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日本リハビリテーション医学会近畿地方会

近畿地方会誌発刊にあたって

CONTENTS

Rehabilitation Method for two paraplegia cases with transverse myelitis because of

infection from early stage. : Considering Functional recovery of motor disturbance

Key words:transverse myelitis, paraplegia, rehabilitation, functional recovery

Abstract

We experienced two patients with post-infectious transverse myelitis. Both patients had paraparesis,

sensory disturbances and bowel and bladder dysfunction on admission. In rehabilitation program along

with medication, we put focus on their functional improvement such as appearance of spasticity and

tried to reduce sequelae. One patient could independently walk after six months from the onset. The

other starting rehabilitation with delay could walk with brace and Lofstrand crutches within doors after

a year from the onset. Our limited experiences suggested that functional recoveries in patients with

transverse myelitis were generally gradual and might take several years. Thus, medical stuffs should

plan to improve gait ability in the long-standing point of view. For such purpose, orthoses or assistant

tools for walking should be applied even in the early course of disease.

1.Positive sensory abnomalities

spontaneous pain

hyperalgesia(mechanical,thermal,deep somatic)

2.Vasscular abnormalities

vasodilatation

vasoconstriction

skin temperature asymmetries

skin color changes

3.Edema,sweating abnormalities

swelling

hyperhidrosis

hypohidrosis

4.Motor or tropic changes

motor weakness

tremor

dystonia

coordination deficits

nail or hair changes

skin atrophy

joint stiffness

soft tissue change

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Rehabilitation for non-herpetic acute limbic encephalitis A case report

MMSE Mini-Mental State Examination WAIS- Wechsler Adult Intelligence Scale -

TMT Trail Making Test BADS Behavioural Assessment of the Dysexecutive Syndrome

WMS-R Wechsler Memory Scale-Revised RBMT The Rivermead Behavioral Memory Test

SLTA Standard Language Test of Aphasia FIM Functional Independence Measure

Abstract

Motor symptoms are cardinal clinical features of Parkinson's disease (PD) and addition to drug

therapies rehabilitation may present beneficial effect. However, non-motor symptoms have been

accumulated more attentions and rehabilitation may also give beneficial effect. Rehabilitation for

motor- and non-motor symptoms may be essential for improving fatigue and quality of life (QOL) in

PD patients.

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