The process of task-oriented training for the affected upper-extremity in acute phase for a BAD patient Yuki Kimura 1 , Takashi Takebayashi 2 , Kazuhiro Tokuda 1 , Kazuya Kaise 1 , Toshiaki Fujita 3 1Department of Rehabilitation, Hanwa Memorial Hospital 2Department of Occupational Therapy, School of Health Science and Social Welfare, Kibi International University 3Department of Cranial Nerve Surgery, Hanwa Memorial Hospital Keyword: 予後予測 , 上肢機能 , 脳卒中 , Prognosis prediction , Upper extremity , Stroke pp.423-429
Published Date 2017/8/15
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 Stroke-induced arm hemiparesis has been widely reported, and results in a significant decline in quality of life for stroke survivors. Branch Atheromatous Disease (BAD) is a type of stroke which has resulted in a worse prognosis of upper extremity function than conventional stroke. The paper presents an account of a BAD patient whose upper extremity paresis deteriorated during the initial 2 days of hospitalization. From the acute phase, we treated for upper extremity paresis of the patients using task-oriented training to regain the meaningful occupation. Consequently, the affected upper extremity function improved more than minimum expectations, indicating an important clinical difference among acute stroke patients. This case study explains the process and results of occupational therapy for this BAD patient, and includes the functional prognosis for upper extremity function at the onset of BAD.

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


電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会