脳卒中片麻痺患者にみられる脊柱変形

概要

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The spine deformity following C.V.A. hemiplegia was investigated from the roentogenological study of 54 patients. 1) The prevalence of scoliosis was 24.1 per cent. And it's average angle was 19.6±6.8 degree. 2) There were 8 C-curves and 5 S-curves. C-curve developed in 4 right hemiplegic patients and 4 left hemiplegic patinets, and S-curve developed in 5 left hemiplegic patients and 1 right hemiplegic patinet. C-curve had convexity toward the paralysed side except one case, on the other hand S-curve had convexity toward the intact side except one case. 3) There was no relationship between scoliosis and the Brunnstrom's recovery stage. 4) There was no relationship between scoliosis and the period after onset of C.V.A. hemiplegia. 5) 2 of 4 patinets with help of wheel chair and 5 of 16 patients with S.L.B. and T cane and 6 of 15 patients with T cane had scoliosis. On the other hand, there was no scoliosis in patients who walked for themselves. 6) Compared with patients who had no scoliosis, scoliosis patients had increased thoracic kyphosis and decreased lumbar lordosis.
社団法人日本リハビリテーション医学会の論文
1977-08-18