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A trial of combination therapy with mirror therapy in a stroke patient with severe upper-extremity paresis: A case study Daiki Hanioka 1 , Takashi Takebayashi 2 , Kenta Takeuchi 3 , Shinichi Shimada 4 1Department of Rehabilitation, Tsukazaki Hospital (Former affiliation;Department of Physical Medicine and Rehabilitation, Itami Kousei Neurosurgical Hospital) 2Department of Occupational Therapy, School of Comprehensive Rehabilitation, Osaka Prefecture University 3Department of Physical Medicine and Rehabilitation, Itami Kousei Neurosurgical Hospital 4Department of Neurosurgery, Itami Kousei Neurosurgical Hospital Keyword: 上肢機能 , ミラーセラピー , 脳卒中 , 片麻痺 , 手指 , Upper-extremity , Mirror therapy , Stroke , Hemiplegia , Finger pp.333-340
Published Date 2020/6/15
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 Mirror therapy (MT) is an evidence-based treatment method for upper-extremity dysfunction after stroke. We conducted multiple treatments with evidence-based treatment methods including Constraint-induced movement therapy and robot therapy for a stroke patient with severe upper extremity dysfunction; however, we could not improve finger extension. We implemented MT in the late subacute period, resulting in improved extension function of the index finger. Furthermore, the patient could undergo task-oriented training with the paralyzed hand, resulting in partial use of the paralyzed hand in activities daily of living. Although the mechanism of recovery of MT is still unknown, combined therapy using MT for severe upper limb dysfunction may improve upper limb function.


Copyright © 2020, 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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