理学療法ジャーナル54巻11号

2020年11月発行

特集 歩行PART 1　脳神経疾患と歩行

不全脊髄損傷による歩行障害の評価と治療

著者： 古関一則¹

所属機関： ¹茨城県立医療大学付属病院リハビリテーション部

ページ範囲：P.1296 - P.1302

Point

●患者の全体像や神経学的所見（Neurological Level of Injury：NLI，麻痺の重症度）や脊髄損傷特有の合併症の有無を十分に評価したうえで，目標や介入方法を設定する必要がある

●歩行能力改善のためには，神経可塑の観点，運動学的観点の両面からみたポイントを踏まえたうえで，適切な環境（機器・装具の利用含む）でのインテンシブな歩行練習が有効である

●重症例においては，歩行練習に加え脊髄損傷特有の起居動作，移乗動作，車椅子操作の獲得が必要である

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