࢀࡒ ࢀ p = 0.005㸪0.042㸧㸬ඛ⾜ㄽᩥ
ࡽࡣ㸪⚄⤒➽ ࢺ࣮ࣞࢽ ࣥࢢ[Filipa et al., 2010; Lindblom et al., 2012; O'Driscoll et al., 2011]ࡸࣂࣛࣥࢫࢺ ࣮ࣞࢽࣥࢢ[McKeon et al., 2008]㸪CAI ᑐ ࡍࡿࣜࣁࣅࣜ
ࢸ ࣮ ࢩ ࣙ ࣥ ࣉ ࣟ ࢢ ࣛ ࣒ ࡢ ධ ࡀ SEBT ࡢ ࣜ ࣮ ࢳ ㊥ 㞳 ཬ ࡰ ࡍ ᙳ 㡪[Hale et al.,
2007]ࡘ࠸࡚ከᩘ ሗ ࿌ࡉࢀ࡚࠸ࡿ ࡀ㸪Filipaࡽ㸦2010㸧ࡣ⚄⤒ ➽ ࢺ࣮ࣞࢽࣥࢢ
ᚋ A㸪PM㸪PL ࡢ 3 ᪉ྥࡢ࣮ࣜࢳ ㊥㞳⥲ィ ࡢྜࡀ᭷ព ቑຍࡋ ࡓࡇࢆሗ
࿌ࡋ㸪Lindblom ࡽ㸦2012㸧ࡣ㸪A㸪PM㸪PL ࡢ 3 ᪉ྥࡢ ࡚ࡢࣜ ࣮ࢳ㊥㞳ࡀྥ
ୖࡋ࡚ ࠸ࡓࡇ ࢆ ሗ࿌ ࡋࡓ㸬 ࡲࡓ㸪McKeon ࡽ㸦2008㸧ࡣ ࣂࣛ ࣥࢫ ࢺ࣮ࣞ ࢽࣥ
ࢢࣉࣟࢢ࣒ࣛ ⤊ᚋ ࠾࠸࡚㸪3 ᪉ྥࡢ ࠺ ࡕ PM㸪PL ࡛᭷ព࡞ ྥୖࢆ♧ࡋࡓ ࡇ
ࢆሗ࿌ࡋ 㸪Haleࡽ㸦2007㸧ࡣ 㸪ࣜࣁࣅ ࣜࢸ ࣮ࢩࣙࣥࣉࣜ ࢢ࣒ࣛ⤊ ᚋ 8 ᪉
ྥࡢホ౯ࢆ⾜ ࠸㸪PM㸪PL㸪L࡛᭷ព࡞ቑຍ ࡀࡳࡽࢀࡓ ሗ࿌ࡋ ࡚ ࠸ࡿ㸬ඛ⾜◊
✲⤖ᯝᮏ◊ ✲⤖ᯝࢆ ྜࢃࡏ᳨࡚ド ࡍࡿ㸪 ≉ A㸪PM㸪PL ᪉ྥࡢᨵၿࡀ 㢧ⴭ࡛࠶ࡿࡇ ࡀ♧ࡉ ࢀࡓ㸬ᮏ◊✲ ⤖ᯝࡽ 㸪A ᑐࡍ ࡿධຠᯝ ࡀ ㄆࡵࡽࢀ
࡞ࡗࡓࡢࡣ 㸪Aࡢ ࣜ ࣮ࢳ㊥㞳ࡣ㊊ 㛵⠇⫼ᒅ ゅᗘ[Hoch et al., 2010]㸪⭸㛵⠇ᒅ
᭤ゅᗘࡸ⫤㛵 ⠇ෆ㌿ ࠾ ࡼࡧෆ᪕ゅᗘ[Robinson et al., 2008]㸪ࡑࡢ ⭣ᅄ㢌➽
➽άືࡢᙳ㡪[Earl and Hertel, 2001]ࢆཷࡅ࡚࠸ࡿࡇࡀඛ ⾜ㄽᩥ ࡽከᩘሗ࿌
ࡉࢀ࡚࠾ࡾ㸪 ࡑࢀࡽࢆ ྵࡵࡓ᳨ウࡶ ᚲせ࡛࠶ ࡿ ⪃࠼ࡓ㸬
ᮏ◊✲⤖ᯝ ࡽ㸪◊ ✲ 5 ࡢ⪃ᐹྠ ᵝ㸪 ࢫ ࣏࣮ࢶയᐖண 㜵 ╔┠ ࡋ᳨࡚ウࡍ
ࡿ㸪ࣛࣥࢪ ࡸࢪࣕࣥ ࣉࡽࡢ╔ᆅ ືస㸪ࢧ ࢻࢫࢸࢵࣉ ࡸษࡾ㏉ ࡋືస
㊊㊑ࢆ㛤࠸࡚ ᗋࢆᢕᣢ ࡍࡿືసᣦ♧ ࡣ㸪㊊㊑ ᢕ➽ຊࡸ㊊㊑ 㛤⬟ࢆ ྥୖࡉࡏࡿ
ࡶ㸪ື ⓗୗ⫥ࣂ ࣛࣥࢫ⬟ຊࢆ ྥୖࡉࡏ ࡿࡇࡽ㸪 ୗ⫥യᐖ 㸪≉ ㊊㛵
⠇ࡸ⭸㛵⠇യ ᐖࡢண㜵 ᐤࡉࡏࡿ ࡢ࡛ࡣ࡞ ࠸⪃࠼ࡓ 㸬
ᮏ◊✲ࡢ㝈⏺ Ⅼࡋ࡚ 㸪ࢥࣥࢺ࣮ࣟ ࣝ⩌ ࡀタ ᐃࡉࢀ࡚࠸࡞ ࠸ࡇࢁ ࠶ࡿ㸬 ࢺ࣮ࣞࢽࣥࢢ ⩌㠀ࢺ ࣮ࣞࢽࣥࢢ⩌ ࢆタᐃ ࡋ ࡓẚ㍑ࡼࡾ 㸪ධࡢ ᭷⏝ᛶࡢ᳨
ド࠾ࡼࡧࡑࡢ ホ౯ࡀࡼ ࡾྍ⬟࡞ࡿ ⪃࠼㸪 ᚋࡢ᳨ウㄢ 㢟ࡍࡿ 㸬
152
6-7-5. ⤖ㄒ
ᏛዪᏊࣛ ࢡࣟࢫ➇ ᢏࢆᑐ㇟ࡋ ࡚㸪㏻ᖖ ⾜ࢃࢀ࡚࠸ࡿ ࢛࣮࣑࢘ ࣥࢢࢵࣉ
ࡢ୰࡛⾜ࢃࢀ ࡚࠸ࡿ ࣛ ࣥࢪࡸࢪࣕࣥ ࣉࡽࡢ ╔ᆅືస㸪ࢧ ࢻࢫࢸ ࢵࣉࡸษࡾ
㏉ࡋືస ͆㊊㊑ࢆ 㛤࠸࡚ᗋࢆᥗ ࡴ ͇ࢆᣦ ♧ࡋࡓᣦᑟἲ ࡀ㸪㊊㒊 ᶵ⬟ࡸ㊊㒊 ᙧែ㸪㟼ⓗ࠾ ࡼࡧືⓗ ࣂࣛࣥࢫ⬟ຊ ཬࡰࡍ ᙳ㡪ࢆ ẚ㍑᳨ ドࡍࡿࡇ ࢆ┠ⓗ
ࡋ㸪௨ୗࡢ⤖ ㄽࢆᚓࡓ 㸬
1) ㊊㊑㛤⬟ ࡘ࠸࡚㸪 ᕥྑ㊊㊑࠸ࡎ ࢀࡶ ᭷ព ቑຍࡉࡏࡓ 㸬
2) ㊊㊑ᢕᥱຊ ࡘ࠸࡚㸪 ᗙ࠾ࡼࡧ❧ ጼໃ࡛ ࡢᕥྑࡢ㊊㊑ ᢕᥱຊ ࠸ ࡎࢀ
ࡶ᭷ពቑຍ ࡉࡏ ࡓ㸬
3) ࣮ࢳ㧗⋡ ࡘ࠸࡚ࡣ 㸪ᕥྑ ㊊࠸ࡎ ࢀࡶ ᭷ព ቑຍࡉࡏࡓ 㸬
4) 㔜ᚰືᦂᛶ ࡘ࠸࡚ࡣ 㸪㔜ᚰ༢㌶ ㊧㛗ࡢᕥ ⬮❧ࡢࡳ ᭷ពቑ ຍࡉ ࡏࡓࡀ㸪ࡢ ࡚ࡢ㡯 ┠ࡣᙳ㡪ࢆ ཬࡰࡉ࡞ ࡗࡓ㸬
5) SEBTࡘ࠸࡚ࡣ㸪ᚋ ෆ᪉࠾ࡼࡧᚋ እ᪉ࡢࣜ ࣮ࢳ㊥㞳ࡢ ྜ࠾࠸ ࡚ᕥ
ྑ⬮࠸ࡎࢀࡶ ᭷ព࡞ ቑ ຍࡀㄆࡵࡽࢀ ࡓ㸬
6) ࢛࢘ ࣮࣑ ࣥࢢ ࢵ ࣉ ⾜ ࢃࢀ ࡚࠸ ࡿ ࣛ ࣥࢪ ࡸࢪ ࣕࣥ ࣉ ࡽࡢ ╔ᆅ ືస 㸪 ࢧࢻࢫࢸࢵ ࣉࡸษࡾ ㏉ࡋືస ͆㊊㊑ࢆ 㛤࠸࡚ᗋࢆᥗ ࡴ ͇ࢆᣦ ♧ࡍ
ࡿᣦᑟἲࡣ㸪 ㊊㊑ᶵ⬟ ࠾ࡼࡧືⓗࣂ ࣛࣥࢫ⬟ ຊࢆྥୖࡉࡏ ࡿ࠸࠺ ⤖ᯝ
ࢆ㏻ࡋ࡚㸪ୗ ⫥യᐖண 㜵ࢆ┠ⓗࡋ ࡓᣦᑟ᪉ ἲ࡞ࡿྍ⬟ ᛶࡀ♧၀ ࡉࢀ
ࡓ㸬
153
◊
◊ ✲ 8 Ꮫ ዪᏊ ࣛ ࢡ ࣟࢫ ➇ᢏ ࢆ ᑐ㇟ ࡋ ࡓ ୗ⫥ യᐖ ண 㜵ࢺ ࣮ࣞ ࢽ ࣥࢢ ධ ࡀ യᐖ Ⓨ⏕ ᩘ ࠾ࡼ ࡧ യ ᐖ Ⓨ⏕ 㢖ᗘ ཬࡰ ࡍᙳ 㡪
6-8-1. ⥴ゝ
᪥㸪ࢫ࣏ ࣮ࢶയᐖ ண㜵 ࡢᐇ㊶ ࡑࡢຠᯝ ᳨ドࡘ࠸࡚ ከᩘࡢሗ ࿌ࡀࡳࡽࢀ
ࡿࡀ㸪≉ୗ ⫥യᐖண 㜵 ࣉࣟࢢ࣒ࣛ 㛵ࡍࡿ ሗ࿌ࡀከᩘࡳ ࡽࢀ 㸪ࡑ ࢀࡽࡢධ ࡀ᭷⏝࡛࠶ࡿ ࡢぢゎ ࡀ♧ࡉࢀ࡚࠸ ࡿ[Alentorn-Geli et al., 2009; Griffin et al.,
2006]㸬ୗ⫥യᐖண 㜵 ࢺ࣮ࣞࢽࣥࢢ ࡢ୍ࡘ࡛ ࠶ࡿ⭸๓༑Ꮠ 㠌ᖏ㸦anterior cruciate
ligament㸸௨ୗ㸪ACL㸧യᐖண㜵ࢺࣞ ࣮ࢽࣥࢢ ࢆࡿ 㸪ࣂࢫ ࢣ ࢵࢺ࣮࣎ࣝ㸪
ࢧࢵ࣮࢝㸪ࣁࣥࢻ࣎ ࣮ ࣝ ➼࡛㸪 ධᮇ㛫 ࡣ 6 㐌㛫ࡽ 12 㐌㛫 ࡀከ ࡃ㸪㢖ᗘࡣ㐌 2㹼3 ᅇ⛬ᗘ㸪 㛫ࡣ ୍ᅇࡘࡁ 10㹼30 ศ ⛬ᗘᐇࡉࢀ ࡚࠸ࡿ㸬 ࡲࡓ㸪ධ᪉ ἲࡢ≉ᚩࡋ ࡚㸪⦎⩦ ๓⾜ࢃࢀࡿ ࢘ ࢛࣮࣑ ࣥࢢࢵࣉࡢ ୰ ࡛⾜ࢃ ࢀ࡚࠸ࡿ Ⅼ
࠶ ࡿ 㸬 ࢺ ࣞ ࣮ ࢽ ࣥ ࢢ 㛫 ࡣ 㸪 ㏻ ᖖ ࡢ ࢘ ࢛ ࣮ ࣑ ࣥ ࢢ ࢵ ࣉ 㛫 ྜ ࢃ ࡏ ࡚ 15 ศ㹼20 ศ⛬ᗘ࡛࠶ ࡿ 㸬ࡇࢀࡣ 㸪യᐖ ண㜵 ࢆ ┠ⓗࡋࡓࢺ ࣮ࣞࢽࣥ ࢢ ࡢⅭࡔࡅ
㛫ࢆࡅࡿ ࡇࡀᅔ 㞴࡛࠶ࡿ ࡢ ⌧ሙࡢព ぢࢆᫎ ࡉࡏ 㸪࢛࣮࢘ ࣑ࣥࢢࢵ
ࣉྛ✀ࢺ ࣮ࣞࢽࣥ ࢢ ࢆྲྀࡾධࢀ ࡿ࠸࠺ ᪉ἲࡀࡽࢀ ࡚࠸ࡿ㸬 ୗ⫥യᐖண 㜵ࢺ࣮ࣞࢽࣥ ࢢࡢෆᐜ ࡘ࠸࡚ࡣ㸪 ᭱ึ㐺 ษ࡞ጼໃ ࡸୗ ⫥ࣛ ࣓ࣥࢺ ࢆ⋓
ᚓࡉࡏࡿࡇ ࢆ┠ᶆ ࡋ࡚㸪ࢺ࣮ࣞ ࢽࣥࢢ ึ ᮇ࠾࠸࡚ࡣ 㐺ษ࡞ ࢫࣞ ࢳࢵࢡ
࣏ࢪࢩࣙࣥࡢ ⋓ᚓࢆ┠ ᶆᣦᑟࡉࢀ ࡚࠸ࡿ㸬 ࡑࢀࡣ㸪ࠕ⭸ ࢆ ࡋࡗ ࡾ ᭤ࡆ㸪⫪
ࢆᚋࢁᘬ࠸ ࡚⬚ࢆᙇ ࡾ㸪┠⥺ࢆୗ ࡆ࡞࠸ࡼ ࠺ 㸬ࠖࠕ㊊ ᖜࢆ⫪ᖜ ⛬ᗘ㛤࠸
࡚య㔜ࢆẕ㊑ ⌫ࡏ ࡿ 㸬ࠖ࠸࠺ ࡶࡢ࡛࠶ ࡿ[Myer et al., 2004; Myer et al., 2005]㸬ࢺ࣮ࣞࢽ ࣥࢢ ✀┠ࡸ㈇Ⲵࢆ 㐍ⓗ ቑຍࡉࡏ࡚࠸ ࡃࡀ㸪ࢫ ࢡ࣡ࢵࢺ㸪ࢪ
ࣕࣥࣉࡽࡢ ╔ᆅືస 㸪ࣛࣥࢪ㸪࣍ ࢵࣆࣥࢢ ືస➼㸪ከࡃ ࡢࢺ࣮ࣞ ࢽࣥࢢ✀┠
࠾࠸࡚ࡇࡢ ጼໃࢆᇶ ᮏ ጼໃࡋ࡚ ⩦ᚓࡉࡏ 㸪≉ࢫࢱ࣮ ࢺ ࠾ࡼ ࡧࣇࢽࢵ
ࢩࣗ࠾࠸ ࡚㸪㐺ษ ࡞ࢫࣞࢳࢵ ࢡ࣏ࢪࢩ ࣙࣥ ࢆࡽࡏ ࡿࡇࢆ ព㆑ࡉࡏ࡚
⾜ࢃࡏ࡚࠸ࡿ[Myer et al., 2004]㸬ࡲࡓ㸪 ᇶᮏ ጼໃ ࢆࡿ 㸪ࠕ⭸ ࡀᖖࡘࡲ
ඛࡢୖ⨨ ࡍࡿࡼ࠺ ࡍࡿࠖ࠸࠺ ᣦᑟࡶ ྵࡲࢀ࡚࠾ࡾ㸪࠸ࢃࡺ ࡿ͆knee-in͇
ືస࡞ࡽ࡞ ࠸ࡼ࠺ ὀពႏ㉳ࡉࡏ ࡚࠸ࡿ㸬 ᮏㄽᩥࡢ◊ ✲2㸪5㸪7 ࠾࠸࡚㸪
㊊㊑㛤ືస ᣦ♧࠾ࡼ ࡧ ㊊㊑ᢕᥱຊ ࡀືⓗୗ ⫥࣓ࣛࣥ ࢺࡸࣂࣛ ࣥࢫಖᣢ⬟
154
ຊཬࡰࡍᙳ 㡪ࡘ࠸ ࡚ ᳨ドࡋࡓࡀ 㸪◊ ✲ 8 ࡛ࡣ㸪◊ ✲ 7 ⥆ࡁ ᏛዪᏊࣛࢡ
ࣟࢫࢆᑐ㇟ ࡋࡓ㏻ᖖ ࡢ࢛࣮࣑࢘ࣥ ࢢࢵࣉ ࣓ࢽ࣮࡛ࣗ ⾜ ࢃࢀ࡚࠸ ࡿ ࣛࣥࢪࡸ
ࢪࣕࣥࣉࡽ ࡢ╔ᆅ ື స㸪ࢧࢻࢫ ࢸࢵࣉ ࡸ ษࡾ㏉ࡋືస 㸪͆ ㊊㊑ࢆ㛤࠸
࡚ᗋࢆᥗࡴ͇ ࢆᣦ♧ࡍ ࡿᣦᑟἲࡀ㸪 ୗ⫥യᐖ Ⓨ⏕⋡ ➼ཬ ࡰࡍᙳ㡪 ࡘ࠸࡚ẚ
㍑᳨ドࡍࡿࡇ ࢆ┠ⓗ ࡋ ࡓ㸬௬ㄝ ࡣ⥲യᐖ Ⓨ⏕⋡ࢆపୗ ࡉࡏ㸪യ ᐖࡢ㒊
ࡘ࠸࡚ࡣ㸪㊊ 㛵⠇㸪⭸ 㛵⠇ࢆྵࡵࡓ ୗ⫥യᐖ Ⓨ⏕⋡ ࢆపୗ ࡉࡏࡿ ࠸࠺ࡶࡢ࡛
࠶ࡿ㸬
155
6-8-2. ᑐ㇟᪉ἲ 1. ᑐ㇟᪉ἲ
ᑐ㇟⪅ࡣ◊ ✲7 ྠᵝ㸪 㛵ᮾᏛዪᏊ ࣛࢡࣟࢫ ࣮ࣜࢢ 1 㒊 ᡤᒓࡍࡿ ᏛዪᏊ
ࣛࢡࣟࢫ㑅ᡭ ࡛࠶ࡾ㸪1 ᖺ┠ 46 ྡ㸦ᖹᆒᖺ 㱋㸦±ᶆ‽೫ᕪ㸧㸸20.1 ± 1.3ṓ㸪㌟
㛗㸸159.1 ± 5.2cm㸪య 㔜㸸53.1 ± 5.5kg㸪ࣛ ࢡࣟࢫ➇ᢏ Ṕ 22.0 ± 16.3ࣨ᭶㸧㸪2 ᖺ┠55 ྡ㸦ᖹᆒ ᖺ㱋 19.5 ± 1.1ṓ㸪㌟ 㛗 158.7 ± 4.9cm㸪య 㔜 53.6 ± 5.4kg㸪ࣛ
ࢡࣟࢫ➇ᢏ Ṕ22.6 ± 13.2 ࣨ᭶㸧ࡋࡓ㸬 ධ ᪉ἲࡣ㸪⦎⩦ ๓⾜ࢃ ࢀ࡚࠸ࡿ ࢘
࢛࣮࣑ࣥࢢ ࢵࣉ࡛⾜ ࢃࢀ࡚࠸ࡿྛ ືస 㸪㊊㒊ࡢ ╔ᆅືస ྍ⬟࡞㝈ࡾ 㸪
㊊㊑㛤࠾ࡼ ࡧ㊊㊑ᢕ ᣢࢆព㆑ࡉࡏ ࡚⾜ࢃࡏ ࡓ 㸬≉ࢪࣙ ࢠࣥࢢ㸪 ࢫࢺࣞࢵࢳ
ࣥࢢ㸪యᖿࢺ ࣮ࣞࢽࣥ ࢢᚋ⾜ࢃࢀࡓ Line to Line࡛ࡢືస ᙉ ㄪࡋ࡚ᣦ♧
ࢆฟࡋࡓ㸦 ⾲ 8-1㸧㸬ධᮇ㛫 ࡣ 2011ᖺ 6 ᭶㹼2012ᖺ 3᭶ࡲ ࡛ ࡋ㸪യᐖ Ⓨ⏕
⋡➼ࡢẚ㍑ᮇ 㛫ࡣ2010ᖺ6᭶㹼2011ᖺ3᭶ 2011ᖺ6᭶㹼2012ᖺ3᭶ ࡋࡓ㸬 ᑦ㸪ᮏ◊✲ࢆ ⾜࠺࠶ ࡓࡾ㸪 ᑐ㇟⪅ ᪉ἲࡸ ⌮ⓗ㓄៖➼ ࡢㄝ᫂ࢆ ⾜࠸㸪ྠព
ࢆᚓࡓ㸬᪩✄⏣ Ꮫ ேࢆᑐ㇟ࡍࡿ ◊✲㛵 ࡍࡿ⌮ᑂᰝ ጤဨ ࡢ ᢎㄆࢆᚓ࡚
ᐇࡋࡓ㸦ᢎ ㄆ␒ ྕ 2010-037㸧㸬
156
2㸬യᐖㄪᰝෆᐜ
യᐖㄪᰝෆᐜ ࠾ࡼࡧ᪉ ἲࡘ࠸࡚ࡣ 㸪 ◊ ✲ 1[బ㔝ᮧࡽ, 2012]ྠᵝ࡛࠶ࡿ㸬ࡑ ࡢ⦎⩦࣭ヨྜࡢ യ ᐖ㸪യᐖࡢ ᅇᩘ㸪➇ᢏ ᖐࡲ࡛ࡢᮇ 㛫 ࡘ࠸ ࡚㞟ࡋࡓ 㸬 യᐖࡢᐃ⩏࠾ ࡼࡧ ➇ᢏ ᖐࡲ࡛ࡢᮇ 㛫 ࡘ࠸ ࡚ࡶ ◊✲ 1 ྠᵝ࡛࠶ࡾ 㸪യᐖⓎ⏕
⋡ ࡘ ࠸ ࡚ ࡣ ‘1,000 athlete–hours㸦 ௨ ୗ 1000AHs㸧’࠾ ࡼ ࡧ‘1,000 athlete–
exposures㸦௨ୗ 1000AEs㸧’ࡢ༢ࢆ⏝࠸ ࡚ ⟬ฟࡋࡓ㸬 ධ๓ᚋࡢ ẚ㍑㡯┠ ࡣ 㸪
യᐖࡢ㒊㸪 യᐖࡢ✀ 㢮㸪യᐖࡢཎ ᅉ㸪യᐖ ࡢᅇᩘ㸪➇ᢏ ᖐࡲ࡛ ࡢᮇ㛫ࡢྛ
㡯┠ࡢയᐖⓎ ⏕⋡ࡋ ࡓ㸬
6-8-3. ⤖ᯝ
യᐖண㜵ࢺࣞ ࣮ࢽࣥࢢ ࡢධᮇ㛫 ࡣ 㸪2011ᖺ 6 ᭶㹼2012ᖺ 3 ᭶ ࡲ࡛ࡢ 10 ࣨ
᭶㛫㸪ධ᪥ ᩘࡣ 304᪥㛫࡛࠶ࡗࡓ 㸬 ධ๓ ᚋࡢ⦎⩦࠾ࡼ ࡧヨྜࡀ ⾜ࢃࢀࡓᅇ
ᩘࡣ㸪ධ ๓ 183 ᅇ㸪 ධᚋ 190 ᅇ࡛࠶ࡾ 㸪1 㐌㛫࠶ࡓࡾࡢ ⦎⩦ ࠾ ࡼࡧヨྜᅇ
ᩘࡣ㸪ධ ๓4.2 ᅇ/㐌㸪ධᚋ 4.4 ᅇ/㐌࡛࠶ ࡗࡓ㸬
1㸬യᐖⓎ⏕⋡
ධ๓ᚋࡢയ ᐖⓎ⏕ᩘ ࠾ࡼࡧയᐖⓎ ⏕⋡ࢆ ⾲ 8-2 ♧ࡍ㸬 ධ๓ ᚋࡢ ⥲ AHs
࠾ࡼࡧ⥲ AEsࡣ㸪 ධ๓ 11,916.8AHs࠾ࡼࡧ 5,593AEs㸪ධᚋ 11,417.6AHs࠾
ࡼ ࡧ 5,371AEs ࡛ ࠶ ࡗ ࡓ 㸬 ⦎ ⩦ ࡢ AHs ࠾ ࡼ ࡧ AEs ࡘ ࠸ ࡚ ࡣ 㸪 ධ ๓ 11,447.8AHs ࠾ࡼࡧ 5,065AEs㸪ධᚋ 10,721.0AHs ࠾ࡼࡧ 4,508AEs ࡛࠶ࡗࡓ㸬 ヨྜࡢ AHs ࠾ࡼࡧ AEs ࡘ࠸࡚ ࡣ㸪ධ ๓ 469.0AHs ࠾ࡼࡧ 528AEs㸪ධ
ᚋ 696.6AHs ࠾ࡼࡧ 863AEs ࡛࠶ࡗࡓ 㸬ධ ๓ᚋࡢ AHs ࢆ ྜィࡍ ࡿ㸪 ⦎⩦
22,168.8AHs㸦Total AHs ࡢ 95%㸧㸪ヨྜ 1165.6AHs㸦5.0%㸧࡛⦎⩦ࡀ
ࢇࢆ༨ࡵ࡚ ࠸ࡓ㸬ࡲ ࡓධ๓ᚋ ࡢ AEs ࢆ ྜィࡍࡿ㸪⦎ ⩦ 9,573AEs㸦Total
AEsࡢ 87.3%㸧㸪ヨྜ 1,391㸦12.7%㸧࡛࠾࠾ࡼࡑ 9ࢆ ⦎⩦ࡀ ༨ࡵ࡚࠸ࡓ 㸬
ධ๓ᚋࡢയ ᐖ Ⓨ⏕ᩘ ࡘ࠸࡚ࡣ 㸪 ධ๓ 143㸦യᐖⓎ⏕⋡ ࡣ 12.00 (10.03 — 13.97)/1000AHs (࢝ ࢵ ࢥ ෆ ࡣ 95㸣 ಙ 㢗 ༊ 㛫 ࢆ ♧ ࡍ)࠾ ࡼ ࡧ 25.57 (21.38 — 29.76)/1000AEs㸧࡛㸪 ධᚋ 102 㸦യᐖⓎ ⏕⋡ 8.93 (7.20 — 10.67)/1000AHs
࠾ࡼࡧ 18.99 (15.31 — 22.68)/1000AEs㸧࡛࠶ ࡗࡓ㸬⦎⩦࣭ヨྜ ࡛ ẚ㍑ࡍࡿ㸪
⦎⩦ࡢධ ๓യᐖⓎ ⏕ᩘ 135 㸦യᐖⓎ ⏕⋡ 11.79 (9.80 — 13.78)/1000AHs
157
࠾ࡼࡧ 26.65 (22.16 — 31.15)/1000AEs㸧㸪 ධᚋ92 㸦യᐖⓎ ⏕ ⋡ 8.58 (6.83 — 10.33)/1000AHs࠾ࡼࡧ 20.41 (16.24 — 24.58)/1000AEs㸧㸪ヨྜ ࡢධ๓യ ᐖ
Ⓨ⏕ᩘ8 㸦17.06 (5.24 — 28.88)/1000AHs࠾ࡼࡧ 15.15 (4.65 — 25.65)/1000AEs㸧㸪
ධᚋ 10㸦യ ᐖⓎ ⏕⋡ 14.36 (5.46 — 23.25)/1000AHs ࠾ࡼࡧ 11.59 (4.41 — 18.77)/1000AEs㸧 ࡛ ࠶ ࡗ ࡓ 㸬 ⦎ ⩦ ࣭ ヨ ྜ ࡢ ධ ๓ ᚋ ࡢ യ ᐖ Ⓨ ⏕ ᩘ ࢆ ྜ ࢃ ࡏࡿ
㸪⦎⩦ 227㸪ヨ ྜ 18࡛㸪⦎ ⩦ Ⓨ⏕ࡋࡓയ ᐖࡀయ ࡢ 9௨ୖࢆ
༨ࡵ࡚࠸ࡓ㸬
158
159
2㸬യᐖࡢ㒊ู ࡼ ࡿയᐖⓎ⏕ᩘ ࠾ࡼࡧയ ᐖⓎ⏕⋡
യᐖࡢ㒊ู ࡼࡿ ධ๓ᚋࡢയᐖ Ⓨ⏕ᩘ࠾ ࡼࡧയᐖⓎ⏕ ⋡ࢆ ⾲8-3㸪⾲8-4㸪 ᅗ 8-1 ♧ ࡍ 㸬 ධ ๓ ᚋ ࡛ ᭱ ࡶ യ ᐖ Ⓨ ⏕ ⋡ ࡀ ప ୗ ࡋ ࡓ 㒊 ࡣ 㸪 ㊊ 㒊/ࡘ ࡲ ඛ ࡛ 0.92/1000AHsࡽ 0.35/1000AHs࠾ࡼࡧ 1.97/1000AEs ࡽ 0.74/1000AEs࡛࠶ࡗ ࡓ 㸦 യ ᐖ Ⓨ ⏕ ᩘ 11 ࡽ 4 ῶ ᑡ 㸧 㸬 ḟ ୗ ⭣ ࡛ 1.17/1000AHs ࡽ 0.79/1000AHs࠾ࡼࡧ 2.50/1000AEs ࡽ 1.68/1000AEs ࡛࠶ࡗࡓ 㸦യ ᐖⓎ⏕ᩘ 14
ࡽ 9 ῶᑡ㸧 㸬௨ୗ㸪⫤㛵 ⠇ 0.42/1000AHs ࡽ 0.09/1000AHs ࠾ࡼࡧ 0.89/1000AEs ࡽ 0.19/1000AEs㸦യᐖⓎ⏕ ᩘ 5 ࡽ 1 ῶ ᑡ 㸧㸪㰡ᚄ㒊 0.67/1000AHs ࡽ 0.35/1000AHs ࠾ࡼࡧ 1.43/1000AEs ࡽ 0.74/1000AEs㸦യᐖ
Ⓨ⏕ᩘ 8 ࡽ 4 ῶᑡ㸧㸪⭜᳝/ୗ⫼㒊 1.09/1000AHsࡽ 0.79/1000AHs ࠾
ࡼࡧ 2.32/1000AEs ࡽ 1.68/1000AEs㸦യᐖ Ⓨ⏕ᩘ 13 ࡽ 9 ῶᑡ㸧࡛࠶
ࡗࡓ㸬
160
161
ᅗ 8-1 ධ๓ ᚋࡢയᐖ ࡢ㒊ูയᐖ Ⓨ⏕ᩘ ࡑࡢྜ
162
3㸬യᐖࡢ✀㢮ู ࡼ ࡿയᐖⓎ⏕ᩘ ࠾ࡼࡧയ ᐖⓎ⏕⋡
യᐖࡢ✀㢮ู ࡼࡿ ධ๓ᚋࡢയᐖ Ⓨ⏕ᩘ࠾ ࡼࡧയᐖⓎ⏕ ⋡ࢆ⾲ 8-5 ♧ ࡍ㸬
ධ๓ᚋ࡛᭱ ࡶⓎ⏕⋡ ࡀపୗࡋࡓയ ᐖࡢ✀㢮 ࡣ㸪⭝⅖/࿘ᅖ⅖ ࡛ 2.43/1000AHs
ࡽ 1.31/1000AHs ࠾ࡼࡧ 5.19/1000AEs ࡽ 2.79/1000AEs ࡛࠶ ࡗࡓ㸦യᐖⓎ⏕
ᩘ 29 ࡽ 15 ῶ ᑡ 㸧 㸬 ḟ ᡴ ᧞/⾑ ⭘/ യ ࡛ 2.01/1000AHs ࡽ 1.14/1000AHs࠾ࡼࡧ 4.29/1000AEs ࡽ 2.42/1000AEs ࡛࠶ࡗࡓ 㸦യ ᐖⓎ⏕ᩘ 24
ࡽ 13 ῶ ᑡ 㸧 㸬 ௨ ୗ 㸪 2.77/1000AHs ࡽ 1.93/1000AHs ࠾ ࡼ ࡧ 5.90/1000AEsࡽ 4.10/1000AEs㸦യᐖⓎ ⏕ ᩘ 33 ࡽ 22 ῶ ᑡ 㸧㸪➽⫗③ /ࢫ ࣃ ࢬ ࣒ 2.60/1000AHs ࡽ 2.10/1000AHs ࠾ ࡼ ࡧ 5.54/1000AEs ࡽ
4.47/1000AEs㸦യᐖⓎ ⏕ᩘ 31ࡽ 24 ῶᑡ㸧࡛࠶ࡗ ࡓ㸬
163
4㸬യᐖࡢཎᅉู ࡼ ࡿയᐖⓎ⏕ᩘ ࠾ࡼࡧയ ᐖⓎ⏕⋡
യᐖࡢཎᅉู ࡼࡿ ධ๓ᚋࡢയᐖ Ⓨ⏕ᩘ࠾ ࡼࡧയᐖⓎ⏕ ⋡ࢆ⾲ 8-6 ♧ ࡍ㸬
ධ ๓ ᚋ ࡛ ᭱ ࡶ Ⓨ ⏕ ⋡ ࡀ ప ୗ ࡋ ࡓ യ ᐖ ࡢ ཎ ᅉ ࡣ 㸪 ᥋ ゐ ᆺ യ ᐖ 㸦 ࡢ 㑅 ᡭ 㸧 ࡛ 2.27/1000AHsࡽ 1.40/1000AHs࠾ࡼࡧ 4.83/1000AEs ࡽ 2.98/1000AEs࡛࠶ࡗ ࡓ㸦യᐖⓎ⏕ ᩘ 27 ࡽ 16 ῶᑡ㸧㸬 ḟ㠀᥋ゐᆺ യᐖ࡛ 2.35/1000AHs
ࡽ 1.66/1000AHs ࠾ࡼࡧ 5.01/1000AEs ࡽ 3.54/1000AEs ࡛࠶ ࡗࡓ㸦യᐖⓎ⏕
ᩘ 28 ࡽ 19 ῶ ᑡ 㸧 㸬 ௨ ୗ 㸪 ࠸ ࡍ ࡂ 㸦 ᚎ ࠎ 㸧3.94/1000AHs ࡽ 3.33/1000AHs࠾ࡼࡧ 8.40/1000AEs ࡽ 7.08/1000AEs㸦യᐖⓎ⏕ᩘ 47 ࡽ 38
ῶ ᑡ 㸧 㸪 ࠸ ࡍ ࡂ 㸦 ᛴ 㸧1.34/1000AHs ࡽ 0.88/1000AHs ࠾ ࡼ ࡧ 2.86/1000AEsࡽ 1.86/1000AEs㸦യᐖⓎ ⏕ ᩘ 16 ࡽ 10 ῶ ᑡ 㸧㸪᥋ゐᆺ യᐖ㸦ື࠸࡚ ࠸ࡿ≀㸧 ࡛ 1.43/1000AHs ࡽ 1.05/1000AHs ࠾ࡼࡧ 3.04/1000AEs
ࡽ2.23/1000AEs ࡛࠶ࡗࡓ㸦യᐖ Ⓨ⏕ ᩘ 17 ࡽ 12 ῶ ᑡ 㸧࡛࠶ࡗࡓ㸬
164
165
5㸬ཷയᅇᩘࡼ ࡿയ ᐖⓎ⏕ᩘ ࠾ࡼ ࡧയᐖⓎ ⏕⋡
ㄪᰝᮇ㛫୰ Ⓨ⏕ࡋࡓ ධ๓ᚋࡢയ ᐖࡢᅇᩘ ࠾ࡼࡧയᐖⓎ ⏕⋡ࢆ ⾲ 8-7 ♧
ࡍ㸬ධ๓ᚋ ࡛᭱ࡶⓎ ⏕⋡ࡀపୗࡋ ࡓയᐖࡢ ᅇᩘࡣ㸪ึᅇ ཷയ࡛Ⓨ ⏕ᩘ 101
ࡽ 60 పୗࡋ 㸪യᐖⓎ⏕⋡ ࡣ 8.48/1000AHs ࡽ 5.26/1000AHs ࠾ࡼࡧ 18.06/1000AEs ࡽ 11.17/1000AEs పୗࡋ ࡓ㸬ḟ 2 ᅇ ┠㸦ཷ യ㸧࡛ 19
ࡽ 14 㸪Ⓨ⏕ ⋡ࡣ 1.59/1000AHs ࡽ 1.23/1000AHs ࠾ࡼࡧ 3.40/1000AEs
ࡽ2.61/1000AEs ప ୗࡋࡓ 㸬
166
167
6㸬➇ᢏᖐࡲ࡛ ࡢᮇ 㛫യᐖⓎ⏕ ᩘ࠾ࡼࡧ യᐖⓎ⏕⋡
ㄪᰝᮇ㛫୰ Ⓨ⏕ࡋࡓ ධ๓ᚋࡢ ➇ ᢏᖐࡲ ࡛ࡢᮇ㛫യ ᐖⓎ⏕ᩘ ࠾ࡼࡧയ ᐖⓎ⏕⋡ࢆ ⾲8-8♧ ࡍ㸬ධ๓ᚋ ࡛᭱ࡶప ୗࡋࡓᖐࡲ ࡛ࡢᮇ㛫 ࡣ㸪1㹼2 ᪥
࡛2.85/1000AHsࡽ1.84/1000AHs࠾ࡼࡧ6.08/1000AEsࡽ 3.91/1000AEs࡛࠶
ࡗࡓ㸦യᐖⓎ ⏕ᩘ 34 ࡽ 21 ῶᑡ㸧 㸬ḟ 3㹼7 ᪥࡛ 4.20/1000AHs ࡽ
3.59/1000AHs࠾ࡼࡧ 8.94/1000AEs ࡽ 7.63/1000AEs㸦യᐖⓎ⏕ᩘ 50 ࡽ 41
ῶ ᑡ 㸧 㸪 ௨ ᚋ 㸪4 㐌 㹼6 ࣨ ᭶ ࡛ 1.34/1000AHs ࡽ 0.61/1000AHs ࠾ ࡼ ࡧ 2.86/1000AEs ࡽ 1.30/1000AEs㸦യᐖⓎ⏕ ᩘ 16 ࡽ 7 ῶ ᑡ 㸧㸪1㹼2 㐌
࡛2.35/1000AHs ࡽ 1.75/1000AHs࠾ࡼࡧ 5.01/1000AEs ࡽ 3.72/1000AEs㸦യ ᐖⓎ⏕ᩘ 16 ࡽ 7 ῶᑡ㸧࡛ ࠶ࡗࡓ㸬
168
169
6-8-4. ⪃ᐹ
ᮏ◊✲ࡣ㸪 ୗ⫥ യᐖ ண㜵ࢺ࣮ࣞࢽ ࣥࢢࡢ ධຠᯝ᳨ドࢆ ⾜࠺ࡇ ࡋ㸪Ꮫ ዪᏊࣛࢡࣟࢫ ➇ᢏࢆᑐ ㇟ 㸪㏻ᖖ⾜ ࢃࢀ࡚࠸ ࡿ࢛࣮࣑࢘ࣥ ࢢࢵࣉ ࣓ࢽ࣮ࣗ ࡛
⾜ࢃࢀ࡚࠸ࡿ ࣛࣥࢪࡸ ࢪࣕࣥࣉࡽ ࡢ╔ᆅ ື స㸪ࢧࢻࢫ ࢸࢵࣉ ࡸ ษࡾ㏉ࡋື
స͆㊊㊑ ࢆ㛤࠸࡚ ᗋࢆᥗࡴ ͇ࢆ ᣦ♧ࡍࡿ ືసᣦᑟἲࡀ 㸪ୗ⫥യ ᐖⓎ⏕⋡➼
ཬࡰࡍᙳ㡪 ࡘ࠸࡚ ẚ㍑᳨ドࡍࡿ ࡇࢆ┠ ⓗࡋ ࡚⾜ࡗ ࡓ㸬
ධ๓ᚋࡑ ࢀࡒ ࢀ 10 ࣨ᭶㛫ࡢ Total AHs Total AEsࡣ㸪ධ ๓ 11,916.8AHs
࠾ࡼࡧ 5,593AEs㸪ධ ᚋ 11,417.6AHs࠾ࡼࡧ 5,371AEs࡛㸪ࡰྠᩘ ࡛࠶ࡗࡓ㸬
ࡲࡓ㸪ධ๓ ᚋࢆྜࢃ ࡏࡓ⦎⩦ ヨྜ ࡢ Total AHs Total AEsࡢẚ㍑࡛
ࡣ㸪◊ ✲ 1ࡢ⤖ᯝ ྠ ᵝ㸪⦎ ⩦༨ ࡵࡿ ྜࡀ ࠾࠾ࡼ ࡑ 9௨ ୖ࡛࠶ࡗࡓ㸬
⥲യᐖⓎ⏕ᩘ 㛵ࡋ࡚ ࡣ㸪ධ ๓ 143㸪ධᚋ 102࡛࠶ࡗࡓ㸬 ⥲യᐖⓎ⏕
⋡࡛ẚ㍑ࡍࡿ 㸪 ධ ๓12.00 (10.03 — 13.97)/1000AHs ࠾ࡼࡧ 25.57 (21.38 — 29.76)/1000AEs㸪 ධ ᚋ 8.93 (7.20 — 0.67)/1000AHs ࠾ ࡼ ࡧ 18.99 (15.31 —
22.68)/1000AEs ࡛࠶ࡾ㸪⥲യᐖⓎ⏕ ⋡ ࢆῶᑡ ࡉࡏࡓ㸬⦎⩦ ࣭ヨྜ ࡢ⥲യᐖⓎ
⏕ᩘࡣ㸪⦎⩦ ࡢධ ๓ 135 㸪ධᚋ ࡛ 92 ࡛࠶ࡾ㸪 യᐖⓎ ⏕⋡ ࡣධ๓ 11.79 (9.80 — 13.78)/1000AHs࠾ࡼࡧ 26.65 (22.16 — 31.15)/1000AEs㸪ධᚋ 8.58 (6.83 — 10.33)/1000AHs ࠾ࡼࡧ 20.41 (16.24 — 24.58)/1000AEs ࡛࠶ࡗࡓ㸬ヨྜ
ࡢ ධ ๓ 8 㸪 ධ ᚋ 10 ࡛ ࠶ ࡾ 㸪 യ ᐖ Ⓨ ⏕ ⋡ ࡣ ධ ๓ 17.06 (5.24 — 28.88)/1000AHs ࠾ࡼࡧ 15.15 (4.65 — 25.65)/1000AEs㸪ධᚋ 14.36 (5.46 — 23.25)/1000AHs࠾ࡼࡧ 11.59 (4.41 — 18.77)/1000AEs ࡛࠶ࡗࡓ 㸬⦎⩦࣭ヨྜ ࠸ ࡎࢀ࠾࠸࡚ ࡶയᐖⓎ ⏕⋡ࢆ ῶᑡࡉ ࡏࡓ㸬ࡇ ࢀࡽࡢ⤖ᯝ ࡽ㸪 ⦎⩦ ࣭ヨྜ㸪 ࡑࡢྜィ࠸ࡎ ࢀ࠾࠸ ࡚ࡶධ ࡼ ࡿയᐖⓎ ⏕⋡ࡢῶᑡࡀ ☜ㄆࡉࢀ ࡓ 㸬യᐖࡢ 㒊ู࡛ࡳࡿ 㸪≉ യᐖⓎ⏕⋡ࡢ ῶᑡࡀࡳ ࡽࢀࡓࡢࡀ ㊊ 㒊/ࡘࡲඛ㸪ୗ⭣㸪⫤
㛵⠇࡛࠶ࡗࡓ 㸬ᅇࡢ ୗ⫥യᐖண㜵 ࢺ࣮ࣞࢽ ࣥࢢࡣ㸪 ㊊㛵 ⠇ࡸ ⭸㛵 ⠇യᐖࡢண 㜵 ࢆ ≺ ࠸ ࡋ ࡓ ࡶ ࡢ ࡛ ࠶ ࡗ ࡓ ࡀ 㸪 ࡑ ࢀ ࡽ ࡢ യ ᐖ Ⓨ ⏕ ⋡ ࢆ ࡳ ࡿ 㸪 ㊊ 㛵 ⠇ ࡣ 2.01/1000AHs ࡽ 1.93/1000AHs㸪4.29/1000AEs ࡽ 4.10/1000AEs ῶᑡࡋ 㸦 യ ᐖ Ⓨ ⏕ ᩘ ࡣ 24 ࡽ 22 ῶ ᑡ 㸧 㸪 ⭸ 㛵 ⠇ ࡣ 1.34/1000AHs ࡽ 1.93/1000AHs㸪2.86/1000AEs ࡽ 4.10/1000AEsቑຍࡋࡓ㸦യᐖ Ⓨ⏕ᩘ ࡣ 16
ࡽ 22ቑ ຍ 㸧㸬⭸㛵⠇ࡢ യᐖⓎ⏕ ⋡ ࡢῶᑡࡣࡳࡽ ࢀ࡞ࡗ ࡓࡀ 㸪㊊㛵 ⠇
170
ࡢയᐖⓎ⏕⋡ ࡀࢃࡎ ࡛ࡣ࠶ࡿࡀ ῶ ᑡࡋࡓ㸬 ㊊㛵⠇യᐖⓎ ⏕⋡ࡢῶ ᑡࡘ࠸࡚
⪃ᐹࡍࡿ㸪 ❧ጼໃ ࡛ࡣ㊊㒊 ࡢࡳ ࡀᗋ᥋ ゐࡋ ࡓ≧ែ ࡞ࡾ 㸪㊊ ᗏ࠾ࡼࡧ㊊
㒊ࡽࡢሗ ࡀ ጼໃㄪ ᩚࡸ㐠ືࢆ⾜ ࠺㝿 㔜 せ࡞ሗ※ ࡞ࡿ㸬ࡑ ࡢሗࡣ ➽
⫗㸪⭝㸪㠌ᖏ 㸪༙᭶㸪 㛵⠇ໟ㸪⭷ ➼ Ꮡᅾ ࡍࡿᅛ᭷ཷᐜ ჾ ࡽࡢ ሗ࡛࠶ࡿ
ࡀ㸪ࡇࢀࡽࡢ ሗࡀ୰ ᯡ⚄⤒⣔ࢆ ࡋ࡚㐠ື ไᚚ㛵ࡍࡿ ᚲせ࡞ ሗࡀ➽⫗ࡸ
㛵⠇㏦ࡽࢀ ࡿ[Hervéou and Messéan, 1995]㸬ࡇࢀࡽࡢ ឤぬሗ ࡣ 㸪ࡑࡢཷᐜჾ
࡛࠶ࡿ ࣓࢝ ࣀࣞ ࢭࣉ ࢱ ࣮ 㸦mechanoreceptor㸪 ᶵᲔཷ ᐜჾ 㸧 ࡀ ᗋ ࡽ ࡢຊᏛ ⓗ࡞
ሗࢆཷࡅ࡚ ⾜ ࢃࢀ࡚ ࠸ࡿ[ᐑᓥࡽ, 2012]㸬ࡲࡓ㸪㊊㊑ ࡣ࣓࢝ࣀ ࣞࢭࣉࢱ࣮ ࡢ ศᕸᐦᗘࡀ㧗 ࡃ㸪㊊㊑ ࢺ࣮ࣞࢽࣥࢢ ࡣ ࣓࢝ࣀ ࣞࢭࣉࢱ࣮ ࢆ ㈿άࡉࡏ 㸪⚄⤒㐠ື
ჾ༠ㄪࢆᨵၿ ࡉࡏࡿ ࡶ㸪㊊ᗏ ➽⩌ࡽ ⭌⭡➽㸪 ࣁ࣒ ࢫࢺࣜࣥ ࢢ ࡢ➽㐃 㙐ᛂࢆㄏⓎ ࡉࡏࡿࡇ 㸪ࡑࡋ࡚ ㊊ 㛵⠇࿘ᅖ ➽ࡢ➽ᛂࢆ ㄏⓎࡉࡏ ࡿ㏙ࡽ
ࢀ࡚࠸ࡿ[ཎ, 1996; Hervéou and Messéan, 1995]㸬ࡇࢀࡽࡢሗ ࿌ ࡽࡳࡽࢀࡿࡼ
࠺㸪㊊㊑㛤 ࡸ㊊㊑ ᢕᣢ➼ࡢ ࢺࣞ ࣮ࢽࣥࢢ ࡼࡿ㊊㊑ ᶵ ⬟ྥୖࡣ 㸪❧ ືస
ࡢ㊊㊑㐠ື ࡼ ࡾ㸪 ㊊㊑࡛ᚓࡽࢀ ࡿឤぬཷ ᐜჾࡢỈ‽ࡀ 㧗ࡲ ࡾ㸪 ➽⫗ࡢ㐺 ษ࡞ሗࡀࡼ ࡾ᪩ࡃ㏦ ࡽࢀࡿࡇ࡛ እຊᑐ ࡍࡿᛂไᚚ 㸪ࡍ࡞ࢃ ࡕࣇ࣮ࢻ
ࣂࢵࢡไᚚ ࡼࡾ ㊊㒊 ࡢᶵ⬟ⓗᏳᐃ ᛶ ᐤ ࡉࡏࡓࡢ࡛ࡣ ࡞࠸ ⪃࠼ࡓ 㸬ࢫ ࢸࢵࣉືసࡸ ࢪࣕࣥࣉ ࡽࡢ╔ᆅ ➼㊊㊑ 㛤࠾ࡼࡧ㊊ ㊑ᢕᣢࢆ ព㆑ࡉࡏ࡚
⾜ࢃࡏࡿࡇ ࡀ㸪㊊㊑ ᢕᥱຊࡸ㊊㊑ 㛤⬟ࡢ ྥୖࡶ 㸪≉㊊ 㒊ࡢ ⚄⤒➽
༠ㄪᛶࡀࡼࡾ ྥୖࡍࡿ ࡇ㸪ࡑࡋ࡚ ㊊㒊ࡽ ࡢሗࡀ୰ᯡ ⚄⤒⣔ࢆ ࡋ࡚➽⫗
➼ࡢ௧ఏ 㐩ࡀ⣲᪩ ࡃ⾜ࢃࢀࡇ ࡛㸪㊊㒊 ࡢᏳᐃᛶࡀࡼ ࡾྥୖࡋ 㸪㊊㛵⠇യ ᐖࡢῶᑡࡘ ࡞ࡀࡗࡓ ࡢ࡛ࡣ࡞࠸ ᥎ ࡋ ࡓ㸬ࡲࡓ㸪ᮏ ㄽᩥ ◊ ✲5 ࡢ㊊㊑ ᢕ ᥱຊ㟼ⓗ࠾ ࡼࡧືⓗ ࣂࣛࣥࢫ⬟ຊ ࡢ㛵㐃 ᛶ ᳨࡛ドࡋࡓ 㸪㊊㊑ᢕ ᥱຊࡢඃࢀ
ࡿ⪅ࡣ㊊㒊 ࣮ࢳ๛ᛶ ࡀ㧗ࡲࡿࡇ ࡛㊊㒊ࡢ Ᏻᐃᛶࡀྥୖ ࡋ㸪 㟼ⓗ ୗ⫥ࣂࣛࣥ
ࢫಖᣢ⬟ຊ ᐤࡉࡏ ࡓࡇ㸪ࡑࡋ࡚๓ ᪉ ࡢືⓗࣂࣛࣥ ࢫಖᣢ⬟ ຊ ࡶඃࢀ 㸪
㊊㊑ࢆྵࡵࡓ ๓㊊㒊࡛ ࡢጼໃಖᣢ⬟ ຊᐤ ࡉࡏࡓ ࡇ࡛ ╔ᆅືస ࡢ㊊㊑ᢕ ᣢືసࡀືⓗ ୗ⫥ࣂࣛ ࣥࢫಖᣢ⬟ຊ ᙳ㡪ࢆ ཬࡰࡋ ࡓ࠸ ࠺⤖ㄽ ࡽࡶ ㊊㛵⠇
യᐖࡢῶᑡ ᐤࡉࡏ ࡓ ࡢ࡛ࡣ࡞࠸ ⪃࠼ ࡓ㸬◊✲ 7 ࡢୗ⫥യᐖ ண㜵ࢺ࣮ࣞ
ࢽࣥࢢධࡀ ㊊㊑ᶵ⬟ 㸪㊊㒊ᙧែ㸪 㟼ⓗ࣭ື ⓗࣂࣛࣥࢫ⬟ ຊ ཬࡰ ࡍᙳ㡪 ࡘ
࠸࡚ࡢ᳨ド࡛ ࡣ㸪㊊㊑ 㛤ࡸ㊊㊑ᢕ ᣢືసࢆ ព㆑ࡉࡏ ࡓࢺ ࣮ࣞࢽࣥ ࢢࡣ 㸪ᑠ㊑
171
እ㌿➽ࡸẕ㊑ እ㌿➽ࡢ ㊊㒊ෆᅾ➽ࡢ ➽⥭ᙇ ࡼࡾ㸪㊊㒊 ࣮ࢳ๛ᛶ ࢆ㧗ࡵࡿࡇ
㸪ࡑࡋ࡚㊊ 㒊እᅾ➽ ࡢ➽ᙇࡼࡗ ࡚ࡶ ㊊㒊 ࣮ࢳ๛ᛶ ࢆ 㧗ࡵࡿࡇ ࡽ 㸪㊊
㊑ᢕᥱຊࡸ㊊ ㊑㛤⬟ ࡢྥୖࡶ ㊊㒊 ࡢ Ᏻᐃᛶᐤ ࡉࡏ㸪㊊ 㛵⠇യᐖࡢ ῶᑡᐤࡉ ࡏࡓ ࡢ࡛ ࡣ࡞࠸᥎ ࡋࡓ㸬 ᮏ◊✲⤖ᯝ ࡽ㸪 ⭸㛵 ⠇യᐖᑐ ࡍࡿධຠᯝ ࡣࡳࡽࢀ ࡞ࡗࡓ㸬ඛ ⾜◊✲࡛ ࠶ࡿ ㊊㊑㛤 ࠾ࡼࡧ㊊ ㊑ᢕᣢືస ࡀືⓗୗ⫥ ࣓ࣛࣥ ࢺཬࡰࡍᙳ 㡪㸦◊ ✲ 2㸧ࡸ㊊㊑ ᢕᥱຊ 㟼ⓗ࠾ࡼࡧື
ⓗࣂࣛࣥࢫ⬟ ຊࡢ㛵 㐃ᛶ㸦◊✲ 5㸧㸪ୗ⫥ യᐖண㜵ࢺࣞ ࣮ࢽࣥࢢ ධࡀ ㊊㊑
ᶵ⬟ࡸ㟼ⓗ࠾ ࡼࡧືⓗ ࣂࣛࣥࢫ⬟ຊ ཬࡰࡍ ᙳ㡪 㸦◊✲ 7㸧ࡽ㸪 ㊊㊑ᢕᥱຊ
࠾ࡼࡧ㊊㊑㛤 ⬟ࡢྥ ୖࡀືⓗୗ⫥ ࣓ࣛ ࣥࢺࡢ▹ṇࡸ ືⓗࣂࣛ ࣥࢫ⬟ຊࢆ
ྥୖࡉࡏࡿࡇ ࡛㸪⭸ 㛵⠇യᐖࡢῶ ᑡᐤ ࡉࡏࡿ᥎ ࡋࡓࡀ㸪 ㊊㊑ ᢕᥱ➽
ຊࡸ㊊㊑㛤 㐠ື ࡀ⭸ 㛵⠇ཬࡰࡍ ᙳ㡪ࡘ ࠸࡚ ⤖ㄽ࡙ࡅ ࡿࡣ㸪 ࡑࢀࡽࡢ࣓
࢝ࢽࢬ࣒ࢆヲ ⣽᳨ド ࡍࡿᚲせࡀ࠶ ࡾ㸪ᚋ ࡢ◊✲ㄢ㢟 ࡉࢀࡿ 㸬 ᭱ࡶയᐖⓎ
⏕⋡ࡢῶᑡࡀ ࡳࡽࢀࡓ ㊊㒊/ࡘࡲඛࡘ࠸࡚㸪ྠയᐖ㒊ࡢ ධ๓ࡢ യᐖࡢ ✀㢮 ࡢከࡃࡀ⭝⅖ ࡛࠶ࡗࡓ 㸬 ⭝⅖ࡣ៏ᛶ 㞀ᐖࡢ୍ ࡘ࡛࠶ࡿࡀ㸪 ㊊㊑ࢺࣞ ࣮ࢽࣥࢢ
ࡼࡿ㊊㒊ࡢ ࣮ࢳ๛ᛶ ࡀ㧗ࡲࡿࡇ ࡛ ㊊㒊ࡢ Ᏻᐃᛶࢆྥୖ ࡉࡏ㸪 ࡉ ࡽࡣ㊊㒊
࣓ࣛࣥࢺ ࡢ▹ṇ ࡘ࡞ࡀࡗࡓࡇ ࡛៏ᛶ 㞀ᐖࡢῶᑡ ᐤࡉࡏ ࡓ ࡶࡢ᥎ ࡍࡿ㸬
യᐖࡢ✀㢮 ࡘ࠸࡚㸪 ධᚋࡢയᐖ Ⓨ⏕ᩘ࠾ ࡼࡧയᐖⓎ⏕ ⋡ ࢆ᭱ࡶ పୗࡉࡏ ࡓࡢ ࡣ㸪 ⭝⅖/⭝ ࿘ᅖ ⅖ 㸪 ḟ ᡴ᧞/⾑ ⭘/ യ㸪 ࡢ㡰 ࡛࠶ ࡗࡓ 㸬 ≉ 㛵 ⠇ യ ᐖཬࡰࡍᙳ 㡪ࡘ࠸ ࡚⪃ᐹࡍࡿ 㸪 ࡼࡿയᐖࡢῶ ᑡࡀ㢧ⴭ ࡛࠶ࡗࡓ㸬
ୗ⫥㛵⠇യᐖ ண㜵ᅛ ᭷ឤぬჾ ⚄ ⤒➽༠ㄪ ᛶࡢྥୖ ࢆ≺ ࠸ࡋࡓ ࢺ࣮ࣞࢽࣥ
ࢢࡀከᩘ⾜ࢃ ࢀ࡚࠸ࡿ ࡀ 㸪ඛ㏙ࡋࡓ ㊊㊑ࢺࣞ ࣮ࢽࣥࢢࡀ ࣓ ࢝ࣀࣞࢭ ࣉࢱ࣮ ࢆ㈿
άࡉࡏ㸪⚄⤒ 㐠ືჾᙉ ㄪࢆᨵၿࡉࡏ ࡿ[ཎ, 1996]࠸ࡗࡓሗ࿌ ࡽࡶ㸪㊊㊑㛤
࠾ࡼࡧ㊊㊑ ᢕᣢືస ࡀ⚄⤒➽༠ㄪ ᛶࢆྥୖ ࡉࡏࡓࡇࡀ യᐖ ࡢῶᑡ ᐤ
ࡉࡏࡓࡢ࡛ ࡣ࡞࠸ ⪃࠼ ࡓ㸬ࡲ ࡓ㸪ඛ⾜ ◊✲㸦 ◊✲ 5㸪7㸧࡛ ࡢ᳨ド࡛㸪㊊
㊑ᢕᥱຊୗ ⫥ࣂࣛࣥ ࢫಖᣢ⬟ຊ ᭷ព࡞ 㛵㐃ᛶࢆ♧ࡋ ࡓࡇ㸪 ㊊㊑ᢕᥱຊ ࡢඃࢀࡿ⪅ࡣ ࡑ࠺࡛࡞ ࠸⪅ẚ࡚ 㸪๓᪉ࡢ ࡳ࡛ࡣ࠶ࡗࡓ ࡀືⓗࣂ ࣛࣥࢫಖᣢ
⬟ຊඃࢀ࡚ ࠸ࡓࡇ 㸪 ㊊㊑ෆᅾ➽ ࠾ࡼࡧ㊊ 㒊እᅾ➽ࡢ➽ ⥭ᙇࡀ ࣮ࢳ๛ᛶࢆ
㧗ࡵ㸪㊊㒊Ᏻ ᐃᛶᐤ ࡉࡏࡿ࠸ ࡗࡓ⪃ᐹ ࡽࡶ㸪ࡑࢀ ࡽࡀ യᐖࡢῶᑡ
172
ᐤࡉࡏࡓ ᥎ ࡍ ࡿ 㸬
യᐖࡢཎᅉู ࡼࡿ ධᚋࡢയᐖⓎ ⏕ᩘ࠾ࡼ ࡧയᐖⓎ⏕⋡ ࡢኚ ࡘ࠸࡚ࡣ 㸪
᭱ࡶపୗࡉࡏ ࡓയᐖࡢ ཎᅉࡣ᥋ゐᆺ യᐖ㸦 ࡢ㑅ᡭ㸧㸪ḟ 㠀᥋ゐ ᆺ യᐖ㸪
࠸ࡍࡂ࡛࠶ࡗ ࡓ㸬 ࡇࢀ ࡘ࠸࡚ࡶ◊ ✲ 2㸪5㸪7 ᳨࡛ドࡉࢀ ࡓ㊊㊑ 㛤⬟ ࡸ㊊㊑
ᢕᥱຊࡀୗ⫥ ࣓ࣛ ࣥࢺ▹ṇࡸ㟼 ⓗ ࠾ࡼࡧ ືⓗࣂࣛࣥࢫ ⬟ຊ ྥୖ ᐤࡉࡏ 㸪 യᐖⓎ⏕⋡ῶ ᑡࡘ࡞ ࡀࡗࡓྍ⬟ᛶ ࡀ⪃࠼ࡽ ࢀࡿࡀ㸪᥋ゐ ᆺ യᐖࡣ እⓗせ ᅉࡼࡗ࡚Ⓨ ⏕ࡍ ࡿയ ᐖ࡛࠶ࡾ㸪ᮏ ◊✲࡛ᚓ ࡽࢀࡓ⤖ᯝ ࡽ⪃ᐹࡍ ࡿࡢࡣᅔ㞴
࡛࠶ࡿ⪃࠼ ࡓ㸬
യᐖࡢᅇᩘ࠾ ࡼࡧയᐖ Ⓨ⏕⋡ ࡘ࠸ ࡚㸪 ≉ യᐖⓎ⏕⋡ࡀ పୗࡋࡓ ࡢࡣึᅇ
ཷയ࡛࠶ࡗࡓ ࡀ㸪 ◊ ✲ 1 ࠾ࡼࡧඛ⾜ㄽ ᩥ[బ㔝ᮧࡽ㸪2012]ࡢ⤖ ᯝ࡛ ♧ࡉࢀࡓ 2 ᅇ┠௨ୖࡢ യᐖࡢ ྜࡀയᐖࡢ 1/4 ࢆ༨ࡵࡿࡇࡀ ᏛዪᏊࣛ ࢡࣟࢫയᐖ ࡢ≉ᚩ࡛࠶ࡾ 㸪ึᅇཷ യࡢῶᑡࡣ㸪 ࡑࢀ௨ᚋ Ⓨࡍࡿྠ 㒊ࡢയ ᐖ ࡢῶᑡ
ᐤࡉࡏࡿ ⪃࠼ࡿ㸬
ධ๓ᚋࡢ➇ ᢏᖐࡲ ࡛ࡢᮇ㛫യ ᐖⓎ⏕ᩘ ࠾ࡼࡧയᐖⓎ ⏕⋡ ࡘ ࠸࡚㸪᭱
ࡶῶࡌࡉࡏࡓ ᖐࡲ࡛ ࡢᮇ㛫 ࡢⓎ⏕ ⋡ࡣ 1㹼2 ᪥࡛࠶ࡾ 㸪ḟ 3㹼7 ᪥㸪4㐌㹼6
ࣨ᭶࡛࠶ࡗࡓ 㸬ࡇ ࢀࡽ ࡢ⤖ᯝࡽ㸪7 ᪥௨ෆ ࡢẚ㍑ⓗ▷ᮇ 㛫࡛ࡢ➇ ᢏᖐ ྍ⬟
࡞യᐖࡢῶᑡ 㸪4㐌 㹼6 ࣨ᭶࠸࠺ ୰࣭㛗 ᮇ 㛫࡛ࡢ➇ᢏ ᖐྍ⬟ ࡞ യᐖࡢῶᑡ ࡀࡳࡽࢀࡓ㸬ࡇࢀࡣ㸪യᐖࡢ✀㢮ࡢ ୰ ࡛യᐖ Ⓨ⏕⋡ ࡢపୗ ࡀ㢧ⴭ࡛ ࠶ࡗࡓ ᡴ᧞/
⾑ ⭘/ യ ࠾ ࡼ ࡧ ➽ ⫗ ③/ࢫ ࣃ ࢬ ࣒ ࠸ ࡗ ࡓ ẚ ㍑ ⓗ ▷ ᮇ 㛫 ࡛ ࡢ ᖐ ࡀ ண ࡉ ࢀ ࡿ യᐖࡢῶᑡࡀ ᙳ㡪ࡋࡓ ࡢ࡛ࡣ࡞࠸ ⪃࠼ࡓ 㸬ࡲࡓ㸪୰࣭ 㛗ᮇ ࡢ➇ ᢏᖐᮇ㛫 ࡢῶᑡࡘ࠸ ࡚ࡣ㸪៏ ᛶയᐖࡢ୍ࡘ ࡛࠶ࡿ ⭝ ⅖/⭝࿘ᅖ⅖ࡢ㢧ⴭ࡞ ῶᑡࡀ㸪യᐖ
Ⓨ⏕⋡ࡢῶᑡ ᐤࡋ ࡓࡢ࡛ࡣ࡞࠸ ⪃࠼ ࡓ㸬
ᮏ◊✲࡛⾜ࡗ ࡓ ୗ⫥യ ᐖண㜵ࢺ࣮ࣞ ࢽࣥࢢࡣ 㸪ධᮇ 㛫⣙43㐌㛫㸦304᪥㛫㸧㸪 ࢺ࣮ࣞࢽࣥࢢ 㢖ᗘࡣ㐌 ࠶ࡓࡾ ⣙ 4 ᅇ 㸪1ᅇ ⾜ࡗࡓ㛫 ࡣ 20 ศ⛬ ᗘ࡛࠶ ࡿ 㸬ከ
ᩘࡢඛ⾜ㄽᩥ ࡽࡳࡽ ࢀࡿண㜵ࢺࣞ ࣮ࢽࣥࢢ ࡣ㸪 ධᮇ㛫 ⣙ 6㐌 ࡽ 12㐌㛫㸪 㢖ᗘࡣ㐌 2㹼3 ᅇ㸪 㛫ࡣ 1 ᅇࡘ ࡁ 10 ศ ࡽ 30 ศ⛬ᗘ࡛ ࠶ࡗ ࡓ㸬ᮏ◊✲ඛ
⾜ㄽᩥࡶ 㸪ධࡢ ࢱ࣑ࣥࢢ ࡘ࠸࡚ࡣ 㸪⦎⩦๓⾜ ࢃࢀ ࡚࠸ ࡿ࢛࣮࣑࢘
ࣥࢢࢵࣉࡢ ୰࡛ᐇ ࡉࢀ࡚࠸ࡿ 㸬 ඛ⾜ㄽᩥ ࡢ㐪࠸ࡣ㸪 ᮏ◊✲ࡣ ධᮇ㛫ࡀ 㛗࠸Ⅼ㸪㐌 ࠶ࡓࡾࡢ ࢺ࣮ࣞࢽࣥࢢ ᅇᩘ ࡀከ ࠸Ⅼ࡛࠶ࡿ㸬 ࢺ࣮ࣞࢽ ࣥࢢෆᐜ
173
ࡘ࠸࡚ࡣ㸪ඛ ⾜◊✲࡛ ࡣ ࣉ࣓ࣛࢺ ࣜࢵࢡせ ⣲ ࢆྲྀࡾධࢀ ࡓࢺ࣮ࣞ ࢽࣥࢢࡀከ ࡃࢆ༨ࡵ㸪ࣂ ࣛࣥࢫ⬟ ຊྥୖࢆ≺࠸ ࡋࡓ ࢺ ࣮ࣞࢽࣥࢢࡶ 」ᩘࡳࡽ ࢀࡿ㸬ࢪࣕ
ࣥࣉࢺ࣮ࣞࢽ ࣥࢢࡸ ࣂ ࣛࣥࢫࢺ࣮ࣞ ࢽࣥࢢࡣ 㸪 ⚄⤒➽ࢥࣥ ࢺ࣮ࣟࣝ ࡸᅛ᭷ឤぬ ჾࡢྥୖ↔ Ⅼࢆᙜ࡚ ࡓ ࢺ࣮ࣞࢽࣥ ࢢ࡛࠶ࡿ 㸬ᮏ◊✲ ࡛⾜ࡗࡓ ࢺࣞ ࣮ࢽࣥࢢࡣ 㸪 ࢪࣕࣥࣉࢺࣞ ࣮ࢽࣥࢢ ࡸࣂࣛࣥࢫࢺ ࣮ࣞࢽࣥ ࢢ ࡛ࡣ࡞ࡃ㸪 ㏻ᖖ⾜ࢃ ࢀ࡚࠸ࡿ ࢘
࢛࣮࣑ࣥࢢ ࢵࣉ ࡢ✀ ┠ࡋ࡚⾜ࢃ ࢀ࡚࠸ࡿ ࣛࣥࢪ㸪᪉ྥ ㌿㉮㸪 ษࡾ࠼ࡋ
ືస㸪ࢧࢻ ࢫࢸࢵࣉ 㸪ࢲࢵࢩࣗ ࡽࡢ ࢫࢺ ࢵࣉ➼ࡢືస ͆㊊ ㊑ࢆ㛤࠸࡚
ᗋࢆᥗࡴ͇ື సࢆ⾜ࢃ ࡏ ࡿ࠸ࡗࡓ ᣦᑟἲࢆ ⏝࠸ࡓⅬ ࡁ࡞≉ᚩ ࢆᣢࡘࡀ㸪 ᮏㄽᩥ◊ ✲ 2 ࡛㸪㊊㊑ 㛤ᣦ♧ࡀ㸪≉ࣛࣥ ࢹࣥࢢືస ࡢ ͆knee-in͇➼ࡢ
ືⓗୗ⫥ࣛ ࣓ࣥࢺ ࢆไᚚࡏࡿ ࠸࠺⤖ㄽ ࡽ㸪ࡲࡓ㸪 ◊✲ 5 ࡛ ㊊㊑ᢕᥱຊ ࡢඃࢀࡿ⪅ࡣ ㊊㒊࣮ ࢳ๛ᛶࡀ㧗ࡲ ࡿࡇ࡛ ㊊㒊ࢆᏳᐃࡉ ࡏ㸪 㟼ⓗ ୗ⫥ࣂࣛࣥ
ࢫಖᣢ⬟ຊྥ ୖᐤ ࡉࡏࡿࡇ㸪 ㊊㊑ᢕᥱ ຊࡢඃࢀࡿ⪅ ࡣ๓᪉ ࡢືⓗࣂࣛ
ࣥࢫಖᣢ⬟ຊ ࡀඃࢀ㸪 ∦⬮࠾ࡼࡧ୧ ⬮╔ᆅື సࡢ㊊㊑ᢕ ᣢືసᣦ ♧ࡀ ㊊㛵⠇
ࡸ⭸㛵⠇യᐖ ࡢῶᑡ ᐤࡉࡏࡿྍ ⬟ᛶࢆ♧ ၀ ࡋࡓࡇ㸪 ◊✲ 7 ࡛ 㸪㊊㊑㛤
ືసࡸ㊊㊑ᢕ ᣢືస ᣦ ♧ࡣ㸪ᑠ㊑እ ㌿➽ࡸẕ ㊑እ㌿➽ࡢ ㊊ 㒊ෆᅾ➽ ࡸ㊊㒊እᅾ
➽ࡢ➽⥭ᙇ ࡼࡾ㸪 ㊊ 㒊࣮ࢳࡢ๛ ᛶ ࡀ㧗ࡲ ࡿࡇ࡛㸪㊊ 㒊ࡢᏳᐃ ᛶᐤࡉ ࡏࡓࡇ㸪ࡑ ࡋ࡚㊊㊑ ࢺ࣮ࣞࢽࣥࢢ ࡀ ㊊㊑ࡢ ࣓࢝ࣀࣞࢭࣉ ࢱ࣮ࢆά ᛶࡉࡏ㸪 እຊᑐࡍࡿ ࣇ࣮ࢻ ࣂࢵࢡไᚚ ࡼࡾ㊊㒊 ࡢᶵ⬟ⓗᏳᐃ ᛶᐤ ࡉࡏࡿ࠸
࠺ඛ⾜ㄽᩥ ࡽࡢሗ࿌ ࢆྵࡵ࡚ 㸪㊊ 㛵⠇യᐖ ࢆྵࡵࡓୗ⫥ యࡢയ ᐖⓎ⏕⋡ࡢ ῶᑡᐤࡉ ࡏࡓྍ⬟ ᛶࡀ♧၀ࡉࢀ ࡓ㸬
ᮏ◊✲ࡢၥ㢟 Ⅼࡋ࡚ 㸪 ◊✲ 7 ྠᵝ 㸪ࢥࣥࢺ ࣮ࣟࣝ⩌ࢆタ ᐃࡋ࡚࠾ ࡽࡎ㸪
ධ⩌ࢥࣥࢺ ࣮ࣟࣝ⩌ ࡢẚ㍑᳨ドࡀ ᚲせ࡛࠶ ࡿ⪃࠼ࡿ㸬 ࡲࡓ㸪ᑐ ㇟⪅ᩘࢺ
࣮ࣞࢽࣥࢢ ධᮇ㛫 ࡘ࠸࡚㸪 ࢺࣞ ࣮ࢽࣥࢢ ධຠᯝ᳨ド ࡣ 㸪ᩘ ⓒே௨ୖࢆ
ᑐ㇟ࡋࡓ◊ ✲ࡀ㸪ࡉ ࡽࡣࡼࡾ㛗 ࠸ධᮇ 㛫ࡀᚲせ࡛࠶ ࡿ⪃࠼ 㸪 ᮏ◊✲࡛
⾜ࡗࡓᑐ㇟⪅ ᩘධ ᮇ㛫ࡼࡾ ᚓ ࡽࢀࡓ⤖ ᯝ ࡽ⤖ㄽࢆ ฟࡍࡢࡣ 㝈⏺ࡀ࠶ࡿ
⪃࠼ࡿ㸬
174
6-8-5. ⤖ㄒ
ᏛዪᏊࣛࢡ ࣟࢫ➇ᢏ ࢆᑐ㇟ࡋ ࡓ 㸪ୗ⫥യ ᐖண㜵ࢺ࣮ࣞ ࢽࣥࢢ ධࡀୗ⫥
യᐖⓎ⏕⋡➼ ཬࡰࡍ ᙳ㡪 ࡘ࠸࡚ ẚ㍑᳨ド ࡍࡿࡇࢆ┠ ⓗࡋ㸪 ㏻ᖖ⾜ࢃࢀ
࡚࠸ࡿ࢛࣮࢘ ࣑ࣥࢢ ࢵࣉ࣓ࢽ࣮ࣗ ࡢ ୰ࡢࣛ ࣥࢪࡸࢪࣕࣥ ࣉࡽࡢ ╔ᆅ ືస㸪 ࢧࢻࢫࢸࢵ ࣉ➼ࡢ ື స͆㊊㊑ ࢆ㛤࠸࡚ ᗋࢆᥗࡴ ͇ࢆ ᣦ♧ࡍࡿ ືసᣦᑟἲ ࡢධࡼࡾ ᚓࡽࢀࡓ ⤖ᯝࡣ 㸪ධ ᚋࡣධ ๓ẚ㍑ࡋ࡚ 㸪
1) ⥲യᐖⓎ⏕ᩘ ࠾ࡼࡧ ⥲ യᐖⓎ⏕⋡ࢆ ῶᑡࡉࡏ ࡓ㸬
2) യ ᐖ ࡢ 㒊 ࡘ ࠸ ࡚ ࡣ 㸪 ㊊ 㒊/ࡘ ࡲ ඛ 㸪 ୗ ⭣ 㸪 ⫤ 㛵 ⠇യ ᐖ Ⓨ ⏕ ⋡ ࢆ ῶ ᑡ ࡉࡏࡓ㸬ࡲࡓ㸪ࢃ ࡎ ࡛ࡣ࠶ࡿࡀ㊊ 㛵⠇യᐖ Ⓨ⏕⋡ࢆῶᑡ ࡉࡏࡓ㸬ୗ⫥య ࡢ യ ᐖ Ⓨ ⏕ ⋡ࡢ ῶ ᑡ ࡀ 㢧 ⴭ ࡛ ࠶ ࡗ ࡓ㸬 യ ᐖ ࡢ ✀ 㢮 ࡘ ࠸ ࡚ࡣ 㸪 ⭝ ⅖/ ࿘ ᅖ
⅖㸪ᡴ᧞/⾑⭘/യ㸪യᐖⓎ⏕⋡ ࢆῶᑡࡉ ࡏࡓ㸬യᐖࡢཎ ᅉ ࡘ ࠸࡚ࡣ㸪 ᥋ゐᆺയᐖ㸦 ࡢ㑅ᡭ 㸧㸪㠀᥋ゐᆺയ ᐖ㸪 ࠸ࡍࡂ㸦ᚎࠎ 㸧ࡼ ࡿയᐖⓎ
⏕⋡ࢆῶᑡࡉ ࡏ ࡓ㸬
3) യᐖࡢᅇᩘ ࡘ࠸࡚ ࡣ 㸪≉ึᅇཷയ Ⓨ⏕⋡ ࢆῶᑡࡉࡏ 㸪➇ ᢏᖐ ࡲ࡛ࡢᮇ 㛫ࡘ࠸࡚ࡣ㸪1㹼2 ᪥ 3㹼7 ᪥࡛➇ᢏ ᖐ ྍ⬟࡛࠶ࡗࡓ യᐖ Ⓨ⏕ ⋡ࢆῶᑡ ࡉࡏࡓ㸬
4) ࢛࣮࣑࢘ࣥࢢ ࢵࣉ࣓ ࢽ࣮ࣗ ࡛⾜ࢃ ࢀ࡚࠸ࡿ ࢪࣕࣥࣉࡽ ࡢ╔ᆅ ື స㸪ࢧ
ࢻࢫࢸࢵࣉ 㸪ࣛࣥࢪ ➼ ࡢືస㊊ ㊑㛤 ࠾ ࡼࡧ㊊㊑ᢕᣢ ࢆ ᣦ♧ࡍ ࡿᣦᑟἲ ࡣ㸪㊊㊑ᢕᥱຊ ࡸ㊊㊑ 㛤⬟ ࢆྥୖ ࡉࡏ 㸪㟼 ⓗ࠾ࡼࡧືⓗ ୗ⫥ࣂࣛ ࣥࢫ⬟ຊ
ࢆྥୖࡉࡏࡿ ࠸࠺ ඛ ⾜⤖ᯝࢆ㏻ࡋ ࡚㸪ୗ ⫥ യᐖⓎ⏕⋡ࡢ ῶᑡ ࡀ㢧 ⴭ♧ࡉ
ࢀࡓࡇࡽ 㸪ୗ⫥ യ ᐖண㜵ࢺ࣮ࣞ ࢽࣥࢢࡢ ᣦᑟἲࡢ୍ࡘ ࡞ࡿྍ ⬟ᛶࡀ♧
၀ࡉࢀࡓ㸬
175
➨
➨ 7 ❶
⥲ྜ⪃ᐹ
176
⥲
⥲ྜ ⪃ᐹ
ᮏ◊✲ࡣ㸪ࢫ ࣏࣮ࢶയ ᐖ ண㜵ࡢྲྀࡾ ⤌ࡳࡋ ࡚㸪van Mechelen ࡽ ࡀ♧ࡋࡓ 4 ẁ㝵ࣔࢹࣝࢆ Ꮫ ዪᏊࣛࢡࣟࢫ ➇ᢏࢆᑐ ㇟ 㸪ࢫ࣏࣮ ࢶയᐖࡢ ᐇែࡢᢕᥱ
യᐖண㜵ࡢ ᐇ㊶ ࢆࢸ ࣮࣐㸪㊊㛵 ⠇⭸๓ ༑Ꮠ㠌ᖏയᐖ ↔Ⅼࢆ ᙜ࡚࡚ ◊✲
࠾ࡼࡧ᳨ドࢆ ⾜ࡗࡓ㸬 ᮏ◊✲࡛ᚓࡽ ࢀࡓ ⤖ᯝ ⤖ㄽࢆ௨ୗ ♧ࡍ㸬
Ϩ㸬ᏛዪᏊ ࣛࢡࣟࢫ ➇ᢏࢆᑐ㇟ 㸪യᐖࡢ 㒊࣭✀㢮࣭ ཎᅉ➼ࡢ യᐖࡢ≉ᚩ
ࢆ᫂ࡽࡍ ࡿࡇࢆ ┠ⓗ㸪2 ᖺ㛫ࡢയᐖ ㄪᰝࢆ⾜࠸㸪 ᚓࡽࢀࡓ ࡞⤖ᯝ
ࢆ௨ୗ♧ࡍ 㸦◊ ✲ 1㸧㸬
1) യᐖࡢ 9 ௨ୖࡀ ⦎ ⩦Ⓨ⏕ࡋ 㸪ヨྜ Ⓨ⏕ࡋࡓയ ᐖࡣ 1 ⛬ᗘ
࡛࠶ࡗࡓ㸬
2) ᭱ࡶ ከࡃ Ⓨ⏕ ࡋࡓ യᐖ 㒊 ࡣ ͂ ㊊㛵 ⠇̓ 㸪ḟ ͂ ⭸㛵 ⠇̓ ࡛㸪 ୗ⫥ ࡢയ ᐖࡘ࠸࡚ࡣ യᐖ ࡢ 7 ⛬ ᗘࢆ༨ࡵ ࡚࠸ ࡓ㸬യᐖࡢ✀ 㢮 ࡛᭱ࡶ ከ࠸ࡢ ࡣ͂ ࡛̓ 㸪യ ᐖࡢ ཎᅉ ࡘ ࠸࡚ ࡣ ͂ ࠸ ࡍࡂ ̓ ࡼࡿ ࡶࡢ ࡀ ᭱ ከ࡛
࠶ࡗࡓ㸬
3) Ꮫ ዪᏊ ࣛࢡ ࣟࢫ ࡢ ࡓࡿ യᐖ ࡢ≉ ᚩࡣ ͂㠀 ᥋ゐ ᆺࡢ ㊊㛵 ⠇ ̓ ࡛࠶
ࡗࡓ㸬
4) യᐖࡢ 3 ⛬ᗘࡀ㸪 ྠ㒊ࡢཷ യࢆ㈇ࡗ ࡚࠸ࡓ 㸬
5) ᏛᖺูയᐖⓎ ⏕⋡ࡘ ࠸࡚ ࡣ㸪4ᖺ⏕ ࡢയᐖ Ⓨ⏕⋡ࡀ᭱ࡶ 㧗ࡃ㸪1ᖺ⏕
ẚ࡚࠾࠾ࡼ ࡑ 2ಸ㧗 ࠸Ⓨ⏕⋡ࢆ♧ ࡋࡓ 㸬
6) ࣏ࢪࢩูࣙࣥ ࡳࡓയ ᐖ Ⓨ⏕ᩘࡣ㸪 ࣑ࢵࢻࣇ ࣝࢲ࣮ࡀ᭱ ࡶ ከࡗ ࡓ㸬 7) Ꮫࡽࣛࢡ ࣟࢫ➇ᢏ ࢆ㛤ጞ ࡋࡓࡶ ࡢࡀయ ࡢ 95㸣⛬ᗘࡳࡽࢀ ࡓ 㸬 ϩ㸬◊✲ 2 ࡛ࡣ㸪ୗ⫥ യᐖண㜵ࢺࣞ ࣮ࢽࣥࢢ ධ᳨ウࡢࡓ ࡵࡢᇶ♏ ⓗ◊✲ࡋ
࡚㸪㊊㊑ᶵ⬟ ືⓗୗ ⫥࣓ࣛࣥ ࢺ ࡢ㛵 㐃ᛶࡸ㊊㊑ᶵ ⬟ࡀືⓗ ୗ⫥ࣛ
࣓ࣥࢺཬ ࡰࡍᙳ㡪 ࡘ࠸᳨࡚ウ ࡍࡿࡇ ࢆ┠ⓗࡋ㸪 ∦⬮ࢫࢡ ࣡ࢵࢺ㸪
∦⬮ࢻࣟࢵࣉ ࣛࣥࢹ ࣥࢢ㸪࢝ࢵࢸ ࣥࢢ ࢆ ㄢ㢟ືసタ ᐃࡋ ࡚⾜ ࠸㸪௨ୗ
ࡢ⤖ㄽࢆᚓࡓ 㸬
1) ∦⬮ ࢫࢡ ࣡ࢵ ࢺ ∦ ⬮ࢻ ࣟࢵ ࣉࣛ ࣥࢹ ࣥ ࢢ ࡢ ㊊ ㊑㛤 ⬟ ⭸ ෆ᪉ ೫ ⋡㸪 ⭸እ ⋡ 㸪⫤ 㛵⠇ ෆ㌿ ゅࡢ ࢫࢱ ࣥࢹ ࣥ ࢢ࣏ ࢪࢩ ࣙࣥ ࡽ ࢫࢡ
࣡ࢵࢺ࣏ࢪࢩ ࣙࣥࡲ࡛ ࡢኚ㔞 ࡢ 㛫᭷ព ࡞㈇ࡢ┦㛵ࡀ ㄆࡵࡽࢀ ࡓ㸬
177
2 ) ㊊ᣦ 㛤 ⬟ࡢ ᑠ࣭ ୰࣭ ⩌ ࡢẚ ㍑ ࠾࠸ ࡚㸪 ∦⬮ ࢻࣟ ࢵࣉ ࣛࣥ ࢹ ࣥࢢ
࡛ࡣ 㸪㊊ ㊑㛤 ⬟ ඃ ࢀ࡚ ࠸ࡿ ࡶࡢ ࡣ୰ ➼ᗘ ㊊ ㊑㛤 ࡢ ࡛ࡁ ࡿࡶ ࡢ
ẚ ࡚᭱ ࡋ ࡷࡀ ࡳࡇ ࡳ ࡢ⭸ ෆ᪉ ೫ ⋡ࡀ ࡼࡾ ᑠ࡛ ࠶ࡗ ࡓ㸬 ㊊㊑ 㛤
⬟ ඃࢀ ࡚࠸ ࡿࡶ ࡢࡣ ୰➼ ᗘ ㊊㊑ 㛤 ࡢ࡛ ࡁࡿ ࡶࡢ ࠾ࡼ ࡧ㊊ ㊑㛤 ⬟
ஈ ࡋ࠸ ࡶࡢ ẚ ᭱ ࡋ ࡷࡀ ࡳࡇ ࡳ ࡢ⭸ እ ⋡ࡀ ࡼࡾ ᑠ࡛ 㸪╔ ᆅ
ࡽ ᭱ ࡋࡷ ࡀࡳ ࡇࡳ ࡲ ࡛ࡢ ⭸ෆ ᪉೫ ⋡ ࡢኚ 㔞 ࡀࡼ ࡾᑠ ࡛࠶ ࡗࡓ 㸬
㊊㊑ 㛤 ⬟ ඃࢀ ࡚࠸ ࡿࡶ ࡢࡣ ୰➼ ᗘ ㊊㊑ 㛤 ࡢ࡛ ࡁࡿ ࡶࡢ ẚ ╔
ᆅ ࡽ ᭱ ࡋࡷ ࡀࡳ ࡇࡳ ࡲ ࡛ࡢ ⭸እ ⋡ ࡢኚ 㔞 ࡶࡼ ࡾᑠ ࡛࠶ ࡗࡓ 㸬
╔ᆅ ࡢ ⫤㛵 ⠇ෆ ㌿ゅ 㸪╔ ᆅ ࡽ ᭱ ࡋࡷ ࡀࡳ ࡇࡳ ࡲ ࡛ࡢ ⫤㛵 ⠇ෆ
㌿ゅ ࡢኚ 㔞 ࠸ࡎ ࢀࡶ ࡀ㸪 ㊊㊑ 㛤 ⬟ ඃࢀ ࡚࠸ ࡿࡶ ࡢࡣ ୰➼ ᗘ ㊊㊑
㛤 ࡢ࡛ ࡁࡿ ࡶࡢ ࠾ࡼ ࡧ ㊊ ㊑㛤 ⬟ ஈ ࡋ࠸ ࡶࡢ ẚ 㸪 ࡼࡾ ᑠ࡛ ࠶ࡗ ࡓ㸬
3) ㊊㊑ 㛤 ᣦ♧ ࡢ᭷ ↓ࡢ ẚ㍑ ࡛ࡣ 㸪 ∦ ⬮ࢻ ࣟࢵ ࣉࣛ ࣥࢹ ࣥ ࢢ ࠾࠸ ࡚㸪
ࢽ ࢩࣕ ࣝࢥ ࣥࢱ ࢡࢺ ࡢ⭸ ෆ᪉ ೫ ⋡࠾ ࡼࡧ ⭸እ ⋡ ࢆ᭷ ព ቑຍ ࡉࡏ 㸪
ࣛࣥ ࢹ ࣥࢢ ࣏ࢪ ࢩࣙ ࣥࡢ ⫤㛵 ⠇ෆ ㌿ゅ ࢆ᭷ ព ῶᑡ ࡉࡏ ࡓ㸬 ࡋ ࡋ
ࢽࢩ ࣕࣝ ࢥࣥ ࢱࢡ ࢺ ࡽࣛ ࣥࢹ ࣥ ࢢ࣏ ࢪࢩ ࣙࣥ ࡲ࡛ ࡢ⭸ እ ⋡ࡢ ኚ
㔞ࡣ᭷ពῶ ᑡࡋࡓ㸬
4) ㊊㊑㛤ࡀඃ ࢀࡿࡶࡢ ࡣ㸪㊊ ㊑㛤࠾ ࡼࡧ㊊ ㊑ᢕᣢ ືసࡢ ᣦ♧ ࡶ㸪
≉ ∦⬮ ࢻࣟ ࢵࣉ ࣛࣥ ࢹ ࣥࢢ ࠾ ࠸࡚ ⭸㛵 ⠇እ ࢆ ࡼࡾ ไᚚ ࡋࡓ 㸬㊊
㊑㛤 ⬟ ࢆ㧗 ࡵࡿ ࢚ࢡ ࢧࢧ ࢬ ࠕ ㊊㊑ ࢆ㛤 ࠸࡚ ᗋࢆ ᥗࡴ ࠖ ࠸࠺ ືస ᣦ♧ ࡣ㸪 ࢪࣕ ࣥࣉ ࡽ ࡢ╔ ᆅື స ࡚ከ Ⓨࡍ ࡿ⭸ ๓༑ Ꮠ㠌 ᖏയ ᐖࢆ ྵࡵ
ࡓୗ ⫥യ ᐖண 㜵 ࡘ࡞ ࡀࡿ ྍ⬟ ᛶࡢ ࠶ࡿ 㐠ື ᣦᑟ ἲࡢ ୍ࡘ ࡋ ࡚ࡑ ࡢ᭷
⏝ᛶࡀ♧၀ࡉ ࢀࡓ㸬
Ϫ㸬ዪᏊࣛࢡ ࣟࢫ യᐖ Ⓨ⏕ࡢཎᅉ㸪 യᐖ࣓࢝ ࢽࢬ࣒ࢆ᫂ࡽ ࡍࡿ ࡇ ࢆ┠ⓗ
ࡋ㸪≉യ ᐖ㔜ᗘ ࡢ 㧗࠸⭸๓༑ 㠌ᖏ യᐖ Ⓨ⏕࣓࢝ࢽࢬ ࣒ ╔┠ ࡋ࡚ືసศ ᯒࢆ⾜ࡗࡓ㸬 ㄢ㢟ືస ࡣࢻࣟࢵࣉ ࣂ ࣮ࢸ࢝ ࣝ ࢪࣕࣥࣉ ࢝ࢵࢸ ࣥࢢືస ࡛
178
࠶ࡾ㸪ࣛࢡࣟ ࢫࢫࢸ ࢵࢡࡢಖᣢ ࠶ ࡾ࣭࡞ࡋ ࡛⾜ࢃࡏࡓ ࡁࡢ ືⓗ ୗ⫥ࣛ
࣓ࣥࢺࡢኚ ࢆẚ㍑᳨ ドࡋ 㸦◊ ✲ 3㸪4㸧㸪 ᚓࡽࢀࡓ⤖ᯝ ࡣ㸪
1) ࣛࢡ ࣟࢫ ࢫࢸ ࢵ ࢡ ࢆ ಖᣢ ࡉࡏ ࡚⾜ ࢃࡏ ࡓ ࢻ ࣟࢵ ࣉࣂ ࣮ࢸ ࢝ ࣝ ࢪ ࣕࣥ
ࣉືసࡣ㸪ಖ ᣢ࡞ࡋࡢ ẚ࡚㸪 ⭸㛵⠇ᒅ ᭤ゅᗘ ࡀ᭷ព ῶᑡࡋ ࡓ㸬 2) ࣛࢡ ࣟࢫ ࢫࢸ ࢵ ࢡ ࢆ ಖᣢ ࡉࡏ ࡚⾜ ࢃࡏ ࡓ࢝ ࢵࢸ ࣥ ࢢື సࡣ 㸪ಖ ᣢ࡞
ࡋࡢẚ ࡚㸪⫤㛵 ⠇ෆ㌿ゅᗘ ࡀ ᭷ពቑ ຍࡋࡓ㸬
3) ࣛࢡ ࣟࢫ ➇ᢏ ≉Ṧ ᛶࡢ ୍ࡘ ࡛࠶ ࡿࢫ ࢸ ࢵࢡ ࢆಖ ᣢࡋ ࡓ≧ ែ࡛ ࡢࢪ ࣕࣥ
ࣉࡽࡢ╔ᆅ ࡸ࢝ࢵࢸ ࣥࢢືసࡣ㸪⭸๓༑ 㠌ᖏയᐖせᅉ ࡢ୍ࡘ࡛ ࠶ࡿ㸪
⭸㛵 ⠇ᒅ ᭤ゅ ᗘࡢ ῶᑡ ࠾ࡼ ࡧ⫤ 㛵⠇ ෆ㌿ ゅᗘ ࡢ ቑ ຍࢆ ⏕ࡌ ࡉࡏ 㸪ዪ Ꮚࣛ
ࢡࣟ ࢫ࡛ Ⓨ⏕ ࡍࡿ ⭸๓ ༑㠌 ᖏയ ᐖ࣓ ࢝ࢽ ࢬ࣒ ࡢ୍ ࡘ ࡋ࡚ ᪂ࡓ ࡞▱ ぢ
࡞ࡿྍ⬟ᛶࡀ ♧၀ࡉࢀ ࡓ㸬
ϫ㸬◊✲ 5㸪◊✲ 6 ࡛ࡣ⭸๓༑㠌ᖏ യᐖࢆྵ ࡵࡓୗ⫥യᐖ ண㜵ࡢࡓ ࡵࡢࢫࢡࣜ
࣮ࢽࣥࢢࢸࢫ ࢺࡢ୍⪃ ᐹࡋ࡚ ⾜࠸㸪◊✲ 5 ㊊㊑ᢕᥱຊ 㟼ⓗ࠾ࡼ ࡧືⓗࣂ
ࣛࣥࢫ⬟ຊ ࡢ㛵㐃ᛶ 㸪࠾ࡼࡧ㊊㊑ ᢕᥱຊࡢ ᑠࡀ 㟼ⓗ࠾ ࡼࡧືⓗ ࣂࣛࣥࢫ
⬟ຊཬࡰࡍ ᙳ㡪 ࡘ ࠸࡚௨ୗࡢ⤖ ㄽࢆᚓࡓ 㸬
1) ྑ㊊ ㊑ᢕ ᥱຊ 㔜 ᚰື ᦂᛶ ࡢ 㔜 ᚰ⥲ ㌶㊧ 㛗㸪 㔜ᚰ ༢ ㌶㊧ 㛗 ࡢ㛫 ᭷
ព࡞㈇ࡢ┦㛵 㛵ಀࢆ♧ ࡋࡓ㸬
2) ྑ㊊ ㊑ᢕ ᥱຊ ࡢ ࡁ࠸ ⩌ࡣ ᑠࡉ ࠸⩌ ẚ ㍑ࡋ 㸪㔜 ᚰື ᦂᛶ ࡢ 㔜 ᚰ⥲ ㌶㊧
㛗㔜ᚰ༢ ㌶㊧㛗 ࠾࠸࡚㸪᭷ព ㌶㊧㛗 ࡀ ▷ࡗࡓ㸬
3) ᕥ㊊㊑ᢕᥱຊ ࡢ ࡁ࠸ ⩌ࡣᑠࡉ࠸⩌ ẚ㍑ࡋ 㸪Star Excursion Balance Test ࡢ๓᪉࣮ࣜࢳ 㛗 ࠾࠸ ࡚㸪᭷ពࣜ ࣮ࢳ㛗ࡀ 㛗ࡗࡓ㸬
4) ㊊㊑ ᢕᥱ ຊ ࡣ 㸪㟼 ⓗࣂ ࣛࣥ ࢫಖ ᣢ⬟ ຊ 㛵㐃 ᛶࢆ ♧ࡋ ࡓࡇ 㸪 ࡲࡓ 㸪㊊
㊑ᢕ ᥱຊ ࡢ ᑠࡀ 㟼ⓗ ࠾ࡼ ࡧື ⓗࣂ ࣛࣥ ࢫಖ ᣢ⬟ ຊࡢ ୍㒊 ᙳ 㡪ࢆ ཬࡰ
ࡋ㸪 ㊊㊑ ᢕᥱ ືస ࠾ࡼ ࡧ㊊ ㊑ᢕ ᥱຊ ྥୖ ࢚ࢡ ࢧࢧ ࢬ ࡀ㸪 㟼ⓗ ࠾ࡼ ࡧື
ⓗࣂࣛࣥࢫ⬟ ຊྥୖ ࡘ࡞ࡀࡿྍ⬟ ᛶࡀ♧၀ ࡉࢀࡓ㸬
㟼ⓗୗ⫥ࣛ ࣓ࣥࢺ ࡸୗ⫥㛵⠇ྍ ືᇦ㸪 ㌟㛵⠇ᘱ⦆ᛶ 㸪⫤㛵⠇ እ㌿➽
ຊࢻࣟࢵࣉ ࣂ࣮ࢸ ࢝ࣝ ࢪࣕࣥࣉ ືసࡢ ୗ⫥࢟ࢿ࣐ࢸ ࢡࢫ࣭࢟ࢿࢸ
ࢡࢫࡢ㛵㐃 ᛶ 㸦◊ ✲ 6㸧ࡘ࠸࡚ ࡣ㸪௨ ୗࡢ⤖ㄽࢆᚓ ࡓ㸬
179
1) Q-angle㸪Femoral anteversion angleࡢᑠ 㸪᭱⭸㛵 ⠇እ㌿ゅ ᗘ ࠾ࡼࡧ
⭸㛵 ⠇እ ㌿ゅ ᗘ೫ 㔞 ࡢ ᑠ ࡢ㛵 㐃ᛶ ࡀㄆ ࡵࡽ ࢀ㸪 ⫤㛵 ⠇እ ㌿➽ ຊࡢ
ᑠ 㸪 ᭱ ⭸㛵 ⠇እ ㌿ゅ ᗘ࠾ ࡼࡧ ⭸ 㛵 ⠇እ ㌿ゅ ᗘ೫ 㔞 ࡢᑠ ࡢ㛵 㐃ᛶࡀㄆࡵࡽ ࢀࡓ 㸬
2) ࣮ ࢳ㧗 ⋡࠾ ࡼࡧ ㊊㛵 ⠇⫼ ᒅゅ ᗘ ᗋ ຊ ࡢ㛵 ಀ ࠾࠸ ࡚㸪 ࣮ ࢳ㧗
⋡ࡢ 㧗ప 㸪 ᗋ ຊࡢ ᑠ ࡢ 㛵㐃 ᛶࡀ ㄆࡵ ࡽࢀ 㸪 ㊊ 㛵⠇ ⫼ᒅ ゅᗘ ࡢ
ᑠ㸪ᗋຊ ࡢᑠ ࡢ㛵㐃ᛶࡀㄆ ࡵࡽࢀ ࡓ 㸬
3) ⭸๓ ༑㠌 ᖏയ ᐖ ࢆ ྵࡵ ࡓୗ ⫥യ ᐖண 㜵ࡢ ࡓࡵ ࡢࢫ ࢡࣜ ࣮ࢽ ࣥࢢ ࢆ┠ ⓗ
ࡋ࡚ 㸪ࢻ ࣟࢵ ࣉ ࣂ ࣮ࢸ ࢝ ࣝࢪ ࣕࣥ ࣉࢆ ⾜ࢃ ࡏࡓ ࡁ ࡢ⭸ 㛵⠇ እ㌿ ືస
࠾ ࡼ ࡧ ⫤ 㛵 ⠇ ෆ ㌿ ື స ࡸ 㛵 ⠇ ࣔ ࣮ ࣓ ࣥ ࢺ ╔ ┠ ࡋ ࡚ ホ ౯ ࡍ ࡿ ሙ ྜ 㸪 Q-angle㸪Femoral antevertion angle㸪⫤㛵⠇ እ㌿➽ຊࡢ ᐃ㡯┠ࢆ ྵࡵࡓ ホ౯ࡢ᭷⏝ᛶ ࡀ♧ࡉࢀ ࡓ㸬ࡲࡓ㸪╔ᆅࡢ ⾪ᧁ ⦆⾪⬟ࡢホ౯ 㡯┠ࡋ ࡚ 㸪
࣮ࢳ㧗⋡ ㊊㛵⠇⫼ ᒅゅᗘ ࢆྵࡵ ࡓホ౯ ࡢ ᭷⏝ᛶࡀ♧ࡉ ࢀࡓ㸬
Ϭ㸬㏻ᖖ⾜ࢃ ࢀ࡚࠸ࡿ ࢛࣮࣑࢘ࣥࢢ ࢵࣉ࣓ ࢽ࣮ࣗ ࡢ୰࡛ ᐇࡉࢀ ࡚࠸ࡿ ࣛࣥ
ࢪࡸࢪࣕࣥࣉ ࡽࡢ╔ ᆅືస㸪ࢧ ࢻࢫࢸࢵ ࣉࡸษࡾ㏉ࡋ ືస ͆㊊㊑ࢆ
㛤࠸࡚ᗋࢆᥗ ࡴ ͇ࡢື సᣦᑟἲࢆ ୗ ⫥യᐖண 㜵ࢺ࣮ࣞࢽࣥ ࢢ ࡋ࡚ ධࡉࡏ 㸪
◊✲ 7࠾࠸ ࡚ࡣ ㊊㊑ ᢕᥱຊ㸪㊊㒊 ᙧែ㸪 㟼 ⓗ࠾ࡼࡧືⓗ ࣂࣛࣥࢫ ⬟ຊ ཬ
ࡰࡍᙳ㡪ࢆ㸪 ◊✲ 8 ࠾࠸࡚ࡣയᐖ Ⓨ⏕⋡➼ ཬࡰࡍᙳ㡪 ࡘ࠸࡚ ධຠᯝ
᳨ドࢆ⾜ࡗࡓ 㸬 ⤖ㄽࡣ ௨ୗࡢ㏻ࡾ࡛ ࠶ࡿ 㸬
1) ㊊㊑㛤⬟㸪 ㊊㊑ᢕᥱ ຊ㸪࣮ࢳ㧗 ⋡ࡘ࠸ ࡚㸪 ධᚋࡣ ධ๓ ẚ㍑
ࡋ࡚㸪ᕥྑ㊊ ࠸ࡎࢀ ࠾࠸࡚ࡶ᭷ព ቑຍ ࡋ ࡓ㸬
2) Star excursion balance test ࡘ࠸࡚ࡣ㸪ᚋෆ ᪉࠾ࡼࡧᚋእ ᪉ ࡘ࠸ ࡚㸪ᕥ
ྑ⬮࠸ࡎࢀࡶ ධᚋ ᭷ពྥୖࡋ ࡓ㸬
3) ࣛࣥࢪࡸࢪࣕ ࣥࣉࡽ ࡢ╔ᆅືస㸪 ࢧࢻࢫ ࢸࢵࣉࡸษࡾ ㏉ࡋືస
͆㊊㊑ࢆ㛤࠸ ࡚ᗋࢆᥗ ࡴ ͇ືసࢆᣦ ♧ࡍࡿᣦ ᑟἲࡣ㸪㊊㊑ ᶵ⬟࠾ࡼ ࡧື
ⓗࣂࣛࣥࢫ⬟ ຊࢆྥୖ ࡉࡏࡿ࠸࠺ ⤖ᯝࡽ 㸪ୗ⫥ യᐖண 㜵ࢆ┠ⓗ ࡋ ࡓᣦᑟ᪉ἲ ࡞ ࡿྍ⬟ ᛶࡀ♧၀ࡉࢀ ࡓ㸬
4) യᐖⓎ⏕⋡ ࡘ࠸࡚ࡣ 㸪 ⥲യᐖⓎ⏕ ⋡ ࢆῶᑡ ࡉࡏࡓ㸬യᐖ ࡢ㒊 ࡘ࠸
࡚ࡣ㸪≉ ㊊ 㒊/ࡘ ࡲ ඛ 㸪 ୗ ⭣ 㸪 ⫤ 㛵 ⠇ യ ᐖ Ⓨ ⏕ ⋡ ࢆ ῶ ᑡ ࡉ ࡏ ࡓ 㸬 ࡲ ࡓ 㸪
180
ࢃࡍ࡛ࡣ࠶ ࡿࡀ㊊㛵 ⠇യᐖⓎ⏕⋡ ࢆῶᑡࡉ ࡏࡓ㸬
5) യᐖࡢ✀㢮 ࡘ࠸࡚ࡣ 㸪⭝⅖/࿘ᅖ⅖㸪ᡴ ᧞/⾑⭘/യ㸪 ࡢ യᐖⓎ
⏕⋡ࢆῶᑡࡉ ࡏ 㸪യᐖ ࡢཎᅉࡘ࠸ ࡚ࡣ㸪 ᥋ ゐᆺയᐖ㸦 ࡢ㑅ᡭ㸧 㸪㠀 ᥋ゐᆺയᐖ㸪 ࠸ࡍࡂ 㸦ᚎࠎ㸧 ࡼࡿയᐖ Ⓨ⏕⋡ࢆῶᑡ ࡉࡏ ࡓ㸬 6) യᐖࡢᅇᩘ ࡘ࠸࡚ࡣ 㸪≉ ึᅇཷ യ࡞ࡿ യᐖⓎ⏕⋡ࢆ ῶᑡࡉࡏ ࡓ㸬 7) ➇ᢏᖐࡲ࡛ ࡢᮇ㛫 ࡘ࠸࡚ࡣ㸪1㹼2 ᪥ 3㹼7 ᪥࡛➇ᢏ ᖐྍ⬟ ࡛࠶
ࡿẚ㍑ⓗ▷ᮇ 㛫࡛ᖐ ྍ⬟࡞ യᐖⓎ ⏕⋡ࢆప ୗࡉࡏࡓ㸬
8) ࢛࣮࣑࢘ࣥࢢ ࢵࣉ࣓ ࢽ࣮࡛ࣗ⾜ࢃ ࢀ࡚࠸ࡿ ࢪࣕࣥࣉࡽ ࡢ╔ᆅ ື స㸪 ࢧࢻࢫࢸࢵ ࣉ㸪ࣛࣥ ࢪ➼ࡢ ືస ㊊㊑㛤 ࠾ࡼࡧ㊊㊑ ᢕᣢࢆᣦ ♧ࡍ
ࡿᣦᑟἲࡣ㸪 ◊✲ 7࡛ ᚓࡽࢀࡓ㊊㊑ ᢕᥱຊࡸ ㊊㊑㛤⬟㸪 ືⓗୗ⫥ ࣂࣛ
ࣥࢫ⬟ຊࢆྥ ୖࡉࡏࡿ ࠸࠺⤖ᯝ ࢆ ㏻ࡋ࡚㸪 ≉ୗ⫥യᐖ Ⓨ⏕⋡ࢆ ῶࡌ ࡉࡏ㸪ୗ⫥യ ᐖண㜵ࢺ ࣮ࣞࢽࣥࢢࡢ ᣦᑟἲࡢ ୍ࡘ ࡞ࡿྍ ⬟ᛶࡀ♧ ၀ࡉ
ࢀࡓ㸬
ᮏ◊✲ࡣ㸪ዪ Ꮚࣛࢡࣟ ࢫ➇ᢏࢆᑐ㇟ ࡋ࡚㸪 യᐖࡢᐇែㄪ ᰝ㸪ୗ⫥ യᐖࡢ୰
࡛㔜ᗘࡢ㧗 ࠸⭸๓༑ Ꮠ㠌ᖏയᐖ࣓ ࢝ࢽࢬ࣒ ࡢゎ᫂㸪 ୗ⫥ യᐖண㜵 ࢺ࣮ࣞࢽࣥ
ࢢࡢධ㸪ୗ ⫥യᐖண 㜵ࡢࡓࡵࡢࢫ ࢡ࣮ࣜࢽ ࣥࢢ ࢸࢫࢺࡢ ᭷⏝ᛶ ࡘ࠸࡚㸪㊊
㛵⠇യᐖ⭸ ๓༑Ꮠ㠌 ᖏയᐖ╔┠ ࡋ᳨࡚ウ ᳨࣭ドࢆ⾜ࡗ ࡓ 㸬 ㊊㊑ 㛤࠾ࡼࡧ
㊊㊑ᢕᣢືస ࢆᣦ♧ࡍ ࡿᣦᑟἲࡼ ࡿ ୗ⫥യ ᐖண㜵ࢺ࣮ࣞ ࢽࣥࢢ ධࡣ㸪⥲യ ᐖⓎ⏕⋡ࢆῶ ᑡࡉࡏ㸪 ≉ୗ⫥യᐖ Ⓨ⏕⋡ ࢆ ῶᑡࡉࡏࡓ㸬 ⭸㛵⠇യ ᐖⓎ⏕⋡ ࡢ ῶᑡࡣࡳࡽࢀ ࡞ࡗࡓ ࡀ 㸪㊊㛵⠇യ ᐖⓎ⏕⋡ ࢆࢃࡎ࡛ࡣ ࠶ࡿࡀ ῶ ᑡࡉࡏࡓ㸬
ࡲࡓ㸪 ࡼࡿയᐖ Ⓨ⏕⋡ ࡀῶᑡ ࡋࡓ㸬ࡇ ࢀࡣ㸪╔ᆅື స㊊ ㊑㛤㊊
㊑ᢕᣢࢆᣦ♧ ࡋࡓ ᣦᑟ ࡼࡾ㸪㊊㊑ 㛤⬟ ㊊㊑ᢕᥱຊ ࡀ ྥୖࡋ㸪 ㊊㒊࣮ࢳ
๛ᛶࡀ㧗ࡲࡿ ࡇ࡛㊊ 㒊Ᏻᐃᛶᐤ ࡉࡏ㸪 㟼ⓗ࠾ࡼࡧື ⓗୗ⫥ࣂ ࣛࣥࢫಖᣢ
⬟ຊࢆྥୖࡉ ࡏࡿࡇ 㸪ࡲࡓ㸪㊊㊑ ࢺ࣮ࣞࢽ ࣥࢢࡀ ⚄⤒➽ ༠ㄪᛶࢆ ྥୖࡉࡏࡿ
ࡇ࡛㸪≉ ㊊㒊ࡢᶵ ⬟ⓗᏳᐃᛶ ྥ ୖᐤ ࡉࡏ ࡓࡇࡀ ㊊㛵⠇യ ᐖࡢῶᑡࡸ
ୗ⫥യᐖⓎ⏕ ⋡ࡢῶᑡ ࡘ࡞ࡀࡗࡓ ྍ⬟ᛶࢆ ♧၀ࡋࡓ 㸬
181
➨
➨ 8 ❶
ࡲࡵ
182
ࡲ
ࡲ ࡵ
ᮏㄽᩥࡣ㸪ࢫ ࣏࣮ࢶയ ᐖண㜵ྥࡅ ࡓྲྀࡾ⤌ ࡳ㛵ࡋ࡚ከ ᩘࡢㄽᩥ ࡛ᘬ⏝ࡉ
ࢀ࡚࠸ࡿ van Mechelenࡢ 4 ẁ㝵ࣔࢹ ࣝࢆཧ ⪃ 㸪ࠕዪᏊࣛࢡࣟ ࢫ ࢆࣔࢹࣝࡋ
࡚ࡢࢫ࣏࣮ࢶ യᐖࡢᐇ ែண㜵ࡢᐇ ㊶ ࠖࡋ ࡚㸪㊊㛵⠇ ⭸๓༑Ꮠ 㠌ᖏ യᐖ
↔Ⅼࢆᙜ࡚㸪 ᏛዪᏊ ࣛࢡࣟࢫࢆᑐ ㇟◊✲ ᳨ドࢆ⾜ࡗ ࡓ㸬ᮏ◊ ✲ࡼࡾ㸪 ዪᏊࣛࢡࣟࢫ യᐖࡢᐇ ែࡢᢕᥱ㸪യ ᐖ࣓࢝ࢽ ࢬ࣒ࡢ⌮ゎ㸪 യᐖண㜵 ࢺ࣮ࣞࢽࣥ
ࢢࡢධ࠾ࡼ ࡧയᐖண 㜵ࢺ࣮ࣞࢽࣥ ࢢ ࡢධ ຠᯝ᳨ド㸪ࡲ ࡓ㸪 ୗ⫥ യᐖண㜵ࡢ ࡓࡵࡢࢫࢡࣜ ࣮ࢽࣥࢢ ࢸࢫࢺἲ ࡀ᳨ ドࡉࢀࡓ ࡇࡣ 㸪ࡇࡢ ୍㐃ࡢࣔ ࢹࣝࡀࡢ ࢫ࣏࣮ࢶࡢയ ᐖண㜵 ᐇ㊶ྥࡅࡓ ྲྀࡾ⤌ࡳ ࢆ⾜࠺㝿ࡢ୍ ຓ࡞ ࡾ 㸪᪥ࢫ࣏
࣮ࢶ་Ꮫࡀ ᥎ዡࡋ࡚ ࠸ࡿࢫ࣏࣮ࢶ യᐖண㜵 ࡢ☜❧ྥࡅ ࡓ ◊✲ࡢ ࡉࡽ࡞ࡿⓎ
ᒎᐤࡍࡿ ࡶࡢ⪃ ࠼ࡿ㸬
183 ᘬ
ᘬ ⏝ ᩥ⊩
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