Japanese

Outcomes on problem/solutions learning focusing on using affected upper extremities and instructions of active movements for the voluntary movement in hemiplegic patients following acute stroke Junichi Inoue 1 1Department of Rehabilitation, National Hospital Organization Hizen Psychatric Center(Former affiliation; National Hospital Organization Kagoshima Medical Center) Keyword: 急性期 , 片麻痺 , 作業療法 , 脳卒中 , 自立度 , Acute care phase , Hemiplegia , Occupational therapy , Stroke , Degree of independence pp.320-326
Published Date 2017/6/15
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 This report describes two occupational therapy programs for patients with hemiplegia following acute stroke and considers the outcomes of each program. The first program worked with patients' acquisition of problems and solutions focusing on the affected upper extremity, and the second instructed patients in active movements to improve the voluntary mobility of the affected upper extremity. The analysis of the problem/solution group revealed significant improvement in the both the amount of use of the affected upper extremity, as well as the short term goal of increased patient independence in each activity. However, the 12 grade score indicates that significant improvement in voluntary movement of upper extremities was not observed in the patients undergoing active movement instructions. The results suggest that the learning of problem/solutions that focused on using the affected upper extremity was effective for patients with hemiplegia following acute stroke. Future studies require more detailed analysis on the effect of the learning of problem/solutions that focused on using an affected upper extremity. Furthermore, OT instructional contents of active movements for the voluntary movement will be reconsidered.


Copyright © 2017, Japanese Association of Occupational Therapists. All rights reserved.

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電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会

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