The Japanese Journal of Rehabilitation Medicine
Online ISSN : 1880-778X
Print ISSN : 0034-351X
ISSN-L : 0034-351X
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Volume 42, Issue 6
Displaying 1-6 of 6 articles from this issue
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Short Note
  • Dominant Bolus Passage Side at the Cricopharyngeal Portion in Wallenberg's Syndrome
    Takayuki MITSUISHI, Kyoko MITSUISHI, Ryoji NAKANISHI, Hiroaki YAMANAGA
    2005 Volume 42 Issue 6 Pages 412-417
    Published: 2005
    Released on J-STAGE: September 22, 2006
    DOIhttps://doi.org/10.2490/jjrm1963.42.412
    JOURNAL FREE ACCESS
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    We studied the dominant bolus passage side at the cricopharyngeal portion and any changes during an observation period in 29 dysphagia patients with Wallenberg's syndrome using videofluoroscopic examination of their swallowing function. In 20 cases, the period when the affected side was the dominant bolus passage side was not confirmable. In 9 cases, the period when the affected side was the dominant bolus passage side was confirmable. The dominant bolus passage side was the affected side at first in 5 cases, but then changed to the non-affected side. The dominant passage side in one case changed from both sides non-passage to affected side to non-affected side. In 3 cases, the dominant passage side was confirmed only in the affected side. The dominant bolus passage side in Wallenberg's syndrome was in some cases the affected side, and it was confirmed that there were also cases where the affected side changed. Confirmation of the dominant passage side is important to implement the best method of oral feeding. A relaxed state of the cricopharyngeal muscle in the affected side may have an influence on the cricopharyngeal opening in Wallenberg's syndrome.
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Case Report
  • A Report of a Stroke Patient presenting with Great Toe Hyperextension
    Michiyuki KAWAKAMI, Shin YAMADA, Meigen LIU, Naofumi TANAKA, Nobushige ...
    2005 Volume 42 Issue 6 Pages 418-422
    Published: 2005
    Released on J-STAGE: September 22, 2006
    DOIhttps://doi.org/10.2490/jjrm1963.42.418
    JOURNAL FREE ACCESS
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    We report a patient with stroke presenting with great toe hyperextension and loss of ambulation following selective tibial nerve neurotomy. A 50-year-old woman developed double hemiparesis and dysarthria following two attacks of cerebral infarction on September 23 and October 3, 1996. After rehabilitation treatment, she became ambulant indoors with an ankle foot orthosis. About 11 months post stroke, walking became increasingly difficult due to exaggerated spasticity and consequent equinovarus and claw toe deformities on the right side. She underwent selective tibial nerve neurotomy in February 1999, and although these deformities were improved, prominent hyperextension of her great toe appeared after about 2 weeks postoperatively. Because of severe pain accompanying the deformity and misfit of the orthosis, she became unable to stand and progressively more dependent in activities of daily living. Four years after the neurotomy, she was referred to us in August 2003. On supported standing, marked hyperextension of her great toe and equinovarus deformities appeared on the right side, and we performed phenol motor point blocks on the extensor hallucis longus (EHL), flexor digitorum longus and tibialis posterior to reduce their overactivity. The deformities were improved and she was able to practice walking with a brace again.
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Reports
41st Annual Meeting of the Japanese Association of Rehabilitation Medicine
Panel Discussion
41st Annual Meeting of the Japanese Association of Rehabilitation Medicine
Workshop
  • The Best Way of Conveying the Rehabilitation Medicine to Medical Students
    2005 Volume 42 Issue 6 Pages 388-411
    Published: June 18, 2005
    Released on J-STAGE: February 05, 2010
    DOIhttps://doi.org/10.2490/jjrm1963.42.388
    JOURNAL FREE ACCESS
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    Challenge of Conveying the Rehabilitation Medicine to Medical Students…Eiichi SAITOH 388

    The Meaning of the Education of the Rehabilitation Medicine for Undergraduate Medical Students…Yuichi UMEZU 390

    The Relationship between Teaching Rehabilitation in Medical Department and Recent Emphasis on Graduate School…Masahiro KOHZUKI 393

    Presentation-oriented Program to make Clinical Clarkship More Attractive…Shin YAMADA 399

    Education of the Rehabilitation Medicine, it's View and Practice : Efforts of Fujita Health University…Mikoto BABA 406

    Medical Students should study Rehabilitation Medicine…Fumihiro TAJIMA 410
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Regional Meetings
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