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脳出血により左半身の運動・感覚・排尿機能が殆ど全廃し失語症も併発していた片麻痺患者(障害1級、発症時50歳)が発症2年9ヶ月後から2年間障害者乗馬活動に参加した。乗馬を開始して3ヶ月後に患側下肢の随意運動が回復したことを初めとして、乗馬を継続する間に麻痺半身の随意運動機能や感覚機能が次々と回復し自由な排尿が可能となり失語症も軽減した。その結果、家事を分担し障害者乗馬全国大会にも参加するなど積極的で明るい日常生活を過ごすようになった。乗馬は脳出血などによる後遺症を持つ患者や高齢者に最大限の能力・意欲を引き出すことが可能な極めて優れたスポーツとして活用できる可能性が高い。今後は実施症例を増やして効果を検証し、より効果の高い乗馬プログラムを整備する必要がある。
TI (female) had a hemorrhage of the right brain at 50 years of age. The cerebral hemorrhage resulted in loss of autokinesis and sensation on the left side of her body, and aphasia. Two years and nine months after the onset the patient began participating in horse riding and has continued since for the past two years. The program began with the patient being led slowly around the riding arena on the horse. As she became accustomed to riding the horse, she used the rein to steer the horse in a direction and to advance and directed the horse to start and stop. Active horse riding for two years has resulted in the recovery of autokinetic function and sensory functions at the affected extremities and alleviation of aphasia. Moreover, she is now able to lead a very active daily life. Horse riding for the physically handicapped is a very superior sport therapy for patients with sequelae following cerebral hemorrhage that can maximally improve the patients abilities and motivation.
