立ち上がり動作が不安定であった脳血管障害片麻痺患者の一症例

概要

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We performed physical therapy for a patient with left hemiparesis due to cerebral hemorrhage. This patient had instability to the rear in standing up. The patient's standing up motion was evaluated by digital video camera and a weighing machine. This case's problems with standing up were as follows: a tendency to one side weight bearing, and difficulty with bearing forward on the affected side. The common factor was low abdominal muscles tonus in standing up. We instructed the patient to bend forward when standing up, and to distribute weight bearing equally on both sides, and encouraged the movement participation of the affected side. The amount of weight bearing on both the affected side and to the front increased, because the muscular tonus of the abdominal muscles had improved one week later. It was thought that this promoted stability in the standing up and improved the instability to the rear in standing up. However, in standing up the lateral bend of the trunk remained. It was thought that an approach to the trunk including the arm necessary in this case.
関西理学療法学会の論文