体幹機能の低下が肩甲骨運動に影響し、上肢前方挙上、下降動作の耐久性低下を認めたパーキンソン病の一症例

• Published in: 関西理学療法 Vol. 23; pp. 80 - 85
• Main Authors: 富長, 陸, 鈴木, 俊明, 大沼, 俊博, 楠, 貴光
• Format: Journal Article
• Language: Japanese
• Published: 関西理学療法学会 2023
• Subjects: arm anterior elevation; lower arm motion; Parkinson’s disease; trunk function
• ISSN: 1346-9606; 1349-9572
• DOI: 10.11354/jkpt.23.80

We performed physical therapy for a patient who presented with postural abnormalities as a symptom ofParkinson’s disease and who had pain in the right lateral shoulder when the right upper extremity was raisedand lowered. When the right shoulder joint was flexed while maintaining the right scapula elevated andadducted, pain occurred at about 70° and the movement was terminated. Even during the lowering motion,while maintaining the right scapula elevated and adducted, pain similar to that of the forward raising motionoccurred. The results of examination revealed decreased muscle tone in the left longest muscle and increasedmuscle tone in the left rectus abdominis muscle. In physical therapy, the patient practiced reaching movementsin a sitting position and pain was reduced during forward raising and lowering of the right upper extremity,leading to acquisition of movement.