Effective Orthotherapy for an Extensor Thrust Pattern Worsening with the Recurrence of Cerebral Infarction: A Case Study

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  • SATOH Yutaro
    Department of Rehabilitation, Medical Corporation Shin-Sapporo Neurosurgical Hospital
  • MATSUDA Ryo
    Department of Rehabilitation, Medical Corporation Shin-Sapporo Neurosurgical Hospital
  • ISHIKAWA Naoto
    Department of Rehabilitation, Medical Corporation Shin-Sapporo Neurosurgical Hospital

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Other Title
  • 脳梗塞再発により重症化したextensor thrust patternに対して装具療法が有効であった一症例
  • ノウコウソク サイハツ ニ ヨリ ジュウショウカ シタ extensor thrust pattern ニ タイシテ ソウグ リョウホウ ガ ユウコウ デ アッタ イチ ショウレイ

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<p>[Purpose] This paper reports a case, in which orthotherapy was effective to improve an extensor thrust pattern (ETP) that had developed due to cerebral infarction 3 years previously, and worsened with its recurrence, aiming to obtain new findings in this therapy. [Participant and Methods] A post-stroke hemiplegic patient was treated with physical therapy using an original knee-ankle-foot orthosis (KAFO). The therapy, provided at a frequency of 40 to 60 minutes/day, 7 times/week. [Results] The patient achieved independence in gait with KAFO on Day 17, with ankle-foot orthosis (AFO) on Day 53, and with no orthosis on Day 80. The therapy successfully reduced the ETP during gait, enabling the patient to walk independently with a cane or no orthosis. [Conclusion] Orthotherapy may be useful for an ETP worsening with the recurrence of cerebral infarction.</p>

Journal

  • Rigakuryoho Kagaku

    Rigakuryoho Kagaku 35 (6), 931-936, 2020

    The Society of Physical Therapy Science

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