Japanese Occupational Therapy Research Volume 38, Issue 4 (August 2019)

A trial of the transfer package to treat outpatient occupational therapy 20 minutes per week for affected arm dysfunction in chronic phase from stroke onset: A case report Kohei Obuchi 1 , Takashi Takebayashi 2 , Katsuaki Matsui 1 , Hisashi Muraoka 3 , Yuichi Nakamura 3 1Department of Rehabilitation, Nagano Matsushiro General Hospital 2Department of Occupational Therapy, School of Comprehensive Rehabilitation, Osaka Prefecture University 3Department of Neurosurgery, Nagano Matsushiro General Hospital Keyword: 脳卒中 , 慢性期 , 上肢機能 , 外来作業療法 , CI療法 , Stroke , Chronic phase , Upper-limb function , Outpatient occupational therapy , Constraint-induced movement therapy pp.497-504
Published Date 2019/8/15
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 OT outpatient treatment for arm dysfunction caused by learned non-use of the affected arm of a stroke patient included the transfer package as one of the main concepts of Constraint-induced movement therapy (CI therapy). Through low frequency intervention over a short time (20 minutes per week), the upper-extremity function of the patient improved more than the minimal clinically important difference 4 months after onset of intervention. Additionally, the patient was able to achieve many pre-intervention goals. Several researchers have indicated that CI therapy has problems related to manpower and insurance costs. However, this case study showed that patients in good condition might improve their affected arm function and use in the real world in a short time through low frequency intervention.

Copyright © 2019, Japanese Association of Occupational Therapists. All rights reserved.


38巻4号 (2019年8月)
電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会