Todaka Ryosuke, Kajiyama Tetsu, Kariu Naoya, Anan Masaya
Department of Rehabilitation, Beppu Rehabilitation Center, Beppu, JPN.
Welfare and Health Science, Oita University, Oita, JPN.
Cureus. 2024 Jul 9;16(7):e64193. doi: 10.7759/cureus.64193. eCollection 2024 Jul.
This case report describes a woman in her fifties who experienced a left-sided atherothrombotic cerebral infarction with lesions in the left corona radiata. The patient exhibited motor paralysis of the right upper and lower limbs. After a 10-day acute hospital stay, she was admitted to a rehabilitation facility for an intensive program of physical, occupational, and speech therapy. By day 17 of the onset, she had achieved independence by walking with a cane. This case was documented to study the effects of gait training with non-paretic knee immobilization on muscle activity and trunk kinematics in post-stroke hemiplegia. Traditional physical therapy was used initially, followed by an intervention phase in which gait training was performed with the non-paretic knee immobilized. This approach was hypothesized to induce beneficial kinematic and muscle activity changes in the paretic limb. The results showed increased muscle activity in the paretic lateral gastrocnemius without compromising trunk stability, suggesting that this method may improve rehabilitation outcomes in similar cases.
本病例报告描述了一名五十多岁的女性，她经历了左侧动脉粥样硬化血栓形成性脑梗死，梗死灶位于左侧放射冠。患者出现右上肢和下肢运动麻痹。在急性住院10天后，她被收治到一家康复机构，接受物理、职业和言语治疗的强化方案。发病第17天时，她借助拐杖行走已实现自理。记录该病例是为了研究非瘫痪侧膝关节固定的步态训练对中风后偏瘫患者肌肉活动和躯干运动学的影响。最初采用传统物理治疗，随后进入干预阶段，在此阶段进行非瘫痪侧膝关节固定的步态训练。该方法的假设是在瘫痪侧肢体诱导有益的运动学和肌肉活动变化。结果显示，瘫痪侧腓肠外侧肌的肌肉活动增加，且未影响躯干稳定性，这表明该方法可能改善类似病例的康复效果。
