Modified Constraint-Induced Movement Therapy in the development of rehabilitation programs in a day-care center for a post stroke patient: A case study Yusuke Masuda 1 , Kaoru Honaga 1 , Hikaru Matsunaga 2 , Ken Suzuki 2 , Kunitsugu Kondo 1 1Tokyo Bay Rehabilitation Hospital 2Yatsu Kyotaku Service Center Keyword: 上肢機能 , エビデンス , 行動変容 , 片麻痺 , 単一症例研究 , Upper extremity function , Evidence , Changing behavior , Hemi paralysis , Case study pp.626-633
Published Date 2017/12/15
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 Constraint-Induced Movement Therapy is useful rehabilitation for post stroke patients. However, due to the difficulty of applying this method in the Japanese nursing insurance system, we made the modified Constraint-Induced Movement Therapy (mCI) system, which could be used in day-care centers. This case report shows the effectiveness of mCI for day-care patients. We applied the mCI to a 70-year-old woman who suffers from right hemiparesis after stroke and came to the day-care center after being discharged from the hospital. She participated in the mCI program for two months, which consisted of Task-Oriented Training (TOT) with Transfer Package (TP) (1.5 hours/day, 2 days/week). We assessed her using the Fugl-Meyer Assessment, Motor Activity Log and Simple Test for Evaluating hand Function before and after intervention. Immediately after intervention, each score improved significantly, exhibiting continuous improvement up to 1 year after intervention. The mCI had her paretic hand participate in activities of daily living, which improved practical use of her paretic hand. This case report suggests that the mCI in day-care centers might be effective for the hemiparetic patients with stroke.

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電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会