A Patient with Post-stroke Right Hemiplegia Showed Improved Finger Dexterity after Physical Therapy for the Trunk and Scapular Region of the Affected Side: Examination of the Effects of Physical Therapy using Surface Electromyography

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  • ONISHI Mayo
    Department of Rehabilitation, Sakakibara Hakuho Hospital
  • TSUKAMOTO Eri
    Department of Rehabilitation, Sakakibara Hakuho Hospital
  • SUZUKI Yusuke
    Department of Rehabilitation, Sakakibara Hakuho Hospital
  • YAMAMOTO Yoshinori
    Department of Rehabilitation, Sakakibara Hakuho Hospital
  • KADO Naoki
    Department of Physical Therapy, Kobe College of Rehabilitation and Welfare
  • SUZUKI Toshiaki
    Clinical Physical therapy Laboratory, Faculty of Health Sciences, Kansai University of Health Sciences

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Other Title
  • 麻痺側肩甲帯と体幹に着目した理学療法により麻痺側手指の分離運動に改善を認めた脳梗塞後右片麻痺の一症例
  • 症例報告 麻痺側肩甲帯と体幹に着目した理学療法により麻痺側手指の分離運動に改善を認めた脳梗塞後右片麻痺の一症例 : 表面筋電図を用いた理学療法効果の検討
  • ショウレイ ホウコク マヒガワ ケン コウタイ ト カラダ カン ニ チャクモク シタ リガク リョウホウ ニ ヨリ マヒガワ テサシ ノ ブンリ ウンドウ ニ カイゼン オ ミトメタ ノウ コウソク ゴ ミギ ヘンマヒ ノ イチ ショウレイ : ヒョウメンキンデンズ オ モチイタ リガク リョウホウ コウカ ノ ケントウ
  • ―表面筋電図を用いた理学療法効果の検討―

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Description

We administered physical therapy to a patient with post-stroke right hemiplegia who had difficulty eating with the fingers of the affected hand. The functioning of the fingers was preserved, but their dexterity decreased because the affected upper limb could not maintain forward elevation. We believed that instability of the trunk and scapular region of the affected side influenced finger movements of that side. Therapeutic gain, after providing physical therapy to the trunk and affected shoulder region, was assessed using surface electromyography. Alignment of the trunk and affected shoulder region as well as feeding activity improved. Surface electromyography evaluation during forward elevation of the affected upper limb showed an improvement in the muscle activation pattern. Stability of the chest and scapula was necessary to attain finger dexterity in this patient.<br>

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