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Japanese

Occupational therapy intervention including supporting return to primary school for a child with Moyamoya disease recovering from revascularization surgery Akihito Yoshida 1,2 , Sho Okamoto 3 , Maki Tobinaga 1 , Kikuko Nishikawa 1 , Toshihiko Wakabayashi 3 1Department of Rehabilitation, Nagoya University Hospital 2Doctoral Course, Department of Hand Surgery, Nagoya University Graduate School of Medicine 3Department of Neurosurgery, Nagoya University Graduate School of Medicine Keyword: (モヤモヤ病) , 急性期 , 作業 , (復学支援) , 高次脳機能障害 , Moyamoya disease , Acute phase , Occupation , Support of return to school , Higher brain function pp.507-515
Published Date 2017/10/15
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 Occupational therapy was conducted for a male child of twelve years old who had left revascularization due to Moyamoya disease. He used to perform activities of daily living such as swimming and marathon before the surgery. Spastic paralysis of the right upper extremity and motor aphasia appeared after the surgery. He refused to get out of bed due to limitation of activity, pain, and examinations. Standard Language Test of Aphasia showed a slight disability in auditory comprehension. Moreover, he exhibited phonemic paragraphia, speed deterioration of writing, and miscalculation. Therefore, we predicted that he would abandon his school studies due to difficulties of hearing/writing and comprehension of new contents. The following goals were set: get out of bed, improve right upper extremity function, perform ADLs without symptoms and a smooth transition back to school. At first, occupational therapy consisted of playing with toy blocks, and catching an exercise ball. These enjoyable activities using motor functions promoted the expansion of the range of activities from the bedside to the occupational therapy room and the relationship between the child and the therapist. The relationship resulted in the child challenging calculation tasks and the examination of the Wechsler Intelligence Scale for Children-Fourth Edition. His return to school life has resulted in no neurological symptoms. Performance of patients' favorable occupations promoted getting out of bed smoothly and participating in unpleasant tasks.


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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