Japanese Occupational Therapy Research Volume 36, Issue 4 (August 2017)

Efficacy of modified constraint-induced movement therapy with family participation on the affected hand of a hospitalized patient with severe upper limb paralysis after stroke: A case report Tomomi Harada 1 , Takashi Takebayashi 2 , Kenta Takeuchi 1 , Shinichi Shimada 3 1Department of Physical Medicine and Rehabilitation, Itami Kousei Neurosurgical Hospital 2Department of Occupational Therapy, School of Health Science and Social Welfare, Kibi International University 3Department of Neurosurgery, Itami Kousei Neurosurgical Hospital Keyword: 脳卒中 , 上肢機能 , 家族 , Stroke , Upper limb function , Family pp.437-443
Published Date 2017/8/15
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 Constraint-induced movement therapy (CIMT) is a treatment for upper extremity motor dysfunction after stroke. Some medical clinics may not have the human resources to administer CIMT in the Japanese medical insurance system because of the prohibitively long hours of CIMT. We provided modified CIMT for a hospitalized patient with severe upper limb paralysis after stroke at a convalescent rehabilitation ward. In order to solve the problem of the lack of human resources, we signed a caregiver contract with the patient's wife who managed his self-exercise. As a result, we could provide therapy to the amount of 3 hours/day for the affected arm, resulting in improvements in arm function and amount of use, and quality of hand performance in daily activities. Furthermore, the patient achieved seven needs, including having a meal by affected hand, writing by affected hand and using a computer to prepare for the return to work.

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


36巻4号 (2017年8月)
電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会