麻痺側足部の治療により歩行動作の改善が見られた脳血管障害片麻痺患者についての一考察

抄録

We report a case in which significant edema was found in the paralyzed foot, which showed ankle plantar flexion, varus position and toe flexion in walking, disturbing the walking movement because of insufficient load to the forepart of the foot. In this case, the patient's foot grounded first with its post-outside when standing on the paralyzed foot due to abnormal alignment on the paralyzed side. Therefore the knee joint couldn't move forward, causing knee joint flexion and trunk anteversion and compensatory tone elevation of both back muscles. We performed therapy to correct the abnormal alignment of the paralyzed foot, which remedied the compensatory tone elevation of both back muscles due to loading of the paralyzed foot sufficiently. We conclude that it is necessary to ensure the foot is fully loaded when perfoming physical therapy for patients who have trouble with the trunk due to the foot during walking.