慢性期脳血管障害片麻痺患者の上肢の運動療法と筋電図学的検討

抄録

We performed physical therapy for a patient with chronic postapoplectic hemiparesis, who had difficulty in individual movement in the upper extremity. It was possible for the patient to flex the shoulder joint, but it was difficult to supinate the forearm and externally rotate the shoulder while keeping the shoulder flexed at 90 degrees. Therefore, we evaluated these movements using electromyography. As a result, the activity of the anterior fiber of the deltoid was low, while those of the pectoralis major, the biceps brachii, and external oblique abdominis were high. Based on the above findings, we tried to stretch the muscles with high activity. After stretching, we could reduce the activities of muscles with hyper tone and facilitate the deltoideus, making it easier for the patient to move independently.