Therapeutic effect of rehabilitation for the upper extremity of a patient with hemiplegia performed on the basis of the concept of cognitive therapeutic exercise Hideki Miyaguchi 1 , Kazuhiko Okita 1 1Hiroshima Prefectural College of Health and Welfare Keyword: 脳血管障害 , 上肢機能 , 機能訓練 , cerebrovascular accident , upper limbs , function recovery exercise pp.218-226
Published Date 1999/6/15
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 We performed cognitive therapeutic exercises to rehabilitate the upper extremity of a patient with severe hemiplegia. This therapy is principally performed on the basis of the concept of exercise and 'instrument'. The patient is a 23-year-old woman with Brunnstrom stage 3 of impaired motor functions of the upper extremity but with normal sensory functions. The MFS score dramatically rose up (28→76) after therapy, compared with the score obtained before therapy (19→28). Analysis on the putative prognosis of the patient demonstrated remarkable improvement. Upon treatment for the patient, we determined a series of exercise plans with her through a step-by-step exercise through which mutual relationships between physical and surrounding conditions can be understood by her. We examined the clinical significance of therapeutic exercise throughout this study.

Copyright © 1999, Japanese Association of Occupational Therapists. All rights reserved.


電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会