Japanese Occupational Therapy Research Volume 36, Issue 1 (February 2017)

The effect of home-based constraint-induced movement therapy on visiting rehabilitation Shinpei Kawaguchi 1 , Takashi Takebayashi 2 , Satoru Amano 3 , Ryoko Kanai 1 , Koich Nakata 1 1Department of Rehabilitation, Tagawa Shinsei Hospital 2Department of Occupational Therapy, School of Health Science and Social Welfare,Kibi International University 3Department of Rehabilitation, Hospital of Hyogo College of Medicine Keyword: 脳卒中 , 上肢 , ADL , 作業 , Stroke , Upper extremity , Activity of daily life , Occupation pp.89-96
Published Date 2017/2/15
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 The purpose of this case report was to work out the training protocols of home-based constraint-induced movement therapy (HCI therapy) for an individual with stroke-induced chronic upper-extremity hemiparesis. The patient was a 90-year-old woman who had a stroke 2 years previously and had right upper-extremity deficits. She completed a 10-week HCI program during which she restrained the unaffected upper extremity and participated in 60 minutes of intensive training of the affected upper extremity at home. Her meaningful occupational goals were brushing teeth and picking up a single grain of rice with chopsticks using the hemiparetic upper-extremity. As a result, increased scores were noted from pretreatment to post-treatment on the Fugl-Meyer Assessment for upper-extremity, Motor Activity Log, and Simple Test for Evaluating Hand Function. Additionally, all her meaningful occupation goals were accomplished, thus indicating the positive effects of HCI intervention in this pilot study.

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36巻1号 (2017年2月)
電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会