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1 Vol. 16 No Λ1 Λ2 compensatology residual function Compensatory movement activities of daily living ADL compensation 1) adaptation " " 2) 1 2) 2 3) Λ1 Λ ptyo@go7.enjoy.ne.jp 209

2

3 211 movement motion action 6) position attitude work task behavior " 1) Wynn Parry 4) trick action trick movement Wynn Parry 5) trick action substitution 2) Wynn Parry 4) trick action trick movement 1fl 2fl 3fl 4fl 5fl 6fl ) Wynn Parry 4) 5) supplementary movements trick movements 2

4 212 2 ADL 1 7 9) 10) ) 13)

5 213 3 SACH 10 15) 1fl 2fl 3fl 3 amyotrophic lateral sclerosis ALS 19;20) lateral prehension 21) BFO MAS

6 214 23) lateral tilt 4 25) 26) 27) fl 2fl 3fl 4fl Diener 28) center of mass COM 4 29)

7 a i ii b COM 5 5

8 216 C5 90 ffi 5 26 Trendelenburg Trendelenburg 32) 6 30 ffi 34) 4) C6 C7 C8 T1 C ) 7 38) 3 Push up 37)

9 217 a b 6 34 a b 7 36 Y C posture 39) 4

10 compensatology Wynn Parry CBW Vicarious motion trick movements Therapeutic Exercize 4th ed Williams & Wilkins Baltimore PT ADL

11 219 9 Kumar VN Normal locomotion and prosthetic gait deviation Rehabilitation Management of Amputees Williams & Wilkins Baltimore DMD James WV andorr JF Upper limb weakness in children with Duchenne muscular dystrophy-a neglected problem Prosthet Orthot Int Danuta W Amyotrophic lateral sclerosis A comprehensive rehabilitation approach Arch Phys Med Rehabil CURRENT THERAPY Brunnstrom S Clinical Kinesiology 2nded F ADavis Company Mackay RP Course andprognosis in amyotrophic lateral sclerosis Arch Neurol Clin Neurosci Nakayama H Comprehensive inrecovery of upper extremity function after stroke the Copenhagen study Arch Phys Med Rehabil Carr JH andshepherdrb Diener H C The coordination of posture and voluntary movement in patients with hemiparesis J neurol Davies PM Right in the middle Yosuke Yoshimura andmasaki Ise Analysis of the push-up movement basedon action potentials of upper extremity muscles and ground reaction force between the palms and a force plate Kawasaki Journal of Medical Welfare Latash M andnicholas J Motor control research in rehabilitation medicine Disability and Rehabil

12 220 Compensation for the Way to Adapt to Impairments and Disabilities. Compensatology for Clinical Rehabilitation for Some Impairments and Disabilities Yosuke YOSHIMURA andmasaki ISE (AcceptedDec. 4, 2006) Key words : residual function, compensatory movement, supplementary movement, trick movement, compensation Abstract Compensatory movements have been reportedby many researchers so far. However, their definitions are too complicatedto understand. Therefore we classifiedthem to the supplementary movements and the trick movements, according to the source of force. We summarizedit andthese mechanisms in lower limb amputees, duchenne muscular dystrophy, amyotrophic lateral sclerosis, hemiplegia, cerebral palsy, cervical cordinjury andthoracic or lumbar spinal cordinjuries. Compensatology is an original andeffective medical rehabilitation to adapt to some impairments and disabilities. Compensatology helps us to do medical treatment for patients. Correspondence to : Yosuke YOSHIMURA Doctoral Program in Rehabilitation, Graduate School of Health Science andtechnology, Kawasaki University of Medical Welfare Kurashiki, , Japan ptyo@go7.enjoy.ne.jp (Kawasaki Medical Welfare Journal Vol.16, No.2, )

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