理学療法ジャーナル51巻11号

2017年11月発行

臨床実習サブノート 歩行のみかた・8

小児の脳性麻痺

著者： 野々垣聡¹

所属機関： ¹愛知県青い鳥医療療育センター

ページ範囲：P.1035 - P.1041

はじめに

　動作分析の対象者は，身体にさまざまな問題を抱えています．それらの問題が複雑に絡み合って，普通とは違った動作が表出されます．動作分析とは，普通と違う動作に気づき，そのような動作にならざるを得ない複雑な問題点を推測し，その推測を各種評価によって裏づけし，問題点を明らかにしていく作業だと思います．そう考えると，動作分析は，一種の謎解きみたいな気がしませんか？

　ひと言で脳性麻痺と言ってもその原因はさまざまで，臨床症状も多岐にわたります．そのなかで問題点を推測するには，ある程度の予備知識が必要です．そこで本稿では，主に痙直型両麻痺児の歩行における観察の視点を紹介したいと思います．

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