関西理学療法
Online ISSN : 1349-9572
Print ISSN : 1346-9606
ISSN-L : 1346-9606
症例報告
Pusher現象を呈し、座位・立位保持および立ち上がり動作に転倒の危険性を認めた脳梗塞後左片麻痺患者の一症例
田尻 恵乃藤本 将志赤松 圭介大沼 俊博渡邊 裕文
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2009 年 9 巻 p. 105-116

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We experienced a patient with post-stroke left hemiplegia exhibiting Pusher's syndrome, who required assistance to maintain sitting and standing positions and to standing up. Hypotonia on the hemiplegic side and hypoesthesia were considered to be the basic problems with the posture and movement of this patient. Moreover, hypotonia of abdominal muscles on the non-hemiplegic side was assumed to be the main cause of Pusher's syndrome, a characteristic of this case. This condition may have induced excessive extension and abduction of upper and lower limbs on the nonhemiplegic side (Pusher's syndrome) in order to maintain posture and movement, leading to the requirement for excretory assistance. The hypotonic abdominal muscles on the non-hemiplegic side were trained through physical therapy, and Pusher's syndrome of upper and lower limbs on the non-hemiplegic side was improved. Following this, postures and movements were modified in consideration of bilateral symmetric sensory input, and movements necessary for toilet use were improved.

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© 2009 関西理学療法学会
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