陳旧性の片麻痺患者への介入により 準動歩行が獲得できた事例 ―自己組織化理論に基づくアプローチ

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  • A case report of acquiring quasi-moving gait of chronic stroke patient
  • チンキュウ セイ ノ ヘンマヒ カンジャ エ ノ カイニュウ ニ ヨリ ジュンドウ ホコウ ガ カクトク デキタ ジレイ : ジコ ソシキカ リロン ニ モトズク アプローチ

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It can be challenging for patients with chronic stroke to recover their abilities. In particular, patients with stroke walk slowly and the center of gravity line passes the supporting base while they are standing on one leg. In contrast, healthy people walk without the center of gravity line passing the supporting base. To reacquire their gait, patients with stroke have to regain the ability to create inertial force subconsciously. Most human activities are performed subconsciously. In this study, we trained a man with chronic stroke in his 50s who walked slowly, and with a T cane and orthosis with metal stanchions, to exercise subconsciously. He underwent the training program three times per week for seven months. After this training, he was able to walk quickly and safely without a T cane and his orthosis was changed to gait solution. In conclusion, the ability of patients with chronic stroke may be improved by training interventions like the one described above.

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