【麻痺側上肢の自主トレ目標】③ Step by Step・座位姿勢を整える・麻痺手のトレーニングを効果的に行うための準備と姿勢

Even if paralyzed limbs appear completely immobile, in many cases the ability to move them still exists (latent movement). The goal of rehabilitation is to improve the condition where this ability cannot be effectively utilized. In rehabilitation, a key aspect is how to alleviate muscle stiffness (spasticity), a common issue for many patients, and prevent it from hindering movement. Forcing muscle training while maintaining poor posture can lead to compensatory movements (excessive force in the body), ultimately worsening stiffness (spasticity) on the paralyzed side. This is one reason why muscle training can cause stiffness. The spine and scapula alignment: When back muscles such as the latissimus dorsi become stiff, the body tilts and collapses towards the paralyzed side. Correcting this "collapsed state" is paramount. As a prerequisite for muscle training, the goal is to be able to maintain good posture without conscious effort. ■ Practical method using a towel 1. Place a thickly rolled towel under the buttocks on the paralyzed side and wait a short time. 2. Find a position where your weight is evenly distributed between the non-paralyzed and paralyzed sides, your spine is straight, and your shoulder blades are at the same height. 3. Wait for sensation: Instead of "forcing it to correct," relax and wait for the "feeling of support from your buttocks and soles of your feet" to return. ■ Advice (Answer to Taaman's question) ・Regarding the request to do muscle training because the forearms have become thinner, it is OK to do so if your posture is correct. The key to muscle training on the paralyzed side is to use light force, not a straining "Hmm!" kind of force, but just enough to feel "Ah, my hand is moving a little." 1:43 How to control spasticity 2:14 Question from Taaman: Is it OK to do muscle training on my forearms that have become thinner? 3:05 Why stiffness in the back (latissimus dorsi) hinders movement of the paralyzed hand 4:20 The relationship between poor posture and the scapula/spine 5:05 Practice: How to correct sitting posture using a towel 6:31 The absolute requirement for starting muscle training: "Good posture without tension" 7:52 The trick to waiting for the "body's natural reaction" rather than conscious force 9:03 Sitting with weight on the buttocks of the paralyzed side ------------------------------------------------ ■Rehabilitation Studio WillLabo A private rehabilitation facility located in Ryogoku. Experienced therapists who have provided rehabilitation services to a total of 40,000 users offer high-quality one-on-one rehabilitation. ■Representative Minoru Yamada • Occupational Therapist • Certified Therapist by the International Bobath Training Instructor Conference 30 years of clinical experience 18 years of training at medical institutions, and 13 years running a business in Ryogoku ■Conditions Treated • Stroke (Hemiplegia) • Higher Brain Dysfunction • Parkinson's Disease • Osteoarthritis of the Hip • Cancer Cachexia Syndrome, etc. *Please consult us regarding other disabilities and illnesses. ■Website WillLabo Official Website https://willlabo.com/ Rehabilitation Professional Training Course    / @willlabo9717-r3r   Rehabilitation Professional Training Course for OT, PT, and ST https://www.willlabo.online/ Seminars for Therapists https://willlabo.com/service/seminar/ Reservations https://willlabo.com/reservation/ *Online Rehabilitation: 1 hour ¥7,700 Inquiries https://willlabo.com/contact/ ■Note The information in this video is based on experience and knowledge gained from clinical practice. Since individual physical conditions cannot be determined without direct evaluation, please view this information as reference only. The effectiveness of the cases and self-training exercises introduced in the video varies from person to person and is not guaranteed for everyone. When practicing, please ensure safety and consult with your therapist or doctor as needed.