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Targeting ADOC and combined upper limb therapy (electrical stimulation therapy, orthotic therapy, repetitive facilitation exercises, and constraint-induced movement therapy) to achieve paralytic hand use in chronic stroke patients: A case study Yuto Kishi 1 , Takashi Takebayashi 2 , Shouhei Hori 3 , Keisuke Hanada 4 1Department of Rehabilitation, Izumo Citizens Rehabilitation Hospital 2Faculty of Comprehensive Rehabilitation, Osaka Prefecture University 3Department of Rehabilitation, Sapporo Keijinkai Rehabilitation Hospital 4Department of Rehabilitation, Hanwa Memorial Hospital, Medical Kinshukai Keyword: 上肢機能 , CI療法 , ADOC , 脳卒中 , 慢性期 , Upper extremity function , Constraint-induced movement therapy , Aid for Decision-making in Occupation Choice , Stroke , Chronic phase pp.336-343
Published Date 2021/6/15
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 It is important to share the details and progress of specific interventions performed on severe hemiplegic patients in the chronic phase of stroke in facilities ill-equipped with advanced equipment. The case involved a stroke patient with severe upper extremity paralysis 13 years after the onset of stroke. This study utilized a combination of target setting using ADOC and interventions using electrical stimulation therapy, orthotic therapy, repetitive facilitation exercises, and constraint-induced movement therapy. The functioning of the paralyzed hand did not change significantly after the intervention, but meaningful tasks were acquired, and subjective evaluations were improved. Such interventions are feasible even in a limited facility environment. Improving paralytic hand function and encouraging the use of the paralytic hand in daily life may contribute to meaningful work among patients with severe hemiplegia.


Copyright © 2021, 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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