A post-stroke patient who was unable to turn completely due to psoas major and internal oblique abdominal muscle hypotonia: case report

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  • Kurobe Masataka
    Department of Clinical Rehabilitation Research, Tanabe Central Hospital Department of Rehabilitation, Tanabe Central Hospital
  • Matsubara Hiroyuki
    Department of Administration, Kenikai Medical Corporation
  • Fujiwara Satoshi
    Department of Clinical Rehabilitation Research, Tanabe Central Hospital Department of Rehabilitation, Tanabe Central Hospital
  • Suzuki Toshiaki
    Graduate School of Health Sciences, Graduate School of Kansai University of Health Sciences

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  • 大腰筋と内腹斜筋斜行線維の筋緊張低下により寝返り動作の安定性が低下した脳梗塞後の一症例

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Abstract

<p>We carried out rehabilitation therapy for a post-stroke patient. The patient could not turn over sufficiently because he could not swing his left lower leg to the right and did not rotate his pelvis to the right enough. We tested the muscle tone and found decreased muscle tone in the right iliopsoas muscle and the oblique fibers of the left internal oblique abdominal muscle. From the results of the test, we thought that the decreased muscle tone of the right psoas major muscle was preventing the right swing of the left lower limb, and the reduced tonus of the left internal oblique muscle prevented the pelvis from rotating to the right. Therefore, we conducted a therapeutic approach for these muscles. As a result, the patient was able to perform a complete turning movement.</p>

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