Improved Right Body Rotation Resulting from Stepping Exercise Performed by a Patient with Thoracic Ossification of the Ligamentum Flavum: A Case Report

DOI Web Site
  • KAMIMOTO Keiki
    Day Service Refine for Rehabilitation Institute of Acupuncture and Massage Spica Department of Rehabilitation, Kiba Hospital
  • HAMANO Hiroyuki
    Institute of Acupuncture and Massage Kirari Department of Rehabilitation, Kiba Hospital
  • SAKAI Hidenori
    Institute of Acupuncture and Massage Spica Department of Rehabilitation, Kiba Hospital
  • TAKAGI Ryoichi
    Department of Rehabilitation, Kiba Hospital The Administrative Office of Juzankai Medical Corporation

Bibliographic Information

Other Title
  • 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
  • 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

Search this article

Abstract

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>

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top