Functional recovery in hemiplegic arm as outcome of occupational therapy and intensive exercise therapy focused on freedom from synergy Katsuya Kamada 1 , Kazumi Kawahira 1 , Tomokazu Noma 1 , Nobuyuki Tanaka 1 , Seiji Etoh 1 1Department of Rehabilitation and Physical Medicine, Kagoshima University Keyword: 片麻痺 , (上肢機能回復) , (促通手技) , Hemiplegia , Exercise therapy , Functional recovery of arms , Facilitation technique pp.18-25
Published Date 2004/2/15
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 Object : To evaluate the effects of the intensive repetition of movements elicited by facilitation technique (IRF), to improve voluntary movements of hemiplegic upper limbs in patients with hemiplegia due to stroke.

 Design : A multiple baseline design (A-B-A-B). Two 2-week sessions of IRF (more than 100 repetitions a day for each of the 8 kinds of movements) were intermittently added, in two 2-week intervals, to continuous conventional occupational therapy (wiping, pinching, etc.) for patients with hemiplegic upper limbs.

 Setting : Inpatients rehabilitation facility.

 Subject : Twelve patients with hemiplegia were studied (age : 60.1±11, years : time after onset : 17.9±15.2 weeks). Motor function of the affected upper limb : 12 grade 7.7 + 2.2 of hemiplegia, which reflects the degree of isolation from synergy.

 Main outcome measures : Simple Test for Evaluating hand Function (STEF), influenced by both finger function and arm function, was conducted every 2 weeks—12 grade of upper limb and finger.

 Result : Significant improvements in 12 Grade for upper limbs, 12 grade for fingers and STEF were shown after IRF sessions, except in the case of STEF after the first conventional occupational therapy sessions. Intensive repetition of movement's pattern elicited by a facilitation technique improved voluntary movements of hemiplegic upper limbs in patients with stroke.

Copyright © 2004, 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