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Function of unaffected upper extrimities in hemiplegia Ineko Morita 1 , Junko Katono 1 , Kumiko Mizunuma 1 , Mitsuhiro Motochi 2 , Nobuhiko Sajiki 2 1Tohoku University Hospital 2Tohoku Rosai Hospital Keyword: 脳卒中 , 健側上肢機能 , MFS , Cerebral apoplexy , Function of unaffected upper extremity , Manual Function Score pp.35-42
Published Date 1997/2/15
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 The function of unaffected upper extremities was studies in 168 stroke patients with hemiplegia. These patients were admitted to hospitals within 6 months after the onset.

 The functions of the affected and unaffected upper extremities were measured by the Manual Function Test. We examined the correlations, with regard to function, between the unaffected limb and the affected limb—all the while noting the time since onset, hemiplegic laterality, degrees of recovery, mental and congnitive function, and activities of daily living.

 The results revealed that the rate of function of unaffected limbs lowered in comparison with the function of people of the same age with healthy controls, and showed no relation to laterality. The degree of recovery was larger during the 4 weeks of training than in the 4 weeks after the systematic occupational training. The test that proved most difficult for patients with unaffected extremities was the cube and peg manipulation, which required of the upper extremities motions of pinching, moving, pointing and releasing. With regard to finger motion, the peg manipulation proved to be more successful than the cube manipulation, which did'nt improve. These deteriorations were caused, in part, by the routine activities of daily living, and by mental and cognitive dysfunction.


Copyright © 1997, 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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