右前腕支持を用いて食事動作の獲得を目指した圧迫性脊髄症の一症例

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  • A patient with compressive myelopathy who gained the ability to perform meal movements using right forearm support
  • 症例報告 右前腕支持を用いて食事動作の獲得を目指した圧迫性脊髄症の一症例
  • ショウレイ ホウコク ミギ ゼンワン シジ オ モチイテ ショクジ ドウサ ノ カクトク オ メザシタ アッパクセイ セキズイショウ ノ イチ ショウレイ

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<p>The patient was a woman in her 80s who had decreased trunk function due to compressive myelopathy of the sixth and seventh cervical spinal cord segments. In the Zancolli classification, the right upper limb was C6A and the left upper limb was C6BIII. As the main complaint was “I want to eat rice by myself,” the need was considered to be “performing a meal action.” When the patient ate meals in the erect sitting position, the trunk bent leftward upon reaching the left upper limb, making it difficult to perform the motion. An attempt to compensate for this was made with the remaining function of the right upper limb, but abduction of the right shoulder joint and bending of the right shoulder band occurred, and the patient couldn't maintain the posture. Therefore, the main problem was considered to be muscle weakness of the right shoulder joint horizontal inversion and right shoulder blade extension. Thus, physical therapy was carried out. As a result, the patient could maintain posture using the right upper limb for meal action, and the meal action itself was possible. Although trunk function was difficult to recover because of the influence of the injured spinal cord, the right upper limb function, which remained, could be properly used compensatorily and led to good results.</p>

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