The study of a task-specific approach and a behavioral strategy by ADOC-H in daily life for a subacute stroke patient Takahiro Takino 1 , Takashi Takebayashi 2 , Kenta Takeuchi 1 , Kounosuke Tomori 3 , Shinichi Shimada 4 1Department of Occupational Therapy, Itami Kousei Neurosurgical Hospital 2Department of Occupational Therapy, School of Comprehensive Rehabilitation, Osaka Prefecture University 3School of Health Sciences, Tokyo University of Technology 4Department of Neurosurgery, Itami Kousei Neurosurgical Hospital Keyword: 上肢機能 , 行動変容 , ADOC , 意味のある作業 , Upper limb function , Behavior change , Meaningful work pp.661-668
Published Date 2018/12/15
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 Task-specific training is the most empirically supported approach to rehabilitation of upper limb paralysis after stroke. However, it has been reported that task-specific training alone cannot lead to improved frequency of use of the paralyzed hand in daily life. This study provided early task-specific training for a stroke patient with severe upper limb paralysis to improve her upper extremity function. Upon beginning the task-specific training, upper limb function improved. However, the training did not improve upper limb performance in daily life. Thus, we implemented Transfer Package using Aid for Decision-making in Occupation Choice for Hand (ADOC-H) and attempted to change the function of the paralyzed hand. As a result, frequency of use of the paralyzed hand in ADL improved, and the patient expressed positive opinions on the use of the paralyzed hand. Transfer package using ADOC-H can promote the frequency of use of a paralyzed hand.

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電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会