PDF(Pubmed)
Abstract：
Spinocerebellar degeneration (SCD) is a progressive disease characterized by cerebellar ataxia or the posterior spinal cord. Among these, spinocerebellar ataxia type 31 (SCA31) is genetically more common in the Japanese population and is characterized by pure ataxia, resulting in severe disturbances in postural balance, with common falls. Therefore, rehabilitation is important to improve postural balance. Light touch is a known method of reducing postural sway, which acts with the light touching of an object with the body. We herein present a case of a patient with SCA31 who was trained in a standing position by lightly touching the back of the body to a wall surface. Dynamic interarticular coordination exercises were also performed as part of the rehabilitation program. As a result, even in the progressive SCA31, improvements in standing postural balance and activities of daily living contributed to improvements in the patient\'s postural balance. We followed the progress of postural control ability using the center of gravity sway measurement and electromyography and described some interesting characteristics of the patient\'s postural control ability in this report.
摘要：
脊髓小脑变性（SCD）是一种进行性疾病，其特征是小脑共济失调或后脊髓。其中,脊髓小脑性共济失调31型（SCA31）在日本人群中更常见，其特征是纯共济失调，导致姿势平衡严重紊乱，常见的瀑布。因此,康复对改善姿势平衡很重要。轻触是一种已知的减少姿势摇摆的方法，它与物体与身体接触的光一起起作用。我们在此介绍了SCA31患者的情况，该患者通过将身体后部轻轻接触墙壁表面而以站立姿势接受训练。作为康复计划的一部分，还进行了动态关节间协调练习。因此,即使在渐进式SCA31中，站立姿势平衡和日常生活活动的改善也有助于改善患者的姿势平衡。我们使用重心摇摆测量和肌电图跟踪姿势控制能力的进展，并在本报告中描述了患者姿势控制能力的一些有趣特征。
