荷重応答期の股関節内転筋の作用に着目した運動療法にて歩行動作の耐久性が向上した脳腫瘍摘出術後の一症例

抄録

We report the case of a man in his 50s with decreased endurance in gait after brain tumor resection. His main complaints were that he felt pain on the right side of his waist and that he could not walk for long periods. We observed that during the left loading-response phase, he could not adduct his left hip joint, nor could he move his pelvis to the left. Therefore, during the initial swing phase, he put his right plantar foot down quickly and his trunk tilted forward. This resulted in flexion of the thoracolumbar transition during the right loading-response phase and extension of the thoracolumbar transition during the right mid-stance phase. The patient repeated this gait pattern, and after about 3,000 steps, he developed pain in the right lumbar region. We considered the main problem to be weakness of the left hip adductor muscle, and treated the patient with physical therapy. As a result, left hip adduction became possible during the left loading-response phase, and the pain in the patient’s right lumbar region improved, resulting in improved endurance of walking. In this case, physical therapy with a focus on the left adductor magnus muscle was effective at improving the pain in the patient’s right lumbar back and the functioning of the hip adductor muscles required during the left loading-response phase.