毛筆動作により座位姿勢の安定性向上が得られたパーキンソン病の一症例

抄録

Physical therapy was administered to a patient with Parkinson's disease who had a tendency to fall toward the right rear side. The patient presented with a humpback posture, right lateroflexion, and left rotation in the sitting position. Spontaneous movement was deficient and a masked face was evident. When the patient shifted his weight to the right side, a sudden increase in right flexion of the trunk and forceful right upper limb movement were observed. Physical therapy included stretching the shortened muscles and shifting the body weight in the sitting position with the goal of improving the oblique abdominal muscle control. Although improvement was observed in the sitting position, no change was noted in the writing motion. Moreover, the patient became uncooperative during physical therapy, which resulted in intermittent treatment. Subsequently, ink brushing was employed as a treatment method for this subject for functional and emotional reasons. During treatment, positive reinforcement elicited a good response from the patient: changes in facial expressions were observed, the masked face diminished, and his ink brushing skills improved. Consequently, an improvement was observed in the oblique abdominal muscles. In addition, control of the upper right extremity and shoulder girdle was achieved. This improvement was observed in both the sitting position and during writing. In conclusion, ink brushing can be useful, both physically and emotionally, for patients with Parkinson’s disease.