Japanese Occupational Therapy Research Volume 23, Issue 1 (February 2004)

The relationship between bathing movements and impairments in hemiplegics Masayo Hama 1 , Munehiro Ikuta 2 , Rie Kitagata 3 , Naoko Takahashi 4 1Rehabilitation Center in Ishikawa Prefecture 2School of Health Sciences, Faculty of Medicine, Kanazawa University 3Ishikawa Seishi Gakuen 4Kamakura Shonan General Hospital Keyword: 片麻痺 , 入浴 , バランス , Hemiplegics , Bathing , Impairments pp.45-54
Published Date 2004/2/15
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 Using a home-style bathtub installed in a hospital, observations were done of 23 patients with hemiplegia after cerebral vascular accident who undertook an actual training for taking a bath. Their movements when they got into the bathtub and stood up inside the tub were observed. As a result, both movements of getting into the tub and standing up inside the tub were divided into three categories based on the levels of disabilities. It was possible to take a bath even for those with middle level paralysis if they could stand up with their non-affected side of lower limb while pressing their back on the side of the tub or if they could lift their affected side of lower limb with their non-affected side of upper limb while sitting at the edge of the tub. This means that it is possible to take a bath, regardless of the level of their paralysis, for those who can move their paralyzed upper/lower limbs using their non-affected side of upper limb with a firm support using their non-affected side of lower limb and trunk while standing up and sitting. Therefore, for them to be able to take a bath by themselves at home, it is important to implement training for taking a bath at an early stage, improving muscle strength of their non-affected side of lower limb and making sure of their ability to hold balance when they support the whole body weight with their non-affected side.

Copyright © 2004, Japanese Association of Occupational Therapists. All rights reserved.


23巻1号 (2004年2月)
電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会