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Occupational therapy for a patient with diagonistic dyspraxia and intermittent difficulty initiating actions in a convalescent rehabilitation ward Haruka Masuda 1,2 , Takeshi Fuchigami 1,2,3 , Toshihiko Uematsu 2 1Department of Rehabilitation, Eishinkai Kishiwada Rehabilitation Hospital 2Stroke Rehabilitation Research Laboratory, Eishinkai Kishiwada Rehabilitation Hospital 3Neurorehabilitation Research Center, Kio University Keyword: 拮抗失行 , 間欠性運動開始困難 , 回復期リハビリテーション病棟 , くも膜下出血 , 失行 , Diagonistic dyspraxia , Intermittent difficulty to initiating actions , Convalescent rehabilitation ward , Subarachnoid hemorrhage , Apraxia pp.391-398
Published Date 2021/6/15
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 This patient presented with diagonistic dyspraxia and intermittent difficulty initiating actions due to subarachnoid hemorrhage, resulting in decreased arm use, and inability to independently perform activities of daily living. Occupational therapy intervention included motor imagery, as well as intervention that does not increase intention of movements. Consequently, the patient's condition improved, and the intermittent difficulty in initiating actions was reduced. When the symptoms appeared, the patient responded well independently. The amount of arm use increased, as did the ability to independently perform activities of daily living. Furthermore, improvement in satisfaction with arm use and post-stroke depression were also noted. The findings suggest that occupational therapy including both methods are effective for treating diagonistic dyspraxia and intermittent difficulty to initiating actions.


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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