Japanese Occupational Therapy Research Volume 38, Issue 5 (October 2019)

Efficacy of the combined approach for an acute stroke patient with upper extremity paresis Takuya Hirose 1 , Takashi Takebayashi 2 , Mitsuhiko Kodama 3 , Masumi Takahashi 1 1Department of Rehabilitation, Tokai University Hospital 2School of Comprehensive Rehabilitation, Osaka Prefecture University 3Department of Rehabilitation Medicine, Tokai University Hospital Keyword: 脳血管障害 , 急性期 , 上肢機能 , 片麻痺 , 電気刺激 , Stroke , Acute phase , Upper extremity function , Hemiplegia , Electrical stimulation pp.609-616
Published Date 2019/10/15
  • Abstract
  • Look Inside
  • Reference

 We gradually introduced several treatments according to an improvement of upper extremity function in an acute stroke patient. From the early stage of stroke onset, we combined the following approaches, which improved the affected upper extremity function: Finger Equipped Electrode electrical stimulation (FEE-ES), repetitive facilitation exercise therapy (RFE), and neuromuscular electrical stimulation (NMES). Then, we use the combined approaches with the modified constraint-induced movement therapy (mCIMT), electrical stimulation, and orthosis, and adapted these to the upper extremity function in a stroke patient. As a result, the upper extremity function and amount of use in daily life improved in the stroke patient. In addition, affected upper extremity function in the stroke patient showed further improvement two months post intervention. This case study showed that evidence-based combined approaches might improve arm function in the acute phase.

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


38巻5号 (2019年10月)
電子版ISSN 印刷版ISSN 0289-4920 日本作業療法士協会