REHAB TSUCHIDA REHABILITATION CLINIC
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Now I’m starting a new type clinic at Meguro in Japan.
I have acquired a kind of  technical confidence in Arthro-Kinematic Approach-Hakata method (AKA-H).

 

In 1927, Thomas Walmsley advanced the theory that AKA was the field of investigation for intra-articular movements. In 1949, Mennell introduced through the investigation of arthrokinematic approach involving the voluntary movements on full range motion; this movement named the accessory motion distributed the main factors of the concomitant movement of the joint. Hakata Method is the method to treat abnormalities of the intra-articular movements such as joint play, rolling, sliding, and spinning of the joint surface. The most important characteristic of Hakata method is that it is restricted to treat synovial joints including spinal facet joint, sacroiliac joint, costovertebral joint, and sternocostal joint.

 

Arthrokinematic approach–Hakata method 【AKA-H】

AKA-H is defined as the method to treat abnormalities of inner joint movements such as joint play, to guide sliding of joint surface accompanying bone movement, on the basis of arthrokinematics ( the research of joint movement) and
articular neurology (the study of joint nerves). 


Joint play
In life, the voluntary movements cannot be achieved unless certain well-defined movements of joint play are present. Movements of joint play are independent of the action of the voluntary muscles. There are three inner joint movements such as rolling, sliding, and spinning on the joint surfaces.
Dysfunction, that is the impaired joint play, may restrict the voluntary movements and induce abnormal sensations like pain, swelling, weakness, including numbness around the joint and/or some remote parts of body.
The sacroiliac joint located at the pelvis is most important joint and can affect every part of the body, including joint pain, some sensory disturbances of sight, touch, hearing, and/or autonomic changes.

Characteristics of AKA-H
1. Techniques using accessory movement
    1) Treatment of arthrogenic pain
    2) Stretching intra-articular soft tissue
    3) Improving function of articular mechanoreceptors (joint sensory receptors)
2. Techniques using component movement
    1) Range of motion exercise
    2) Stretching exercise for the outer joint
    3) Muscle stretching exercise
    4) Muscle endurance exercise
    5) Neuromuscular re-education

REHAB TSUCHIDA
After evaluation, we (Dr. Tsuchida and Ikeya, physical therapist) treat several joints by AKA-H.

 

 

 

 

Director Shoichi Tsuchida
Director Shoichi Tsuchida
 
 

Information

Address 6-14-17, Simo-Meguro, Meguro-ku, Tokyo, JAPAN
Family doctor Rehabilitation Neurological Medicine
Surgery hours

Weekdays, Saturday
Am 9:00〜12:30
Pm 2:00〜6:00

※ Closed on Sundays, Holidays

Free clinic, appointment

Contact

Tel:03-3715-3510

Station JR Meguro Station
Tokyu Toyoko Line Yu-tenji Station
Tokyu Meguro Line Fudomae Station
 
 

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Document

●The effects of the arthrokinematic approach-Hakata method for lost arm-function in chronic stroke patients

 

●I`m Morita distinguished fellow 2003. The report about us appeared in the Nov. 27, 2003

当院について

平成29年10月の休診日

1日、4日、8日

9日(祝)、11日、15日

18日、22日、25日、29日

水曜、日曜、祝祭日は休診です

平成29年11月の休診日

1日、3日(祝)、5日

8日、12日、15日

19日、23日(祝)、26日、29日

水曜、日曜、祝祭日は休診です

当院へのアクセス

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所在地

東京都目黒区下目黒6丁目14-17

診療時間

月・火・木・金・土曜日
午前 9:00〜12:30
午後 2:00〜6:00
※水曜・日曜・祝祭日休診
※診療時間は目安です。

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