{"_buckets": {"deposit": "95f7cc6f-b026-45c3-babb-11dfb3587d0b"}, "_deposit": {"created_by": 1, "id": "22294", "owners": [1], "pid": {"revision_id": 0, "type": "depid", "value": "22294"}, "status": "published"}, "_oai": {"id": "oai:doshisha.repo.nii.ac.jp:00022294", "sets": ["2931", "7229"]}, "author_link": ["16289"], "item_1_alternative_title_1": {"attribute_name": "タイトルヨミ", "attribute_value_mlt": [{"subitem_alternative_title": "シャッコツ シンケイ マヒ オ ハッショウ シタ ライフル シャゲキ センシュ ノ イチレイ"}]}, "item_1_biblio_info_14": {"attribute_name": "書誌情報", "attribute_value_mlt": [{"bibliographicIssueDates": {"bibliographicIssueDate": "2013-06-01", "bibliographicIssueDateType": "Issued"}, "bibliographicIssueNumber": "5", "bibliographicPageEnd": "43", "bibliographicPageStart": "39", "bibliographic_titles": [{"bibliographic_title": "同志社スポーツ健康科学"}, {"bibliographic_title": "Doshisha Journal of Health and Sports Science", "bibliographic_titleLang": "en"}]}]}, "item_1_date_46": {"attribute_name": "登録日", "attribute_value_mlt": [{"subitem_date_issued_datetime": "2013-08-27"}]}, "item_1_date_47": {"attribute_name": "更新日", "attribute_value_mlt": [{"subitem_date_issued_datetime": "2020-06-16"}]}, "item_1_description_12": {"attribute_name": "抄録", "attribute_value_mlt": [{"subitem_description": "トップレベルのライフル射撃選手に発生した左尺骨神経麻痺を経験した。症例は、21歳,女性、右利き(右手で引き金を引く)である。特に誘引なく左手のしびれを自覚するようになり、指導者に症状を報告しながらも練習は休まずに継続していたが、2カ月あまり改善しなかったため受診した。左手尺骨神経領域のしびれの自覚と知覚鈍麻を認め、左手は軽度の鷲手変形を呈し、指伸展時に小指を環指につけることができなかった。神経伝導速度検査では、左上腕前腕間で運動および知覚伝導速度が低下していた。左肘関節の肘部管部にはTinel like signを認めず、発症と尺骨神経伝導速度低下の原因が明確でないため、実際に射撃練習場におけるパフォーマンスを確認し、膝射において上腕背側と膝蓋部の間で尺骨神経が長時間圧迫され続ける練習を繰り返していたことが原因であると推定した。推定された発症原因を指導者および選手に直接伝え、フォームの修正を図らせた結果、早期に自覚症状の改善が得られ、約4週間でほぼ症状のない状況にまで回復した。一般臨床医があまり接触する機会の少ない競技のスポーツ傷害は、競技による傷害発生の特性や傷害発生機転を一般臨床現場で想定することが困難なことが多く、必要に応じて実際のパフォーマンスを確認することが有用であると考える。", "subitem_description_type": "Abstract"}, {"subitem_description": "21 years old female expert sport rifle shooter complained about her left hand numbness without any causes that come to her mind for about two months. Although her left hand presented slight claw hand deformity and both motor and sensory ulnar nerve conduction between her left upper arm and forearm decreased, \"Tinel like sign\" at the cubital tunnel area could not be detected. To exam the cause of her ulnar nerve palsy, inspection of her rifle shooting performance was performed. From the result of inspection, we speculated that ulnar nerve impingement between dorsal side of her left upper arm and her left knee at the kneeling shooting position would be the cause. She changed her kneeling shooting form not to impinge her ulnar nerve and resulted in improvement of her symptom in four weeks. It would be difficult for general clinician to diagnose rare sports injury occurred in minor athletic event, inspection of the sports performance would be useful to detect the cause of the injury.", "subitem_description_type": "Abstract"}]}, "item_1_description_13": {"attribute_name": "内容記述", "attribute_value_mlt": [{"subitem_description": "報告(Report)", "subitem_description_type": "Other"}]}, "item_1_description_25": {"attribute_name": "フォーマット", "attribute_value_mlt": [{"subitem_description": "application/pdf", "subitem_description_type": "Other"}]}, "item_1_identifier_registration": {"attribute_name": "ID登録", "attribute_value_mlt": [{"subitem_identifier_reg_text": "10.14988/pa.2017.0000013189", "subitem_identifier_reg_type": "JaLC"}]}, "item_1_publisher_15": {"attribute_name": "出版者", "attribute_value_mlt": [{"subitem_publisher": "同志社大学スポーツ健康科学会"}]}, "item_1_publisher_16": {"attribute_name": "出版者（英）", "attribute_value_mlt": [{"subitem_publisher": "Society of Health and Sports Science, 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"subitem_text_value": "Doshisha University"}]}, "item_creator": {"attribute_name": "著者", "attribute_type": "creator", "attribute_value_mlt": [{"creatorNames": [{"creatorName": "北條, 達也"}, {"creatorName": "ホウジョウ, タツヤ", "creatorNameLang": "ja-Kana"}, {"creatorName": "Hojo, Tatsuya", "creatorNameLang": "en"}], "nameIdentifiers": [{"nameIdentifier": "16289", "nameIdentifierScheme": "WEKO"}, {"nameIdentifier": "1000040298740", "nameIdentifierScheme": "CiNii ID", "nameIdentifierURI": "http://ci.nii.ac.jp/nrid/1000040298740"}, {"nameIdentifier": "40298740", "nameIdentifierScheme": "e-Rad", "nameIdentifierURI": "https://kaken.nii.ac.jp/ja/search/?qm=40298740"}]}]}, "item_files": {"attribute_name": "ファイル情報", "attribute_type": "file", "attribute_value_mlt": [{"accessrole": "open_date", "date": [{"dateType": "Available", "dateValue": "2013-08-27"}], "displaytype": "detail", "download_preview_message": "", "file_order": 0, "filename": "043000050005.pdf", "filesize": [{"value": "976.4 kB"}], 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