Iwasa Shiori, Akaguchi Ryo, Okuno Hiroyuki, Nakanishi Koji, Ueta Kozo, Morioka Shu
Physical Therapy, Faculty of Health Sciences, Kio University, Nara, JPN.
Neurorehabilitation, Graduate School of Health Sciences, Kio University, Nara, JPN.
Cureus. 2023 Dec 24;15(12):e51033. doi: 10.7759/cureus.51033. eCollection 2023 Dec.
Spinocerebellar degeneration (SCD) is a progressive disease characterized by cerebellar ataxia or the posterior spinal cord. Among these, spinocerebellar ataxia type 31 (SCA31) is genetically more common in the Japanese population and is characterized by pure ataxia, resulting in severe disturbances in postural balance, with common falls. Therefore, rehabilitation is important to improve postural balance. Light touch is a known method of reducing postural sway, which acts with the light touching of an object with the body. We herein present a case of a patient with SCA31 who was trained in a standing position by lightly touching the back of the body to a wall surface. Dynamic interarticular coordination exercises were also performed as part of the rehabilitation program. As a result, even in the progressive SCA31, improvements in standing postural balance and activities of daily living contributed to improvements in the patient's postural balance. We followed the progress of postural control ability using the center of gravity sway measurement and electromyography and described some interesting characteristics of the patient's postural control ability in this report.
脊髓小脑变性（SCD）是一种以小脑共济失调或脊髓后索病变为特征的进行性疾病。其中，31型脊髓小脑共济失调（SCA31）在日本人群中在遗传上更为常见，其特征为单纯性共济失调，导致姿势平衡严重紊乱，经常跌倒。因此，康复对于改善姿势平衡很重要。轻触是一种已知的减少姿势晃动的方法，通过身体轻触物体来发挥作用。我们在此报告一例SCA31患者，通过将身体背部轻轻靠在墙面上进行站立训练。动态关节间协调练习也作为康复计划的一部分进行。结果，即使在进行性SCA31患者中，站立姿势平衡和日常生活活动的改善也有助于改善患者的姿势平衡。我们使用重心晃动测量和肌电图跟踪姿势控制能力的进展，并在本报告中描述了患者姿势控制能力的一些有趣特征。
