RISKY GROUPS IN ACUTE ISCHEMIC STROKE REHABILITATION
Shinichim Kawakita, Sotaro Higashi (Keiju Medical Centex, Ishikawa, Japan)
We have experienced about three hunched patients with acute ischemic stroke rehabilitation in the last two years. These patients initially received bedside rehabilitation and later in the program attended an exercise room when they can sit stably. During the exercise room program, ten patients developed neurological deterioration or recurrence. This study was performed to investigate these cases and discuss the risky groups in acute ischemic stroke rehabilitation.
Seven cases belonged to anterior circulation stroke. In this group, five were watershed stroke and two were the embolic one. Three cases belonged to posterior circulation stroke. In this group, all cases exhibited so called "Basilar artery bifurcation" syndrome temporally and were considered as embolic stroke with different etiology. We would like to demonstrate these three cases and emphasize that this group should receive special attention as a risky group in acute ischemic stroke rehabilitation.
BODY WEIGHT DISTRIBUTION AT SUPINE POSITION ANALYZED BY A PHOTOELASTIC METHOD IN HEMIPLEGICS
Hirofumi Nakaqawa (Nichinan Gakuen, Miyazaki, Japan) and Jun-ichi Kitamura (Nippon Medical School, Kanagawa, Japan), Susumu Takahashi (Kanto University, Kanagawa, Japan)
To investigate the relationship between pressure distribution and decubitus, body weight distribution were analyzed by a photoelastic method in 10 hemiplegics, mean age of 60 year-old, 5 males and 5 females, and 15 age and body weight matched healthy subjects, 8 males and 7 females. Each subject lay down on a 100cm X 200cm laoding device, and the local pressure on a 5 mm diameter steel ball was anlyzed by the diameter of its first fringe. Body weight was loaded on the sacrum, back shoulder, thigh, arm and heel in this order. Decubitus is known to occur most frequently in the sacral region where the pressure is most loaded as revealed in the present study. As there was no significant differences between hemiplegics and normals, decubitus is supposed to be preventable by adequate positionings in hemiplegics.