In this report, we describe the physical therapy performed for a patient with left hemiplegia following cerebral infarction. The patient had a limited ability to grip a bowl with the paralyzed hand while eating. The bowl-gripping action is performed with the thoracic vertebrae in a flexed position while sitting. This action also causes right lateral bending of the thoracolumbar spine, and left trunk rotation, resulting in pelvic tilting by left hip extension. Physical therapy was performed to improve the coordination between the thoracolumbar spine, pelvis, hip joint, and upper paralyzed limb. As a result of the therapy, the patient’s ability to perform the bowl-gripping action with the paralyzed hand improved. The reaching action described here requires the coordination of the upper paralyzed limb, thoracolumbar spine, and pelvis. Therefore, the result of this case suggests the importance of physical therapy that takes into consideration the position of the limb with respect to the pelvis.
