理学療法ジャーナル54巻7号

2020年07月発行

特集 脊椎・脊髄疾患の多彩な症状と理学療法

脊椎・脊髄疾患の歩行練習

著者： 井上靖悟¹ 山口智史²

所属機関： ¹東京湾岸リハビリテーション病院 ²順天堂大学保健医療学部理学療法学科

ページ範囲：P.766 - P.773

Point

●残存機能を正しく評価し，目標設定をすることが重要である

●歩行能力を最大限に向上させるためには，Task specificity（課題特異性），Dose-dependent（運動量依存），Corticospinal modulation（皮質脊髄路による運動調節），Feasibility（実現可能性）の4項目を意識する

●歩行練習は，目的と目標を明確にして，患者と意思共有を図ることが大切である

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