A case of severe hemiplegic due to stroke that led to the return to home by producing Semi-KAFO with the upper half of the thigh cut

Authors

  • 藤井 隆弘 Department of rehabilitation. Wako-Rehabilitation Hospital
  • 小川 祐来
  • 平野 恵健 日本医療科学大学
  • 大森 まいこ
  • 成田 考而
  • 中島 佳貴
  • 今村 健太郎

Keywords:

Severe hemiplegic patients, semi-Knee-Ankle-Foot orthosis, Convalescent rehabilitation ward

Abstract

Rehabilitation for severe hemiplegia due to stroke was provided to a patient to return home. A 63-year-old man was admitted to a convalescent rehabilitation ward to regain activities of daily living (ADL) and to return home. Since admission, the patient has required full assistance with ADL due to severe left hemiplegia and sensory disturbance. Intensive rehabilitation using a long leg orthosis was conducted to re-acquire transfer and mobility abilities. However, it was difficult for the patient to obtain support for the paralyzed side of the lower limb, making the transition from a knee-ankle-foot orthosis (KAFO) to a short leg orthosis (AFO) difficult. Hence, part of the thigh of the KAFO was cut to fabricate a semi-KAFO. This allowed the patient to return home with the ability to easily climb stairs and to put on and take off his pants for toileting, which are necessary for home life. In conclusion, the introduction of a semi-KAFO for patients who have difficulty in transitioning from KAFO to AFO may help them to return home.

Author Biography

平野 恵健, 日本医療科学大学

職位：准教授　　

学位：博士（理学療法学）首都大学東京大学院　人間健康科学研究科

資格：理学療法士　・ドイツ徒手医学認定セラピスト　・3学会合同呼吸療法認定士

専門分野：整形外科学、義肢装具学

研究テーマ： 理学療法学における臨床研究

 

業績：

  1. Yoshitake Hirano, et al: Development of a prognostic scale for severely hemiplegic stroke patients in a rehabilitation hospital. Clin Neurol Neurosurg. 2017;158(7):108-113.
  2.  Yoshitake Hirano, et al: Prediction of Independent Walking Ability for Severely Hemiplegic Stroke Patients at Discharge from a Rehabilitation Hospital. J Stroke Cerebrovasc Dis. 2016 ;25(8):1878-1881.
  3.  Yoshitake Hirano, et al：Prognosis and classification of severely hemiplegic stroke patients in a rehabilitation hospital. J Phys Med Rehabil 2017, 5: 397(DOI 10.4172/2329-9096.1000397). 
  4. Yoshitake Hirano, et al: The effect of voluntary training with family participation on early home discharge in patients with severe stroke at a convalescent rehabilitation ward. Eur Neurol. 2012;68(4):221-228.

 

他37編、Proceedings 4編、学会発表（国内・国外）117本

　

競合研究費の採択：

公益財団法人　ひと・健康・未来研究財団　医学研究助成金（2015）

公益財団法人　大同生命厚生事業団　地域保健福祉研究助成金（2011）

 

受賞：第59回日本循環代謝学会学術集会　優秀ポスター賞（2016）

 

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Published

2022-10-26

Issue

Vol. 162 No. 4 (2022)

Section

Articles