包虫の脳・脊髄への寄生により歩行困難となった症例に対する運動療法

抄録

We performed physical therapy for the patient with parasitic micro hydatid to the brain and spinal cord whose main symptom was difficulty in walking. Hydatid diseases are caused by parasitic of a larva in the tissue, and it is thought that the symptom depend on the parasitic place. In tests and measurements in physical therapy for this patient, all of the results (i.e., sensory examination, manual muscle testing and so on.) were intact, but it was clear that there was an imbalance in the activities of the trunk muscles and a decline of the activity of the quadriceps femoris in the dynamic scene. The physical therapy for this patient was performed to normalize the activities of the trunk muscles and quadriceps femoris. Through treatment, this patient was able to more easily shift the weight in the frontal plane in sitting and standing and the patients walking ability improved. From the result of this physical therapy, we suggest that observational motion analysis is an important method of physical therapy evaluation for patients with hydatid parasitic infestation with movement disorders.