しゃがみ姿勢からの立ち上がり動作において後方への転倒傾向を認めた脊髄梗塞の一症例

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  • A patient with spinal cord infarction showing a tendency to fall backward while standing up from a squatting position
  • シャガミ シセイ カラ ノ タチアガリ ドウサ ニ オイテ コウホウ エ ノ テントウ ケイコウ オ ミトメタ セキズイ コウソク ノ イチ ショウレイ

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<p>The patient, a man in his late 70s diagnosed with spinal cord infarction, showed a tendency to fall backward while standing up from the squatting position. Among the motion patterns, the standing-up pattern via the squatting position is the most efficient; hence, acquisition of the standing-up motion from the squatting position was the aim of therapy. Initial assessments indicated that anterior weight shift owing to dorsiflexion of both ankle joints was insufficient. In addition, during upward movement, a tendency to fall backward due to early weight shift occurring upward and backward was observed. Based on motor observations, the dorsiflexors and plantarflexors of both ankles were weak and the muscle tones of both hamstrings were high. In physical therapy, the patient performed strength training for the dorsiflexors and plantarflexors of both ankles, and the muscle tone of both hamstrings was reduced. In the final evaluation, the anterior weight shift owing to the dorsiflexion of both ankle joints was found to have increased. Furthermore, during upward movements, both knee joints extended when the pelvis was directed forward, and the tendency to fall backward was improved along with the patient’s safety and stability.</p>

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