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Guideline-based functional upper limb approach focusing on shared decision making for acute-phase stroke patients: A case study Shu Akiba 1 , Takashi Takebayashi 2 , Keisuke Hanada 2,3 1Department of Rehabilitation, Saiseikai Central Hospital 2Graduate School of Comprehensive Rehabilitation, Osaka Prefecture University 3Department of Rehabilitation, Kinsyukai Hanwa Memorial Hospital Keyword: 脳卒中 , 上肢機能 , 急性期 , 意思決定 , MAL , Stroke , Upper extremity , Acute phase , Decision making pp.106-112
Published Date 2022/2/15
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 There are very few reports of shared decision making (SDM) on goal setting and interventions in occupational therapy for the acute phase of stroke in Japan. In this study, we conducted a guideline-based SDM on interventions for a case in which the paralyzed hand was used infrequently, and the patient was reluctant to set goals or make decisions about interventions. As a result, the case was encouraged to actively participate in occupational therapy, and the frequency of use of the paralyzed hand increased beyond the minimal clinically important difference. The results of the case study suggest that SDM on goal setting and guideline-based interventions may be useful in occupational therapy during the acute phase of stroke.


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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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