運動浴訓練により小脳性失調の改善がみられた脊髄小脳変性症の1例 Underwater Exercise Improves Cerebellar Ataxia in a Patient with Spinocerebellar Degeneration (A case report)

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The specific effect of underwater exercise in a 61-year old woman with cerebellar ataxia induced by spinocerebellar degeneration was observed. She was treated through home visit rehabilitation. She was admitted to this hospital in 2004 and started underwater exercise. She received 40 minutes of physical therapy three times a week as well as 40 minutes of occupational therapy and 30 minutes of underwater exercise three times a week. After that training, her cerebellar ataxia was relieved, and she could walk indoors with good stability using a T cane. During 5 hospitalizations in 3.5 years, her cerebellar ataxia improved and her walking was stabilized.<br>Some differences in her rehabilitation during hospitalization compared to when she was at home was that occupational therapy was added and that the training frequency was increased five times by physical therapy and occupational therapy for one week in total, and that underwater exercise was added. In regards to the improvement of her dysfunction in terms of daily living, a trunk and an inferior limb were important factors. Therefore, we think that intervention through physical therapy and underwater exercise was significant. Also, the difference between her physical therapy during hospitalization and when at-home was three times a week during hospitalization and twice a week when at home. Therefore, we determined there was a large difference of her rehabilitation effected by the underwater exercise. There is a possibility the underwater exercise improved her intension tremor and dysmetria, stabilized her indoor walking, and extended the distance she walked outdoors.<br>Underwater exercise is a plural classical training method that is reasonably safe while at the same time providing rehabilitation for cerebellar ataxia, and this exercise is expected to provide addition due to the warm temperature of the water.<br>The authors propose that new rehabilitation using underwater exercise for cerebellar ataxia be considered.

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  • 日本温泉気候物理医学会雑誌 = THE JOURNAL OF JAPANESE ASSOCIATION OF PHYSICAL MEDICINE, BALNEOLOGY AND CLIMATOLOGY  

    日本温泉気候物理医学会雑誌 = THE JOURNAL OF JAPANESE ASSOCIATION OF PHYSICAL MEDICINE, BALNEOLOGY AND CLIMATOLOGY 71(4), 203-210, 2008-08-01 

    The Japanese Society of Balneology, Climatology and Physical Medicine

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各種コード

  • NII論文ID(NAID)
    10021950368
  • NII書誌ID(NCID)
    AN00186245
  • 本文言語コード
    JPN
  • 資料種別
    ART
  • ISSN
    00290343
  • NDL 記事登録ID
    9631545
  • NDL 雑誌分類
    ZS47(科学技術--医学--治療医学・看護学・漢方医学)
  • NDL 請求記号
    Z19-225
  • データ提供元
    CJP書誌  NDL  J-STAGE 
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