We administered exercise therapy to a patient with acute subdural hematoma and right hemiplegia with a risk of falling backward to the left during transfer to the non-paralyzed side. An assessment was performed categorizing the transfer movement into standing, left step forward, right step backward and sitting positions. In this case, trunk bending/bending to the right, anterior pelvic tilt/inclination to the right/rotation to the left, and bending of the right hip joint/abduction/extorsion during the left step forward movement resulted in the patient having difficulty in shifting weight to the right leg and the patient could not move the left leg forward. In addition, poor alignment of the trunk/pelvis observed during the left step forward movement was augmented in the following right step backward movement, resulting in bending of the left hip joint/adduction/intorsion. As a result, the patient was observed to have a risk of falling backward to the left. Hypotonia of the right-dominant bilateral abdominal oblique and bilateral gluteus muscles was considered to be the problem in these two movements. To address this problem, the patient was treated for 3 months. As a result, the patient was able to shift weight to the right leg, vertically suspend the trunk during the left step forward movement, and move the left leg forward. Furthermore, the patient was able to suspend the trunk vertically during the right step backward movement and rotate the body to the right. Thus, transfer movement was improved to the level of independence.
