あぐら座位での入眠による両下肢横紋筋融解症のリハビリテーションの経験

概要

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We report rehabilitation of a 73-year-old male who living alone, and had bilateral legs palsy due to rhabdomyolysis caused by falling asleep with his legs in a crossed leg sitting posture. He was found to be in a complex position of a crossed leg sitting posture and in a prone position; he was transported to an emergency center. He had bilateral legs palsy, muscles atrophy and sensory disturbance. His laboratory data showed increase in serum creatine kinase, creatinine, blood urea nitrogen. A diagnosis of acute renal failure caused by rhabdomyolysis was made, and haemodialysis was instituted. At the beginning of his rehabilitation, he could not sit up and stand up from the bed due to bilateral legs palsy. We attempt to increase his legs muscle strength by physical therapy: siting up exercise, standing up exercise. Three months later, he could sit up, stand up from the bed, and walk in the parallel assist-bars. We considered that rhabdomyolysis caused by compression to his lower limb as crossed leg sitting for a long time (compartmental syndrome), due to difficulty in shifting his posture. And we have to care the patients who have been difficult in shifting posture due to hemiplegia, dementia, sensory disturbance, living alone, as the might be rhabdomyolysis caused by compartmental syndrome with improper body posture for a long time.
社団法人日本リハビリテーション医学会の論文
2000-07-18