こんな感じどうでしょうか？
■課題抽出

股関節外転筋の筋力低下と疼痛回避歩行

バランス低下と“屋内ですら転倒の恐れが強い状況”

軽度認知症＋内部疾患併存により訓練内容の理解・保持が不安定

日常活動量の低下 → サルコペニア・再転倒のリスク

自宅段差・浴室環境など、環境要因のリスクが大きい

■方向性（理学療法・作業療法）

疼痛管理＋股外転筋の再教育

歩行器 → T杖への段階的移行

バランス訓練（TUG15秒以内が短期目標）

認知面を考慮した“短く分かりやすい課題提示”

自宅環境の福祉用具導入（手すり・段差解消）

家族指導：転倒リスク・夜間動線・服薬管理

■Identified Issues

Weakness in hip abductor muscles and pain-avoidance gait

Impaired balance and ‘high risk of falling even indoors’

Mild cognitive impairment + coexisting internal diseases leading to unstable comprehension and retention of training content

Reduced daily activity levels → Risk of sarcopenia and recurrent falls

Significant environmental risk factors: home steps, bathroom layout, etc.

■Direction (Physiotherapy/Occupational Therapy)

Pain management + hip abductor muscle re-education

Progressive transition from walking frame → T-cane

Balance training (short-term goal: TUG within 15 seconds)

‘Brief, easily understandable task presentation’ considering cognitive aspects

Introduction of welfare equipment in home environment (handrails, step elimination)

Family guidance: fall risk, night-time movement routes, medication management December 12, 2025