回復期において上肢機能の改善に向けて修正CI療法とKiNesthetic illusion induced by visual stimulation療法を併用した脳卒中再発の一症例

Treatment of recurrent stroke with modified CI therapy and KiNesthetic illusion induced by visual stimulation therapy to improve upper limb function in the convalescent ward: A case study

要旨：CI療法と他の治療法の併用により大きな治療効果が得られると報告されている．また，脳の可塑性を向上させる治療の1つにKiNvis療法がある．今回，脳梗塞により中等度の左片麻痺を呈した一症例に対し，回復期にて修正CI療法とKiNvis療法を併用した上肢機能訓練を実施した．修正CI療法は，3時間の課題指向型訓練とtransfer packageの活用を3週間実施し，KiNvis療法は自主訓練の開始20分で実施した．その結果，SIAS-m，FMA-UE，MASの改善を示した．CI療法にKiNvis療法を併用することの有用性が示唆された．

It has been reported that CI therapy in combination with other therapies can have a significant therapeutic effect. KiNvis therapy is another therapy to improve brain plasticity. In the present study, a patient with moderate left hemiplegia due to cerebral infarction underwent upper limb functional training combined with modified CI therapy and KiNvis therapy in the convalescent. Modified CI therapy consisted of 3 hours of task-oriented training and transfer package for 3 weeks, and KiNvis therapy was given at the beginning of 20 minutes of voluntary training. Results showed improvement in SIAS-m, FMA-UE, and MAS, suggesting the usefulness of combining CI therapy with KiNvis therapy.