Matsuda Tadashi, Akezaki Yoshiteru
Department of Rehabilitation, Suita Municipal Disability Support Center I-Hope Suita, Japan.
Department of Rehabilitation, National Hospital Organization Shikoku Cancer Center, Japan.
J Phys Ther Sci. 2017 Jul;29(7):1268-1271. doi: 10.1589/jpts.29.1268. Epub 2017 Jul 15.
[Purpose] The aim of this study was to examine the usefulness of aquatic walking exercise using a walker for chronic stroke patients. We also examined the psychological effects on the study subject and the primary caregiver before and after aquatic walking exercise. [Subject and Methods] The subject was a 60-year-old male with bilateral paralysis after a cerebrovascular accident. The Fugl-Meyer Assessment (FMA) total score was 116 on the right and 115 on the left. The intervention combined aquatic and land walking exercise. A U-shaped walker was used for both water and land exercise. Continuous walking distance was the measure used to evaluate land walking ability. The psychological effects on the study subject and the primary caregiver were examined with the questionnaire. [Results] In aquatic walking, the mean time to walk 5 m showed an increase from the intervention after two months. After the aquatic walking and land walking combination, continuous walking distance also showed a prolonged trend. In the survey given to the main caregivers, improvements were observed. [Conclusion] Aquatic walking practice using a walker improved motivation in a chronic stroke patient, leading to improved walking ability, with a positive psychological influence on the participant and family caregiver.
[目的] 本研究旨在探讨使用助行器进行水中步行训练对慢性卒中患者的有效性。我们还研究了水中步行训练前后对研究对象及其主要照顾者的心理影响。[对象与方法] 研究对象为一名60岁男性，脑血管意外后双侧瘫痪。Fugl-Meyer评估（FMA）总分右侧为116分，左侧为115分。干预措施包括水中和陆地步行训练。在水中和陆地上训练均使用U形助行器。连续步行距离作为评估陆地步行能力的指标。通过问卷调查研究对象及其主要照顾者的心理影响。[结果] 在水中步行训练中，两个月干预后步行5米的平均时间有所增加。水中步行与陆地步行相结合后，连续步行距离也呈延长趋势。在对主要照顾者的调查中，发现有改善。[结论] 使用助行器进行水中步行训练可提高慢性卒中患者的积极性，从而改善步行能力，并对参与者及其家庭照顾者产生积极的心理影响。
