Robotic therapy and modified constraint-induced movement therapy for a subacute patient with moderate upper limb paralysis after stroke: A case study Naoya Anmoto 1 , Takashi Takebayashi 2 1Department of Occupational Therapy, Nagoya City Rehabilitation Center 2Department of Occupational Therapy, School of Comprehensive Rehabilitation, Osaka Prefecture University Keyword: 上肢機能 , 脳卒中 , ロボット , CI療法 , Upper-extremity function , Stroke , Robotics , Constraint induced movement therapy pp.677-683
Published Date 2018/12/15
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 Robotic therapy (RT) has proved effective in patients with upper limb paralysis after stroke. However, some researchers have reported that using robotics alone does not promote use of the affected arm in activities of daily living. We provided modified constraint-induced movement therapy (modified CIMT) and self-training using ReoGo®-J (RT) during six weeks for a convalescent patient with upper limb paralysis after stroke. Modified CIMT was based on task-oriented training and behavioral strategy, termed “Transfer Package”, to facilitate use of the affected arm in real-life. As a result, this combined approach improved not only arm function but also the amount and quality of ward-life use of the affected arm. Additionally, arm function and the amount and quality of real-world use of the affected arm were further improved after discharge.

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電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会