回復期リハビリテーション病棟退院後に遠隔CI療法を実施した一事例

Remote CI therapy after discharge from a convalescent ward: A case study

要旨：近年，遠隔リハビリテーションの有効性が示されている．米国では脳卒中患者に対し，遠隔Constraint-induced movement therapy（CI療法）が古くから試行されている．事例は脳卒中後右片麻痺を呈し，回復期リハビリテーション病棟退院後当院への外来受診を検討していたが，通院が困難であった．したがって，1回40分の遠隔CI療法を週2回の頻度で計8回実施した．結果，Fugl-Meyer Assessment，Motor Activity Logが回復期リハビリテーション病棟退院後に，臨床的に意味のある最小変化量を超える改善を認めた．本報告では，遠隔CI療法における経過を報告する．

　Recently, the effectiveness of telerehabilitation has been demonstrated. Teleconstraint-induced movement therapy (CI therapy) for stroke patients has a long history in the United States. A patient with right hemiplegia after stroke was discharged from a rehabilitation ward and considered visiting our hospital as an outpatient, but due to difficulty in traveling to the hospital, we performed tele-CI therapy for 40 minutes twice a week for a total of 8 sessions. As a result, the Fugl-Meyer Assessment and Motor Activity Log showed improvement beyond the minimum clinically meaningful change after discharge from the rehabilitation ward. This report describes the progress of remote CI therapy.