成人脳性麻痺者における自主的トレーニング介入による 歩行能力および身体機能の変化

―3軸加速度センサーを用いた評価による事例研究―

抄録

The purpose of this study is to examine the effects of a voluntary exercise intervention on gait ability and physical function in a person with physical disabilities. The participant was a 23-year-old woman with cerebral palsy. Because her lower extremities were hypertonic, it was especially hard to make initial contact during a gait cycle. Several physical function scales were measured right before and after intervention and additionally were measured after three and six months during the period of intervention: the total locus length of center of foot using a center of gravity unrest meter, Functional Reach, Standing on one leg with eyes open and the Timed Up and Go test. Body sway and velocity while 11m strait gait test was calculated using a tri-axial acceleration sensor. Gait and balance exercise intervention was carried out for the participant using a high rebound mattress for about 10 minutes every day. Body sway while walking decreased after six months compared with baseline. However, there were no other differences in physical function outcome. Motor adjustments were improved following the intervention with a high rebound mattress, and we suggested that this reduced body sway during walking. Therefore, this continuous voluntary exercise intervention might be effective in increasing motor learning efficiency for participants with cerebral palsy.