This study concerns a case of cerebral palsy where sleeping difficulty, primarily nocturnal awakening, was resolved through an intervention with Dohsa-hou training. The trainee was experiencing difficulty in maintaining sleep, which was attributed to difficulty in turning over during sleep due to impaired movement of the hip joints as well as involuntary muscle tightening in the neck, shoulders, and extremities. Clinical Dohsa-hou training included the release of chronic muscle tightness mainly in the neck, shoulders, back, and around the hip, as well as improvement of movement control to resolve these problems in addition to the additional task of improving daily postures. This intervention enabled the trainee to move the body with appropriate strength after learning to relax the chronic muscle tightness and to control involuntary muscle tightening. Additionally, the trainee also adopted a stable cross-legged position to sit independently with relaxed muscles in the neck, shoulders, and upper extremities, which had been tightened to support an unstable posture. With course progression, the trainee and the guardian reported no sleeping difficulty. The outcome also showed improvement with decreased duration of nocturnal awakening during the intervention period. However, the sleeping difficulty recurred during a subsequent week of measurement, suggesting a challenge of maintaining the therapeutic effect.
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