Abstract
We report a case of right hemiparesis after cerebral infarction, who was not able to walk without both lateral bending of trunk and elevation of pelvis on the unaffected side. In the evaluation, hypotonia of the paralyzed side obliquus abdominis muscles and gluteus muscles was confirmed, clearly indicating hypertonia of the paralyzed lumbar muscles. We approached the paralyzed side obliquus abdominis muscles group and gluteus muscles group, with the objective of suppressing paralysis of the lumbar muscles. After 2 weeks of physical therapy, the elevation of the pelvis on the unaffected side was decreased and the side movement of pelvis increased. We suggest physical therapy of CVA patients who have compensatory hypertonia should approach hypotonia of muscles, with the object of suppressing hypertonia.
