Abstract
We performed physical therapy for a patient with right hemiplegia following cerebral infarction six years earlier. The patient had pain in the iliocostal muscle during standing. Related to the standing posture, the patient’s pelvis tilted to the rear, both hip joints showed extension, and there was trunk flexion at the thoracolumbar junction. The cause of the pain was continuous contraction of the iliocostal muscle to maintain the flexion position of the trunk. We prescribed muscle strengthening exercises for extension muscle strength of the right hip. Consequently, the extension muscle strength of the right hip improved to 4 from 2 on the MMT, and the pain level decreased to 3 from 8 on the NRS. Moreover, the patient showed improvement in the pelvic tilt to the rear.
