脳血管障害片麻痺患者の上肢に対するアプローチ

抄録

The treatment of patients with cerebrovascular disease/hemiplegia is described briefly, including clinical scenes, particularly concerning reaching movement. · Problems with the upper extremity markedly affect the posture and movements. · Since reaching movement is a motivated action with a specific intention, it is important to guide the patients toward having such an intention. · When posture control of the pelvis and trunk is adequate, the stability of the periscapular region is maintained, and smooth reaching action becomes possible. · In the treatment, the action must be re-learned by comparing the actions with input from other senses such as vision and hearing, as well as past experiences and memories, and through feeding them back. · Finger sensibility is important for manipulation, dexterity movements, and holding.