\u65e5\u3005\u306e\u751f\u6d3b\u3067\u79c1\u305f\u3061\u304c\u5f53\u305f\u308a\u524d\u306e\u3088\u3046\u306b\u884c\u3063\u3066\u3044\u308b\u300c\u6b69\u304f\u300d\u300c\u7acb\u3064\u300d\u3068\u3044\u3063\u305f\u52d5\u4f5c\u3002\u3057\u304b\u3057\u305d\u306e\u57fa\u76e4\u3068\u306a\u308b\u300c\u8db3\u300d\u306f\u3001\u60f3\u50cf\u4ee5\u4e0a\u306b\u79c1\u305f\u3061\u306e\u5065\u5eb7\u3084\u751f\u6d3b\u306e\u8cea\u306b\u5927\u304d\u306a\u5f71\u97ff\u3092\u53ca\u307c\u3057\u3066\u3044\u307e\u3059\u3002\u7279\u306b\u3001\u73fe\u4ee3\u4eba\u306b\u3068\u3063\u3066\u30a4\u30f3\u30bd\u30fc\u30eb\uff08\u4e2d\u6577\u304d\uff09\u306f\u3001\u305f\u3060\u306e\u9774\u306e\u4ed8\u5c5e\u54c1\u3067\u306f\u306a\u304f\u3001\u59ff\u52e2\u306e\u77ef\u6b63\u3084\u75db\u307f\u306e\u8efd\u6e1b\u3001\u30d1\u30d5\u30a9\u30fc\u30de\u30f3\u30b9\u5411\u4e0a\u3068\u3044\u3063\u305f\u591a\u9762\u7684\u306a\u5f79\u5272\u3092\u679c\u305f\u3059\u91cd\u8981\u306a\u30c4\u30fc\u30eb\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n
\u4eba\u9593\u306e\u8db3\u306f\u3001\u7247\u8db3\u306726\u672c\u306e\u9aa8\u300133\u500b\u306e\u95a2\u7bc0\u3001100\u4ee5\u4e0a\u306e\u976d\u5e2f\u3084\u7b4b\u8089\u304b\u3089\u69cb\u6210\u3055\u308c\u3066\u304a\u308a\u3001\u4f53\u5168\u4f53\u306e2\uff05\u7a0b\u5ea6\u306e\u9762\u7a4d\u3067\u5168\u4f53\u91cd\u3092\u652f\u3048\u3066\u3044\u307e\u3059\uff08Standring, Gray\u2019s Anatomy, 41st Ed.\uff09\u3002\u8db3\u306f\u5358\u306a\u308b\u300c\u79fb\u52d5\u624b\u6bb5\u300d\u3067\u306f\u306a\u304f\u3001\u885d\u6483\u5438\u53ce\u3001\u30d0\u30e9\u30f3\u30b9\u4fdd\u6301\u3001\u529b\u306e\u4f1d\u9054\u3068\u3044\u3063\u305f\u6a5f\u80fd\u3092\u62c5\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n
\u3057\u304b\u3057\u3001\u73fe\u4ee3\u4eba\u306f\u9774\u306b\u8db3\u3092\u59d4\u306d\u308b\u751f\u6d3b\u3092\u3057\u3066\u304a\u308a\u3001\u305d\u306e\u7d50\u679c\u3001\u8db3\u672c\u6765\u306e\u6a5f\u80fd\u304c\u4f4e\u4e0b\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u591a\u304f\u898b\u3089\u308c\u307e\u3059\u3002\u504f\u5e73\u8db3\u3084\u5916\u53cd\u6bcd\u8dbe\u3001\u8db3\u5e95\u7b4b\u819c\u708e\u306a\u3069\u306f\u305d\u306e\u4ee3\u8868\u4f8b\u3067\u3042\u308a\u3001\u653e\u7f6e\u3059\u308c\u3070\u819d\u3084\u8170\u306e\u75db\u307f\u306b\u3082\u3064\u306a\u304c\u308a\u307e\u3059\u3002<\/p>\n\n\n\n
\u8db3\u306e\u30a2\u30e9\u30a4\u30e1\u30f3\u30c8\uff08\u9aa8\u3084\u95a2\u7bc0\u306e\u6574\u5217\uff09\u304c\u5d29\u308c\u308b\u3068\u3001\u819d\u95a2\u7bc0\u3084\u80a1\u95a2\u7bc0\u3001\u3055\u3089\u306b\u306f\u810a\u67f1\u306b\u307e\u3067\u60aa\u5f71\u97ff\u304c\u6ce2\u53ca\u3057\u307e\u3059\u3002\u4f8b\u3048\u3070\u3001\u504f\u5e73\u8db3\u306b\u3088\u3063\u3066\u8db3\u306e\u30a2\u30fc\u30c1\u304c\u5d29\u308c\u308b\u3068\u3001\u5185\u65cb\u304c\u5f37\u307e\u308a\u819d\u306e\u5185\u5074\u306b\u904e\u5ea6\u306a\u8ca0\u8377\u304c\u304b\u304b\u308a\u307e\u3059\u3002\u3053\u308c\u304c\u9032\u884c\u3059\u308b\u3068\u5909\u5f62\u6027\u819d\u95a2\u7bc0\u75c7\u306a\u3069\u306e\u539f\u56e0\u306b\u306a\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\uff08Kitaoka et al., Journal of Bone and Joint Surgery<\/em>, 1998\uff09\u3002<\/p>\n\n\n\n \u307e\u305f\u3001\u8db3\u5e95\u306e\u7570\u5e38\u306f\u59ff\u52e2\u306e\u4e71\u308c\u306b\u76f4\u7d50\u3057\u307e\u3059\u3002\u7acb\u4f4d\u3084\u6b69\u884c\u4e2d\u306e\u91cd\u5fc3\u30d0\u30e9\u30f3\u30b9\u304c\u5d29\u308c\u308b\u3068\u3001\u732b\u80cc\u3084\u53cd\u308a\u8170\u3068\u3044\u3063\u305f\u59ff\u52e2\u4e0d\u826f\u3092\u5f15\u304d\u8d77\u3053\u3057\u3001\u6162\u6027\u7684\u306a\u80a9\u3053\u308a\u3084\u8170\u75db\u3078\u3068\u3064\u306a\u304c\u308b\u3053\u3068\u304c\u591a\u3044\u306e\u3067\u3059\u3002<\/p>\n\n\n\n \u3053\u3053\u3067\u91cd\u8981\u306b\u306a\u3063\u3066\u304f\u308b\u306e\u304c\u300c\u30a4\u30f3\u30bd\u30fc\u30eb\u300d\u306e\u6d3b\u7528\u3067\u3059\u3002\u30a4\u30f3\u30bd\u30fc\u30eb\u3068\u306f\u3001\u9774\u306e\u4e2d\u306b\u6577\u304f\u4e2d\u6577\u304d\u3067\u3001\u8db3\u306e\u30a2\u30fc\u30c1\u3092\u30b5\u30dd\u30fc\u30c8\u3057\u305f\u308a\u3001\u885d\u6483\u3092\u5438\u53ce\u3057\u305f\u308a\u3059\u308b\u5f79\u5272\u304c\u3042\u308a\u307e\u3059\u3002\u533b\u7642\u3084\u30ea\u30cf\u30d3\u30ea\u30c6\u30fc\u30b7\u30e7\u30f3\u306e\u5206\u91ce\u3067\u306f\u3001\u8db3\u90e8\u77ef\u6b63\u7528\u30a4\u30f3\u30bd\u30fc\u30eb\uff08\u30aa\u30fc\u30bd\u30c6\u30a3\u30c3\u30af\uff09\u304c\u9577\u5e74\u6d3b\u7528\u3055\u308c\u3066\u304a\u308a\u3001\u305d\u306e\u52b9\u679c\u306f\u591a\u6570\u306e\u7814\u7a76\u3067\u5b9f\u8a3c\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n \u4f8b\u3048\u3070\u3001\u8db3\u5e95\u7b4b\u819c\u708e\u306b\u5bfe\u3059\u308b\u6cbb\u7642\u3068\u3057\u3066\u30a4\u30f3\u30bd\u30fc\u30eb\u304c\u7528\u3044\u3089\u308c\u308b\u3068\u3001\u75db\u307f\u306e\u8efd\u6e1b\u306b\u9855\u8457\u306a\u52b9\u679c\u304c\u898b\u3089\u308c\u308b\u3053\u3068\u304c\u308f\u304b\u3063\u3066\u3044\u307e\u3059\uff08Landorf et al., Archives of Internal Medicine<\/em>, 2006\uff09\u3002\u307e\u305f\u3001\u30b9\u30dd\u30fc\u30c4\u9078\u624b\u306b\u304a\u3044\u3066\u3082\u3001\u5c02\u7528\u30a4\u30f3\u30bd\u30fc\u30eb\u306b\u3088\u3063\u3066\u8db3\u5e95\u306e\u8ca0\u62c5\u3092\u8efd\u6e1b\u3057\u3001\u75b2\u52b4\u3092\u6291\u3048\u308b\u3053\u3068\u304c\u53ef\u80fd\u3068\u3055\u308c\u3066\u3044\u307e\u3059\uff08Nigg et al., Sports Medicine<\/em>, 1999\uff09\u3002<\/p>\n\n\n\n \u73fe\u4ee3\u4eba\u306f\u786c\u3044\u30a2\u30b9\u30d5\u30a1\u30eb\u30c8\u306e\u4e0a\u3092\u6b69\u304f\u6642\u9593\u304c\u5897\u3048\u3066\u3044\u307e\u3059\u3002\u3055\u3089\u306b\u3001\u30af\u30c3\u30b7\u30e7\u30f3\u6027\u306b\u4e4f\u3057\u3044\u9769\u9774\u3084\u30cf\u30a4\u30d2\u30fc\u30eb\u306a\u3069\u3092\u65e5\u5e38\u7684\u306b\u5c65\u304f\u3053\u3068\u3067\u3001\u8db3\u3078\u306e\u8ca0\u62c5\u304c\u5897\u5927\u3057\u3066\u3044\u308b\u306e\u304c\u73fe\u5b9f\u3067\u3059\u3002\u305d\u306e\u305f\u3081\u3001\u30a4\u30f3\u30bd\u30fc\u30eb\u3092\u7528\u3044\u3066\u8db3\u306e\u30a2\u30e9\u30a4\u30e1\u30f3\u30c8\u3092\u6574\u3048\u3001\u8ca0\u62c5\u3092\u8efd\u6e1b\u3059\u308b\u3053\u3068\u304c\u3001\u5065\u5eb7\u7684\u306a\u30e9\u30a4\u30d5\u30b9\u30bf\u30a4\u30eb\u306e\u4e00\u74b0\u3068\u3057\u3066\u6ce8\u76ee\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n \u307e\u305f\u3001\u9ad8\u9f62\u8005\u306b\u304a\u3044\u3066\u306f\u3001\u8db3\u306e\u611f\u899a\u6a5f\u80fd\u3084\u7b4b\u529b\u304c\u4f4e\u4e0b\u3059\u308b\u3053\u3068\u304b\u3089\u3001\u8ee2\u5012\u30ea\u30b9\u30af\u306e\u5897\u5927\u304c\u554f\u984c\u8996\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u30a4\u30f3\u30bd\u30fc\u30eb\u306b\u3088\u308b\u8db3\u88cf\u611f\u899a\u306e\u88dc\u52a9\u3084\u30a2\u30fc\u30c1\u30b5\u30dd\u30fc\u30c8\u306f\u3001\u6b69\u884c\u5b89\u5b9a\u6027\u306e\u5411\u4e0a\u306b\u5bc4\u4e0e\u3059\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\uff08Menant et al., Gerontology<\/em>, 2008\uff09\u3002<\/p>\n\n\n\n \u305f\u3060\u3057\u3001\u3059\u3079\u3066\u306e\u30a4\u30f3\u30bd\u30fc\u30eb\u304c\u4e07\u4eba\u306b\u9069\u3057\u3066\u3044\u308b\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u8db3\u306e\u5f62\u72b6\u3084\u6b69\u884c\u30b9\u30bf\u30a4\u30eb\u3001\u4f7f\u7528\u76ee\u7684\uff08\u901a\u52e4\u30fb\u904b\u52d5\u30fb\u77ef\u6b63\uff09\u306b\u5fdc\u3058\u3066\u3001\u9069\u5207\u306a\u5f62\u72b6\u30fb\u786c\u5ea6\u30fb\u7d20\u6750\u3092\u9078\u3076\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002\u5e02\u8ca9\u306e\u6c4e\u7528\u30a4\u30f3\u30bd\u30fc\u30eb\u3067\u3082\u52b9\u679c\u3092\u5f97\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u6162\u6027\u7684\u306a\u75db\u307f\u3084\u5909\u5f62\u304c\u3042\u308b\u5834\u5408\u306f\u3001\u6574\u5f62\u5916\u79d1\u3084\u8db3\u75c5\u533b\u306e\u8a3a\u65ad\u3092\u53d7\u3051\u305f\u3046\u3048\u3067\u30aa\u30fc\u30c0\u30fc\u30e1\u30a4\u30c9\u306e\u30a4\u30f3\u30bd\u30fc\u30eb\u3092\u691c\u8a0e\u3059\u3079\u304d\u3067\u3059\u3002<\/p>\n\n\n\n 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\n\n\n\n