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Effect of Additive Application of Repetitive Facilitation Exercise to Conventional Rehabilitation in Hemiplegic Stroke Patients in the Recovery Stage : A Controlled Clinical Trial on Motor Functional Recovery in Hemiplegia and Activities of Daily Living Toshiro Kisa 1 , Yasuo Sakai 1 , Toshifumi Mitani 1 , Keiji Ono 1 1Department of Rehabilitation Medicine, Izumo-Shimin Rehabilitation Hospital Keyword: 促通反復療法(repetitive facilitation exercise) , 脳卒中(stroke) , 片麻痺(hemiplegia) , 促通手技(facilitation technique) , 治療成績(outcome) pp.709-716
Published Date 2011/11/18
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Abstract Objective : To study the effect of repetitive facilitation exercises (RFE) on motor functional recovery in stroke patients with hemiplegia. Subjects and Methods : Fifty-two stroke patients in the recovery stage were divided randomly to receive RFE (RFE group) or conventional therapy (CT group) for 17 weeks. Motor functional recovery and activities of daily living (ADL) were evaluated using Ueda's motor paresis grading system and functional independence measure (FIM), respectively. ADL evaluations were done blindly. Results : The baseline characteristics of the RFE and CT groups did not significantly differ. After the intervention, the RFE group showed not significantly larger improvements than the CT group in Ueda's grades for the upper limb, hand, and lower limb. But isolated joint movement from synergy was observed more frequently in the RFE group than in the CT group (p<0.05). Furthermore, improvement in FIM in the RFE group was greater than that in the CT group, especially in both the total and motor FIM of subjects who underwent lower limb RFE (p<0.05), and in the subscore for self-care in subjects receiving RFE to their fingers (p=0.075). Conclusion : There is a possibility that RFE might promote the functional recovery of the hemiplegic upper limb, hand, and lower limb to a greater extent than CT.


Copyright © 2011, The Japanese Association of Rehabilitation Medicine. All rights reserved.

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電子版ISSN 印刷版ISSN 1881-3526 日本リハビリテーション医学会

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