関西理学療法
Online ISSN : 1349-9572
Print ISSN : 1346-9606
ISSN-L : 1346-9606
症例報告
右遊脚終期から立脚中期での右股関節周囲筋群の筋緊張異常により右後方への不安定性を認めた脳梗塞後右片麻痺の一症例
奥村 亮, 塚本 枝里, 鈴木 裕介, 山本 吉則, 嘉戸 直樹, 鈴木 俊明
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ジャーナル フリー

2012 年 12 巻 p. 95-100

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We administered physical therapy to a patient with hemiplegia caused by cerebrovascular disease. The patient presented to us with unstable gait due to the trailing of the right foot between the initial contact and midstance phases of the right lower limb. With physical therapy, the instability improved; however, abnormal muscle tone of the right hip extensors and adductors was noticed between the initial contact and midstance phases of the right lower limb. Improvement after physical therapy was monitored by electromyography, which focused on the right hip joint. The activity of muscles on the affected side improved along with the improvement in the muscle activation pattern of the right hip extensors and adductors between the initial contact and midstance phases of the right lower limb. We believe that the normalization of the muscle activation pattern was important for the improvement in the gait of this patient.
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© 2012 関西理学療法学会
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