Transition of a severely hemiparetic upper limb to a supporting upper limb: Development of a purposeful activity-electrical stimulation therapy rehabilitation programme(A report of three cases)
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- Minami Seigo
- Osaka Kawasaki Rehabilitation University Kyoto University
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- Aoki Hideaki
- Wakayama Medical University
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- Kobayashi Ryuji
- Tokyo Metropolitan University
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- Fukumoto Yoshihiro
- Kyoto University Kansai Medical University
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- Aoyama Tomoki
- Kyoto University
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Objective: This study combined occupational therapy (OT) and a functional electrical stimulation hand rehabilitation system to investigate their effects on training a severely hemiparetic upper limb due to cerebral stroke for use as a supporting limb. Method: Subjects were all three individuals who consented to participate. At 50.3 ± 32.2 (mean ± SD) months after stroke onset, at initial evaluations, they scored a mean of 34.7 ± 8.3 points on the Fugl–Mayer Assessment (FMA) of motor function and 0.24 ± 0.34 and 0.21 ± 0.3 on the amount of use (AOU) and quality of movement (QOM) components of the Motor Activity Log (MAL), respectively. The therapy comprised conducting visiting OT matched to patients' daily life goals at least once a week and EST matched to the activities of daily living as at-home training at least thrice a week for 10–60 min for approximately 7 months. Results: Results were 56.0 ± 6.2 on the FMA and 1.05 ± 0.23 and 1.05 ± 0.1 on the AOU and QOM components of the MAL, respectively, demonstrating the use of the affected upper limb. Conclusion: Therefore, this study suggested improving techniques to encourage the use of an upper limb with severe paresis in daily living.
収録刊行物
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- 日本保健科学学会誌
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日本保健科学学会誌 23 (1), 14-24, 2020
日本保健科学学会
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詳細情報 詳細情報について
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- CRID
- 1390010292576630784
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- NII論文ID
- 40022292439
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- NII書誌ID
- AA12001334
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- ISSN
- 24333018
- 18800211
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- NDL書誌ID
- 030531970
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- NDL
- CiNii Articles
- KAKEN
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- 抄録ライセンスフラグ
- 使用可