著者

安部 厚志 若旅 正弘 石橋 清成 岡本 善敬 内田 武正 山本 哲

出版者

脳機能とリハビリテーション研究会

雑誌

Journal of Rehabilitation Neurosciences (ISSN:24342629)

巻号頁・発行日

vol.22, no.JPN, pp.222402, 2022 (Released:2022-12-30)

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This study reports a case of a paraplegic stroke patient who had difficulty walking with an ankle–foot orthosis, but was able to walk independently with a short knee–ankle–foot orthosis (semi-KAFO). A 34-year-old man presented with right hemiplegia due to left putaminal hemorrhage. At 143 days after the stroke onset, he could not obtain sufficient support for the paralyzed leg and required assistance during his walk with an ankle–foot orthosis because the knee joint of the paralyzed side was always flexed due to knee flexor hypertonia. Conversely, he was able to walk with a semi-KAFO under observation. He practiced putting on and taking off the semi-KAFO, standing, sitting, walking, and toileting with a semi-KAFO for three weeks. At 164 days after stroke onset, he was able to walk and toilet independently with a semi-KAFO. This study’s results indicate that a semi-KAFO is useful as a daily living orthosis for hemiplegic stroke patients who have difficulty walking with an ankle–foot orthosis due to increased knee joint flexor muscle tone.

著者

若旅 正弘 高崎 友香 沼田 憲治

出版者

脳機能とリハビリテーション研究会

雑誌

脳科学とリハビリテーション (ISSN:13490044)

巻号頁・発行日

vol.15, pp.29-35, 2015-07-03 (Released:2018-11-02)

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今回,橋梗塞後に認知機能障害を呈した症例を経験したため報告する.症例は60歳代,女性,橋に限局した脳梗塞を発症した.発症後3週目において,病前には認められなかった種々の行為・行動の異常が観察された.症例の背景,観察所見,神経心理学的検査の結果から,症例は今回の橋梗塞により認知機能障害(注意障害,記銘力障害,遂行機能障害)を呈したと考えられた.行為・行動の異常,認知機能障害は発症後13週目においても残存しており,そのためADL,IADLの一部に見守りを要したと考えられた.脳幹損傷後に認知機能障害を呈した症例の報告は少なく,慢性期まで経過を追ったものは極めて稀である.したがって,本症例報告は貴重かつ興味深い報告であると思われる.

著者

安部 厚志 若旅 正弘 石橋 清成 岡本 善敬 内田 武正 山本 哲

出版者

脳機能とリハビリテーション研究会

雑誌

Journal of Rehabilitation Neurosciences (ISSN:24342629)

巻号頁・発行日

pp.222402, (Released:2022-12-28)

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This study reports a case of a paraplegic stroke patient who had difficulty walking with an ankle–foot orthosis, but was able to walk independently with a short knee–ankle–foot orthosis (semi-KAFO). A 34-year-old man presented with right hemiplegia due to left putaminal hemorrhage. At 143 days after the stroke onset, he could not obtain sufficient support for the paralyzed leg and required assistance during his walk with an ankle–foot orthosis because the knee joint of the paralyzed side was always flexed due to knee flexor hypertonia. Conversely, he was able to walk with a semi-KAFO under observation. He practiced putting on and taking off the semi-KAFO, standing, sitting, walking, and toileting with a semi-KAFO for three weeks. At 164 days after stroke onset, he was able to walk and toilet independently with a semi-KAFO. This study’s results indicate that a semi-KAFO is useful as a daily living orthosis for hemiplegic stroke patients who have difficulty walking with an ankle–foot orthosis due to increased knee joint flexor muscle tone.