Fujino Yuji, Amimoto Kazu, Sugimoto Satoshi, Fukata Kazuhiro, Inoue Masahide, Takahashi Hidetoshi, Makita Shigeru
Department of Rehabilitation, Saitama Medical University International Medical Center, Japan.
Department of Physical Therapy, Tokyo Metropolitan University, Japan.
J Phys Ther Sci. 2016 Sep;28(9):2690-2693. doi: 10.1589/jpts.28.2690. Epub 2016 Sep 29.
[Purpose] Pushing behavior is classically described as a disorder of body orientation in the coronal plane. Most interventions for pushing behavior have focused on correcting the deviation in vertical perception. However, pushing behavior seems to involve erroneous movements associated with excessive motor output by the non-paretic limbs and trunk. The present study aimed to inhibit muscular hyper-activity by placing the non-paretic limbs and trunk in the prone position. [Subjects and Methods] The subjects of the present study were 3 acute stroke patients with severe pushing behavior. The study consisted of the following 3 phases: baseline, intervention, and follow-up. In addition to conventional therapy, patients received relaxation therapy in the prone position for 10 minutes a day over 2 days. The severity of pushing behavior was assessed using the scale for contraversive pushing, and truncal balance was evaluated using the trunk control test. These assessments were performed before and after the baseline phase, and after the intervention and follow-up phases. [Results] At the baseline phase, both scores were poor. Both scores improved after the intervention and follow-up phases, and all the patients could sit independently. [Conclusion] Relaxation therapy in the prone position might ameliorate pushing behavior and impaired truncal balance.
[目的] 推挤行为传统上被描述为冠状面身体定向障碍。大多数针对推挤行为的干预措施都集中在纠正垂直感知偏差上。然而，推挤行为似乎涉及与非瘫痪肢体和躯干过度运动输出相关的错误动作。本研究旨在通过将非瘫痪肢体和躯干置于俯卧位来抑制肌肉过度活动。[对象与方法] 本研究的对象为3例有严重推挤行为的急性中风患者。研究包括以下3个阶段：基线期、干预期和随访期。除常规治疗外，患者连续2天每天接受10分钟的俯卧位放松治疗。使用对侧推挤量表评估推挤行为的严重程度，使用躯干控制测试评估躯干平衡。这些评估在基线期前后、干预期和随访期后进行。[结果] 在基线期，两项评分均较差。在干预期和随访期后两项评分均有所改善，所有患者都能独立坐立。[结论] 俯卧位放松治疗可能改善推挤行为和受损的躯干平衡。
