A right hemiplegic patient secondary to cerebral infarction for whom right ankle joint dorsiflexion did not result in right forward weight shift due to pelvic right rotation associated with left hip joint external rotation during transfer
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- Takeuchi Kohei
- Department of Rehabilitation, Sakakibarahakuho Hospital Clinical Research Division of Rehabilitation, Sakakibarahakuho Hospital
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- Nakamori Tomohiro
- Department of Rehabilitation, Sakakibarahakuho Hospital Clinical Research Division of Rehabilitation, Sakakibarahakuho Hospital
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- Kimura Yuta
- Geriatric Health Services Facility, Sakuraen Clinical Research Division of Rehabilitation, Sakakibarahakuho Hospital
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- Yamamoto Yoshinori
- Department of Rehabilitation, Mie University Hospital
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- Kado Naoki
- Department of Physical Therapy, Kobe College of Rehabilitation and Welfare
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- Suzuki Toshiaki
- Graduate School of Health Sciences, Graduate School of Kansai University of Health Sciences
Bibliographic Information
- Other Title
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- 移乗動作において左股関節の外旋に伴い骨盤が右回旋していることで右足関節の背屈による右前方への体重移動が生じなかった脳梗塞右片麻痺の症例
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Description
<p>The patient was an 80-year-old male who had right hemiplegia secondary to cerebral infarction and whose safety and stability of transfer to the left side had decreased. He came in with the chief complaint of, “I feel like I might fall backwards when transferring to a wheelchair”. Thus, the treatment goal was to improve the safety and stability of transfer movements. Specifically, when the patient stood up to transfer to the left side, pelvic left rotation did not occur with left hip joint internal rotation, putting the pelvis in a right rotated position instead. Moreover, when stepping on the left lower limb, the patient’s right thigh and lower leg tilted backwards and the right ankle joint was bottomed out, making it difficult for him to shift his weight to the right front. We considered the main problem to be a decrease in the muscle tone of the anterior fibers of the left mid-density muscle on the non-paralyzed side, and we conducted physical therapy to address this. As a result, the patient became able to shift his weight to the right front, when transferring to the left side, before stepping on the left lower limb, improving the safety and stability of the transfer movement. For this patient, it was necessary to improve not only the functional impairment on the paralyzed side, but also the functional impairment on the non-paralyzed side to improve the safety and stability of the transfer motion.</p>
Journal
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- Journal of Kansai Physical Therapy
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Journal of Kansai Physical Therapy 21 (0), 120-125, 2021
The Academy for Kansai Physical Therapy
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Details 詳細情報について
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- CRID
- 1390290537434396288
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- NII Article ID
- 130008134569
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- ISSN
- 13499572
- 13469606
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- Text Lang
- ja
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- Data Source
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- JaLC
- CiNii Articles
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- Abstract License Flag
- Disallowed