橋出血後に残存した姿勢制御機能障害に対し，前庭リハビリテーションを導入して意味のある作業の獲得に至った事例

Persistent dysfunction in controlling posture after pontine hemorrhage upon achieving meaningful occupations following the introduction of vestibular rehabilitation: A case study

要旨：今回，橋出血後にめまいやふらつきなどの姿勢制御機能障害が残存し，退院後の生活に著しい制限を受ける可能性のある事例を経験した．本事例の姿勢制御機能障害は中枢性前庭機能障害であることが予測された．先行研究では，中枢性前庭機能障害に対して末梢性前庭機能障害に導入される前庭リハビリテーション（以下，前庭リハ）の有効性が指摘されており，今回事例への導入を試みた．集中的な前庭リハにより姿勢制御機能が回復を示し，意味のある作業（電車乗車を含めた外出と自転車乗車）の獲得に至った．

　We experienced a case in which postural control dysfunction such as dizziness and light-headedness remained after pontine bleeding, which could significantly limit life after discharge. The postural control dysfunction in this case was believed to be central vestibular dysfunction. Previous studies have pointed out the effectiveness of vestibular rehabilitation introduced into peripheral vestibular dysfunction for central vestibular dysfunction, and the current study attempted to introduce it. The client recovered her attitude control function through intensive vestibular rehabilitation, and was able to acquire meaningful occupation, including riding the train and biking.