足踏み運動により右振り返り動作が改善した胸椎黄色靭帯骨化症の一症例

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  • 紙本 佳樹
    リハビリ特化型デイサービス　リファイン スピカ鍼灸マッサージ院 喜馬病院　リハビリテーション部
  • 濱野 弘幸
    健康スタジオキラリ/kirari鍼灸マッサージ院 喜馬病院　リハビリテーション部
  • 酒井 英謙
    スピカ鍼灸マッサージ院 喜馬病院　リハビリテーション部
  • 高木 綾一
    喜馬病院　リハビリテーション部 寿山会　法人本部

書誌事項

タイトル別名
  • Improved Right Body Rotation Resulting from Stepping Exercise Performed by a Patient with Thoracic Ossification of the Ligamentum Flavum: A Case Report
  • 症例報告 足踏み運動により右振り返り動作が改善した胸椎黄色靭帯骨化症の一症例
  • ショウレイ ホウコク アシブミ ウンドウ ニ ヨリ ミギ フリカエリ ドウサ ガ カイゼン シタ キョウツイ キイロ ジンタイ コッカショウ ノ イチ ショウレイ

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説明

At our institution, patients are provided with physical programs such as device-assisted muscle-strengthening, aerobic exercise, and sling exercise, with the aim of maintaining and increasing physical fitness. We also design personalized programs for independent training utilizing a stabilometer (Digital Mirror, Panasonic). In the present study, we performed physiotherapy assessments using action observation and stabilometry for a patient with thoracic ossification of the ligamentum flavum who presented difficulty in rotating the body to the right while standing. The patient’s right body rotation was characterized by flexion of the right hip joint at the end of the motion, accompanied by forward inclination of the trunk and increased adduction of the right hip joint, with lifting of the right foot medial arch and calcaneus, inducing talar joint supination and plantarflexion of the ankle joint. In this motion, the center of pressure (COP) of the right foot shifted forward and oscillated, which was likely to make right body rotation difficult. Therefore, we provided the patient with one exercise session focusing on muscle tension around the right hip joint; however, this did not affect the COP or body movements. Following this, we focused on disturbance of deep sensibility in the right ankle joint and prescribed exercise treatment. This effectively altered the COP position and body movements at the end of right body rotation, allowing the patient to complete the motion. Here we report our observations and discuss the case in detail. The patient was informed of the publication of this article and appropriate patient consent was obtained. <br>

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